CMAN 272 exam 2 module 9 schizophrenia | UPDATED
Questions with 100% Verified Answers
Q1: The nurse is assessing a client diagnosed with schizophrenia with catatonic features. Which of the
following symptoms should the nurse expect the client to exhibit? Select all that apply. 1. Catalepsy. 2. Waxy
flexibility. 3. Pressured speech. 4. Posturing. 5. Stereotypy.
A: 1. Catalepsy.
2. Waxy flexibility
4. Posturing.
5. Stereotypy.
Q2: A student nurse is assessing a 20 yearold client who is experiencing auditory hallucinations. The
student states, "I believe the client has schizophrenia." Which of the following instructor responses is the
most appropriate? Select all that apply. 1. "How long has the client experienced these symptoms?" 2. "Has
the client taken any drug or medication that could cause these symptoms?" 3. "It is not within your scope of
practice to assess for a medical diagnosis." 4. "Does this client have any mood problems?" 5. "What kind of
relationships has this client established?"
A: 1. "How long has the client experienced these symptoms?"
2. "Has the client taken any drug or medication that could cause these symptoms?"
4. "Does this client have any mood problems?"
5. "What kind of relationships has this client established?"
Q3: A client on an inpatient psychiatric unit refuses to take medications because "The pill has a special
code written on it that will make it poisonous." What kind of delusion is this client experiencing? 1. An
erotomanic delusion. 2. A grandiose delusion. 3. A persecutory delusion. 4. A somatic delusion.
A: 3. A persecutory delusion.
Q4: The nurse is interviewing a client who states, "The dentist put a filling in my tooth; I now receive
transmissions that control what I think and do." The nurse accurately documents this symptom with which
charting entry? 1. "Client is experiencing a delusion of persecution." 2. "Client is experiencing a delusion of
grandeur." 3. "Client is experiencing a somatic delusion." 4. "Client is experiencing a delusion of influence."
A: 4. "Client is experiencing a delusion of influence."
Q5: The children's saying "Step on a crack and you break your mother's back" is an example of which type of
thinking? 1. Concrete thinking. 2. Thinking using neologisms. 3. Magical thinking. 4. Thinking using clang
associations.
A: 3. Magical thinking.
Magical thinking occurs when the individual believes that his or her thoughts or behaviors
have control over specific situations or people. It is commonly seen during cognitive
development in childhood. The statement presented is an example of magical thinking.
, Q6: The nurse is assessing a client diagnosed with schizophrenia. The client states, "We wanted to take the
bus, but the airport took all the traffic." Which charting entry accurately documents this symptom? 1. "The
client is experiencing associative looseness." 2. "The client is attempting to communicate by the use of word
salad." 3. "The client is experiencing delusional thinking." 4. "The client is experiencing an illusion involving
planes."
A: 1. "The client is experiencing associative looseness."
Associative looseness is thinking characterized by speech in which ideas shift from one
unrelated subject to another. The client is unaware that the topics are unconnected. The
client statement is an example of associative looseness.
Q7: The nurse states, "It's time for lunch." A client diagnosed with schizophrenia responds, "It's time for
lunch, lunch, lunch." Which type of communication process is the client using, and what is the underlying
reason for its use? 1. Echopraxia, which is an attempt to identify with the person speaking. 2. Echolalia,
which is an attempt to acquire a sense of self and identity. 3. Unconscious identification to reinforce weak
ego boundaries. 4. Depersonalization to stabilize selfidentity.
A: 2. Echolalia, which is an attempt to acquire a sense of self and identity.
When clients diagnosed with schizophrenia repeat words that they hear, they are
exhibiting echolalia.
Q8: The nurse documents that a client diagnosed with schizophrenia is expressing a flat affect. What is an
example of this symptom? 1. The client laughs when told of the death of his or her mother. 2. The client sits
alone and does not interact with others. 3. The client exhibits no emotional expression. 4. The client
experiences no emotional feelings.
A: 3. The client exhibits no emotional expression.
Q9: The nurse documents that a client diagnosed with schizophrenia is experiencing anticholinergic side
effects from longterm use of thioridazine (Mellaril). Which symptoms has the nurse noted? 1. Akinesia,
dystonia, and pseudoparkinsonism. 2. Muscle rigidity, hyperpyrexia, and tachycardia. 3. Hyperglycemia and
diabetes. 4. Dry mouth, constipation, and urinary retention.
A: 4. Dry mouth, constipation, and urinary retention.
Q10: A client has a history of schizophrenia, controlled by haloperidol (Haldol). During an assessment, the
nurse notes continuous restlessness. Which medication would the nurse expect the physician to prescribe
for this client? 1. Haloperidol (Haldol). 2. Fluphenazine decanoate (Prolixin Decanoate). 3. Clozapine
(Clozaril). 4. Benztropine mesylate (Cogentin).
A: 4. Benztropine mesylate (Cogentin)
Benztropine mesylate (Cogentin) is an anticholinergic medication used for the treatment
of extrapyramidal symptoms such as akathisia.
