ATI Practice Schizophrenia Exam Questions and Answers 2023

A nurse in an outpatient mental health clinic is interviewing a client who has schizophrenia and appears to be experiencing auditory hallucinations. Which of the following actions should the nurse take first? A. Teach the client strategies to decrease the hallucinations B. Identify whether the client is on antipsychotic medications C. Distract the client from the hallucination D. Explore what the voices are saying to the client D A nurse is observing a client with schizophrenia in the dayroom. Another client asks him if several items of clothing match. He replies, "A match. I like matches. They are the givers of light, the light of the world. Let your light shine on." The nurse should identify these statements as which of the following speech alterations? A. Clang association B. Echolalia C. Word salad D. Associative looseness D A nurse on a mental health unit is observing a client who has schizophrenia. Which of the following client statements should the nurse recognize as clang association? A. "Her mannerologies are poor." B. "My dog blank a boat to supreme heights." C. "I can play the flute while wearing a suit. You are cute." D. "My joints ache. My friend is in the joint." C A nurse is caring for a client who has schizophrenia and states, "My doctor is trying to kill me." Which of the following responses should the nurse make? A. "Why would you say your doctor is trying to kill you?" B. "It must be frightening to feel that your doctor is trying to kill you." C. "Your doctor wants to help you, not kill you." D. "How long has your doctor been trying to kill you?"B A nurse working in a mental health facility is preparing to discharge a client who has schizophrenia and requires assistance with housing. Which of the following referrals should the nurse recommend to the provider? A. Occupational therapist B. Social worker C. Physical therapist D. Spiritual support B A nurse is collecting data from a client with schizophrenia who was recently admitted to acute care. Which of the following findings should the nurse expect? A. Seductive behaviors B. Obsession with rituals C. Uncontrolled appetite D. Associative looseness D A nurse is performing an admission assessment for a client who has schizophrenia. The nurse notices that the client's appearance is unkempt, and he appears to be actively hallucinating. Which of the following should be the nurse's priority assessment? A. Perception of reality B. Ability to follow directions C. Physical needs D. Mental status C A nurse is teaching a client who has schizophrenia about involuntary commitment. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A. "My family cannot commit me because I am homeless." B. "Even when I'm calm, I'll be forced to take psychotropic medication." C. "At least 2 doctors must support the commitment application." D. "I am afraid the doctors will make me have surgery." CA nurse is discussing exercise activities with an acute care client who has schizophrenia and is overweight due to psychotropic medications. The client refuses to participate in an aerobic exercise class and instead requests to walk in the facility's gym. Which of the following responses should the nurse make? A. "Can you tell me why you do not want to participate in the planned group activity?" B. "Do you understand that psychotropic medications cause weight gain? C. "The aerobics class will be more effective at burning calories than walking." D. "It sounds like you have come up with an alternative exercise that works for you." D A nurse is monitoring a client who has schizophrenia and is receiving treatment with fluphenazine hydrochloride. Which of the following findings is an indication of neuroleptic malignant syndrome that nurse should report to the provider? A. Blurred vision B. Urinary retention C. Muscle flaccidity D. Elevated temperature D A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates that the client is displaying cognitive symptoms? A. "I just feel so hopeless." B. "The government has been watching my house." C. "I am unable to remember to brush my teeth." D. "I not longer enjoy the activities I used to love." C