Schizophrenia Q 54
When teaching the family of a client with schizophrenia, the nurse should provide which information?
A. Relapse can be prevented if the client takes the medication.
B. Support is available to help family members meet their own needs.
C. Improvement should occur if the client has a stimulating environment.
D. Stressful family situations can precipitate a relapse in the client.
Correct Answer: B. Support is available to help family members meet their own needs.
Because family members of a client with schizophrenia face difficult situations and great stress, the nurse should inform them of support services that can help them cope with such problems. Provide information on client and family community resources for the client and family after discharge: day hospitals, support groups, organizations, psychoeducational programs, community respite centers (small homes), etc. Schizophrenia is an overwhelming disease for both the client and the family. Groups, support groups, and psychoeducational centers can help
Option A: Assess the family members’ current level of knowledge about the disease and medications used to treat the disease. Family might have misconceptions and misinformation about schizophrenia and treatment, or no knowledge at all. Teach the client’s and family’s level of understanding and readiness to learn. Teach the client and family the warning symptoms of relapse. Rapid recognition of early warning symptoms can help ward off potential relapse when immediate medical attention is sought.
Option C: The nurse should also teach them that environmental stimuli may precipitate symptoms. Inform the client family in clear, simple terms about psychopharmacologic therapy: dose, duration, indication, side effects, and toxic effects. Written information should be given to the client and family members as well. Understanding of the disease and the treatment of the disease encourages greater family support and client adherence.
Option D: Although stress can trigger symptoms, the nurse shouldn’t make the family feel responsible for relapses. Identify the family’s ability to cope (e.g. experience of loss, caregiver burden, needed supports). Family’s needs must be addressed to stabilize the family unit. Provide information on disease and treatment strategies at the family’s level of understanding. Meet family members’ needs for information.