7 (NCLEX QUESTIONS) - Schizophrenia Spectrum Disorders || All
Answers are Flawless.
A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which
nursing action should be prioritized to maintain this client's safety?
A. Assess for medication noncompliance
B. Note escalating behaviors and intervene immediately
C. Interpret attempts at communication
D. Assess triggers for bizarre, inappropriate behaviors correct answers B. Note escalating
behaviors and intervene immediately
REASON: The nurse should note escalating behaviors and intervene immediately to maintain
this client's safety. Early intervention may prevent an aggressive response and keep the client and
others safe.
A client diagnosed with schizoaffective disorder is admitted for social skills training. Which
information should be taught by the nurse?
A. The side effects of medications
B. Deep breathing techniques to decrease stress
C. How to make eye contact when communicating
D. How to be a leader correct answers C. How to make eye contact when communicating
, REASON: The nurse should plan to teach the client how to make eye contact when
communicating. Social skills, such as making eye contact, can assist clients in communicating
needs and maintaining connectedness.
A 16-year-old-client diagnosed with paranoid schizophrenia experiences command
hallucinations to harm others. The client's parents ask a nurse, "Where do the voices come
from?" Which is the appropriate nursing reply?
A. "Your child has a chemical imbalance of the brain which leads to altered thoughts."
B. "Your child's hallucinations are caused by medication interactions."
C. "Your child has too little serotonin in the brain causing delusions and hallucinations."
D. "Your child's abnormal hormonal changes have precipitated auditory hallucinations." correct
answers A. "Your child has a chemical imbalance of the brain which leads to altered thoughts."
REASON: The nurse should explain that a chemical imbalance of the brain leads to altered
thought processes. Hallucinations, or false sensory perceptions, may occur in all five senses. The
client who hears voices is experiencing an auditory hallucination.
Parents ask a nurse how they should reply when their child, diagnosed with paranoid
schizophrenia, tells them that voices command him to harm others. Which is the appropriate
nursing reply?
A. "Tell him to stop discussing the voices."
B. "Ignore what he is saying, while attempting to discover the underlying cause."
C. "Focus on the feelings generated by the hallucinations and present reality."
Answers are Flawless.
A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which
nursing action should be prioritized to maintain this client's safety?
A. Assess for medication noncompliance
B. Note escalating behaviors and intervene immediately
C. Interpret attempts at communication
D. Assess triggers for bizarre, inappropriate behaviors correct answers B. Note escalating
behaviors and intervene immediately
REASON: The nurse should note escalating behaviors and intervene immediately to maintain
this client's safety. Early intervention may prevent an aggressive response and keep the client and
others safe.
A client diagnosed with schizoaffective disorder is admitted for social skills training. Which
information should be taught by the nurse?
A. The side effects of medications
B. Deep breathing techniques to decrease stress
C. How to make eye contact when communicating
D. How to be a leader correct answers C. How to make eye contact when communicating
, REASON: The nurse should plan to teach the client how to make eye contact when
communicating. Social skills, such as making eye contact, can assist clients in communicating
needs and maintaining connectedness.
A 16-year-old-client diagnosed with paranoid schizophrenia experiences command
hallucinations to harm others. The client's parents ask a nurse, "Where do the voices come
from?" Which is the appropriate nursing reply?
A. "Your child has a chemical imbalance of the brain which leads to altered thoughts."
B. "Your child's hallucinations are caused by medication interactions."
C. "Your child has too little serotonin in the brain causing delusions and hallucinations."
D. "Your child's abnormal hormonal changes have precipitated auditory hallucinations." correct
answers A. "Your child has a chemical imbalance of the brain which leads to altered thoughts."
REASON: The nurse should explain that a chemical imbalance of the brain leads to altered
thought processes. Hallucinations, or false sensory perceptions, may occur in all five senses. The
client who hears voices is experiencing an auditory hallucination.
Parents ask a nurse how they should reply when their child, diagnosed with paranoid
schizophrenia, tells them that voices command him to harm others. Which is the appropriate
nursing reply?
A. "Tell him to stop discussing the voices."
B. "Ignore what he is saying, while attempting to discover the underlying cause."
C. "Focus on the feelings generated by the hallucinations and present reality."
