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Question 1 of 35
1. Question
1 point(s)Nurse Dorothy is evaluating care of a client with schizophrenia; the nurse should keep which point in mind?
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Question 2 of 35
2. Question
1 point(s)Gio told his nurse that the FBI is monitoring and recording his every movement and that microphones have been placed in the unit walls. Which action would be the most therapeutic response?
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Question 3 of 35
3. Question
1 point(s)Which of the following client behaviors documented in Gio’s chart would validate the nursing diagnosis of Risk for other-directed violence?
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Question 4 of 35
4. Question
1 point(s)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?
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Question 5 of 35
5. Question
1 point(s)Drogo, who has had auditory hallucinations for many years, tells Nurse Khally that the voices prevent his participation in a social skills training program at the community health center. Which intervention is most appropriate?
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Question 6 of 35
6. Question
1 point(s)Cersei is diagnosed as having disorganized schizophrenia. Which behaviors would Nurse Sansa most likely assess in the client?
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Question 7 of 35
7. Question
1 point(s)Jaime has a diagnosis of schizophrenia with negative symptoms. In planning care for the client, Nurse Brienne would anticipate a problem with:
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Question 8 of 35
8. Question
1 point(s)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?
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Question 9 of 35
9. Question
1 point(s)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?
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Question 10 of 35
10. Question
1 point(s)A client tells the nurse that psychotropic medicines are dangerous and refuses to take them. Which intervention should the nurse use first?
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Question 11 of 35
11. Question
1 point(s)Upon Sam’s admission for acute psychiatric hospitalization, Nurse Jona documents the following: Client refuses to bathe or dress, remains in the room most of the day, speaks infrequently to peers or staff. Which nursing diagnosis would be the priority at this time?
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Question 12 of 35
12. Question
1 point(s)Which statement is correct about a 25-year-old client with newly diagnosed schizophrenia?
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Question 13 of 35
13. Question
1 point(s)Which factor is associated with increased risk for schizophrenia?
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Question 14 of 35
14. Question
1 point(s)Nurse Arya assesses for evidence of positive symptoms of schizophrenia in a newly admitted client. Which of the following symptoms are considered positive evidence? Select all that apply.
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Question 15 of 35
15. Question
1 point(s)A client with schizophrenia is referred for psychosocial rehabilitation. Which of the following are typical of this type of program? Select all that apply.
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Question 16 of 35
16. Question
1 point(s)The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable?
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Question 17 of 35
17. Question
1 point(s)The nurse formulates a nursing diagnosis of Impaired verbal communication for a client with schizotypal personality disorder. Based on this nursing diagnosis, which nursing intervention is most appropriate?
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Question 18 of 35
18. Question
1 point(s)Since admission 4 days ago, a client has refused to take a shower, stating, “There are poison crystals hidden in the showerhead. They’ll kill me if I take a shower.” Which nursing action is most appropriate?
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Question 19 of 35
19. Question
1 point(s)Drug therapy with thioridazine (Mellaril) shouldn’t exceed a daily dose of 800 mg to prevent which adverse reaction?
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Question 20 of 35
20. Question
1 point(s)A client with paranoid personality disorder is admitted to a psychiatric facility. Which remark by the nurse would best establish rapport and encourage the client to confide in the nurse?
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Question 21 of 35
21. Question
1 point(s)How soon after chlorpromazine (Thorazine) administration should the nurse expect to see a client’s delusional thoughts and hallucinations eliminated?A. Several minutes
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Question 22 of 35
22. Question
1 point(s)A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching session, the nurse should provide which instruction to the client?
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Question 23 of 35
23. Question
1 point(s)A client with paranoid schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse would be most appropriate?
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Question 24 of 35
24. Question
1 point(s)Which of the following is one of the advantages of the newer antipsychotic medication risperidone (Risperdal)?
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Question 25 of 35
25. Question
1 point(s)The etiology of schizophrenia is best described by:
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Question 26 of 35
26. Question
1 point(s)A client with schizophrenia who receives fluphenazine (Prolixin) develops pseudoparkinsonism and akinesia. What drug would the nurse administer to minimize extrapyramidal symptoms?
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Question 27 of 35
27. Question
1 point(s)A client with a diagnosis of paranoid schizophrenia comments to the nurse, “How do I know what is really in those pills?” Which of the following is the best response?
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Question 28 of 35
28. Question
1 point(s)A client tells the nurse that people from Mars are going to invade the earth. Which response by the nurse would be most therapeutic?
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Question 29 of 35
29. Question
1 point(s)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:
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Question 30 of 35
30. Question
1 point(s)A client with schizophrenia is receiving antipsychotic medication. Which nursing diagnosis may be appropriate for this client?
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Question 31 of 35
31. Question
1 point(s)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?
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Question 32 of 35
32. Question
1 point(s)The nurse is assigned to a client with catatonic schizophrenia. Which intervention should the nurse include in the client’s plan of care?
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Question 33 of 35
33. Question
1 point(s)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?
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Question 34 of 35
34. Question
1 point(s)Propranolol (Inderal) is used in the mental health setting to manage which of the following conditions?
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Question 35 of 35
35. Question
1 point(s)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?
CorrectIncorrect