Difficulty: Medium
Average Score: 83%
Simulated
A nurse is discussing schizophrenia spectrum disorders with a client. The client states, 'My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?' Which of the following responses should the nurse make?
Correct answer
A
Rationale
The correct response is A: Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning. This is the correct answer because it reflects a common prodromal phase of schizophrenia where individuals may withdraw from social interactions before experiencing overt symptoms like hearing voices. This early warning sign can help in early detection and intervention.
Choice B is incorrect because research suggests that social withdrawal can be a common early sign of schizophrenia. Choice C is incorrect as introversion alone does not explain the pattern of social withdrawal seen in schizophrenia. Choice D is incorrect as it suggests a causal relationship between avoiding a friend and hearing voices, which is not an accurate explanation for the situation.
Choice B is incorrect because research suggests that social withdrawal can be a common early sign of schizophrenia. Choice C is incorrect as introversion alone does not explain the pattern of social withdrawal seen in schizophrenia. Choice D is incorrect as it suggests a causal relationship between avoiding a friend and hearing voices, which is not an accurate explanation for the situation.