1. The nurse is performing an assessment of geriatric patients in a community
health care center. The nurse reports that one of the patient's has schizo-
phrenia. Which statement made by the patient while interacting with the nurse
supports the nurse's assessment?
A. "Every morning I enjoy the humming of birds; it relaxes me."
B. "Every day my friends wait for me in front of my gate for our morning walk."
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, C. "Every day birds sing songs for me and spread flowers on the path where
I walk."
D. "Everyone feels as if I am a burden to them; I would like to put an end to
their problem." ANS >>> C. "Every day birds sing songs for me and spread
flowers on the path where I walk."
Rationale
Patients with schizophrenia have delusions of self-importance and state false events
related to them, like birds singing songs for them and spreading flowers on their
path.
2. A nurse understands that antipsychotic drugs may sometimes have toxic
effects. The nurse suggests to the patient' s guardians to give the patient foods
rich in carbohydrates and protein and to ensure that the patient undergoes a
liver function test every 6 months. Which of these toxic effects was the nurse
thinking about when making such a suggestion?
A. Weight gain
B. Hyperpyrexia
C. Agranulocytosis
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, D. Cholestatic jaundice ANS >>> D. Cholestatic jaundice
Rational
Antipsychotics may cause cholestatic jaundice because of impaired liver function.
Hence, a liver function test should be performed every 6 months. The patients must
be given foods rich in carbohydrates and protein in order to enhance liver function.
3. A nurse manager plans to follow up with a nurse after hearing which com-
ment while talking to a patient who is reporting someone is trying to poison
him or her?
A. "Let's discuss the stressors you have in your life right now."
B. "Tell me more about how someone keeps trying to poison your food."
C. "Have other members of your family ever experienced this kind of thing?"
D. "How has this affected your ability to keep a job or care for yourself?"
ANS >>> B. "Tell me more about how someone keeps trying to poison your food."
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, Rationale
It is nontherapeutic to reinforce the delusion by encouraging the individual to focus
on the details, as suggested by asking the patient how his or her food is being
poisoned. The statements "Have other members of your family ever experienced this
kind of thing?", "How has this affected your ability to keep a job or care for yourself?",
and "Let's discuss the stressors you have in your life right now" do not reinforce the
delusion. Rather, they help gain knowledge about the history of the disorder in the
family, the extent of the dysfunction the fear is causing, and the triggers that may
have resulted in this behavior
4. Which side effect of antipsychotic medication is generally nonreversible?
A. Dystonic reaction
B. Tardive dyskinesia
C. Pseudoparkinsonism
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health care center. The nurse reports that one of the patient's has schizo-
phrenia. Which statement made by the patient while interacting with the nurse
supports the nurse's assessment?
A. "Every morning I enjoy the humming of birds; it relaxes me."
B. "Every day my friends wait for me in front of my gate for our morning walk."
https://www.stuvia.com/en-us/user/techgrades
, C. "Every day birds sing songs for me and spread flowers on the path where
I walk."
D. "Everyone feels as if I am a burden to them; I would like to put an end to
their problem." ANS >>> C. "Every day birds sing songs for me and spread
flowers on the path where I walk."
Rationale
Patients with schizophrenia have delusions of self-importance and state false events
related to them, like birds singing songs for them and spreading flowers on their
path.
2. A nurse understands that antipsychotic drugs may sometimes have toxic
effects. The nurse suggests to the patient' s guardians to give the patient foods
rich in carbohydrates and protein and to ensure that the patient undergoes a
liver function test every 6 months. Which of these toxic effects was the nurse
thinking about when making such a suggestion?
A. Weight gain
B. Hyperpyrexia
C. Agranulocytosis
https://www.stuvia.com/en-us/user/techgrades
, D. Cholestatic jaundice ANS >>> D. Cholestatic jaundice
Rational
Antipsychotics may cause cholestatic jaundice because of impaired liver function.
Hence, a liver function test should be performed every 6 months. The patients must
be given foods rich in carbohydrates and protein in order to enhance liver function.
3. A nurse manager plans to follow up with a nurse after hearing which com-
ment while talking to a patient who is reporting someone is trying to poison
him or her?
A. "Let's discuss the stressors you have in your life right now."
B. "Tell me more about how someone keeps trying to poison your food."
C. "Have other members of your family ever experienced this kind of thing?"
D. "How has this affected your ability to keep a job or care for yourself?"
ANS >>> B. "Tell me more about how someone keeps trying to poison your food."
https://www.stuvia.com/en-us/user/techgrades
, Rationale
It is nontherapeutic to reinforce the delusion by encouraging the individual to focus
on the details, as suggested by asking the patient how his or her food is being
poisoned. The statements "Have other members of your family ever experienced this
kind of thing?", "How has this affected your ability to keep a job or care for yourself?",
and "Let's discuss the stressors you have in your life right now" do not reinforce the
delusion. Rather, they help gain knowledge about the history of the disorder in the
family, the extent of the dysfunction the fear is causing, and the triggers that may
have resulted in this behavior
4. Which side effect of antipsychotic medication is generally nonreversible?
A. Dystonic reaction
B. Tardive dyskinesia
C. Pseudoparkinsonism
https://www.stuvia.com/en-us/user/techgrades
