Cersei is diagnosed as having disorganized schizophrenia. Which behaviors would Nurse Sansa most likely assess in the client? A. Absence of acute symptoms impaired role function. B. Extreme social withdrawal, odd mannerisms, and behavior. C. Psychomotor immobility; presence of waxy flexibility. D. Suspiciousness toward others increased hostility. Correct Answer:… Read More »
The nurse is providing care to a client with a catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should: A. Ask the client which activity he would prefer to do first. B. Negotiate a time when the client will perform activities. C.… Read More »
The nurse is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as: A. Delusions B. Hallucinations C. Loose associations D. Neologisms Correct Answer: B. Hallucinations Hallucinations are visual, auditory, gustatory, tactile, or olfactory perceptions that have no… Read More »
The nurse is aware that antipsychotic medications may cause which of the following adverse effects? A. Increased production of insulin B. Lower seizure threshold C. Increased coagulation time D. Increased risk of heart failure Correct Answer: B. Lower seizure threshold Antipsychotic medications exert an effect on brain… Read More »
A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that one is: A. Highly important or famous B. Being persecuted C. Connected to events unrelated to oneself D. Responsible for the evil in the world Correct Answer: A. Highly important… Read More »
A man with a 5-year history of multiple psychiatric admissions is brought to the emergency department by the police. He was found wandering the streets disheveled, shoeless, and confused. Based on his previous medical records and current behavior, he is diagnosed with chronic undifferentiated schizophrenia. The nurse should assign the highest priority to which nursing… Read More »
A client’s medication order reads, “Thioridazine (Mellaril) 200 mg P.O. q.i.d. and 100 mg P.O. p.r.n.” The nurse should: A. Administer the medication as prescribed. B. Question the physician about the order. C. Administer the order for 200 mg P.O. q.i.d. but not for 100 mg P.O. p.r.n. D. Administer the… Read More »
Jaime has a diagnosis of schizophrenia with negative symptoms. In planning care for the client, Nurse Brienne would anticipate a problem with: A. Auditory hallucinations B. Bizarre behaviors C. Ideas of reference D. Motivation for activities Correct Answer: D. Motivation for activities. In a client demonstrating negative… Read More »
The family of a schizophrenic client asks the nurse if there is a genetic cause of this disorder. To answer the family, which fact would the nurse cite? A. Conclusive evidence indicates a specific gene transmits the disorder. B. Incidence of this disorder is variable in all families. C. There is a… Read More »
Ramsay is diagnosed with schizophrenia paranoid type and is admitted to the psychiatric unit of Nurseslabs Medical Center. Which of the following nursing interventions would be most appropriate? A. Establishing a non-demanding relationship. B. Encouraging involvement in group activities. C. Spending more time with Ramsay. D. Waiting until Ramsay initiates interaction. … Read More »