SCHIZOPHRENIA AND OTHER
PSYCHOTIC DISORDERS MENTAL
HEALTH NURSING EXAM #3
QUESTIONS AND ANSWERS
A nurse is caring for a client who has substance-induced psychotic disorder and is
experiencing auditory hallucinations. The client states "The voices wont leave me
alone!". Which of the following statements should the nurse make? (Select all that
Apply)
a. "When did you start hearing the voices?"
b. "The voices are not real, otherwise we would both hear them"
c. "It must be scary to hear those voices"
d. "Are the voices telling you to hurt yourself?"
e. "Why are the voices talking to only you?" - ANSWER-a. "When did you start
hearing the voices?"
c. "It must be scary to hear those voices"
d. "Are the voices telling you to hurt yourself?"
A nurse is completing an admission assessment for a client who has schizophrenia.
Which of the following findings should the nurse document as positive symptoms?
(Select all that apply)
a. Auditory Hallucinations
b. Lack of motivation
c. Use of clang associations
d. Delusion of persecution
e. Constantly waving arms
f. Flat affect - ANSWER-a. Auditory Hallucinations
c. Use of clang associations
d. Delusion of persecution
e. Constantly waving arms
A nurse is caring for a client who has schizoaffective disorder. Which of the following
statements indicates the client is experiencing depersonalization?
a. "I am a superhero. I am immortal"
b. "I am no one and everyone is me"
c. " I feel monsters pinching me all over"
d. " I know you are stealing my thoughts" - ANSWER-b. "I am no one and everyone
is me"
A nurse is caring for a client on an acute mental health unit. The client reports
hearing voices that are telling her to "Kill your doctor". Which of the following actions
should the nurse take first?
, a. Use therapeutic communication to discuss the hallucination with the client
b. Initiate one-to-one observation of the client
c. Focus the client on reality
d. Notify the provider of the client's statement - ANSWER-b. Initiate one-to-one
observation of the client
A nurse is speaking with a client with schizophrenia when he suddenly seems to stop
focusing on the nurse's questions and begins looking at the ceiling and talking to
himself. Which of the following actions should the nurse take?
a. Stop the interview at this point, and resume later when the client is better able to
concentrate
b. Ask the client "Are you seeing something on the ceiling?"
c. Tell the client "You seem to be looking at something on the ceiling, I see
something there too."
d. Continue the interview without comment to the patient's behavior - ANSWER-b.
Ask the client "Are you seeing something on the ceiling?"
What are the negative symptoms of schizophrenia? Select all that apply.
a. Delusions
b. Magical thinking
c. Pacing and rocking
d. Associative looseness
e. Emotional ambivalence - ANSWER-c. Pacing and rocking
e. Emotional ambivalence
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 -
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 -
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
PSYCHOTIC DISORDERS MENTAL
HEALTH NURSING EXAM #3
QUESTIONS AND ANSWERS
A nurse is caring for a client who has substance-induced psychotic disorder and is
experiencing auditory hallucinations. The client states "The voices wont leave me
alone!". Which of the following statements should the nurse make? (Select all that
Apply)
a. "When did you start hearing the voices?"
b. "The voices are not real, otherwise we would both hear them"
c. "It must be scary to hear those voices"
d. "Are the voices telling you to hurt yourself?"
e. "Why are the voices talking to only you?" - ANSWER-a. "When did you start
hearing the voices?"
c. "It must be scary to hear those voices"
d. "Are the voices telling you to hurt yourself?"
A nurse is completing an admission assessment for a client who has schizophrenia.
Which of the following findings should the nurse document as positive symptoms?
(Select all that apply)
a. Auditory Hallucinations
b. Lack of motivation
c. Use of clang associations
d. Delusion of persecution
e. Constantly waving arms
f. Flat affect - ANSWER-a. Auditory Hallucinations
c. Use of clang associations
d. Delusion of persecution
e. Constantly waving arms
A nurse is caring for a client who has schizoaffective disorder. Which of the following
statements indicates the client is experiencing depersonalization?
a. "I am a superhero. I am immortal"
b. "I am no one and everyone is me"
c. " I feel monsters pinching me all over"
d. " I know you are stealing my thoughts" - ANSWER-b. "I am no one and everyone
is me"
A nurse is caring for a client on an acute mental health unit. The client reports
hearing voices that are telling her to "Kill your doctor". Which of the following actions
should the nurse take first?
, a. Use therapeutic communication to discuss the hallucination with the client
b. Initiate one-to-one observation of the client
c. Focus the client on reality
d. Notify the provider of the client's statement - ANSWER-b. Initiate one-to-one
observation of the client
A nurse is speaking with a client with schizophrenia when he suddenly seems to stop
focusing on the nurse's questions and begins looking at the ceiling and talking to
himself. Which of the following actions should the nurse take?
a. Stop the interview at this point, and resume later when the client is better able to
concentrate
b. Ask the client "Are you seeing something on the ceiling?"
c. Tell the client "You seem to be looking at something on the ceiling, I see
something there too."
d. Continue the interview without comment to the patient's behavior - ANSWER-b.
Ask the client "Are you seeing something on the ceiling?"
What are the negative symptoms of schizophrenia? Select all that apply.
a. Delusions
b. Magical thinking
c. Pacing and rocking
d. Associative looseness
e. Emotional ambivalence - ANSWER-c. Pacing and rocking
e. Emotional ambivalence
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 -
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 -
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
