Nursing 420 Questions with Correct Answers (100% Verified)

A client with schizophrenia spectrum disorder presents with bizarre behaviors and delusions. Which nursing action should be prioritized to maintain this client's safety? 1.Monitor for medication nonadherence. 2.Note escalating behaviors immediately. 3.Interpret attempts at communication. 4.Assess triggers for bizarre, inappropriate behaviors Correct Answer 2.Note escalating behaviors immediately. The nurse should note escalating behaviors 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 included in the nurse's teaching? 1.The side effects of medications 2.Deep breathing techniques to decrease stress 3.How to make eye contact when communicating 4.Behaviors needed to be a leader Correct Answer 3.How to make eye contact when communicating 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 to communicate needs and to establish relationships. An adolescent diagnosed with schizophrenia spectrum disorder experiences command hallucinations to harm others. The client's parents ask a nurse, "Where do the voices come from?" Which response should the nurse make? 1."Your child has a chemical imbalance of the brain, which leads to altered perceptions." 2."Your child's hallucinations are caused by medication interactions." 3."Your child has too little serotonin in the brain, causing delusions and hallucinations." 4."Your child's abnormal hormonal changes have precipitated auditory hallucination Correct Answer 1."Your child has a chemical imbalance of the brain, which leads to altered perceptions." The nurse should explain that a chemical imbalance of the brain leads to altered perceptions. The current position on the dopamine hypothesis is that positive symptoms (like command hallucinations) may be related to increased numbers of dopamine receptors in the brain causing an imbalance.