SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS
MENTAL HEALTH NURSING EXAM QUESTIONS AND
ANSWERS #18
Josh, age 21, has been diagnosed with schizophrenia. He has been socially isolated
and hearing voices telling him to kill his parents. He has been admitted to the
psychiatric unit from the emergency department. The initial nursing intervention for Josh
is to:
A. Give him an injection of Thorazine
B. Ensure a safe environment for him and others
C. Place him in restraints
D. Order him a nutritious diet - correct answer b. Ensure a safe environment for him and
others
The primary goal in working with an actively psychotic, suspicious client would be to:
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 - correct answer b. Decrease his anxiety
and increase trust
Brandon, a client on a psychiatric unit, has been diagnosed with schizophrenia. He
begins to tell the nurse about how the CIA is looking for him. The most appropriate
response by the nurse is:
A. "That's ridiculous Brandon. No one is going to hurt you"
B. "The CIA isn't interested in people like you, Brandon"
C. "Why do you think the CIA wants to kill you?"
D. "I know you believe that Brandon, but it's really hard for me to believe" - correct
answer d. "I know you believe that Brandon, but it's really hard for me to believe"
Brandon, a client on a psychiatric unit, has been diagnosed with schizophrenia. He
begins to tell the nurse about how the CIA is looking for him. Brandon's belief is an
example of:
A. Delusion of persecution
B. Delusion of reference
C. Delusion of control or influence
D. Delusion of grandeur - correct answer a. Delusion of persecution
A nurse is interviewing a client on a psychiatric unit. The client tilts his head to the side,
stops talking mid sentence and listens intently. The nurse recognizes these signs as the
client likely experiencing:
, A. Somatic delusions
B. Catatonic stupor
C. Auditory Hallucinations
D. Pseudoparkinsonism - correct answer c. Auditory Hallucinations
A nurse is interviewing a client on a psychiatric unit. The client tilts his head to the side,
stops talking mid sentence and listens intently. The nurse recognizes these behaviors
as a symptom of the client's illness. The most appropriate nursing intervention for this
symptom is to:
A. Ask the client about his physical symptoms
B. Ask the client to describe what he is hearing
C. Administer a dose of benztropine
D. Call the physician for additional orders - correct answer b. Ask the client to describe
what he is hearing
When a client suddenly becomes aggressive and violent on the unit, which of the
following approaches would be best for the nurse to use first?
A) provide large motor activities to relieve the client's pent-up tension
B) administer a dose of PRN chlorpromazine to keep the client calm
C) call for sufficient help to control the situation safely
D) convey to the client that his behavior is unacceptable and will not be permitted -
correct answer c) call for sufficient help to control the situation safely
The primary focus of family therapy for clients with schizophrenia and their families is
A. To discuss concrete problem-solving and adaptive behaviors 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 understanding of the illness - correct
answer d. To promote family interaction and increase understanding of the illness
A client admitted to the hospital reports to the nurse "I don't know why I was brought
here. I was simply hanging out in my apartment when the police said I had to come with
them". This is example of what symptom of Schizophrenia?
A. Delusions of reference
B. Loose association
C. Anosognosia
D. Auditory Hallucinations - correct answer c. Anosognosia
Recent research on the RAISE approach to treatment of Schizophrenia incorporates
which of the following elements as important to improving outcomes? (Select all that
apply)
MENTAL HEALTH NURSING EXAM QUESTIONS AND
ANSWERS #18
Josh, age 21, has been diagnosed with schizophrenia. He has been socially isolated
and hearing voices telling him to kill his parents. He has been admitted to the
psychiatric unit from the emergency department. The initial nursing intervention for Josh
is to:
A. Give him an injection of Thorazine
B. Ensure a safe environment for him and others
C. Place him in restraints
D. Order him a nutritious diet - correct answer b. Ensure a safe environment for him and
others
The primary goal in working with an actively psychotic, suspicious client would be to:
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 - correct answer b. Decrease his anxiety
and increase trust
Brandon, a client on a psychiatric unit, has been diagnosed with schizophrenia. He
begins to tell the nurse about how the CIA is looking for him. The most appropriate
response by the nurse is:
A. "That's ridiculous Brandon. No one is going to hurt you"
B. "The CIA isn't interested in people like you, Brandon"
C. "Why do you think the CIA wants to kill you?"
D. "I know you believe that Brandon, but it's really hard for me to believe" - correct
answer d. "I know you believe that Brandon, but it's really hard for me to believe"
Brandon, a client on a psychiatric unit, has been diagnosed with schizophrenia. He
begins to tell the nurse about how the CIA is looking for him. Brandon's belief is an
example of:
A. Delusion of persecution
B. Delusion of reference
C. Delusion of control or influence
D. Delusion of grandeur - correct answer a. Delusion of persecution
A nurse is interviewing a client on a psychiatric unit. The client tilts his head to the side,
stops talking mid sentence and listens intently. The nurse recognizes these signs as the
client likely experiencing:
, A. Somatic delusions
B. Catatonic stupor
C. Auditory Hallucinations
D. Pseudoparkinsonism - correct answer c. Auditory Hallucinations
A nurse is interviewing a client on a psychiatric unit. The client tilts his head to the side,
stops talking mid sentence and listens intently. The nurse recognizes these behaviors
as a symptom of the client's illness. The most appropriate nursing intervention for this
symptom is to:
A. Ask the client about his physical symptoms
B. Ask the client to describe what he is hearing
C. Administer a dose of benztropine
D. Call the physician for additional orders - correct answer b. Ask the client to describe
what he is hearing
When a client suddenly becomes aggressive and violent on the unit, which of the
following approaches would be best for the nurse to use first?
A) provide large motor activities to relieve the client's pent-up tension
B) administer a dose of PRN chlorpromazine to keep the client calm
C) call for sufficient help to control the situation safely
D) convey to the client that his behavior is unacceptable and will not be permitted -
correct answer c) call for sufficient help to control the situation safely
The primary focus of family therapy for clients with schizophrenia and their families is
A. To discuss concrete problem-solving and adaptive behaviors 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 understanding of the illness - correct
answer d. To promote family interaction and increase understanding of the illness
A client admitted to the hospital reports to the nurse "I don't know why I was brought
here. I was simply hanging out in my apartment when the police said I had to come with
them". This is example of what symptom of Schizophrenia?
A. Delusions of reference
B. Loose association
C. Anosognosia
D. Auditory Hallucinations - correct answer c. Anosognosia
Recent research on the RAISE approach to treatment of Schizophrenia incorporates
which of the following elements as important to improving outcomes? (Select all that
apply)
