NUR 2459 • Mental Health Chapter Review and answers (Chapter 24,
22,23,25,26
Study online at https://quizlet.com/_dzzbl8
1. Recent research on the RAISE approach to the treat- a. Early intervention at the
ment of schizophrenia incorporates which of the fol- first episode of psychosis
lowing elements as important to improving outcomes? b. Support for employ-
(Select all that apply.) ment or educational pur-
a. Early intervention at the first episode of psychosis suits
b. Support for employment or educational pursuits e. Recovery-focused psy-
c. Rapid high-dose loading with antipsychotic medica- chotherapy
tion
d. Court-ordered sanctions for treatment
e. Recovery-focused psychotherapy
2. Which of the following is the primary goal in working b. Decrease his anxiety
with an actively psychotic, suspicious client? and increase trust.
a. Promote interaction with others.
b. Decrease his anxiety and increase trust.
c. Improve his relationship with his parents.
d. Encourage participation in therapy activities.
3. A client with schizophrenia has physician's orders for a. To treat extrapyramidal
haloperidol (Haldol) 5 mg IM STAT and then 3 mg PO symptoms
tid; 2 mg benztropine PO bid prn. Why is benztropine
ordered?
a. To treat extrapyramidal symptoms
b. To prevent neuroleptic malignant syndrome
c. To decrease psychotic symptoms
d. To induce sleep
4. A client on the psychiatric unit tells the nurse that the a. Delusion of persecution.
CIA is looking for him and will kill him if they find him.
The client's false belief is an example of a:
a. Delusion of persecution.
, NUR 2459 • Mental Health Chapter Review and answers (Chapter 24,
22,23,25,26
Study online at https://quizlet.com/_dzzbl8
b. Delusion of reference.
c. Delusion of control or influence.
d. Delusion of grandeur.
5. The primary focus of family therapy for clients with d. To promote family in-
schizophrenia and their families is: teraction and increase un-
a. To discuss problem-solving and adaptive behaviors derstanding of the illness.
for coping with stress.
b. To introduce the family to others with the same
problem.
c. To keep the client and family in touch with the
health-care system.
d. To promote family interaction and increase under-
standing of the illness.
6. A client recently admitted to the hospital reports to the c. Anosognosia
nurse, "I don't understand why I was brought here. I
was simply hanging out in my apartment and the po-
lice said I had to come with them." This is an example
of what symptom of schizophrenia?
a. Delusions of reference
b. Loose association
c. Anosognosia
d. Auditory hallucinations
7. Which of the following assessments by the nurse d. Muscle spasms
would convey a need for prn benztropine?
a. Increased level of agitation
b. Complaints of a sore throat
c. A yellowish cast to the skin
d. Muscle spasms
, NUR 2459 • Mental Health Chapter Review and answers (Chapter 24,
22,23,25,26
Study online at https://quizlet.com/_dzzbl8
8. A client on the psychiatric unit has been diagnosed d. "I know you believe that,
with schizophrenia. He tells the nurse that the CIA is but it's really hard for me
looking for him and will kill him if they find him. The to believe."
most appropriate response by the nurse is:
a. "That's ridiculous. No one is going to hurt you."
b. "The CIA isn't interested in people like you."
c. "Why do you think the CIA wants to kill you?"
d. "I know you believe that, but it's really hard for me
to believe."
9. The nurse is interviewing a client on the psychiatric c. Ask the patient if he
unit. The client tilts his head to the side, stops talking is hearing something or
in midsentence, and listens intently. Which of the fol- someone other than the
lowing is the most appropriate follow-up assessment nurse's voice.
based on this information?
a. Ask the patient if he is experiencing loose associa-
tions.
b. Ask the patient if he needs more medication.
c. Ask the patient if he is hearing something or some-
one other than the nurse's voice.
d. Ask the patient if his neck is stiff.
10. A client reports to the nurse that his foot is on fire and b. Evaluate the client's foot
he thinks the demons are trying to burn off his flesh. to rule out physical causes
The priority nursing intervention for this symptom is for his complaint.
to:
a. Administer prn haloperidol as ordered.
b. Evaluate the client's foot to rule out physical causes
for his complaint.
c. Administer prn benztropine as ordered.
