CHAPTER 24. SCHIZOPHRENIA SPECTRUM
AND OTHER PSYCHOTIC DISORDERS MY
NURSING TEST BANKS.
LATEST UPDATE!
QUESTIONS AND ANSWERS
A paranoid client presents with bizarre behaviors, neologisms, and thought insertion.
Which nursing action should be prioritized to maintain this clients safety?
A. Assess for medication noncompliance
B. Note escalating behaviors and intervene immediately
C. Interpret attempts at communication
D. Assess triggers for bizarre, inappropriate behaviors. ANSWER - B. Note escalating
behaviors and intervene immediately
The nurse should note escalating behaviors and intervene immediately to maintain this
clients 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 taught by the nurse?
A. The side effects of medications
B. Deep breathing techniques to decrease stress
C. How to make eye contact when communicating
D. How to be a leader. ANSWER - C. 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 in communicating needs and
maintaining connectedness.
, A 16-year-old client diagnosed with schizophrenia experiences command hallucinations to
harm others. The clients parents ask a nurse, Where do the voices come from? Which is the
appropriate nursing reply?
A. Your child has a chemical imbalance of the brain, which leads to altered thoughts.
B. Your childs hallucinations are caused by medication interactions.
C. Your child has too little serotonin in the brain, causing delusions and hallucinations.
D. Your childs abnormal hormonal changes have precipitated auditory hallucinations..
ANSWER - A. Your child has a chemical imbalance of the brain, which leads to altered
thoughts.
The nurse should explain that a chemical imbalance of the brain leads to altered thought
processes. Hallucinations, or false sensory perceptions, may occur in all five senses. The
client who hears voices is experiencing an auditory hallucination.
Parents ask a nurse how they should reply when their child, diagnosed with schizophrenia,
tells them that voices command him to harm others. Which is the appropriate nursing
reply?
A. Tell him to stop discussing the voices.
B. Ignore what he is saying, while attempting to discover the underlying cause.
C. Focus on the feelings generated by the hallucinations and present reality.
D. Present objective evidence that the voices are not real.. ANSWER - C. Focus on the
feelings generated by the hallucinations and present reality.
The most appropriate response by the nurse is to instruct the parents to focus on the
feelings generated by the hallucinations and present reality. The parents should maintain
an attitude of acceptance to encourage communication but should not reinforce the
hallucinations by exploring details of content. It is inappropriate to present logical
arguments to persuade the client to accept the hallucinations as not real.
A nurse is assessing a client diagnosed with schizophrenia. The nurse asks the client, Do
you receive special messages from certain sources, such as the television or radio? Which
potential symptom of this disorder is the nurse assessing?
A. Thought insertion
B. Paranoia
C. Magical thinking
AND OTHER PSYCHOTIC DISORDERS MY
NURSING TEST BANKS.
LATEST UPDATE!
QUESTIONS AND ANSWERS
A paranoid client presents with bizarre behaviors, neologisms, and thought insertion.
Which nursing action should be prioritized to maintain this clients safety?
A. Assess for medication noncompliance
B. Note escalating behaviors and intervene immediately
C. Interpret attempts at communication
D. Assess triggers for bizarre, inappropriate behaviors. ANSWER - B. Note escalating
behaviors and intervene immediately
The nurse should note escalating behaviors and intervene immediately to maintain this
clients 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 taught by the nurse?
A. The side effects of medications
B. Deep breathing techniques to decrease stress
C. How to make eye contact when communicating
D. How to be a leader. ANSWER - C. 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 in communicating needs and
maintaining connectedness.
, A 16-year-old client diagnosed with schizophrenia experiences command hallucinations to
harm others. The clients parents ask a nurse, Where do the voices come from? Which is the
appropriate nursing reply?
A. Your child has a chemical imbalance of the brain, which leads to altered thoughts.
B. Your childs hallucinations are caused by medication interactions.
C. Your child has too little serotonin in the brain, causing delusions and hallucinations.
D. Your childs abnormal hormonal changes have precipitated auditory hallucinations..
ANSWER - A. Your child has a chemical imbalance of the brain, which leads to altered
thoughts.
The nurse should explain that a chemical imbalance of the brain leads to altered thought
processes. Hallucinations, or false sensory perceptions, may occur in all five senses. The
client who hears voices is experiencing an auditory hallucination.
Parents ask a nurse how they should reply when their child, diagnosed with schizophrenia,
tells them that voices command him to harm others. Which is the appropriate nursing
reply?
A. Tell him to stop discussing the voices.
B. Ignore what he is saying, while attempting to discover the underlying cause.
C. Focus on the feelings generated by the hallucinations and present reality.
D. Present objective evidence that the voices are not real.. ANSWER - C. Focus on the
feelings generated by the hallucinations and present reality.
The most appropriate response by the nurse is to instruct the parents to focus on the
feelings generated by the hallucinations and present reality. The parents should maintain
an attitude of acceptance to encourage communication but should not reinforce the
hallucinations by exploring details of content. It is inappropriate to present logical
arguments to persuade the client to accept the hallucinations as not real.
A nurse is assessing a client diagnosed with schizophrenia. The nurse asks the client, Do
you receive special messages from certain sources, such as the television or radio? Which
potential symptom of this disorder is the nurse assessing?
A. Thought insertion
B. Paranoia
C. Magical thinking
