SPECTRUM DISORDERS AND
PSYCHOSIS QUESTIONS AND
ANSWERS (LATEST)
A nurse is talking with a client about mental health care and services.
The client asks, "What is the difference between psychosis and
schizophrenia?" Which of the following responses should the nurse
make?
a. "Psychosis describes conditions where a person loses contact with
what is real. Schizophrenia is a mental health illness where the person
can show manifestations of psychosis."
b. "Psychosis and schizophrenia are the same thing, and most
providers use these terms interchangeably."
c. "Psychosis is a mental health which includes manifestations of
schizophrenia, delirium, and hysteria."
d. "Schizophrenia is a type of multiple personality disorder in which a
person displays psychosis or illogical thoughts or beliefs." -
ANSWERS-a. "Psychosis describes conditions where a person loses
contact with what is real. Schizophrenia is a mental health illness
where the person can show manifestations of psychosis."
Rational: Psychosis is a condition in which a person has lost contact
with reality and displays manifestations such as delusions and
hallucinations. Schizophrenia is a serious mental health disorder
,where people experience psychosis and behaviors that impair their
ability to function.
A nurse is caring for a client who has been diagnosed with
schizophrenia. The client is exhibiting delusional behavior stating that
a new nurse is from the FBI and is stealing their thoughts and ideas.
Which of the following statements should the nurse make?
a. "Wow, since the FBI is involved now, you are safe. Tell me more
about the FBI wanting to take your thoughts."
b. "Don't worry, you are perfectly safe. The walls and ceiling are lined
with lead and can't be penetrated."
c. "You should stop these thoughts because they are making things
worse for you. Take a deep breath."
d. "I can see you are very concerned. The new nurse is not from the
FBI and will not harm you." - ANSWERS-d. "I can see you are very
concerned. The new nurse is not from the FBI and will not harm you."
Rational: Acknowledging the client's experience and making
observations about the client's feelings, as well as stating who the new
nurse is and reassuring the client that the nurse will not hurt them,
provides a connection to what is real. This is the most appropriate
response.
A nurse is caring for a client in a Veterans' Administration facility.
Drag 1 condition and 1 client finding to fill in each blank in the
following sentence.
1. The nurse should first address the client's
, a. personal relationships
b. fear of strangers
c. living situation
d. perception of self
e. access to medications
2. Due to
a. esteem needs
b. safety needs
c. love and belonging needs
d. self-actualization
e. physiological needs - ANSWERS-1. c. living situation
2. e. physiological needs
Rational: Living situation is correct. When using the greatest risk
priority framework, the nurse should recognize that the greatest risk to
the client is the lack of adequate shelter. According to Maslow's
hierarchy, the most basic needs are physiological needs, such as food,
water, air, and shelter. These needs must be met before the client can
progress further up the hierarchy and improve self-functioning. The
client's current living situation does not meet the physiological need
of shelter as evidenced by the frostbite the client experienced.
Physiological needs is correct. When using the greatest risk priority
framework, the nurse should recognize that the greatest risk to the
client is the lack of adequate shelter. According to Maslow's
hierarchy, the most basic needs are physiological needs, such as food,
water, air, and shelter. These needs must be met before the client can
progress further up the hierarchy and improve self-functioning. The