Schizophrenia and Other Psychotic Disorders
NCLEX questions Exam 4 Questions and
Answers (Latest Update 2024)
A paranoid client presents with bizarre behaviors,
neologisms, and thought insertion. Which nursing action
should be prioritized to maintain this client's safety?
A. Assess for medication noncompliance
B. Note escalating behaviors and intervene immediately
C. Interpret attempts at communication
D. Assess triggers for bizarre, inappropriate behaviors -
Correct Answer ✅ANS: B
The nurse should note escalating behaviors and intervene
immediately to maintain this client's safety. Early intervention
may prevent an aggressive response and keep the client and
others safe.
A client diagnosed with schizoaffective disorder is admitted
for social skills training. Which information should be taught
by the nurse?
A. The side effects of medications
B. Deep breathing techniques to decrease stress
,Schizophrenia and Other Psychotic Disorders
NCLEX questions Exam 4 Questions and
Answers (Latest Update 2024)
C. How to make eye contact when communicating
D. How to be a leader - Correct Answer ✅ANS: C
The nurse should plan to teach the client how to make eye
contact when communicating. Social skills, such as making
eye contact, can assist clients in communicating needs and
maintaining connectedness.
A 16-year-old-client diagnosed with paranoid schizophrenia
experiences command hallucinations to harm others. The
client's parents ask a nurse, "Where do the voices come
from?" Which is the appropriate nursing reply?
A. "Your child has a chemical imbalance of the brain which
leads to altered thoughts."
B. "Your child's hallucinations are caused by medication
interactions."
C. "Your child has too little serotonin in the brain causing
delusions and hallucinations."
D. "Your child's abnormal hormonal changes have
precipitated auditory hallucinations." - Correct Answer
✅ANS: A
, Schizophrenia and Other Psychotic Disorders
NCLEX questions Exam 4 Questions and
Answers (Latest Update 2024)
The nurse should explain that a chemical imbalance of the
brain leads to altered thought processes. Hallucinations, or
false sensory perceptions, may occur in all five senses. The
client who hears voices is experiencing an auditory
hallucination.
Parents ask a nurse how they should reply when their child,
diagnosed with paranoid schizophrenia, tells them that voices
command him to harm others. Which is the appropriate
nursing reply?
A. "Tell him to stop discussing the voices."
B. "Ignore what he is saying, while attempting to discover the
underlying cause."
C. "Focus on the feelings generated by the hallucinations and
present reality."
D. "Present objective evidence that the voices are not real." -
Correct Answer ✅ANS: C
The most appropriate response by the nurse is to instruct the
parents to focus on the feelings generated by the
hallucinations and present reality. The parents should
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