Psychotic Disorders-NCLEX 3000 (Answered With Rationale)

Psychotic Disorders-NCLEX 3000 (Answered With Rationale) "A client is prescribed quetiapine (Seroquel), 400 mg by mouth daily in two divided doses, to treat psychosis. The pharmacy dispenses 200 mg tablets. How many tablets should the nurse administer with each dose? 1 "The nurse is providing care to a client with a catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should: "tell the client specifically and concisely what needs to be done. "A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching session, the nurse should provide which instruction to the client? "Apply a sunscreen before exposure to the sun. "Hormonal effects of the antipsychotic medications include: "retrograde ejaculation and gynecomastia. ""During data collection, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. His action shows evidence of: waxy flexibility. "Every day for the past 2 weeks, a client with schizophrenia stands up during group therapy and screams, ""Get out of here right now! The elevator bombs are going to explode in 3 minutes!"" The next time this happens, how should the nurse respond? "I know you think there are bombs in the elevator, but there aren't." "A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, ""You're worried about your medication?"" The nurse's communication is: "focusing on emotional content. (SELECT ALL THAT APPLY) The nurse is monitoring a client who appears to be hallucinating. She notes paranoid content in the client's speech and he appears agitated. The client is gesturing at a figure on the television. Which of the following nursing interventions are appropriate? "(2) Reinforce that the client isn't in any danger. (3) Acknowledge the presence of the hallucinations. (6) Use a calm voice and simple commands. "Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today, the nurse notices that the client is holding his head to one side and complaining of neck and jaw spasms. What should the nurse do? "Evaluate the client for adverse reactions to haloperidol. "A 54-year-old client who was admitted to the psychiatric unit during an acute phase of paranoid schizophrenia has hardly eaten and hasn't bathed or changed his clothes for 3 weeks. He undergoes 4 weeks of psychotherapy and medication adjustment. Which statement by the client indicates that he's ready for discharge? "I know a sign of my disease is not bathing and maintaining my personal appearance." "A 39-year-old client in the residual phase of paranoid schizophrenia asks to see his medical records. Which action by the nurse is most appropriate? "Notify the nursing supervisor, sign a records release form, and then give the client a copy of his records. During a group therapy session in the psychiatric unit, a client constantly interrupts with impulsive behavior and exaggerated stories that cast her as a hero or princess. She also manipulates the group with attention-seeking behaviors, such as sexual comments and angry outbursts. The nurse realizes that these behaviors are typical of: "histrionic personality disorder. "A schizophrenic client with delusions tells the nurse, ""There is a man wearing a red coat who's out to get me."" The client exhibits increasing anxiety when focusing on the delusions. Which of the following would be an appropriate response? "This subject seems to be troubling you. Let's walk to the activity room." "Important teaching for a client receiving risperidone (Risperdal) would include advising the client to: "notify the physician if the client notices an increase in bruising. "A 36-year-old client with a history of schizophrenia is admitted to the emergency department with a fever of 102° F (38.9° C), severe headache, photophobia, nuchal rigidity, and nausea. A physician believes that a lumbar puncture is necessary to help confirm his suspicions of meningitis. The nurse is asked to witness the informed consent. How can the nurse best assess the client's mental status before witnessing the consent? "Perform a brief mental status examination to determine whether the client is oriented to person, place, time, and purpose. "A 50-year-old male client is hospitalized in a psychiatric unit for treatment of an acute phase of paranoid schizophrenia with delusions of persecution. At the end of her shift, a licensed practical nurse reports the client's status to a registered nurse. Which observation by the licensed practical nurse indicates that the client's condition is improving? "After shaving and showering, the client reports that the voices have been quiet for several days. "(SELECT ALL THAT APPLY) A client with schizophrenia is taking the atypical antipsychotic medication clozapine (Clozaril). Which of the following signs and symptoms indicate the presence of adverse effects associated with this medication? "(1) Sore throat (4) Fever" "The etiology of schizophrenia is best described by: "a combination of biological, psychological, and environmental factors. "A client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing. The nurse's first action is to: "administer an as-needed dose of benztropine (Cogentin) I.M. as ordered. "A client with catatonic schizophrenia is mute, can't perform activities of daily living, and stares out the window for hours. What is the nurse's first priority?