A schizophrenic client tells his primary nurse that he’s scheduled to meet the King of Samoa at a special time, making it impossible for the client to leave his room for dinner. Which response by the nurse is most appropriate?

What is the most appropriate nursing intervention for a client experiencing hallucinations?

A client with a diagnosis of schizophrenia is receiving an antipsychotic medication. His physician has just prescribed benztropine (Cogentin). The nurse determines that this medication was most likely prescribed which adverse reaction?

A client tells the nurse that he can only drink bottled water since the water from his sink has been poisoned. The nurse understands that the client is exhibiting which of the following?

A client who is delusional approaches the nurse and states, “You are my aunt and you live with my family.” What is the most appropriate response by the nurse?

The nurse is providing information to a client who is taking chlorpromazine. What is the most important information for the nurse to provide?

A client asks a nurse if she hears the voice of the nonexistent man speaking to him. What is the most appropriate response by the nurse?

A client makes vague statements with no logical connections. He asks whether the nurse understands. What is the best response by the nurse?

A nurse on a psychiatric unit observes a client in the corner of the room moving his lips as if he were talking to himself. What is the most appropriate intervention?

What is the most appropriate assessment technique for the nurse to implement when interviewing a client with paranoia?

Which nursing diagnosis is most appropriate for a client with acute schizophrenic reaction?

A nurse is assisting with morning care when a client suddenly throws off the covers and starts shouting, “My body is changing and disintegrating because I’m not of this world.” The nurse describes this behavior as which of the following?

The teenage son of a father with schizophrenia is worried that he might have schizophrenia as well. Which behavior would be an indication that he should be evaluated for signs of the disorder?

During breakfast, a client announces that he is still the President of the United States. What is the best response from the nurse?

The nurse is aware that a schizophrenic client who is experiencing prolonged isolation is at risk for developing:

A client diagnosed with schizophrenia several years ago tells a nurse that he feels “very sad.” The nurse observes that he’s smiling when he says it. The nurse interprets the behavior as which of the following?

A disorganized schizophrenic’s symptoms include the distressing triad of extreme social withdrawal, odd mannerisms, and other regressive behaviors. What is the most appropriate intervention by the nurse?

A client on the psychiatric unit is copying and imitating the movements of his primary nurse. During recovery, he says, “I thought the nurse was my mirror. I felt connected only when I saw my nurse.” The nurse identifies this behavior as which of the following?

A client admitted to an inpatient unit approaches a nursing student saying he descended from a long line of people of a “superrace.” What is the most appropriate response by the nursing student?

The nurse is teaching the family of a client with a psychiatric disorder about traditional antipsychotic drugs and their effect on symptoms. Which of the following symptoms would be most responsive to these types of drugs?

A client was hospitalized after his son filed a petition for involuntary hospitalization for safety reasons. The son seeks out the nurse because his father is angry and refuses to talk with him. He’s frustrated and feeling very guilty about his decision. What is the most appropriate response by the nurse?

A client has followed her antipsychotic medication regimen for a number of years. Her physician has prescribed antibiotic therapy for a newly acquired urinary tract infection. What is the most important nursing intervention?

A client begins to display some bothersome and dismaying new symptoms from his antipsychotic medicine. He is concerned because he has noted improvement of his psychotic symptoms but is now experiencing uncontrollable restlessness of his limbs and head. The client calls the clinic to ask what is happening and how he can stop it. What is the best response by the nurse?

A client approaches a nurse and tells her that he hears voices telling him that he’s evil and deserves to die. Which response by the nurse is most appropriate?

A homebound client taking clozapine (Clozaril) tells the nurse he has been feeling tired for 5 days. His temperature is 99.6° F; pulse, 110 beats/minute; and respirations, 20 breaths/minute. What is the best information for the nurse to tell the client?

A 16-year-old client with a diagnosis of undifferentiated schizophrenia has become very clingy and begins sucking her thumb while interacting with the nurse. The nurse interprets this behavior as which of the following?

A 22-year-old schizophrenic client was admitted to the psychiatric unit during the night. The next morning, he began to misidentify the nurse and call her by his sister’s name. Which intervention is best?

A 34-year-old male client is referred to a mental health clinic by the court. The client harassed a couple next door to him with charges that the wife was in love with him. He wrote love notes and called her on the telephone throughout the night. The client is employed and has had no problems in his job. Which disorder is suspected?

A 40-year-old client with a diagnosis of chronic, undifferentiated schizophrenia lives in a rooming house that has a weekly nursing clinic. He scratches while he tells the nurse he feels creatures eating away at his skin. Which intervention should be done first?

A 49-year-old client is admitted to the emergency department frightened and reporting that he’s hearing voices telling him to do bad things. Which intervention should be the nurse’s priority?