ATI Schizophrenia Spectrum Disorders
And Psychosis Final Exam Questions And
Answers Practice Questions with
Solutions Newest 2026 2027 | Already
Graded A+
Questions 1–20: Positive Symptoms, Delusions, Hallucinations
1. A client with schizophrenia states, “The CIA is using my
neighbor’s cat to read my thoughts.” The nurse documents this as
which type of delusion?
A. Somatic delusion
B. Grandiose delusion
C. Persecutory delusion
D. Referential delusion
Correct ,,,,answer,,,,: C – Persecutory delusion involves beliefs of
being targeted, spied on, or harmed by others.
2. A client reports hearing a voice saying, “You are worthless” when
no one is present. This is an example of:
A. Illusion
B. Command hallucination
,C. Auditory hallucination
D. Idea of reference
Correct ,,,,answer,,,,: C – Auditory hallucination is a false perception
of sound; command hallucination specifically orders action, not stated
here.
3. A client with schizophrenia says, “The president waved at me on
TV, so I am the new vice president.” This is:
A. Persecutory delusion
B. Grandiose delusion
C. Erotomanic delusion
D. Nihilistic delusion
Correct ,,,,answer,,,,: B – Grandiose delusion involves exaggerated
self-importance, power, or identity.
4. A nurse asks a client, “How are you feeling?” The client responds,
“Feeling is reeling, ceiling, dealing, wheeling.” This speech pattern is
called:
A. Clang association
B. Neologism
C. Word salad
D. Echolalia
Correct ,,,,answer,,,,: A – Clang association uses rhyming or punning
without logical connection.
5. A client stares at the wall and whispers, “Leave me alone, stop
yelling.” The nurse’s best initial response is:
A. “I don’t hear anyone yelling. You are safe.”
B. “Stop talking to the voices.”
,C. “What are they saying to you?”
D. “You need to take your PRN medication.”
Correct ,,,,answer,,,,: A – Offers reality orientation and reassurance
without arguing.
6. A client believes the radio is sending secret messages only to them.
This is a:
A. Hallucination
B. Delusion of reference
C. Thought broadcasting
D. Illusion
Correct ,,,,answer,,,,: B – Delusion of reference: believing neutral
stimuli have special personal meaning.
7. A client with schizophrenia tells the nurse, “My brain is rotting
inside my skull.” This is a:
A. Somatic delusion
B. Hypochondriacal delusion
C. Depersonalization
D. Nihilistic delusion
Correct ,,,,answer,,,,: A – Somatic delusion involves false beliefs about
one’s body functioning or appearance.
8. Which hallucination type is most common in schizophrenia?
A. Olfactory
B. Visual
C. Auditory
D. Tactile
, Correct ,,,,answer,,,,: C – Auditory hallucinations (hearing voices) are
most common.
9. A client says, “The world is ending tomorrow, and I have to save
everyone by jumping.” The priority nursing action is:
A. Ask the client for evidence.
B. Place the client on 1:1 observation.
C. Document as a grandiose delusion.
D. Encourage group therapy.
Correct ,,,,answer,,,,: B – Safety priority: risk of harm to self or others
requires close observation.
10. A client with command hallucinations says, “The voice says to
hurt you.” The nurse should:
A. Ignore the statement.
B. Ask, “Do you plan to follow the command?”
C. Tell the client, “That’s not real.”
D. Place the client in seclusion immediately.
Correct ,,,,answer,,,,: B – Assess intent and plan for safety without
escalating anxiety.
11. A client who is hallucinating becomes agitated. The nurse’s best
de-escalation strategy is:
A. Decrease environmental stimuli.
B. Speak loudly to get attention.
C. Use therapeutic touch on the arm.
D. Ask closed-ended questions.
Correct ,,,,answer,,,,: A – Reducing noise, light, and crowding helps
decrease agitation.
And Psychosis Final Exam Questions And
Answers Practice Questions with
Solutions Newest 2026 2027 | Already
Graded A+
Questions 1–20: Positive Symptoms, Delusions, Hallucinations
1. A client with schizophrenia states, “The CIA is using my
neighbor’s cat to read my thoughts.” The nurse documents this as
which type of delusion?
A. Somatic delusion
B. Grandiose delusion
C. Persecutory delusion
D. Referential delusion
Correct ,,,,answer,,,,: C – Persecutory delusion involves beliefs of
being targeted, spied on, or harmed by others.
2. A client reports hearing a voice saying, “You are worthless” when
no one is present. This is an example of:
A. Illusion
B. Command hallucination
,C. Auditory hallucination
D. Idea of reference
Correct ,,,,answer,,,,: C – Auditory hallucination is a false perception
of sound; command hallucination specifically orders action, not stated
here.
3. A client with schizophrenia says, “The president waved at me on
TV, so I am the new vice president.” This is:
A. Persecutory delusion
B. Grandiose delusion
C. Erotomanic delusion
D. Nihilistic delusion
Correct ,,,,answer,,,,: B – Grandiose delusion involves exaggerated
self-importance, power, or identity.
4. A nurse asks a client, “How are you feeling?” The client responds,
“Feeling is reeling, ceiling, dealing, wheeling.” This speech pattern is
called:
A. Clang association
B. Neologism
C. Word salad
D. Echolalia
Correct ,,,,answer,,,,: A – Clang association uses rhyming or punning
without logical connection.
5. A client stares at the wall and whispers, “Leave me alone, stop
yelling.” The nurse’s best initial response is:
A. “I don’t hear anyone yelling. You are safe.”
B. “Stop talking to the voices.”
,C. “What are they saying to you?”
D. “You need to take your PRN medication.”
Correct ,,,,answer,,,,: A – Offers reality orientation and reassurance
without arguing.
6. A client believes the radio is sending secret messages only to them.
This is a:
A. Hallucination
B. Delusion of reference
C. Thought broadcasting
D. Illusion
Correct ,,,,answer,,,,: B – Delusion of reference: believing neutral
stimuli have special personal meaning.
7. A client with schizophrenia tells the nurse, “My brain is rotting
inside my skull.” This is a:
A. Somatic delusion
B. Hypochondriacal delusion
C. Depersonalization
D. Nihilistic delusion
Correct ,,,,answer,,,,: A – Somatic delusion involves false beliefs about
one’s body functioning or appearance.
8. Which hallucination type is most common in schizophrenia?
A. Olfactory
B. Visual
C. Auditory
D. Tactile
, Correct ,,,,answer,,,,: C – Auditory hallucinations (hearing voices) are
most common.
9. A client says, “The world is ending tomorrow, and I have to save
everyone by jumping.” The priority nursing action is:
A. Ask the client for evidence.
B. Place the client on 1:1 observation.
C. Document as a grandiose delusion.
D. Encourage group therapy.
Correct ,,,,answer,,,,: B – Safety priority: risk of harm to self or others
requires close observation.
10. A client with command hallucinations says, “The voice says to
hurt you.” The nurse should:
A. Ignore the statement.
B. Ask, “Do you plan to follow the command?”
C. Tell the client, “That’s not real.”
D. Place the client in seclusion immediately.
Correct ,,,,answer,,,,: B – Assess intent and plan for safety without
escalating anxiety.
11. A client who is hallucinating becomes agitated. The nurse’s best
de-escalation strategy is:
A. Decrease environmental stimuli.
B. Speak loudly to get attention.
C. Use therapeutic touch on the arm.
D. Ask closed-ended questions.
Correct ,,,,answer,,,,: A – Reducing noise, light, and crowding helps
decrease agitation.
