HESI RN EXIT CASE STUDY - SCHIZOPHRENIA
1. Based on this assessment, what is the most important nursing
interven-tion?
A. Establish rapport and trust.
B. Assess for hallucinations.
C. Maintain adequate social space.
D. Plan to give a PRN antipsychotic
Answer: A. Establish rapport and trust.
2. What is the most accurate assessment if the client believes that the
health- care providers are FBI agents and that there are cameras in his
apartment tomonitor his moves?
A. Hallucinations.
B. Delusions.
C. Confabulation.
D. Thought broadcasting
Answer: B. Delusions.
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,3. Which behavior is characteristic of a thought disorder?
A. Blunted affect.
B. Irritability.
C. Lability of mood.
D. Preoccupation with guilty feelings
Answer: A. Blunted affect.
4. The nurse understands that schizophrenia can be differentiated from
psy-chosis by which assessment?
A. Disorganized speech.
B. Disorganized behavior.
C. Auditory hallucinations.
D. Negative symptoms
Answer: D. Negative symptoms.
5. Which finding depicts negative symptoms of schizophrenia?
A. Difficulty sitting still.
B. Rapid and disorganized speech.
C. Flat affect and social inattentiveness.
D. Delusional statements
Answer: C. Flat affect and social inattentiveness.
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, 6. Which nursing problem has priority?
A. Ineffective community coping.
B. Disturbed thought processes.
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1. Based on this assessment, what is the most important nursing
interven-tion?
A. Establish rapport and trust.
B. Assess for hallucinations.
C. Maintain adequate social space.
D. Plan to give a PRN antipsychotic
Answer: A. Establish rapport and trust.
2. What is the most accurate assessment if the client believes that the
health- care providers are FBI agents and that there are cameras in his
apartment tomonitor his moves?
A. Hallucinations.
B. Delusions.
C. Confabulation.
D. Thought broadcasting
Answer: B. Delusions.
1/8
,3. Which behavior is characteristic of a thought disorder?
A. Blunted affect.
B. Irritability.
C. Lability of mood.
D. Preoccupation with guilty feelings
Answer: A. Blunted affect.
4. The nurse understands that schizophrenia can be differentiated from
psy-chosis by which assessment?
A. Disorganized speech.
B. Disorganized behavior.
C. Auditory hallucinations.
D. Negative symptoms
Answer: D. Negative symptoms.
5. Which finding depicts negative symptoms of schizophrenia?
A. Difficulty sitting still.
B. Rapid and disorganized speech.
C. Flat affect and social inattentiveness.
D. Delusional statements
Answer: C. Flat affect and social inattentiveness.
2/8
, 6. Which nursing problem has priority?
A. Ineffective community coping.
B. Disturbed thought processes.
3/8
