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MENTAL HEALTH SCHIZOPHRENIA DISORDERS QUESTIONS AND ANSWERS (Answers Rationale provided)

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Answers Rationale provided
1. A nurse is caring for a male client who was admitted to the mental health unit with the
diagnosis of schizophrenia. The client is hostile and experiencing auditory hallucinations
and states that the voices are saying that they are going to poison him because he is bad.
What type of schizophrenic behavior does the nurse identify?
Answers available here https://bit.ly/3abNZja
2. A client with schizophrenia is speaking made-up words that have no meaning to other
people. What term should the nurse use to document these verbalizations?
3. What defense mechanism should the nurse anticipate that a client with the diagnosis of
schizophrenia, undifferentiated type, will most often exhibit?
4. During a one-on-one interaction with a client with paranoid-type schizophrenia, the client
says to the nurse, "I’ve figured out how foreign agents have infiltrated the news media.
They want to shut me up before I spill the beans." How should the nurse describe this
statement when documenting this client’s response?
5. A client who has been admitted with a diagnosis of schizophrenia says to the nurse, "Yes,
it's March. March is Little Women. That's literal, you know." What do these statements
illustrate?
Answers available here https://bit.ly/3abNZja
6. A 24-year-old woman states that she no longer enjoys any of the activities that she once
found fun and pleasurable, such as socializing, sports, and hobbies. What term should the
nurse use to describe this condition?
Answers available here https://bit.ly/3abNZja
7. Despite repeated nursing interventions to improve reality orientation, a client insists that
he is the commander of an alien spaceship. What is the client experiencing?
8. A client in the psychiatric hospital is attempting to communicate by stating, "Sky, flower,
angry, green, opposite, blanket." The nurse recognizes what term as describing this type
of communication?
9. A nurse is caring for a client with the diagnosis of schizophrenia who is started on
fluphenazine decanoate. What is the primary advantage of this medication?
Answers available here https://bit.ly/3abNZja
10. A client with schizophrenia is started on an antipsychotic/neuroleptic medication. The
nurse explains to a family member that this drug primarily is used to achieve what
purpose?
11. A client who is being treated for schizophrenia, paranoid type, arrives at the clinic
demonstrating a shuffling gait and tilting the head toward one shoulder. What does the
nurse conclude about these clinical manifestations?
12. A client with schizophrenia who has type II (negative) symptoms is prescribed
risperidone. Which outcomes indicate that the medication has minimized these
symptoms? Select all that apply
13. A client with the diagnosis of schizophrenia is given one of the antipsychotic drugs. The
nurse understands that antipsychotic drugs can cause extrapyramidal side effects. Which
effect may be irreversible?
Answers available here https://bit.ly/3abNZja
14. A psychotic male client is admitted to the hospital for evaluation. While obtaining the
history, the nurse asks why he was brought to the hospital by his parents. The client
states, "They lied about me. They said I murdered my mother. You killed her. She died
before I was born." What does the nurse recognize that the client is experiencing?
15. The nurse is assigned to work with a 20-year-old client on an inpatient unit. In assessing
the woman, the nurse notes that she is mute, does not show any type of movement, is
unresponsive, and appears unaware of her surroundings. What is the best term for the
nurse to use to describe these symptoms?
The nurse manager of a psychiatric unit informs the primary nurse that a client will be
admitted to the unit within an hour. The client's admission diagnosis is paranoid
schizophrenia. What classic clinical findings should the nurse anticipate? Select all that
apply. Answers available here https://bit.ly/3abNZja
16. A female graduate student who has become increasingly withdrawn and neglectful of her
studies and personal hygiene is brought to the psychiatric hospital by her roommate.
After a detailed assessment, a diagnosis of schizophrenia is made. Which characteristic is
unlikely to be demonstrated by this client?
17. Schizophrenia is associated with negative symptoms. In the assessment of a client with
schizophrenia, which symptoms are classified as negative symptoms? Select all that
apply.
18. A male client in a mental health facility turns his head to the side during a unit meeting as
if he hears something. When the nurse comments about it, the client replies, "You know,
it's that microcomputer those foreign agents implanted in my ear." In light of this
statement, what does the nurse determine that the client is experiencing?
19. A client with a diagnosis of schizophrenia, undifferentiated type, is being admitted to the
psychiatric unit. What clinical manifestations does the nurse expect when assessing this
client? Select all that apply.
A client with schizophrenia sees a group of visitors sitting together talking. The client
tells the nurse, "I know they're talking about me." Which altered thought process should
the nurse identify? Answers available here https://bit.ly/3abNZja
20. The nurse manager of a psychiatric unit informs the primary nurse that a client will be
admitted to the unit within an hour. The client's admission diagnosis is paranoid
schizophrenia. What classic clinical findings should the nurse anticipate? Select all that
apply
21. A client with schizophrenia sees a group of visitors sitting together talking. The client
tells the nurse, "I know they're talking about me." Which altered thought process should
the nurse identify
22. A nurse is caring for a client with the diagnosis of schizophrenia. What is a common
problem for clients with this diagnosis?
Answers available here https://bit.ly/3abNZja
23. While a nurse is assisting with morning care for a client with the diagnosis of
schizophrenia, the client suddenly throws off the covers and starts shouting, "My body is
disintegrating! I'm being pinched." What term best describes the client's behavior?
24. A nurse is caring for a client with a diagnosis of catatonic schizophrenia. What clinical
finding does the nurse expect the client to exhibit?
A: IMMOBILE POSTURING
25. A nurse is making an assessment of a client's hallucinatory behavior. What is
the most common type of hallucination?
26. When visiting hours are over, a nurse approaches a client with paranoid schizophrenia,
who shouts, "You're the one that made my lover leave me." What conclusion does the
nurse make about the client?
Answers available here https://bit.ly/3abNZja
27. While identifying behaviors commonly exhibited by the client who has a diagnosis of
schizophrenia, what can the nurse expect to observe?
28. A 56-year-old man is admitted to the inpatient unit after family members report that he
seems to be experiencing auditory hallucinations. The man has a history of schizophrenia
and has had several previous admissions. Which statement indicates to the nurse that the
client is experiencing auditory hallucinations?
29. A newly admitted client with schizophrenia has a treatment plan that includes
participation in a physical activity group for several days before assignment to an
analytical group. The basis for this decision is that the client will do what?
30. The nurse is interviewing the family about the onset of problems in a young client with
the diagnosis of schizophrenia. In what stage of development does the nurse expect that
the client's difficulties with reality testing began?
As a nurse enters a room and approaches a client who has schizophrenia, the client
shouts, "Get out of here before I hit you! Go away!" What does the nurse conclude
provoked the client’s aggressive behavior? Answers available here https://bit.ly/3abNZja
31. A client with schizophrenia is admitted to an acute care psychiatric unit. Which clinical
findings indicate positive signs and symptoms of schizophrenia?
32. One morning a client tells the nurse, "My legs are turning to rubber because I have an
incurable disease called schizophrenia." What is this statement an example of?
33. A newly admitted client is apathetic and exhibits an inappropriate affect. A diagnosis of
schizophrenia is made. In light of the diagnosis, what is one symptom the nurse expects
to identify in the client's communication or behavior?
34. A client has been prescribed chlorpromazine for the management of positive symptoms
of schizophrenia. What is the nurse’s response when the client reports difficulty
sustaining an erection?
Answers available here https://bit.ly/3abNZja
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