NUR 1511 MENTAL HEALTH CHAPTER 16: SCHIZOPHRENIA
QUESTIONS WITH ACCURATE ANSWERS
A 55-year-old client was admitted to the psychiatric unit after an incident in a
department store in which the client accused a sales clerk of following the client
around the store and stealing the client's keys. The client was subdued by the
police after destroying a window display because voices had told the client that it
was evil. As the nurse approached the client, the client says, "You're all out to get
me, and you're one of them. They're Rostoputians and grog babies here." This
demonstrates what? correct answer Suspiciousness and neologisms
A client begins to exhibit hallucinations and delusions along with disorganized
speech after forgetting to take antipsychotic medication. The nurse suspects that
the client is at which point in the clinical course of the disorder? correct answer
Relapse
A client diagnosed with delusional disorder who uses excessive health care
resources most likely has which type of delusions? correct answer Somatic
A client diagnosed with schizophrenia has been prescribed clozapine. Which is a
potentially fatal side effect of this medication? correct answer Agranulocytosis
A client diagnosed with schizophrenia is exhibiting disorganized behavior and
imitating what the nurse is saying. What term is used to identify this behavior?
correct answer Echolalia
A client diagnosed with schizophrenia is having delusions that the client is being
plotted against by the government. This would be documented as which type of
delusion? correct answer Persecutory
,A client diagnosed with schizophrenia states to the nurse, "My intestines are
being eaten by snakes." This statement represents which type of delusion?
correct answer Somatic delusion
A client has been diagnosed with schizophrenia. Assessment reveals that the
client lives alone. The client's clothing is disheveled, the client's hair is uncombed
and matted, and the client's body has a strange odor. During an interview, the
client's family members voice a desire for the client to live with them when the
client is discharged. Based on the assessment findings, which nursing diagnosis
would be the priority? correct answer Bathing self-care deficit related to
symptoms of schizophrenia
A client has been prescribed clozapine for schizoaffective disorder (SCA) with
depression. The nurse should explain to the client that one advantage of
clozapine is that it can provide what? correct answer Reduction of hospitalizations
and risk for suicide
A client has been taking haloperidol for 5 years when the client is admitted to the
inpatient unit for relapse of symptoms of schizophrenia. Upon assessment, the
client demonstrates akathisia, dystonia, a stiff gait, and rigid posture. The nurse
correctly identifies these symptoms are indicative of what? correct answer
Extrapyramidal side effects
A client has been taking neuroleptic medications for many years as a treatment
for schizophrenia. The client is exhibiting tongue protrusion, facial grimacing, and
excessive blinking. These manifestations are characteristic of which side effect?
correct answer Tardive dyskinesia
A client in an inpatient setting has a delusion that there are a multitude of
undetectable noxious gases in circulation that have the potential to poison the
, client and others. Which of the nurse's responses is most therapeutic? correct
answer "I can assure you that you are actually very safe here."
A client in the psychiatric unit of the hospital has a diagnosis of schizophrenia. The
client has approached the nurse in the hallway of the hospital and is elaborating
in great detail about the client's delusions of persecution involving secret
societies, the Vatican, and the mafia. How should the nurse respond to the client's
expression of these delusions? correct answer "That sounds very stressful for you.
Would you like to join me and the others in the lounge?"
A client is admitted to the psychiatric hospital with a diagnosis of schizophrenia.
