NUR 422 Exam 4 Questions With Correct
Answers
A paranoid client presents with bizarre behaviors, neologisms, and
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thought insertion. Which nursing action should be prioritized to
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maintain this client's safety?
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A. Assess for medication noncompliance.
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B. Note escalating behaviors and intervene immediately.
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C. Interpret attempts at communication.
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D. Assess triggers for bizarre, inappropriate behaviors.
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B. Note escalating behaviors and intervene immediately.
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A client diagnosed with schizoaffective disorder is admitted for social
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skills training.
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Which information should be included in the nurse's teaching?
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A. The side effects of medications
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B. Deep breathing techniques to decrease stress
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C. How to make eye contact when communicating
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D. How to be a leader
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C. How to make eye contact when communicating
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,A client diagnosed with schizophrenia tells a nurse, "The 'Shopatouliens'
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took my shoes out of my room last night." Which is an appropriate
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charting entry to describe this client's statement?
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A. "The client is experiencing command hallucinations."
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B. "The client is expressing a neologism."
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C. "The client is experiencing a paranoid delusion."
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D. "The client is verbalizing a word salad."
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B. "The client is expressing a neologism."
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A client diagnosed with schizophrenia states, "Can't you hear him? It's
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the devil. He's telling me I'm going to hell." Which is the most
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appropriate nursing response? | |
A. "Did you take your medicine this morning?"
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B. "You are not going to hell. You are a good person."
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C. "I'm sure the voices sound scary, but the devil is not talking to you.
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This is part of your illness."
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D. "The devil only talks to people who are receptive to his influence."
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C. "I'm sure the voices sound scary, but the devil is not talking to you.
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This is part of your illness."
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,Which nursing intervention would be most appropriate when caring for
| | | | | | | | | |
an acutely agitated client diagnosed with paranoid schizophrenia?
| | | | | | |
A. Provide neon lights and soft music.
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B. Maintain continual eye contact throughout the interview.
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C. Use therapeutic touch to increase trust and rapport.
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D. Provide personal space to respect the client's boundaries.
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D. Provide personal space to respect the client's boundaries.
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Which nursing behavior will enhance the establishment of a trusting
| | | | | | | | | |
relationship with a client diagnosed with schizophrenia?
| | | | | |
A. Establishing personal contact with family members.
| | | | | |
B. Being reliable, honest, and consistent during interactions.
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C. Sharing limited personal information.
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D. Sitting close to the client to establish rapport.
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B. Being reliable, honest, and consistent during interactions.
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A client diagnosed with paranoid schizophrenia states, "My psychiatrist
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is out to get me. I'm sad that the voice is telling me to stop him." What
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, symptom is the client exhibiting, and what is the nurse's legal
| | | | | | | | | | |
responsibility related to this symptom? | | | |
A. Magical thinking; administer an antipsychotic medication.
| | | | | |
B. Persecutory delusions; orient the client to reality.
| | | | | | |
C. Command hallucinations; warn the psychiatrist.
| | | | |
D. Altered thouaht processes: call an emergency treatment team
| | | | | | | | |
meeting.
C. Command hallucinations; warn the psychiatrist.
| | | | |
Which statement should indicate to a nurse that an individual is
| | | | | | | | | | |
experiencing a delusion? | |
A. "There's an alien growing in my liver."
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B. "I see my dead husband everywhere I go."
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C. "The IRS may audit my taxes."
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D. "I'm not going to eat my food. It smells like brimstone."
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A. "There's an alien growing in my liver."
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A client diagnosed with schizophrenia is slow to respond and appears to
| | | | | | | | | | | |
be listening to unseen others. Which medication should a nurse expect
| | | | | | | | | | |
a physician to order to address this type of symptom?
