A client, age 36, with paranoid schizophrenia believes the room is bugged by the Central Intelligence Agency and that his roommate is a foreign spy. The client has never had a romantic relationship, has no contact with family members, and hasn’t been employed in the last 14 years. Based on Erikson’s theories, the nurse should… Read More »
During a group therapy session in the psychiatric unit, a client constantly interrupts with impulsive behavior and exaggerated stories that cast her as a hero or princess. She also manipulates the group with attention-seeking behaviors, such as sexual comments and angry outbursts. The nurse realizes that these behaviors are typical of: A. Paranoid personality… Read More »
The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine, and benztropine. Why is benztropine administered? A. To reduce psychotic symptoms. B. To reduce extrapyramidal symptoms. C. To control nausea and vomiting. D. To relieve anxiety. Correct Answer: B. To reduce extrapyramidal symptoms Benztropine is… Read More »
Nurse Winona educates the family about symptom management for when the schizophrenic client becomes upset or anxious. Which of the following would Nurse Winona state be helpful? A. Call the therapist to request a medication change. B. Encourage the use of learned relaxation techniques. C. Request that the client be hospitalized until… Read More »
A client is admitted to the psychiatric unit with a tentative diagnosis of psychosis. Her physician prescribes the phenothiazine thioridazine (Mellaril) 50 mg by mouth three times per day. Phenothiazines differ from central nervous system (CNS) depressants in their sedative effects by producing: A. Deeper sleep than CNS depressants. B. Greater sedation than… Read More »
A woman is admitted to the psychiatric emergency department. Her significant other reports that she has difficulty sleeping, has poor judgment, and is incoherent at times. The client’s speech is rapid and loose. She reports being a special messenger from the Messiah. She has a history of depressed mood for which she has been taking… Read More »
A client with paranoid schizophrenia is admitted to the psychiatric unit of a hospital. Nursing assessment should include careful observation of the client’s: A. Thinking, perceiving, and decision-making skills B. Verbal and nonverbal communication processes C. Affect and behavior D. Psychomotor activity Correct Answer: A. Thinking, perceiving,… Read More »
Which information is most important for the nurse to include in a teaching plan for a schizophrenic client taking clozapine (Clozaril)? A. Monthly blood tests will be necessary. B. Report a sore throat or fever to the physician immediately. C. Blood pressure must be monitored for hypertension. D. Stop the medication… Read More »
Important teaching for clients receiving antipsychotic medication such as haloperidol (Haldol) includes which of the following instructions? Select all that apply. A. Use sunscreen because of photosensitivity. B. Take the antipsychotic medication with food. C. Have routine blood tests to determine levels of the medication. D. Abstain from eating aged cheese. … Read More »
Positive symptoms of schizophrenia include which of the following?A. Hallucinations, delusions, and disorganized thinking A. Flat affect, avolition, and anhedonia B. Somatic delusions, echolalia, and a flat affect C. Waxy flexibility, alogia, and apathy D. Hallucinations, delusions, and disorganized thinking Correct Answer: A. Hallucinations, delusions, and disorganized… Read More »