CH 22 - Schizophrenia- Management of Thought Disorder Exam Questions with Correct
Answers Latest Update 2026/2027
The nurse is caring for a client in an inpatient mental health setting. The nurse notices that
when the client is conversing with other clients, he repeats what they are saying word for word.
The nurse interprets this finding and documents it as which of the following?
A) Echopraxia
B) Neologisms
C) Tangentiality
D) Echolalia - Answers D
While caring for a hospitalized client with schizophrenia, the nurse observes that the client is
listening to the radio. The client tells the nurse that the radio commentator is speaking directly
to him. The nurse interprets this finding as which of the following?
A) Autistic thinking
B) Concrete thinking
C) Referential thinking
D) Illusional thinking - Answers C
A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone.
His clothing is disheveled, his hair is uncombed and matted, and his body has a strange odor.
During an interview, the client's family voices a desire for the client to live with them when he is
discharged. Based on the assessment findings, which nursing diagnosis would be the priority?
A) Ineffective Role Performance related to symptoms of schizophrenia.
B) Social Isolation related to auditory hallucinations.
C) Dysfunctional Family Processes related to psychosis.
D) Bathing Self-Care Deficit related to symptoms of schizophrenia. - Answers D
The nurse is caring for an elderly client who has been taking an antipsychotic medication for 1
week. The nurse notifies the physician when he observes that the client has muscle rigidity that
resembles Parkinson's disease. Which agent would the nurse expect the physician to prescribe?
A) Anticholinergic
B) Anxiolytic
, C) Benzodiazepine
D) Beta-blocker - Answers A
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking
antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed
on the ceiling. The nurse interprets this finding as which of the following?
A) Akathisia
B) Oculogyric crisis
C) Retrocollis
D) Tardive dyskinesia - Answers B
A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing
the client, the nurse identifies signs and symptoms of a dystonic reaction. Which agent would
the nurse expect to administer?
A) Diphenhydramine (Benadryl)
B) Propranolol (Inderal)
C) Risperidone (Risperdal)
D) Aripiprazole (Abilify) - Answers A
The nurse is caring for a client who has been receiving treatment for schizophrenia with
chlorpromazine for the past year. It would be essential for the nurse to monitor the client for
which of the following?
A) Weight loss
B) Torticollis
C) Hypoglycemia
D) Tardive dyskinesia - Answers D
A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for
the past 2 months. The nurse would be especially alert for which of the following?
A) Weight loss
B) Hypertension
C) Diarrhea
Answers Latest Update 2026/2027
The nurse is caring for a client in an inpatient mental health setting. The nurse notices that
when the client is conversing with other clients, he repeats what they are saying word for word.
The nurse interprets this finding and documents it as which of the following?
A) Echopraxia
B) Neologisms
C) Tangentiality
D) Echolalia - Answers D
While caring for a hospitalized client with schizophrenia, the nurse observes that the client is
listening to the radio. The client tells the nurse that the radio commentator is speaking directly
to him. The nurse interprets this finding as which of the following?
A) Autistic thinking
B) Concrete thinking
C) Referential thinking
D) Illusional thinking - Answers C
A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone.
His clothing is disheveled, his hair is uncombed and matted, and his body has a strange odor.
During an interview, the client's family voices a desire for the client to live with them when he is
discharged. Based on the assessment findings, which nursing diagnosis would be the priority?
A) Ineffective Role Performance related to symptoms of schizophrenia.
B) Social Isolation related to auditory hallucinations.
C) Dysfunctional Family Processes related to psychosis.
D) Bathing Self-Care Deficit related to symptoms of schizophrenia. - Answers D
The nurse is caring for an elderly client who has been taking an antipsychotic medication for 1
week. The nurse notifies the physician when he observes that the client has muscle rigidity that
resembles Parkinson's disease. Which agent would the nurse expect the physician to prescribe?
A) Anticholinergic
B) Anxiolytic
, C) Benzodiazepine
D) Beta-blocker - Answers A
The nurse is caring for a hospitalized client who has schizophrenia. The client has been taking
antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed
on the ceiling. The nurse interprets this finding as which of the following?
A) Akathisia
B) Oculogyric crisis
C) Retrocollis
D) Tardive dyskinesia - Answers B
A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing
the client, the nurse identifies signs and symptoms of a dystonic reaction. Which agent would
the nurse expect to administer?
A) Diphenhydramine (Benadryl)
B) Propranolol (Inderal)
C) Risperidone (Risperdal)
D) Aripiprazole (Abilify) - Answers A
The nurse is caring for a client who has been receiving treatment for schizophrenia with
chlorpromazine for the past year. It would be essential for the nurse to monitor the client for
which of the following?
A) Weight loss
B) Torticollis
C) Hypoglycemia
D) Tardive dyskinesia - Answers D
A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for
the past 2 months. The nurse would be especially alert for which of the following?
A) Weight loss
B) Hypertension
C) Diarrhea
