NR 326 Mental Health Week 5 quiz questions and Answers(100% Correct); Chapter 24-Schizophrenia

Week 5 quiz questions Ch 24 Schizophrenia 1. A client is admitted with a diagnosis of brief psychotic disorder, with catatonic features. Which symptoms are associated with the catatonic specifier? a) Strong ego boundaries and abstract thinking b) Ataxia and akinesia c) Stupor, muscle rigidity, and negativism d) Substance abuse and cachexia 2. . The client hears the word “match.” The client replies, “A match. I like matches. They are the light of the world. God will light the world. Let your light so shine.” Which communication pattern does the nurse identify a) Word salad b) Clang association c) Loose association d) Ideas of reference 3. A client diagnosed with schizophrenia experiences identity confusion and communicates with the nurse using echolalia. What is the client attempting to do by using this form of speech? a) Identify with the person speaking b) Imitate the nurse’s movements c) Alleviate alogia d) Alleviate avolition 4. To deal with a client's hallucinations therapeutically, which nursing intervention should be implemented? a) Reinforce the perceptual distortions until the client develops new defenses. b) Provide an unstructured environment. c) Avoid making connections between anxiety-producing situations and hallucinations. d) Distract the client's attention. 5. A client, diagnosed with paranoid schizophrenia, states, “My roommate is plotting to have others kill me.” Which is the appropriate nursing response? a) “I find that hard to believe.” b) “What would make you think such a thing?” c) “I know your roommate. He would do no such thing.” d) “I can see why you feel that way.” 6. A client who has been taking chlorpromazine (Thorazine) for several months presents in the emergency department with EPS of restlessness, drooling, and tremors. What medication will the nurse expect the physician to order? a) Paroxetine (Paxil) b) Carbamazepine (Tegretol) c) Benztropine (Cogentin) d) Lorazepam (Ativan) 1. 1. 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. 2. 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. 3. The nurse is caring for a client with schizophrenia. Orders from the physician include 100 mg chlorpromazine IM STAT and then 50 mg PO bid; 2 mg benztropine PO bid prn. Why is chlorpromazine ordered? a. To reduce extrapyramidal symptoms b. To prevent neuroleptic malignant syndrome c. To decrease psychotic symptoms d. To induce sleep 4. The nurse is caring for a client with schizophrenia. Orders from the physician include 100 mg chlorpromazine IM STAT and then 50 mg PO bid; 2 mg benztropine PO bid prn. Because benztropine was ordered on a prn basis, which of the following assessments by the nurse would convey a need for this medication? a. The client’s level of agitation increases. b. The client complains of a sore throat. c. The client’s skin has a yellowish cast. d. The client develops muscle spasms. 5. Brandon, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins to tell the nurse about how the CIA is looking for him and will kill him if they find 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.” 6. Brandon, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins to tell the nurse about how the CIA is looking for him and will kill him if they find him. Brandon’s belief is an example of a: a. Delusion of persecution. b. Delusion of reference. c. Delusion of control or influence. d. Delusion of grandeur.