Question

the nurse is conducting discharge teaching for a client with schizophrenia who plans to live in a group home. which statement is most indicative of the need for careful follow-up after discharge?

crickets are a good source of protein.
i have not heard any voices for a week.
only my belief in god can help me.
sometimes i have a hard time sitting still.

Explanation:

Analyze the clinical significance of each client statement

• "Crickets are a good source of protein": This is a factual statement and does not indicate psychiatric distress or medication side effects.
• "I have not heard any voices for a week": This indicates a positive response to treatment and symptom stabilization.
• "Only my belief in God can help me": This reflects personal religious beliefs and coping mechanisms, which are common and not inherently indicative of a crisis.
• "Sometimes I have a hard time sitting still": This statement describes motor restlessness, a classic symptom of akathisia. Akathisia is a common extrapyramidal side effect (EPS) of antipsychotic medications used to treat schizophrenia. It is associated with high distress, medication noncompliance, and an increased risk of suicide, requiring careful clinical follow-up and intervention.

Answer:

• Crickets are a good source of protein.
• I have not heard any voices for a week.
• Only my belief in God can help me.
• Sometimes I have a hard time sitting still. (Correct answer)