References stuart g 2009 principles practice of

References: Stuart, G. (2009). Principles & practice of psychiatric nursing (9th ed., pp.
27-31). St. Louis: Mosby.
Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health nursing: A
communication approach to evidence-based care (pp. 307-309). St. Louis: Saunders.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity

Integrated Process: Nursing Process/Implementation
Content Area: Leadership and Management – Delegating/Prioritizing
Awarded 1.0 points out of 1.0 possible points.
75. 75.ID: 283596124
A 24-year-old schizophrenic client says, “I was in college and suddenly I was hearing
voices telling me I was no good and that I should jump off the bridge by our college. My
parents came and got me when I called them. We thought that I had inadvertently taken
drugs at a party or something. My psychiatrist says that if I can improve, I can return to
college next semester.” Which of the following guidelines does the nurse plan to
incorporate into teaching of the client and family about self-care on the client’s return to
college?
o Compliance with the treatment regimen, immediate reporting of any relapse
signs, avoidance of alcohol and drugs, and living a balanced lifestyle Correct
o Telling all friends about the illness so that they support the client’s avoidance
of alcohol and drugs and help the client maintain a balanced lifestyle
o Limiting college attendance to commuter status to maintain a supportive
family group and avoiding drugs, alcohol, and the strain of socialization
o Compliance with treatment, immediate reporting of any relapse signs,
avoidance of alcohol and drugs, and socialization with one supportive friend
Rationale: Self-care guidelines for the client include compliance with the treatment
regimen, immediate reporting of any relapse signs, avoidance of alcohol and drugs, and
living a balanced lifestyle. Telling all friends about the illness so that they can support the
client’s avoidance of alcohol and drugs and help the client maintain a balanced lifestyle is
incorrect. Although the closest supportive friends need to know and understand the
illness, not everybody does. Limiting college attendance to commuter status to maintain a
supportive family group and avoiding drugs, alcohol, and the strain of socialization is
incorrect. Not allowing the client to be independent and follow a normal growth and
development pattern would retard the client’s growth. Socializing with one supportive
friend is incorrect because it is best to bring as many supportive persons to the client as

possible.
Test-Taking Strategy: Use the process of elimination and focus on the data in the question
and the subject, self-care. Eliminate the options that contain the words “one,” “all,” and
“limiting". Also note that the correct option is the umbrella option. Review care of the
client with schizophrenia if you had difficulty with this question.