NUR 1511 Mental Health Chapter 16
Schizophrenia Test With Complete
Solution
During an admission assessment, a client with schizoaffective disorder states
that the client hears the voice of God in the client's head and the voice is
telling the client that the client is worthless. What would the nurse document
this symptom as? - ANSWER Hallucination
A client has been taking haloperidol for 5 years when the client is admitted to
the inpatient unit for relapse of symptoms of schizophrenia. Upon
assessment, the client demonstrates akathisia, dystonia, a stiff gait, and rigid
posture. The nurse correctly identifies these symptoms are indicative of
what? - ANSWER Extrapyramidal side effects
A client with schizophrenia believes that the cook at the psychiatric hospital
is trying to poison the client. The nurse would record this type of delusion as
what? - ANSWER Persecutory
A client diagnosed with delusional disorder who uses excessive health care
resources most likely has which type of delusions? - ANSWER Somatic
A client with schizophrenia is hearing voices that tell the client to kill the self.
What term is used to identify this type of false sensory perception? -
ANSWER Hallucination
A nurse is preparing to document information obtained from a client
diagnosed with a delusional disorder who is experiencing somatic delusions.
Which would the nurse most likely document? - ANSWER Body complaints
,Which has not been proposed as a potential mechanism for the etiology of
thought disorders? - ANSWER Neglect in childhood
A client has been prescribed clozapine for schizoaffective disorder (SCA) with
depression. The nurse should explain to the client that one advantage of
clozapine is that it can provide what? - ANSWER Reduction of
hospitalizations and risk for suicide
A nurse is caring for a client diagnosed with schizophreniform disorder. The
nurse demonstrates understanding of this disorder when identifying that the
client is at risk for developing what? - ANSWER Schizophrenia
What are the signs and symptoms of schizophrenia according to the
Diagnostic and Statistical Manual of Mental Disorders? - ANSWER
Schizophrenia lasts at least 6 months and includes at least 1 month of 2 or
more active-phase symptoms.
The nurse is assigned to a client with catatonic schizophrenia. Which
intervention should the nurse include in the client's care plan? - ANSWER
Meeting all of the client's physical needs
Which statement made by a client would indicate that the client has
delusions of grandeur? - ANSWER "I am a magician, and my magic powers
are good when the moon is full."
When assuming the management of the care of a delusional client, which
should be the nurse's priority intervention? - ANSWER Assure the client that
he or she is safe in this milieu
The nurse working with a client who is newly diagnosed with schizophrenia
would include which in the client's education? - ANSWER "Schizophrenia is
an illness that involves neurotransmitters, more specifically dopamine."
, A client diagnosed with schizophrenia is exhibiting disorganized behavior
and imitating what the nurse is saying. What term is used to identify this
behavior? - ANSWER Echolalia
A nurse monitoring client medication needs to recognize side effects quickly
and intervene promptly for which reason? - ANSWER Alleviate the side
effects and help client maintain adherence
Which speech pattern is exhibited by the client stating, "I will take a pill if I
go up the hill but not if my name is Jill, I don't want to kill?" - ANSWER Clang
association
A client diagnosed with schizophrenia states to the nurse, "My intestines are
being eaten by snakes." This statement represents which type of delusion? -
ANSWER Somatic delusion
A mental health client has been prescribed clozapine for the treatment of
schizophrenia. The nurse should be alert to which potentially life-threatening
adverse effects of this medication? - ANSWER Agranulocytosis
During a client interview, a client states that "God has sent me a special
message. I'm the only one who can carry out his plan." The nurse interprets
this statement as suggesting which type of delusion? - ANSWER Grandiose
A client states, "My boss keeps putting thoughts into my head. Yesterday my
boss made me copy 25 reports and then told me I had wasted company time
and money!" The nurse knows the client is experiencing which perceptual
disturbance? - ANSWER Thought insertion
During an admission assessment, a client with schizoaffective disorder states
that the client hears the voice of God in the client's head and the voice is
telling the client that the client is worthless. What would the nurse document
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