Schizophrenia NCLEX Questions And Answers Graded A+
A paranoid client presents with bizarre behaviors, D. "Your child's abnormal hormonal changes
neologisms, and thought insertion. Which nursing have precipitated auditory hallucinations." -
action should be prioritized to maintain this -ANS: A
client's safety? The nurse should explain that a chemical
imbalance of the brain leads to altered thought
A. Assess for medication noncompliance processes. Hallucinations, or false sensory
B. Note escalating behaviors and intervene perceptions, may occur in all five senses. The
immediately client who hears voices is experiencing an
C. Interpret attempts at communication auditory hallucination.
D. Assess triggers for bizarre, inappropriate
behaviors - -ANS: B
The nurse should note escalating behaviors and Parents ask a nurse how they should reply when
intervene immediately to maintain this client's their child, diagnosed with paranoid
safety. Early intervention may prevent an schizophrenia, tells them that voices command
aggressive response and keep the client and him to harm others. Which is the appropriate
others safe. nursing reply?
A. "Tell him to stop discussing the voices."
A client diagnosed with schizoaffective disorder B. "Ignore what he is saying, while attempting to
is admitted for social skills training. Which discover the underlying cause."
information should be taught by the nurse? C. "Focus on the feelings generated by the
hallucinations and present reality."
A. The side effects of medications D. "Present objective evidence that the voices
B. Deep breathing techniques to decrease stress are not real." - -ANS: C
C. How to make eye contact when The most appropriate response by the nurse is to
communicating instruct the parents to focus on the feelings
D. How to be a leader - -ANS: C generated by the hallucinations and present
The nurse should plan to teach the client how to reality. The parents should maintain an attitude of
make eye contact when communicating. Social acceptance to encourage communication but
skills, such as making eye contact, can assist should not reinforce the hallucinations by
clients in communicating needs and maintaining exploring details of content. It is inappropriate to
connectedness. present logical arguments to persuade the client
to accept the hallucinations as not real.
A 16-year-old-client diagnosed with paranoid
schizophrenia experiences command A nurse is assessing a client diagnosed with
hallucinations to harm others. The client's paranoid schizophrenia. The nurse asks the
parents ask a nurse, "Where do the voices come client, "Do you receive special messages from
from?" Which is the appropriate nursing reply? certain sources, such as the television or radio?"
Which potential symptom of this disorder is the
A. "Your child has a chemical imbalance of the nurse assessing?
brain which leads to altered thoughts."
B. "Your child's hallucinations are caused by A. Thought insertion
medication interactions." B. Paranoid delusions
C. "Your child has too little serotonin in the brain C. Magical thinking
causing delusions and hallucinations." D. Delusions of reference - -ANS: D
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, Schizophrenia NCLEX Questions And Answers Graded A+
The nurse is assessing for the potential symptom hearing aid receives transmissions that control
of delusions of reference. A client who believes personal thoughts and behaviors.
that he or she receives messages through the
radio is experiencing delusions of reference.
When a client experiences these delusions, he or A client diagnosed with schizophrenia states,
she interprets all events within the environment "Can't you hear him? It's the devil. He's telling me
as personal references. I'm going to hell." Which is the most appropriate
nursing reply?
A client diagnosed with schizophrenia tells a A. "Did you take your medicine this morning?"
nurse, "The 'Shopatouliens' took my shoes out of B. "You are not going to hell. You are a good
my room last night." Which is an appropriate person."
charting entry to describe this client's statement?C. "I'm sure the voices sound scary. The devil is
not talking to you. This is part of your illness."
A. "The client is experiencing command D. "The devil only talks to people who are
hallucinations." receptive to his influence." - -ANS: C
B. "The client is expressing a neologism." The most appropriate reply by the nurse is to
C. "The client is experiencing a paranoid reassure the client with an accepting attitude
delusion." while not reinforcing the hallucination. Reminding
D. "The client is verbalizing a word salad." - the client that "the voices" are a part of his or her
-ANS: B illness is a way to help the client accept that the
The nurse should describe the client's statement hallucinations are not real.
as experiencing a neologism. A neologism is
when a client invents a new word that is
meaningless to others but may have symbolic A client diagnosed with psychosis NOS (not
meaning to the client. Word salad refers to a otherwise specified) tells a nurse about voices
group of words that are put together randomly. telling him to kill the president. Which nursing
diagnosis should the nurse prioritize for this
client?
During an admission assessment, a nurse asks a
client diagnosed with schizophrenia, "Have you A. Disturbed sensory perception
ever felt that certain objects or persons have B. Altered thought processes
control over your behavior?" The nurse is C. Risk for violence: directed toward others
assessing for which type of thought disruption? D. Risk for injury - -ANS: C
The nurse should prioritize the diagnosis risk for
A. Delusions of persecution violence: directed toward others. A client who
B. Delusions of influence hears voices telling him to kill someone is at risk
C. Delusions of reference for responding and reacting to the command
D. Delusions of grandeur - -ANS: B hallucination. Other risk factors for violence
The nurse is assessing the client for delusions of include aggressive body language, verbal
influence when asking if the client has ever felt aggression, catatonic excitement, and rage
that objects or persons have control of the reactions.
