ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING VARCAROLIS EXAM REVIEW SOLVED

ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING VARCAROLIS EXAM REVIEW
SOLVED QUESTIONS COMPLETE ANSWERS GRADED A PLUS




Question:
Which intervention would the nurse perform while caring for a client with a psychiatric illness who
is reluctant to be with friends and expresses a fear of rejection?

Answer:
Offer to remain with the client during activities



Question:
While caring for a client with a psychotic disorder, the nurse finds that the client has severe
delusions, hallucinations, and frequent derailment. What does the nurse infer from these findings?

Answer:
The client is in the active psychotic phase.



Question:
A client writes, "My kolege konducts unikornth festewel evry year. I vant this buk for studying."
Which symptoms would the nurse document in the client record after reading this writing? Select all
that apply.

Answer:
Neologisms Associative looseness



Question:
Which treatment strategy emphasizes vocational expectations and sheltered workshops that provide
rehabilitation to a client with schizophrenia?

Answer:
Community support programs

,Question:
While monitoring the blood pressure of a client who is on antipsychotic therapy, the nurse finds that
the client has orthostatic hypotension. Which nursing intervention is beneficial for the client in this
situation?

Answer:
Instruct the client to rise slowly when going from sitting to standing.



Question:
The nurse asks a client with schizophrenia, "When was your left leg amputated?" Which response
by the client indicates a somatic delusion?

Answer:
"It was removed last month, but it is growing again and I will be walking shortly."



Question:
The nurse is caring for a client who always wants to be alone due to a lack of trust in other
individuals. While caring for the client, the nurse plans to recognize and encourage the client's
voluntary interaction with others. What outcome does the nurse expect out of this intervention?

Answer:
The client develops self-esteem.



Question:
The nurse observes that a client has schizoid and schizotypal personalities. The nurse concludes that
the client in is which phase of schizophrenia?

Answer:
The client is in the premorbid phase of schizophrenia.



Question:

, The nurse is conveying the news of a family member's death to a client with schizophrenia. The
nurse finds that the client is laughing after listening to the news. What does the nurse infer from the
client's behavior?

Answer:
Inappropriate affect



Question:
While assessing a client with psychiatric illness, the nurse finds that the client is unable to work and
build relationships with friends. The nurse also finds that the client has a very weak emotional tone
and is expressionless. Which phase of schizophrenia is the client experiencing?

Answer:
Phase IV



Question:
Which instructions would the nurse provide to a client who is undergoing antipsychotic therapy to
overcome anticholinergic effects? Select all that apply.

Answer:
Have sugarless candies and frequent sips of water Do not drive a vehicle



Question:
A client with schizophrenia tells the nurse, "When I eat this pungent ice cream, I hear the voice of
god." What does the nurse infer from this statement by the client? Select all that apply.

Answer:
The client has an auditory type of hallucination. The client has a gustatory type of hallucination.



Question:
Which are the positive symptoms of schizophrenia? Select all that apply.

Answer:
Echolalia Associative looseness