22,23,25,26
Study online at https://quizlet.com/_dzzbl8
1. Recent research on the RAISE approach to the treat- a. Early intervention at the
ment of schizophrenia incorporates which of the fol- first episode of psychosis
lowing elements as important to improving outcomes? b. Support for employ-
(Select all that apply.) ment or educational pur-
a. Early intervention at the first episode of psychosis suits
b. Support for employment or educational pursuits e. Recovery-focused psy-
c. Rapid high-dose loading with antipsychotic medica- chotherapy
tion
d. Court-ordered sanctions for treatment
e. Recovery-focused psychotherapy
2. Which of the following is the primary goal in working b. Decrease his anxiety
with an actively psychotic, suspicious client? and increase trust.
a. Promote interaction with others.
b. Decrease his anxiety and increase trust.
c. Improve his relationship with his parents.
d. Encourage participation in therapy activities.
3. A client with schizophrenia has physician's orders for a. To treat extrapyramidal
haloperidol (Haldol) 5 mg IM STAT and then 3 mg PO symptoms
tid; 2 mg benztropine PO bid prn. Why is benztropine
ordered?
a. To treat extrapyramidal symptoms
b. To prevent neuroleptic malignant syndrome
c. To decrease psychotic symptoms
d. To induce sleep
4. A client on the psychiatric unit tells the nurse that the a. Delusion of persecution.
CIA is looking for him and will kill him if they find him.
The client's false belief is an example of a:
a. Delusion of persecution.
, NUR 2459 • Mental Health Chapter Review and answers (Chapter 24,
22,23,25,26
Study online at https://quizlet.com/_dzzbl8
b. Delusion of reference.
c. Delusion of control or influence.
d. Delusion of grandeur.
5. The primary focus of family therapy for clients with d. To promote family in-
schizophrenia and their families is: teraction and increase un-
a. To discuss problem-solving and adaptive behaviors derstanding of the illness.
for coping with stress.
b. To introduce the family to others with the same
problem.
c. To keep the client and family in touch with the
health-care system.
d. To promote family interaction and increase under-
standing of the illness.
6. A client recently admitted to the hospital reports to the c. Anosognosia
nurse, "I don't understand why I was brought here. I
was simply hanging out in my apartment and the po-
lice said I had to come with them." This is an example
of what symptom of schizophrenia?
a. Delusions of reference
b. Loose association
c. Anosognosia
d. Auditory hallucinations
7. Which of the following assessments by the nurse d. Muscle spasms
would convey a need for prn benztropine?
a. Increased level of agitation
b. Complaints of a sore throat
c. A yellowish cast to the skin
d. Muscle spasms
, NUR 2459 • Mental Health Chapter Review and answers (Chapter 24,
22,23,25,26
Study online at https://quizlet.com/_dzzbl8
8. A client on the psychiatric unit has been diagnosed d. "I know you believe that,
with schizophrenia. He tells the nurse that the CIA is but it's really hard for me
looking for him and will kill him if they find him. The to believe."
most appropriate response by the nurse is:
a. "That's ridiculous. No one is going to hurt you."
b. "The CIA isn't interested in people like you."
c. "Why do you think the CIA wants to kill you?"
d. "I know you believe that, but it's really hard for me
to believe."
9. The nurse is interviewing a client on the psychiatric c. Ask the patient if he
unit. The client tilts his head to the side, stops talking is hearing something or
in midsentence, and listens intently. Which of the fol- someone other than the
lowing is the most appropriate follow-up assessment nurse's voice.
based on this information?
a. Ask the patient if he is experiencing loose associa-
tions.
b. Ask the patient if he needs more medication.
c. Ask the patient if he is hearing something or some-
one other than the nurse's voice.
d. Ask the patient if his neck is stiff.
10. A client reports to the nurse that his foot is on fire and b. Evaluate the client's foot
he thinks the demons are trying to burn off his flesh. to rule out physical causes
The priority nursing intervention for this symptom is for his complaint.
to:
a. Administer prn haloperidol as ordered.
b. Evaluate the client's foot to rule out physical causes
for his complaint.
c. Administer prn benztropine as ordered.