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Answers
A paranoid client presents with bizarre behaviors, neologisms, and
| | | | | | | | |
thought insertion. Which nursing action should be prioritized to
| | | | | | | | |
maintain this client's 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.
| | | | | |
B. Note escalating behaviors and intervene immediately.
| | | | | |
A client diagnosed with schizoaffective disorder is admitted for social
| | | | | | | | | |
skills training.
|
Which information should be included in the nurse's teaching?
| | | | | | | |
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
| | | | |
C. How to make eye contact when communicating
| | | | | | |
,A client diagnosed with schizophrenia tells a nurse, "The 'Shopatouliens'
| | | | | | | | |
took my shoes out of my room last night." Which is an appropriate
| | | | | | | | | | | | | |
charting entry to describe this client's statement?
| | | | | |
A. "The client is experiencing command hallucinations."
| | | | | |
B. "The client is expressing a neologism."
| | | | | |
C. "The client is experiencing a paranoid delusion."
| | | | | | |
D. "The client is verbalizing a word salad."
| | | | | | |
B. "The client is expressing a neologism."
| | | | | |
A client diagnosed with schizophrenia states, "Can't you hear him? It's
| | | | | | | | | | |
the devil. He's telling me I'm going to hell." Which is the most
| | | | | | | | | | | | |
appropriate nursing response? | |
A. "Did you take your medicine this morning?"
| | | | | | |
B. "You are not going to hell. You are a good person."
| | | | | | | | | | |
C. "I'm sure the voices sound scary, but the devil is not talking to you.
| | | | | | | | | | | | | | |
This is part of your illness."
| | | | |
D. "The devil only talks to people who are receptive to his influence."
| | | | | | | | | | | |
C. "I'm sure the voices sound scary, but the devil is not talking to you.
| | | | | | | | | | | | | | |
This is part of your illness."
| | | | |
,Which nursing intervention would be most appropriate when caring for
| | | | | | | | | |
an acutely agitated client diagnosed with paranoid schizophrenia?
| | | | | | |
A. Provide neon lights and soft music.
| | | | | |
B. Maintain continual eye contact throughout the interview.
| | | | | | |
C. Use therapeutic touch to increase trust and rapport.
| | | | | | | |
D. Provide personal space to respect the client's boundaries.
| | | | | | | |
D. Provide personal space to respect the client's boundaries.
| | | | | | | |
Which nursing behavior will enhance the establishment of a trusting
| | | | | | | | | |
relationship with a client diagnosed with schizophrenia?
| | | | | |
A. Establishing personal contact with family members.
| | | | | |
B. Being reliable, honest, and consistent during interactions.
| | | | | | |
C. Sharing limited personal information.
| | | |
D. Sitting close to the client to establish rapport.
| | | | | | | |
B. Being reliable, honest, and consistent during interactions.
| | | | | | |
A client diagnosed with paranoid schizophrenia states, "My psychiatrist
| | | | | | | | |
is out to get me. I'm sad that the voice is telling me to stop him." What
| | | | | | | | | | | | | | | | |
, symptom is the client exhibiting, and what is the nurse's legal
| | | | | | | | | | |
responsibility related to this symptom? | | | |
A. Magical thinking; administer an antipsychotic medication.
| | | | | |
B. Persecutory delusions; orient the client to reality.
| | | | | | |
C. Command hallucinations; warn the psychiatrist.
| | | | |
D. Altered thouaht processes: call an emergency treatment team
| | | | | | | | |
meeting.
C. Command hallucinations; warn the psychiatrist.
| | | | |
Which statement should indicate to a nurse that an individual is
| | | | | | | | | | |
experiencing a delusion? | |
A. "There's an alien growing in my liver."
| | | | | | |
B. "I see my dead husband everywhere I go."
| | | | | | | |
C. "The IRS may audit my taxes."
| | | | | |
D. "I'm not going to eat my food. It smells like brimstone."
| | | | | | | | | | |
A. "There's an alien growing in my liver."
| | | | | | |
A client diagnosed with schizophrenia is slow to respond and appears to
| | | | | | | | | | | |
be listening to unseen others. Which medication should a nurse expect
| | | | | | | | | | |
a physician to order to address this type of symptom?
| | | | | | | | |