client's behavior. Delusions of control or
influence are manifested when the client believes
that his or her behavior is being influenced. An Which nursing intervention would be most
example would be if a client believes that a appropriate when caring for an acutely agitated
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A paranoid client presents with bizarre behaviors, D. "Your child's abnormal hormonal changes
neologisms, and thought insertion. Which nursing have precipitated auditory hallucinations." -
action should be prioritized to maintain this -ANS: A
client's safety? The nurse should explain that a chemical
imbalance of the brain leads to altered thought
A. Assess for medication noncompliance processes. Hallucinations, or false sensory
B. Note escalating behaviors and intervene perceptions, may occur in all five senses. The
immediately client who hears voices is experiencing an
C. Interpret attempts at communication auditory hallucination.
D. Assess triggers for bizarre, inappropriate
behaviors - -ANS: B
The nurse should note escalating behaviors and Parents ask a nurse how they should reply when
intervene immediately to maintain this client's their child, diagnosed with paranoid
safety. Early intervention may prevent an schizophrenia, tells them that voices command
aggressive response and keep the client and him to harm others. Which is the appropriate
others safe. nursing reply?
A. "Tell him to stop discussing the voices."
A client diagnosed with schizoaffective disorder B. "Ignore what he is saying, while attempting to
is admitted for social skills training. Which discover the underlying cause."
information should be taught by the nurse? C. "Focus on the feelings generated by the
hallucinations and present reality."
A. The side effects of medications D. "Present objective evidence that the voices
B. Deep breathing techniques to decrease stress are not real." - -ANS: C
C. How to make eye contact when The most appropriate response by the nurse is to
communicating instruct the parents to focus on the feelings
D. How to be a leader - -ANS: C generated by the hallucinations and present
The nurse should plan to teach the client how to reality. The parents should maintain an attitude of
make eye contact when communicating. Social acceptance to encourage communication but
skills, such as making eye contact, can assist should not reinforce the hallucinations by
clients in communicating needs and maintaining exploring details of content. It is inappropriate to
connectedness. present logical arguments to persuade the client
to accept the hallucinations as not real.
A 16-year-old-client diagnosed with paranoid
schizophrenia experiences command A nurse is assessing a client diagnosed with
hallucinations to harm others. The client's paranoid schizophrenia. The nurse asks the
parents ask a nurse, "Where do the voices come client, "Do you receive special messages from
from?" Which is the appropriate nursing reply? certain sources, such as the television or radio?"
Which potential symptom of this disorder is the
A. "Your child has a chemical imbalance of the nurse assessing?
brain which leads to altered thoughts."
B. "Your child's hallucinations are caused by A. Thought insertion
medication interactions." B. Paranoid delusions
C. "Your child has too little serotonin in the brain C. Magical thinking
causing delusions and hallucinations." D. Delusions of reference - -ANS: D
1/7
, Schizophrenia NCLEX Questions And Answers Graded A+
The nurse is assessing for the potential symptom hearing aid receives transmissions that control
of delusions of reference. A client who believes personal thoughts and behaviors.
that he or she receives messages through the
radio is experiencing delusions of reference.
When a client experiences these delusions, he or A client diagnosed with schizophrenia states,
she interprets all events within the environment "Can't you hear him? It's the devil. He's telling me
as personal references. I'm going to hell." Which is the most appropriate
nursing reply?
A client diagnosed with schizophrenia tells a A. "Did you take your medicine this morning?"
nurse, "The 'Shopatouliens' took my shoes out of B. "You are not going to hell. You are a good
my room last night." Which is an appropriate person."
charting entry to describe this client's statement?C. "I'm sure the voices sound scary. The devil is
not talking to you. This is part of your illness."
A. "The client is experiencing command D. "The devil only talks to people who are
hallucinations." receptive to his influence." - -ANS: C
B. "The client is expressing a neologism." The most appropriate reply by the nurse is to
C. "The client is experiencing a paranoid reassure the client with an accepting attitude
delusion." while not reinforcing the hallucination. Reminding
D. "The client is verbalizing a word salad." - the client that "the voices" are a part of his or her
-ANS: B illness is a way to help the client accept that the
The nurse should describe the client's statement hallucinations are not real.
as experiencing a neologism. A neologism is
when a client invents a new word that is
meaningless to others but may have symbolic A client diagnosed with psychosis NOS (not
meaning to the client. Word salad refers to a otherwise specified) tells a nurse about voices
group of words that are put together randomly. telling him to kill the president. Which nursing
diagnosis should the nurse prioritize for this
client?
During an admission assessment, a nurse asks a
client diagnosed with schizophrenia, "Have you A. Disturbed sensory perception
ever felt that certain objects or persons have B. Altered thought processes
control over your behavior?" The nurse is C. Risk for violence: directed toward others
assessing for which type of thought disruption? D. Risk for injury - -ANS: C
The nurse should prioritize the diagnosis risk for
A. Delusions of persecution violence: directed toward others. A client who
B. Delusions of influence hears voices telling him to kill someone is at risk
C. Delusions of reference for responding and reacting to the command
D. Delusions of grandeur - -ANS: B hallucination. Other risk factors for violence
The nurse is assessing the client for delusions of include aggressive body language, verbal
influence when asking if the client has ever felt aggression, catatonic excitement, and rage
that objects or persons have control of the reactions.
client's behavior. Delusions of control or
influence are manifested when the client believes
that his or her behavior is being influenced. An Which nursing intervention would be most
example would be if a client believes that a appropriate when caring for an acutely agitated
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