lOMoAR cPSD| 47061011
Module Report
Tutorial: Real Life RN Mental Health 3.0
Module: Schizophrenia
Individual Name: Olalekan Ambali
Institution: San Jacinto North ADN
Program Type: ADN
Standard Use Time and Score
Date/Time Time Use Score
Schizophrenia 11/3/2024 9:30:56 PM 31 min Strong
Reasoning Scenario Details Schizophrenia - Use on 11/3/2024 9:29:33 PM
Reasoning Scenario Performance Related to Outcomes:
*See Score Explanation and Interpretation below for additional details.
Needs
Body Function Strong Satisfactory Improvement
Cognition and Sensation 100%
Ingestion, Digestion, Absorption & Elimination 100%
Needs
NCLEX RN Strong Satisfactory Improvement
RN Management of Care 100%
RN Psychosocial Integrity 100%
RN Pharmacological and Parenteral Therapies 100%
Needs
QSEN Strong Satisfactory Improvement
Safety 100%
Patient-Centered Care 100%
Evidence Based Practice 100%
Decision Log:
, lOMoAR cPSD| 47061011
Optimal Decision
Scenario Nurse Anne talks with NP Nicole about speech pattern change.
Question Nurse Anne noticed that Ken is exhibiting an altered speech pattern. Which of
the following responses by Ken should Nurse Anne identify as an example of
associative looseness?
Selected Option Emily: Did you end up going to see that movie you’ve been waiting to see? Ken:
Yeah, it had birds in it. Birds can fly. I don’t like it when flies get in the house.
How can I clean the house when the sun doesn’t shine?
Rationale Clients who have schizophrenia may exhibit altered speech patterns. This
pattern is an example of associative looseness, or shifting from one idea to
another.
Optimal Decision
Scenario Nurse Anne positions herself in relation to Ken in the exam room.
Question Nurse Anne observes that Ken is becoming increasingly anxious. Which of the
following actions should Nurse Anne take?
Selected Option Stand off to the side of Ken, more than an arm’s reach away.
Rationale Clients who are exhibiting anxious behaviors are at risk for violence. The nurse
should stand off to the side of the client, more than an arm’s reach away, to
avoid increasing the client’s anxiety. The nurse should have a direct path to the
door in case the client becomes violent and the nurse needs to leave the room
immediately.
Optimal Decision
Scenario Nurse Anne teaches Ken and Emily about positive and negative symptoms of
schizophrenia.
Question Nurse Anne is teaching Ken and Emily about positive and negative symptoms of
schizophrenia. Which of the following manifestations should Nurse Anne include
as positive symptoms? (Select all that apply.)
Selected Ordering DelusionsHallucinationsMotor agitation
Rationale Positive symptoms of schizophrenia are manifestations of altered mental
functioning. Positive symptoms include delusions, hallucinations (visual,
auditory, gustatory, olfactory), motor agitation, and alterations in speech
(echolalia, clang association, associative looseness).
Optimal Decision
Scenario Nurse Anne evaluates Ken’s delusion.
Question Nurse Anne identifies that Ken is experiencing a delusion. Which of the following
types of delusions should she document in Ken’s medical record?
Module Report
Tutorial: Real Life RN Mental Health 3.0
Module: Schizophrenia
Individual Name: Olalekan Ambali
Institution: San Jacinto North ADN
Program Type: ADN
Standard Use Time and Score
Date/Time Time Use Score
Schizophrenia 11/3/2024 9:30:56 PM 31 min Strong
Reasoning Scenario Details Schizophrenia - Use on 11/3/2024 9:29:33 PM
Reasoning Scenario Performance Related to Outcomes:
*See Score Explanation and Interpretation below for additional details.
Needs
Body Function Strong Satisfactory Improvement
Cognition and Sensation 100%
Ingestion, Digestion, Absorption & Elimination 100%
Needs
NCLEX RN Strong Satisfactory Improvement
RN Management of Care 100%
RN Psychosocial Integrity 100%
RN Pharmacological and Parenteral Therapies 100%
Needs
QSEN Strong Satisfactory Improvement
Safety 100%
Patient-Centered Care 100%
Evidence Based Practice 100%
Decision Log:
, lOMoAR cPSD| 47061011
Optimal Decision
Scenario Nurse Anne talks with NP Nicole about speech pattern change.
Question Nurse Anne noticed that Ken is exhibiting an altered speech pattern. Which of
the following responses by Ken should Nurse Anne identify as an example of
associative looseness?
Selected Option Emily: Did you end up going to see that movie you’ve been waiting to see? Ken:
Yeah, it had birds in it. Birds can fly. I don’t like it when flies get in the house.
How can I clean the house when the sun doesn’t shine?
Rationale Clients who have schizophrenia may exhibit altered speech patterns. This
pattern is an example of associative looseness, or shifting from one idea to
another.
Optimal Decision
Scenario Nurse Anne positions herself in relation to Ken in the exam room.
Question Nurse Anne observes that Ken is becoming increasingly anxious. Which of the
following actions should Nurse Anne take?
Selected Option Stand off to the side of Ken, more than an arm’s reach away.
Rationale Clients who are exhibiting anxious behaviors are at risk for violence. The nurse
should stand off to the side of the client, more than an arm’s reach away, to
avoid increasing the client’s anxiety. The nurse should have a direct path to the
door in case the client becomes violent and the nurse needs to leave the room
immediately.
Optimal Decision
Scenario Nurse Anne teaches Ken and Emily about positive and negative symptoms of
schizophrenia.
Question Nurse Anne is teaching Ken and Emily about positive and negative symptoms of
schizophrenia. Which of the following manifestations should Nurse Anne include
as positive symptoms? (Select all that apply.)
Selected Ordering DelusionsHallucinationsMotor agitation
Rationale Positive symptoms of schizophrenia are manifestations of altered mental
functioning. Positive symptoms include delusions, hallucinations (visual,
auditory, gustatory, olfactory), motor agitation, and alterations in speech
(echolalia, clang association, associative looseness).
Optimal Decision
Scenario Nurse Anne evaluates Ken’s delusion.
Question Nurse Anne identifies that Ken is experiencing a delusion. Which of the following
types of delusions should she document in Ken’s medical record?
