A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?
Boundaries
Relapse
The SE model
Stigma
The Correct Answer is B
Rationale:
A. Boundaries refer to maintaining professional limits in the nurse-client relationship, which is not directly related to the cause of hallucination exacerbation.
B. Relapse is the return of symptoms after a period of improvement, which is a common explanation for the recurrence of hallucinations in a client with schizophrenia.
C. The SE model (Social Ecological Model) is a framework for understanding the various levels of influence on health behaviors and is not a direct cause of hallucinations.
D. Stigma refers to the negative attitudes and beliefs about mental illness, which can affect a client’s self-perception but is not a direct cause of symptom exacerbation.
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Correct Answer is D
Explanation
Rationale:
A. An inverted P wave is not specifically associated with hypokalemia; it can be seen in various other conditions.
B. An elevated ST segment is not characteristic of hypokalemia; it is more associated with other conditions such as myocardial ischemia.
C. A wide QRS complex can occur with hypokalemia but is also seen in other conditions.
D. An abnormally prominent U wave is a classic sign of hypokalemia and can be seen in EKG changes associated with low potassium levels.
Correct Answer is D
Explanation
Rationale:
A. Poor concentration is common in anxiety but is not specific to panic-level anxiety.
B. Voice tremors can occur but are not as distinctive as depersonalization.
C. Shakiness can be a symptom but is not as defining as depersonalization.
D. Depersonalization is a common experience during panic-level anxiety, where the individual feels detached from themselves or their surroundings.