PSYCH MIDTERM EXAM QUESTIONS WITH ACCURATE
SOLUTIONS
1) 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. -- Correct Answer ✔✔
B. Being reliable, honest, and consistent during interactions.
2) A client diagnosed with schizophrenia states, My psychiatrist is out to get me. Im sad
that the voice is telling me to stop him. What symptom is the client exhibiting, and
what is the nurses 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 thought processes; call an emergency treatment team
meeting -- Correct Answer ✔✔ command
3) 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?
A. Haloperidol (Haldol) to address the negative symptom
, B. Clonazepam (Klonopin) to address the positive symptom
C. Risperidone (Risperdal) to address the positive symptom
D. Clozapine (Clozaril) to address the negative symptom -- Correct
Answer ✔✔ risperdal
4) A nurse admits a client who is exhibiting delusional thinking, auditory hallucinations,
incoherent speech, suicidal ideations, and a mood rating of 2 out of 10. Given this
clinical picture, the client is manifesting symptoms in which diagnostic category?
1. Paranoid schizophrenia
2. Brief psychotic disorder
3. Schizoaffective disorder
4. Schizophreniform disorder -- Correct Answer ✔✔ Schizoaffective disorder
5) Which of the following nursing interventions would correctly follow the Joint
Commission's requirements for monitoring a hallucinating client while in restraints?
Select all that apply.
1. Ensure that an in-person evaluation has occurred within 1 hour of restraint
initiation.
2. Ensure that a new restraint order has been reissued for a child every one to 2
hours.
3. Ensure that a new restraint order has been reissued for an adult every 6
hours.
4. Observe the client at least every 30 minutes.5. Observe the adolescent client
at least every 15 minutes.
5. Observe the adolescent client at least every 15 minutes. -- Correct Answer
✔✔ 1. Ensure that an in-person evaluation has occurred within 1 hour of
restraint initiation.
2. Ensure that a new restraint order has been reissued for a child every one to 2
hours.
5. Observe the adolescent client at least every 15 minutes.
SOLUTIONS
1) 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. -- Correct Answer ✔✔
B. Being reliable, honest, and consistent during interactions.
2) A client diagnosed with schizophrenia states, My psychiatrist is out to get me. Im sad
that the voice is telling me to stop him. What symptom is the client exhibiting, and
what is the nurses 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 thought processes; call an emergency treatment team
meeting -- Correct Answer ✔✔ command
3) 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?
A. Haloperidol (Haldol) to address the negative symptom
, B. Clonazepam (Klonopin) to address the positive symptom
C. Risperidone (Risperdal) to address the positive symptom
D. Clozapine (Clozaril) to address the negative symptom -- Correct
Answer ✔✔ risperdal
4) A nurse admits a client who is exhibiting delusional thinking, auditory hallucinations,
incoherent speech, suicidal ideations, and a mood rating of 2 out of 10. Given this
clinical picture, the client is manifesting symptoms in which diagnostic category?
1. Paranoid schizophrenia
2. Brief psychotic disorder
3. Schizoaffective disorder
4. Schizophreniform disorder -- Correct Answer ✔✔ Schizoaffective disorder
5) Which of the following nursing interventions would correctly follow the Joint
Commission's requirements for monitoring a hallucinating client while in restraints?
Select all that apply.
1. Ensure that an in-person evaluation has occurred within 1 hour of restraint
initiation.
2. Ensure that a new restraint order has been reissued for a child every one to 2
hours.
3. Ensure that a new restraint order has been reissued for an adult every 6
hours.
4. Observe the client at least every 30 minutes.5. Observe the adolescent client
at least every 15 minutes.
5. Observe the adolescent client at least every 15 minutes. -- Correct Answer
✔✔ 1. Ensure that an in-person evaluation has occurred within 1 hour of
restraint initiation.
2. Ensure that a new restraint order has been reissued for a child every one to 2
hours.
5. Observe the adolescent client at least every 15 minutes.
