Chapter 15: Schizophrenia Spectrum and Other
Psychotic Disorders Latest Questions and Answers All
Correct Study Guide, Download to Score A+
1. A paranoid client presents with bizarre behaviors, neologisms, and thought
insertion. Which nursing action should be prioritized to maintain this client's safety?
1. Assess for medication nonadherence.
2. Note escalating behaviors and intervene immediately.
3. Interpret attempts at communication.
4. Assess triggers for bizarre, inappropriate behaviors. - CORRECT ANSWERS
ANS: 2
Page: 350-351 Feedback
1 Assessing for medication nonadherence does not indicate that the client's safety
may be at risk.
2 The nurse should note escalating behaviors and intervene immediately, to
maintain this client's safety. Early intervention may prevent an aggressive response
and keep the client and others safe.
3 Interpreting attempts at communication does not indicate that the client's safety
may be at risk.
4 Assessing triggers for bizarre, inappropriate behaviors does not indicate that the
client's safety may be at risk.
2. A client diagnosed with schizoaffective disorder is admitted for social skills
training. Which information should be included in the nurse's teaching?
1. The side effects of medications
2. Deep breathing techniques to decrease stress
3. How to make eye contact when communicating
4. How to be a leader - CORRECT ANSWERS ANS: 3
Page: 365 Feedback
1 Teaching the side effects of medication does not help the client obtain better
social skills.
2 Teaching deep breathing exercises does not help the client obtain better social
skills.
3 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 to
communicate needs and to establish relationships.
, Chapter 15: Schizophrenia Spectrum and Other
Psychotic Disorders Latest Questions and Answers All
Correct Study Guide, Download to Score A+
4 Teaching leadership skills do not help the client obtain better social skills.
3. A 16-year-old client diagnosed with schizophrenia spectrum disorder experiences
command hallucinations to harm others. The client's parents ask a nurse, "Where do
the voices come from?" Which is the appropriate nursing response?
1. "Your child has a chemical imbalance of the brain, which leads to altered
perceptions."
2. "Your child's hallucinations are caused by medication interactions."
3. "Your child has too little serotonin in the brain, causing delusions and
hallucinations."
4. "Your child's abnormal hormonal changes have precipitated auditory
hallucinations." - CORRECT ANSWERS ANS: 1
Page: 342-343 Feedback
1 The nurse should explain that a chemical imbalance of the brain leads to altered
perceptions.
2 The client hearing voices is experiencing an auditory hallucination, which is not
caused by medication.
3 Serotonin excess is thought to cause hallucinations.
4 Abnormal hormonal changes have not precipitated auditory hallucinations.
4. Parents ask a nurse how they should reply when their child, diagnosed with
schizophrenia spectrum disorder, tells them that voices command him to harm
others. Which is the appropriate nursing response?
1. "Tell him to stop discussing the voices."
2. "Ignore what he is saying, while attempting to discover the underlying cause."
3. "Focus on the feelings generated by the hallucinations and present reality."
4. "Present objective evidence that the voices are not real." - CORRECT ANSWERS
ANS: 3
Page: 342-343 Feedback
1 This option could cause the client to shut down.
2 The client should not be ignored, but should be encouraged to discuss what is
occurring.
Psychotic Disorders Latest Questions and Answers All
Correct Study Guide, Download to Score A+
1. A paranoid client presents with bizarre behaviors, neologisms, and thought
insertion. Which nursing action should be prioritized to maintain this client's safety?
1. Assess for medication nonadherence.
2. Note escalating behaviors and intervene immediately.
3. Interpret attempts at communication.
4. Assess triggers for bizarre, inappropriate behaviors. - CORRECT ANSWERS
ANS: 2
Page: 350-351 Feedback
1 Assessing for medication nonadherence does not indicate that the client's safety
may be at risk.
2 The nurse should note escalating behaviors and intervene immediately, to
maintain this client's safety. Early intervention may prevent an aggressive response
and keep the client and others safe.
3 Interpreting attempts at communication does not indicate that the client's safety
may be at risk.
4 Assessing triggers for bizarre, inappropriate behaviors does not indicate that the
client's safety may be at risk.
2. A client diagnosed with schizoaffective disorder is admitted for social skills
training. Which information should be included in the nurse's teaching?
1. The side effects of medications
2. Deep breathing techniques to decrease stress
3. How to make eye contact when communicating
4. How to be a leader - CORRECT ANSWERS ANS: 3
Page: 365 Feedback
1 Teaching the side effects of medication does not help the client obtain better
social skills.
2 Teaching deep breathing exercises does not help the client obtain better social
skills.
3 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 to
communicate needs and to establish relationships.
, Chapter 15: Schizophrenia Spectrum and Other
Psychotic Disorders Latest Questions and Answers All
Correct Study Guide, Download to Score A+
4 Teaching leadership skills do not help the client obtain better social skills.
3. A 16-year-old client diagnosed with schizophrenia spectrum disorder experiences
command hallucinations to harm others. The client's parents ask a nurse, "Where do
the voices come from?" Which is the appropriate nursing response?
1. "Your child has a chemical imbalance of the brain, which leads to altered
perceptions."
2. "Your child's hallucinations are caused by medication interactions."
3. "Your child has too little serotonin in the brain, causing delusions and
hallucinations."
4. "Your child's abnormal hormonal changes have precipitated auditory
hallucinations." - CORRECT ANSWERS ANS: 1
Page: 342-343 Feedback
1 The nurse should explain that a chemical imbalance of the brain leads to altered
perceptions.
2 The client hearing voices is experiencing an auditory hallucination, which is not
caused by medication.
3 Serotonin excess is thought to cause hallucinations.
4 Abnormal hormonal changes have not precipitated auditory hallucinations.
4. Parents ask a nurse how they should reply when their child, diagnosed with
schizophrenia spectrum disorder, tells them that voices command him to harm
others. Which is the appropriate nursing response?
1. "Tell him to stop discussing the voices."
2. "Ignore what he is saying, while attempting to discover the underlying cause."
3. "Focus on the feelings generated by the hallucinations and present reality."
4. "Present objective evidence that the voices are not real." - CORRECT ANSWERS
ANS: 3
Page: 342-343 Feedback
1 This option could cause the client to shut down.
2 The client should not be ignored, but should be encouraged to discuss what is
occurring.
