A client tells the nurse that people from Mars are going to invade the earth. Which response by the nurse would be most therapeutic? A. “That must be frightening to you. Can you tell me how you feel about it?” B. “There are no people living on Mars.” C. “What do you mean when… Read More »
A client with schizophrenia tells the nurse he hears the voices of his dead parents. To help the client ignore the voices, the nurse should recommend that he: A. Sit in a quiet, dark room and concentrate on the voices. B. Listen to a personal stereo through headphones and sing along with the… Read More »
Which of the following client behaviors documented in Gio’s chart would validate the nursing diagnosis of Risk for other-directed violence? A. Gio’s description of being endowed with superpowers. B. Frequent angry outburst noted toward peers and staff. C. Refusal to eat cafeteria food. D. Refusal to join in group activities. … Read More »
A client with schizophrenia is receiving antipsychotic medication. Which nursing diagnosis may be appropriate for this client? A. Ineffective protection related to blood dyscrasias B. Urinary frequency related to adverse effects of antipsychotic medication C. Risk for injury related to a severely decreased level of consciousness D. Risk for injury related… Read More »
A client with persistent, severe schizophrenia has been treated with phenothiazines for the past 17 years. Now the client’s speech is garbled as a result of drug-induced rhythmic tongue protrusion. What is another name for this extrapyramidal symptom? A. Dystonia B. Akathisia C. Pseudoparkinsonism D. Tardive dyskinesia … Read More »
The nurse is assigned to a client with catatonic schizophrenia. Which intervention should the nurse include in the client’s plan of care? A. Meeting all of the client’s physical needs. B. Giving the client an opportunity to express concerns. C. Administering lithium carbonate (Lithonate) as prescribed. D. Providing a quiet environment… Read More »
A client with a history of medication noncompliance is receiving outpatient treatment for chronic undifferentiated schizophrenia. The physician is most likely to prescribe which medication for this client? A. chlorpromazine (Thorazine) B. imipramine (Tofranil) C. lithium carbonate (Lithane) D. fluphenazine decanoate (Prolixin Decanoate) Correct Answer: D. fluphenazine decanoate (Prolixin… Read More »
Propranolol (Inderal) is used in the mental health setting to manage which of the following conditions? A. Antipsychotic-induced akathisia and anxiety. B. The manic phase of bipolar illness as a mood stabilizer. C. Delusions for clients suffering from schizophrenia. D. Obsessive-compulsive disorder (OCD) to reduce ritualistic behavior. … Read More »
Every day for the past 2 weeks, a client with schizophrenia stands up during group therapy and screams, “Get out of here right now! The elevator bombs are going to explode in 3 minutes!” The next time this happens, how should the nurse respond? A. “Why do you think there is a bomb in… Read More »
A 26-year-old client is admitted to the psychiatric unit with acute onset of schizophrenia. His physician prescribes the phenothiazine chlorpromazine (Thorazine), 100 mg by mouth four times per day. Before administering the drug, the nurse reviews the client’s medication history. Concomitant use of which drug is likely to increase the risk of extrapyramidal effects? … Read More »