The nurse is discouraged because his plan to reduce negative symptoms of schizophrenia (apathy, avolition, inattentiveness, poor socialization, poor eye contact and flat affect, etc.) in a client is not working
The mentor's remark that helps place the problem in perspective is:
1. "You aren't responsible for the behavior of any other person."
2. "Clients can be perverse and cling to symptoms despite our efforts."
3. "Negative symptoms have been associated with prefrontal cortical pathology."
4. "Negative symptoms can be improved by manipulating psychosocial and envi-ronmental factors. The problem is finding the right combination."
ANS: 3
Nurse frustration can be alleviated by helping the nurse realize that negative symptoms may be the result of actual brain dysfunction, rather than psychologically determined behaviors; thus op-tions 1, 2, and 4 are not helpful.
You might also like to view...
The nurse has worked for several weeks to teach a client to use assertiveness techniques
The remark by the client that the nurse should evaluate as demonstrating assertiveness is a. "I think you're a real jerk.". b. "I wish I knew what the best course of action would be.". c. "I wish I believed I have the right to refuse overtime.". d. "When you shout at me, I feel embarrassed. Please lower your voice.".
A client with external hemorrhoids has called the primary physician's office and has asked the nurse how much fiber and what volume of fluids should be ingested daily to help with the discomfort of the hemorrhoids
What should the nurse tell the client? a. 5-10 g fiber, 1000 ml b. 10-20 g fiber, 1500 ml c. 20-30 g fiber, 2500 ml d. 30-40 g fiber, 4000 ml
Which of the following patients would be a candidate for fibrinolytic therapy? (Select all that apply.)
a. The patient chest pain started 8 hours ago. She has a diagnosis of NSTEMI. b. The patient chest pain started 3 hours ago, and her ECG shows a new left bundle branch block. c. The patient presents to the emergency department with chest pain of 30 minutes' duration. She has a history of cerebrovascular accident 1 month ago. d. The patient has a history of unstable angina. He has been experiencing chest pain with sudden onset. e. The patient chest pain started 1 hour ago, and his ECG shows ST elevation.
A patient reports frequent headaches to the primary NP. The patient describes the headaches as unilateral and moderate in intensity, accompanied by nausea, vomiting, and photophobia. There is no aura, and the headaches generally last 24 to 48 hours
The NP should: a. prescribe dihydroergotamine (D.H.E. 45). b. prescribe topiramate (Topamax) as migraine prophylaxis. c. recognize these as classic migraines and order sumatriptan (Imitrex). d. suggest treatment with acetaminophen because these are probably tension headaches.