Questions with 100% Verified Answers
Q1: The nurse is assessing a client diagnosed with schizophrenia with catatonic features. Which of the
following symptoms should the nurse expect the client to exhibit? Select all that apply. 1. Catalepsy. 2. Waxy
flexibility. 3. Pressured speech. 4. Posturing. 5. Stereotypy.
A: 1. Catalepsy.
2. Waxy flexibility
4. Posturing.
5. Stereotypy.
Q2: A student nurse is assessing a 20 yearold client who is experiencing auditory hallucinations. The
student states, "I believe the client has schizophrenia." Which of the following instructor responses is the
most appropriate? Select all that apply. 1. "How long has the client experienced these symptoms?" 2. "Has
the client taken any drug or medication that could cause these symptoms?" 3. "It is not within your scope of
practice to assess for a medical diagnosis." 4. "Does this client have any mood problems?" 5. "What kind of
relationships has this client established?"
A: 1. "How long has the client experienced these symptoms?"
2. "Has the client taken any drug or medication that could cause these symptoms?"
4. "Does this client have any mood problems?"
5. "What kind of relationships has this client established?"
Q3: A client on an inpatient psychiatric unit refuses to take medications because "The pill has a special
code written on it that will make it poisonous." What kind of delusion is this client experiencing? 1. An
erotomanic delusion. 2. A grandiose delusion. 3. A persecutory delusion. 4. A somatic delusion.
A: 3. A persecutory delusion.
Q4: The nurse is interviewing a client who states, "The dentist put a filling in my tooth; I now receive
transmissions that control what I think and do." The nurse accurately documents this symptom with which
charting entry? 1. "Client is experiencing a delusion of persecution." 2. "Client is experiencing a delusion of
grandeur." 3. "Client is experiencing a somatic delusion." 4. "Client is experiencing a delusion of influence."
A: 4. "Client is experiencing a delusion of influence."
Q5: The children's saying "Step on a crack and you break your mother's back" is an example of which type of
thinking? 1. Concrete thinking. 2. Thinking using neologisms. 3. Magical thinking. 4. Thinking using clang
associations.
A: 3. Magical thinking.
Magical thinking occurs when the individual believes that his or her thoughts or behaviors
have control over specific situations or people. It is commonly seen during cognitive
development in childhood. The statement presented is an example of magical thinking.
, Q6: The nurse is assessing a client diagnosed with schizophrenia. The client states, "We wanted to take the
bus, but the airport took all the traffic." Which charting entry accurately documents this symptom? 1. "The
client is experiencing associative looseness." 2. "The client is attempting to communicate by the use of word
salad." 3. "The client is experiencing delusional thinking." 4. "The client is experiencing an illusion involving
planes."
A: 1. "The client is experiencing associative looseness."
Associative looseness is thinking characterized by speech in which ideas shift from one
unrelated subject to another. The client is unaware that the topics are unconnected. The
client statement is an example of associative looseness.
Q7: The nurse states, "It's time for lunch." A client diagnosed with schizophrenia responds, "It's time for
lunch, lunch, lunch." Which type of communication process is the client using, and what is the underlying
reason for its use? 1. Echopraxia, which is an attempt to identify with the person speaking. 2. Echolalia,
which is an attempt to acquire a sense of self and identity. 3. Unconscious identification to reinforce weak
ego boundaries. 4. Depersonalization to stabilize selfidentity.
A: 2. Echolalia, which is an attempt to acquire a sense of self and identity.
When clients diagnosed with schizophrenia repeat words that they hear, they are
exhibiting echolalia.
Q8: The nurse documents that a client diagnosed with schizophrenia is expressing a flat affect. What is an
example of this symptom? 1. The client laughs when told of the death of his or her mother. 2. The client sits
alone and does not interact with others. 3. The client exhibits no emotional expression. 4. The client
experiences no emotional feelings.
A: 3. The client exhibits no emotional expression.
Q9: The nurse documents that a client diagnosed with schizophrenia is experiencing anticholinergic side
effects from longterm use of thioridazine (Mellaril). Which symptoms has the nurse noted? 1. Akinesia,
dystonia, and pseudoparkinsonism. 2. Muscle rigidity, hyperpyrexia, and tachycardia. 3. Hyperglycemia and
diabetes. 4. Dry mouth, constipation, and urinary retention.
A: 4. Dry mouth, constipation, and urinary retention.
Q10: A client has a history of schizophrenia, controlled by haloperidol (Haldol). During an assessment, the
nurse notes continuous restlessness. Which medication would the nurse expect the physician to prescribe
for this client? 1. Haloperidol (Haldol). 2. Fluphenazine decanoate (Prolixin Decanoate). 3. Clozapine
(Clozaril). 4. Benztropine mesylate (Cogentin).
A: 4. Benztropine mesylate (Cogentin)
Benztropine mesylate (Cogentin) is an anticholinergic medication used for the treatment
of extrapyramidal symptoms such as akathisia.