During the physical examination, the client's arm remains outstretched after the
nurse obtains the pulse and blood pressure, and the nurse must reposition the
arm. The nurse interprets this as what? correct answer Waxy flexibility
A client is being seen in the health clinic. The nurse observes a shuffling gait,
drooling, and slowness of movement. The client is currently taking an
antipsychotic for treatment of schizophrenia. The nurse knows that which side
effect is occurring? correct answer Pseudoparkinsonism
A client is diagnosed with schizophreniform disorder. The nurse is reviewing the
client's medical record and finds that the client's symptoms have been present for
at least how long? correct answer 1 month
A client states, "My boss keeps putting thoughts into my head. Yesterday my boss
made me copy 25 reports and then told me I had wasted company time and
money!" The nurse knows the client is experiencing which perceptual
disturbance? correct answer Thought insertion
QUESTIONS WITH ACCURATE ANSWERS
A 55-year-old client was admitted to the psychiatric unit after an incident in a
department store in which the client accused a sales clerk of following the client
around the store and stealing the client's keys. The client was subdued by the
police after destroying a window display because voices had told the client that it
was evil. As the nurse approached the client, the client says, "You're all out to get
me, and you're one of them. They're Rostoputians and grog babies here." This
demonstrates what? correct answer Suspiciousness and neologisms
A client begins to exhibit hallucinations and delusions along with disorganized
speech after forgetting to take antipsychotic medication. The nurse suspects that
the client is at which point in the clinical course of the disorder? correct answer
Relapse
A client diagnosed with delusional disorder who uses excessive health care
resources most likely has which type of delusions? correct answer Somatic
A client diagnosed with schizophrenia has been prescribed clozapine. Which is a
potentially fatal side effect of this medication? correct answer Agranulocytosis
A client diagnosed with schizophrenia is exhibiting disorganized behavior and
imitating what the nurse is saying. What term is used to identify this behavior?
correct answer Echolalia
A client diagnosed with schizophrenia is having delusions that the client is being
plotted against by the government. This would be documented as which type of
delusion? correct answer Persecutory
,A client diagnosed with schizophrenia states to the nurse, "My intestines are
being eaten by snakes." This statement represents which type of delusion?
correct answer Somatic delusion
A client has been diagnosed with schizophrenia. Assessment reveals that the
client lives alone. The client's clothing is disheveled, the client's hair is uncombed
and matted, and the client's body has a strange odor. During an interview, the
client's family members voice a desire for the client to live with them when the
client is discharged. Based on the assessment findings, which nursing diagnosis
would be the priority? correct answer Bathing self-care deficit related to
symptoms of schizophrenia
A client has been prescribed clozapine for schizoaffective disorder (SCA) with
depression. The nurse should explain to the client that one advantage of
clozapine is that it can provide what? correct answer Reduction of hospitalizations
and risk for suicide
A client has been taking haloperidol for 5 years when the client is admitted to the
inpatient unit for relapse of symptoms of schizophrenia. Upon assessment, the
client demonstrates akathisia, dystonia, a stiff gait, and rigid posture. The nurse
correctly identifies these symptoms are indicative of what? correct answer
Extrapyramidal side effects
A client has been taking neuroleptic medications for many years as a treatment
for schizophrenia. The client is exhibiting tongue protrusion, facial grimacing, and
excessive blinking. These manifestations are characteristic of which side effect?
correct answer Tardive dyskinesia
A client in an inpatient setting has a delusion that there are a multitude of
undetectable noxious gases in circulation that have the potential to poison the
, client and others. Which of the nurse's responses is most therapeutic? correct
answer "I can assure you that you are actually very safe here."
A client in the psychiatric unit of the hospital has a diagnosis of schizophrenia. The
client has approached the nurse in the hallway of the hospital and is elaborating
in great detail about the client's delusions of persecution involving secret
societies, the Vatican, and the mafia. How should the nurse respond to the client's
expression of these delusions? correct answer "That sounds very stressful for you.
Would you like to join me and the others in the lounge?"
A client is admitted to the psychiatric hospital with a diagnosis of schizophrenia.
During the physical examination, the client's arm remains outstretched after the
nurse obtains the pulse and blood pressure, and the nurse must reposition the
arm. The nurse interprets this as what? correct answer Waxy flexibility
A client is being seen in the health clinic. The nurse observes a shuffling gait,
drooling, and slowness of movement. The client is currently taking an
antipsychotic for treatment of schizophrenia. The nurse knows that which side
effect is occurring? correct answer Pseudoparkinsonism
A client is diagnosed with schizophreniform disorder. The nurse is reviewing the
client's medical record and finds that the client's symptoms have been present for
at least how long? correct answer 1 month
A client states, "My boss keeps putting thoughts into my head. Yesterday my boss
made me copy 25 reports and then told me I had wasted company time and
money!" The nurse knows the client is experiencing which perceptual
disturbance? correct answer Thought insertion
