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ANALYZED ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING QUESTIONS AND ANSWERS

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ANALYZED ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING QUESTIONS AND ANSWERS A client tells the nurse, "Brad Pitt is in love with me and often sends me flowers." Which type of delusion does the nurse document for the client based on this statement? - CORRECT ANSWER -Erotomanic Which intervention would the nurse perform while caring for a client with a psychiatric illness who is reluctant to be with friends and expresses a fear of rejection? - CORRECT ANSWER -Offer to remain with the client during activities While caring for a client with a psychotic disorder, the nurse finds that the client has severe delusions, hallucinations, and frequent derailment. What does the nurse infer from these findings? - CORRECT ANSWER -The client is in the active psychotic phase. A client writes, "My kolege konducts unikornth festewel evry year. I vant this buk for studying." Which symptoms would the nurse document in the client record after reading this writing? Select all that apply. - CORRECT ANSWER -Neologisms Associative looseness Which treatment strategy emphasizes vocational expectations and sheltered workshops that provide rehabilitation to a client with schizophrenia? - CORRECT ANSWER -Community support programs While monitoring the blood pressure of a client who is on antipsychotic therapy, the nurse finds that the client has orthostatic hypotension. Which nursing intervention is beneficial for the client in this situation? - CORRECT ANSWER -Instruct the client to rise slowly when going from sitting to standing. The nurse asks a client with schizophrenia, "When was your left leg amputated?" Which response by the client indicates a somatic delusion? - CORRECT ANSWER -"It was removed last month, but it is growing again and I will be walking shortly." The nurse is caring for a client who always wants to be alone due to a lack of trust in other individuals. While caring for the client, the nurse plans to recognize and encourage the client's voluntary interaction with others. What outcome does the nurse expect out of this intervention? - CORRECT ANSWER -The client develops self-esteem. The nurse observes that a client has schizoid and schizotypal personalities. The nurse concludes that the client in is which phase of schizophrenia? - CORRECT ANSWER -The client is in the premorbid phase of schizophrenia. The nurse is conveying the news of a family member's death to a client with schizophrenia. The nurse finds that the client is laughing after listening to the news. What does the nurse infer from the client's behavior? - CORRECT ANSWER -Inappropriate affect While assessing a client with psychiatric illness, the nurse finds that the client is unable to work and build relationships with friends. The nurse also finds that the client has a very weak emotional tone and is expressionless. Which phase of schizophrenia is the client experiencing? - CORRECT ANSWER -Phase IV Which instructions would the nurse provide to a client who is undergoing antipsychotic therapy to overcome anticholinergic effects? Select all that apply. - CORRECT ANSWER -Have sugarless candies and frequent sips of water Do not drive a vehicle A client with schizophrenia tells the nurse, "When I eat this pungent ice cream, I hear the voice of god." What does the nurse infer from this statement by the client? Select all that apply. - CORRECT ANSWER - The client has an auditory type of hallucination. The client has a gustatory type of hallucination. Which are the positive symptoms of schizophrenia? Select all that apply. - CORRECT ANSWER -Echolalia Associative looseness Which statement indicates that a client hallucinates? - CORRECT ANSWER -"I see aliens every morning." A client with a psychiatric illness tells the nurse, "It is very cold. I am cold and bold. The gold has been sold." Which intervention would the nurse implement in this situation? - CORRECT ANSWER -Seek clarification from the client Which does the catatonia specifier stupor indicate? - CORRECT ANSWER -Absence of psychomotor activity The nurse is caring for a client with schizophrenia who reports auditory hallucinations. The nurse teaches the client to say "Leave me alone" whenever the voices are speaking. What is the specific outcome of this nursing intervention? - CORRECT ANSWER -The client gains conscious control over the hallucinations. While caring for a client with paranoia, the nurse implements the family-style serving of food to the client. What does the nurse expect out of this intervention? - CORRECT ANSWER -The client will have decreased suspiciousness. Which medication would the nurse prepare to administer to reverse extrapyramidal effects associated with antipsychotic therapy? - CORRECT ANSWER -Amantadine

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