Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Schizophrenic & Delusional Disorders
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Question 1 |
Which statement made by a client taking fluphenazine tells the nurse that the client understands his discharge instructions?
A | “I need to stay out of the sun.” |
B | “I need to drink plenty of fluids.” |
C | “I can’t eat cheese.” |
D | “I need to plan rest periods throughout the day.” |
Question 2 |
The nurse is teaching the family of a client who has been prescribed thiothixene (Navane). Which of the following adverse reactions concerning this medication would be the most accurate for the nurse to discuss?
A | Akinesia |
B | Hypotension |
C | Sedation |
D | Weight gain |
Question 3 |
Inability to carry out daily responsibilities typically occurs during the prodromal phase of schizophrenia. Which symptom may also occur during this phase?
A | Increased energy and motivation |
B | Increased social interaction |
C | Impaired role functioning and neglect of personal hygiene |
D | Heightened work performance |
Question 4 |
The daughter of a client with schizophrenia states, “I’m afraid I may develop this disease, too.” The nurse explains that schizophrenia is associated with which of the following?
A | Sexual abuse |
B | A combination of genetic and other factors |
C | Both parents having schizophrenia |
D | Emotional trauma during childhood |
Question 5 |
A nurse teaches a class of caregivers about the positive and negative behaviors of schizophrenia. The nurse explains positive behaviors as:
A | limited spontaneous speech. |
B | inability to initiate and persist in goal-directed activities. |
C | misinterpretation of experiences and altered sensory input. |
D | extremely brief replies to questions. |
Question 6 |
A nurse is facilitating a group of schizophrenic clients when one client says, “I like to drive my car, bar, tar, far.” This pattern of speech is known as which disorder?
A | Clang association |
B | Echolalia |
C | Echopraxia |
D | Neologisms |
Question 7 |
A schizophrenic client who is receiving antipsychotic medication reports that he feels nervous. He paces, fidgets, and can’t seem to stay still. The primary cause of these behaviors is most likely which disorder?
A | Akathisia |
B | Tardive dyskinesia |
C | Akinesia |
D | Anxiety |
Question 8 |
Which nursing diagnosis is most appropriate for a client diagnosed with schizophrenia, disorganized type?
A | Feeding self-care deficit |
B | Disturbed sleep pattern |
C | Impaired verbal communication |
D | Social isolation |
Question 9 |
A client with paranoid schizophrenia tells the nurse that two people talking in the hall are planning to kidnap and kill him. The client’s thought pattern reflects which of the following?
A | Auditory hallucinations |
B | Delusions of grandeur |
C | Ideas of reference |
D | Echolalia |
Question 10 |
Clients with serious mental illness are not limited to a single symptom or diagnosis. Adult or elderly schizophrenics sometimes present with petulance and temper tantrums. How can the nurse best understand this childish behavior in the context of a complex psychotic person?
A | The client is malingering. |
B | The client is intellectually challenged. |
C | The client is employing regression to reduce his anxiety. |
D | The client is spoiled and angry. |
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