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Which finding in the client in the psychiatric ward enables the nurse to reach the conclusion that the
client is in the premorbid phase of schizophrenia?
A. The client is anxious and irritable.
B. The client has disorganized speech.
C. The client is very shy and withdrawn.
D. The client has diminished emotional expression. - Answer C
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?
A. Jealous
B. Grandiose
C. Erotomanic
D. Persecutory - Answer C
Which symptoms in a client indicate the persecutory type of delusional disorder? Select all that apply.
A. The feeling of being spied on
B. The feeling of being poisoned
C. The feeling of being plotted against
D. The feeling of a famous person being in love with him or her
E. The feeling of being in a relationship with a religious leader - Answer A, B, C
While reviewing the laboratory reports of a client with a psychotic disorder, the nurse finds abnormally
high levels of prolactin in the blood. Which medication in the client's prescription might be the cause of
this finding?
, A. Clozapine
B. Haloperidol
C. Lurasidone
D. Risperidone - Answer B
Which are the anticholinergic side effects associated with novel antipsychotic medications?
A. Tremors
B. Drowsiness
C. Weight loss
D. Bradycardia - Answer A
Which is the outcome of neurodegeneration in the nigrostriatal pathway?
A. Parkinson's disease
B. Endocrine abnormalities
C. Neuroleptic malignant syndrome
D. Positive symptoms of schizophrenia - Answer A
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?
A. Observe the client by leaving him or her alone
B. Ignore the client's statements
C. Seek clarification from the client
D. Notify the primary health-care provider - Answer C