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NUR 213 Psychosis & Schizophrenia: Questions & Answers
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NUR 213 Psychosis & Schizophrenia: Questions & Answers
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NUR 213 Psychosis & Schizophrenia: Questions &Answers
A young acutely psychotic individual is admitted to your unit. She is
experiencing auditory hallucinations, refusing to eat for fear of being poisoned
for her sins, disheveled in appearance, pacing, talking in a loud angry voice,
and threatening to hurt anyone who tries to keep her in the hospital. Right
Ans - -
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."
Right Ans - B. "You look frightened and angry when you tell me about these
noises you hear. Is this how you are feeling?"
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 Right Ans - D. Refusal to eat for
fear of being poisoned
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." Right
Ans - A. "You're having frightening thoughts right now."
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."
C. "How long have you been thinking about this?"
D. "Let me show you that the unit is not wired." Right Ans - B. "I don't
believe this is so, but you seem scared."
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
counseling sessions
D. Isolate the client when he begins to talk about these beliefs Right Ans - B.
Tell the client that this must seem frightening to him but that you believe he is
safe here
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 Right Ans - D. Motivation for activities
A client who displayed withdrawn, suspicious behavior at admission believed
the CIA wished to kill him. After 5 days of hospitalization with psychotropic
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