Schizophrenia NCLEX-style questions

Schizophrenia NCLEX-style questions 5.0 (1 review) Students also studied Terms in this set (41) Social SciencesPsychology Clinical Psychology Save FINAL - Chapter 24 - Personality Dis...34 terms jhess214Preview Schizophrenia and Other Psychotic ...30 terms dconn67Preview Mental Health Nclex style Question...34 terms caitlin_gill1Preview Genera 52 terms Am Recent research on the RAISE approach to the treatment of schizophrenia incorporates which of the following elements as important to improving outcomes? (Select all that apply.)

• Early intervention at the first episode of psychosis
• Support for employment or educational pursuits
• Rapid high-dose loading with antipsychotic medication
• Court-ordered sanctions for treatment
• Recovery-focused psychotherapy

A,B,E Which of the following is the primary goal in working with an actively psychotic, suspicious client?

• Promote interaction with others.
• Decrease his anxiety and increase trust.
• Improve his relationship with his parents.
• Encourage participation in therapy activities.

B A client with schizophrenia has physician's orders for haloperidol (Haldol) 5 mg IM STAT and then 3 mg PO tid;

• mg benztropine PO bid prn. Why is benztropine

ordered?

• To treat extrapyramidal symptoms
• To prevent neuroleptic malignant syndrome
• To decrease psychotic symptoms
• To induce sleep

A

A client on the psychiatric unit tells the nurse that the CIA is looking for him and will kill him if they find him. The

client's false belief is an example of a:

• Delusion of persecution.
• Delusion of reference.
• Delusion of control or influence.
• Delusion of grandeur.

A The primary focus of family therapy for clients with

schizophrenia and their families is:

• To discuss problem-solving and adaptive behaviors for

coping with stress.

• To introduce the family to others with the same

problem.

• To keep the client and family in touch with the health-

care systeterm-4m.

• To promote family interaction and increase

understanding of the illness.D A client recently admitted to the hospital reports to the nurse, "I don't understand why I was brought here. I was simply hanging out in my apartment and the police said I had to come with them." This is an example of what symptom of schizophrenia?

• Delusions of reference
• Loose association
• Anosognosia
• Auditory hallucinations

C Which of the following assessments by the nurse would convey a need for prn benztropine?

• Increased level of agitation
• Complaints of a sore throat
• A yellowish cast to the skin
• Muscle spasms

D A client on the psychiatric unit has been diagnosed with schizophrenia. He tells the nurse that the CIA is looking for him and will kill him if they find him. The most

appropriate response by the nurse is:

• "That's ridiculous. No one is going to hurt you."
• "The CIA isn't interested in people like you."
• "Why do you think the CIA wants to kill you?"
• "I know you believe that, but it's really hard for me to

believe." D

The nurse is interviewing a client on the psychiatric unit.The client tilts his head to the side, stops talking in midsentence, and listens intently. Which of the following is the most appropriate follow-up assessment based on this information?

• Ask the patient if he is experiencing loose associations.
• Ask the patient if he needs more medication.
• Ask the patient if he is hearing something or someone

other than the nurse's voice.

• Ask the patient if his neck is stiff.

C A client reports to the nurse that his foot is on fire and he thinks the demons are trying to burn off his flesh. The

priority nursing intervention for this symptom is to:

• Administer prn haloperidol as ordered.
• Evaluate the client's foot to rule out physical causes for

his complaint.

• Administer prn benztropine as ordered.
• Ask the client if he would like to speak with a chaplain.

B When a client suddenly becomes aggressive and violent on the unit, which of the following approaches would be best for the nurse to use first?

• Provide large motor activities to relieve the client's

pent-up tension.

• Administer a dose of prn haloperidol to keep the

patient calm.

• Call for adequate help to control the situation safely.
• Convey to the client that his behavior is unacceptable

and will not be permitted.C A client has been diagnosed with schizophrenia. He has been socially isolated and is hearing voices telling him to kill his parents. He has been admitted to the psychiatric unit from the emergency department. The initial nursing

intervention for Josh is to:

• Give him an injection of haloperidol.
• Assess his safety toward himself and others.
• Place him in restraints.
• Order him a nutritious diet.

B A newly admitted patient has the diagnosis of catatonic schizophrenia. Which behavior observed in the patient supports that diagnosis?

• Uses a rhyming form of speech
• Refuses to eat any unwrapped foods
• Laughs when watching a sad movie
• Maintains an immobilized state for hours

D Catatonic schizophrenia is characterized by extremes of psychomotor activity ranging from frenzied behavior to immobilization and may include echopraxia and posturing.

What would be an appropriate short-term outcome for a patient diagnosed with residual schizophrenia who exhibits ambivalence?

• Decide their own daily schedule.
• Decide which unit groups they will attend.
• Choose which clinic staff member to work with.
• Choose between two outfits to wear each morning.

D An early step would be to make choices about nonthreatening matters when presented with limited alternatives What is the priority nursing diagnosis for a catatonic patient?

• Ineffective coping
• Impaired physical mobility
• Impaired social interaction
• Risk for deficient fluid volume

D The highest priority for the patient is maintenance of basic physiologic needs, such as hydration. Mobility is of lesser physiological importance than fluid volume.Which nursing diagnosis is appropriate for a patient who insists being called Your Highness and demonstrates loosely associated thoughts?

• Risk for violence
• Defensive coping
• Impaired memory
• Disturbed thought processes

D Delusions and loose associations suggest disturbed thought processes.Which initial short-term outcome would be appropriate for a patient who was admitted expressing delusional thoughts?

• Accept that delusion is illogical.
• Distinguish external boundaries.
• Explain the basis for the delusions.
• Engage in reality-oriented conversation.

D Delusions are not reality oriented; thus an appropriate outcome would be that patient will engage in reality-oriented conversation rather than discussing delusional beliefs. Delusions are fixed, false beliefs. Patients rarely accept anyone using logic to dispute them. Data are not present to suggest boundary disturbance. Explaining the delusion is not progress; it suggests the patient still holds to the belief.Which of the following interventions should the nurse plan to use to reduce patient focus on delusional thinking?

• Confronting the delusion
• Refuting the delusion with logic
• Exploring reasons the patient has the delusion
• Focusing on feelings suggested by the delusion

D Focusing on feelings suggested by the delusion will help meet patient needs and help the patient stay based in reality. This technique fosters rapport and trust while discouraging the belief without challenging or refuting it.Which assessment observation supports a patients diagnosis of disorganized schizophrenia?

• Reports suicidal ideations
• Last relapse was 6 years ago
• Consistent inappropriate laughing
• Believes that the government is out to get me

C The presence of disorganization and inappropriate affect identifies this disorder as disorganized schizophrenia. The symptoms of residual schizophrenia have long periods of remission.