A patient diagnosed with schizophrenia has been stable for a year; however, the family now reports the patient is tense, sleeps 3 to 4 hours per night, and has difficulty concentrating
The patient says, "My computer is sending out infected radiation beams." The nurse can correctly assess this information as an indication of:
a. the need for psychoeducation.
b. medication noncompliance.
c. chronic deterioration.
d. relapse.
ANS: D
Signs of potential relapse include feeling tense, difficulty concentrating, trouble sleeping, increased withdrawal, and increased bizarre or magical thinking. Medication noncompliance may not be implicated. Relapse can occur even when the patient is taking medication regularly. Psychoeducation is more effective when the patient's symptoms are stable. Chronic deterioration is not the best explanation.
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