Nursing Exam #3 || Solved Correctly.
Josh, age 21, has been diagnosed with schizophrenia. He has been socially isolated and hearing
voices telling him to kill his parents. He has been admitted to the psychiatric unit from the
emergency department. The initial nursing intervention for Josh is to:
a. Give him an injection of Thorazine
b. Ensure a safe environment for him and others
c. Place him in restraints
d. Order him a nutritious diet correct answers b. Ensure a safe environment for him and others
The primary goal in working with an actively psychotic, suspicious client would be to:
a. promote interaction with others
b. decrease his anxiety and increase trust
c. improve his relationship with his parents
d. encourage participation in therapy activities correct answers b. decrease his anxiety and
increase trust
Brandon, a client on a psychiatric unit, has been diagnosed with schizophrenia. He begins to tell
the nurse about how the CIA is looking for him. The most appropriate response by the nurse is:
a. "That's ridiculous Brandon. No one is going to hurt you"
b. "The CIA isn't interested in people like you, Brandon"
c. "Why do you think the CIA wants to kill you?"
d. "I know you believe that Brandon, but it's really hard for me to believe" correct answers d. "I
know you believe that Brandon, but it's really hard for me to believe"
, Brandon, a client on a psychiatric unit, has been diagnosed with schizophrenia. He begins to tell
the nurse about how the CIA is looking for him. Brandon's belief is an example of:
a. Delusion of persecution
b. Delusion of reference
c. Delusion of control or influence
d. Delusion of grandeur correct answers a. Delusion of persecution
A nurse is interviewing a client on a psychiatric unit. The client tilts his head to the side, stops
talking mid sentence and listens intently. The nurse recognizes these signs as the client likely
experiencing:
a. Somatic delusions
b. Catatonic stupor
c. Auditory Hallucinations
d. Pseudoparkinsonism correct answers c. Auditory Hallucinations
A nurse is interviewing a client on a psychiatric unit. The client tilts his head to the side, stops
talking mid sentence and listens intently. The nurse recognizes these behaviors as a symptom of
the client's illness. The most appropriate nursing intervention for this symptom is to:
a. Ask the client about his physical symptoms
b. Ask the client to describe what he is hearing
c. Administer a dose of benztropine
d. Call the physician for additional orders correct answers b. Ask the client to describe what he is
hearing
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?