A client tells the nurse, "Brad Pitt is in love with me and often sends me flowers." Which type of
delusion does the nurse document for the client based on this statement?
A. Jealous
B. Grandiose
C. Erotomanic
D. Persecutory - ANS - C
\A client with a psychiatric illness tells the nurse, "It is very cold. I am cold and bold. The gold
has been sold." Which intervention would the nurse implement in this situation?
A. Observe the client by leaving him or her alone
B. Ignore the client's statements
C. Seek clarification from the client
D. Notify the primary health-care provider - ANS - C
\The nurse finds that a client is imitating all the hand movements of a family member while
communicating. Which does the nurse infer from this behavior?
A. The client is exhibiting echolalia.
B. The client is exhibiting anhedonia.
C. The client is exhibiting echopraxia.
D. The client is exhibiting neologisms. - ANS - C
\The nurse is caring for a client with schizophrenia who reports auditory hallucinations. The
nurse teaches the client to say "Leave me alone" whenever the voices are speaking. What is the
specific outcome of this nursing intervention?
A. The client gains conscious control over the hallucinations.
B. The client demonstrates trust over the surrounding environment.
C. The client perceives fewer hallucinations and involves himself or herself in interpersonal
activities.
D. The client will show interest in discussing the content of hallucinations. - ANS - A
\The nurse is preparing the client with schizophrenia for an examination procedure to assess
abnormal involuntary movements. Which action of the client needs correction during
examination?
A. Removing the shoes and socks
B. Sitting in the chair with legs crossed
C. Keeping the legs slightly apart while sitting
D. Sitting in the chair with both hands on knees - ANS - B
\Which are the anticholinergic side effects associated with novel antipsychotic medications?
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