NUR 213 Psychosis & Schizophrenia
1. The client talks to you about "buzzing" and voices that tell her she is evil. Your best
response is
A. "You know that these are only symptoms of your illness and will go away when you take
your medicine"
B. "You look frightened and angry when you tell me about these noises you hear. Is this how
you are feeling?"
C. "It must be frightening to hear someone tell you that you're bad. I will help you feel better."
D. "Those voices aren't real. You and I are together and I don't hear them."
Answer
B. "You look frightened and angry when you tell me about these noises you hear. Is this how
you are feeling?"
2. Pervasive lack of trust apparent in this client with paranoid schizophrenia's most
demonstrated by
A. Noncompliance with medications
B. Disheveled appearance
C. Auditory hallucinations
D. Refusal to eat for fear of being poisoned
Answer
D. Refusal to eat for fear of being poisoned
3. You are caring for a client diagnosed with paranoid schizophrenia. Upon admission she
said, "You're all killers. You killed my mother. She died before I was born." Your most
therapeutic response would be
A. "You're having frightening thoughts right now."
B. "As far as I know your mother is fine."
C. "Tell me more about your concern for your mother."
D. "We'll put you in a private room until you feel more in control."
E. "If your mother died before you were born, you wouldn't be here."
Answer
A. "You're having frightening thoughts right now."
4. A client looks frightened and states, "The unit is wired up to the FBI, and they're taking my
thoughts away." Which of the following responses by the nurse would be most therapeutic?
A. "These thoughts aren't real; they're part of your illness."
B. "I don't believe this is so, but you seem scared."
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, C. "How long have you been thinking about this?"
D. "Let me show you that the unit is not wired."
Answer
B. "I don't believe this is so, but you seem scared."
5. A male client tells the nurse that the FBI is monitoring and recording his every movement
and that microphones have been planted in the unit walls. Which of the following actions would
be the most therapeutic response?
A. Confront the delusional material directly by telling the client that this simply is not so
B. Tell the client that this must seem frightening to him but that you believe he is safe here
C. Tell the client to wait and talk about these beliefs in his one-on-one coun- seling sessions
D. Isolate the client when he begins to talk about these beliefs
Answer
B. Tell the client that this must seem frightening to him but that you believe he is safe here
6. In planning care for a client with schizophrenia who has negative symptoms, the nurse would
anticipate a problem with
A. Auditory hallucinations
B. Bizarre behaviors
C. Ideas of reference
D. Motivation for activities
Answer
D. Motivation for activities
7. A client who displayed withdrawn, suspicious behavior at admission be- lieved the CIA
wished to kill him. After 5 days of hospitalization with psy- chotropic medication, the client is
interacting appropriately with other clients and staff and states he formerly/previously felt afraid
and thought the CIA had targeted him. Now he states, "I know that thinking was pretty sick."
The evaluation the nurse can make is
A. The client is telling staff what they wish to hear to gain discharge
B. The client is experiencing continuing negative responses to stress
C. Recent behavior and statements are signs of returning mental health
D. Signs of mental disorder are increasing in frequency and intensity
Answer
C. Recent behavior and statements are signs of returning mental health
8. The family of a client with schizophrenia asks the nurse if there is a genetic cause of this
disorder. To answer the family, which of the following facts would the nurse cite?
A. Conclusive evidence indicates a specific gene transmits the disorder
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