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Exam 2 chapter questions NR 326
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- Exam 2 Chapter Questions NR 326
Exam 2 chapter questions NR 326
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Exam 2 chapter questions NR 326Recent research on the RAISE approach to the treatment of schizophrenia
incorporates which of the following elements as important to improving
outcomes? (Select all that apply.)
a. Early intervention at the first episode of psychosis
b. Support for employment or educational pursuits
c. Rapid high-dose loading with antipsychotic medication
d. Court-ordered sanctions for treatment
e. Recovery-focused psychotherapy - -a. Early intervention at the first
episode of psychosis
b. Support for employment or educational pursuits
e. Recovery-focused psychotherapy
-Which of the following is the primary goal in working with an actively
psychotic, suspicious client?
a. Promote interaction with others.
b. Decrease his anxiety and increase trust.
c. Improve his relationship with his parents.
d. Encourage participation in therapy activities. - -b. Decrease his anxiety
and increase trust.
-A client with schizophrenia has physician's orders for haloperidol (Haldol) 5
mg IM STAT and then 3 mg PO tid; 2 mg benztropine PO bid prn. Why is
benztropine ordered?
a. To treat extrapyramidal symptoms
b. To prevent neuroleptic malignant syndrome
c. To decrease psychotic symptoms
d. To induce sleep - -a. To treat extrapyramidal symptoms
-A client on the psychiatric unit tells the nurse that the CIA is looking for him
and will kill him if they find him. The client's false belief is an example of a:
a. Delusion of persecution.
b. Delusion of reference.
c. Delusion of control or influence.
d. Delusion of grandeur. - -a. Delusion of persecution.
-The primary focus of family therapy for clients with schizophrenia and their
families is:
a. To discuss problem-solving and adaptive behaviors for coping with stress.
b. To introduce the family to others with the same problem.
c. To keep the client and family in touch with the health-care system.
d. To promote family interaction and increase understanding of the illness. -
-d. To promote family interaction and increase understanding of the illness.
, -A client recently admitted to the hospital reports to the nurse, "I don't
understand why I was brought here. I was simply hanging out in my
apartment and the police said I had to come with them." This is an example
of what symptom of schizophrenia?
a. Delusions of reference
b. Loose association
c. Anosognosia
d. Auditory hallucinations - -c. Anosognosia
-Which of the following assessments by the nurse would convey a need for
prn benztropine?
a. Increased level of agitation
b. Complaints of a sore throat
c. A yellowish cast to the skin
d. Muscle spasms - -d. Muscle spasms
-A client on the psychiatric unit has been diagnosed with schizophrenia. He
tells the nurse that the CIA is looking for him and will kill him if they find him.
The most appropriate response by the nurse is:
a. "That's ridiculous. No one is going to hurt you."
b. "The CIA isn't interested in people like you."
c. "Why do you think the CIA wants to kill you?"
d. "I know you believe that, but it's really hard for me to believe." - -d. "I
know you believe that, but it's really hard for me to believe."
-The nurse is interviewing a client on the psychiatric unit. The client tilts his
head to the side, stops talking in midsentence, and listens intently. Which of
the following is the most appropriate follow-up assessment based on this
information?
a. Ask the patient if he is experiencing loose associations.
b. Ask the patient if he needs more medication.
c. Ask the patient if he is hearing something or someone other than the
nurse's voice.
d. Ask the patient if his neck is stiff. - -c. Ask the patient if he is hearing
something or someone other than the nurse's voice.
-A client reports to the nurse that his foot is on fire and he thinks the
demons are trying to burn off his flesh. The priority nursing intervention for
this symptom is to:
a. Administer prn haloperidol as ordered.
b. Evaluate the client's foot to rule out physical causes for his complaint.
c. Administer prn benztropine as ordered.
d. Ask the client if he would like to speak with a chaplain. - -b. Evaluate the
client's foot to rule out physical causes for his complaint.
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