Chapter 15: Schizophrenia Spectrum
and Other Psychotic Disorders latest
2025 graded 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 answerANS: 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 answerANS: 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.
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 answerANS: 1
Page: 342-343 Feedback
, Chapter 15: Schizophrenia Spectrum
and Other Psychotic Disorders latest
2025 graded A
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 answerANS: 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.
3 The most appropriate response by the nurse is to instruct the parents to focus on the
feelings generated by the hallucinations and present reality. The parents should accept
that their child is experiencing the hallucination but should not reinforce this unreal
sensory perception.
4 This option would not be appropriate in the care of the schizophrenic client.
5. A nurse is assessing a client diagnosed with schizophrenia spectrum disorder. The
nurse asks the client, "Do you receive special messages from certain sources, such as
the television or radio?" The nurse is assessing which potential symptom of this
disorder?
1. Thought insertion
2. Paranoid delusions
3. Magical thinking
4. Delusions of reference - correct answerANS: 4
Page: 350-351 Feedback
1 Thought insertion is not a potential symptom of schizophrenia.
2 The client with paranoid delusions is very suspicious of others and their intentions.
3 The client with magical thinking believes that thoughts have power over others.
4 The nurse is assessing for the potential symptom of delusions of reference. A client
that believes he or she receives messages through the radio is experiencing delusions
of reference. These delusions involve the client interpreting events within the
environment as being directed toward himself or herself. Clients with delusions of
reference believe that others are trying to send them messages in various ways, or they
must break a code to receive a message.
and Other Psychotic Disorders latest
2025 graded 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 answerANS: 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 answerANS: 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.
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 answerANS: 1
Page: 342-343 Feedback
, Chapter 15: Schizophrenia Spectrum
and Other Psychotic Disorders latest
2025 graded A
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 answerANS: 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.
3 The most appropriate response by the nurse is to instruct the parents to focus on the
feelings generated by the hallucinations and present reality. The parents should accept
that their child is experiencing the hallucination but should not reinforce this unreal
sensory perception.
4 This option would not be appropriate in the care of the schizophrenic client.
5. A nurse is assessing a client diagnosed with schizophrenia spectrum disorder. The
nurse asks the client, "Do you receive special messages from certain sources, such as
the television or radio?" The nurse is assessing which potential symptom of this
disorder?
1. Thought insertion
2. Paranoid delusions
3. Magical thinking
4. Delusions of reference - correct answerANS: 4
Page: 350-351 Feedback
1 Thought insertion is not a potential symptom of schizophrenia.
2 The client with paranoid delusions is very suspicious of others and their intentions.
3 The client with magical thinking believes that thoughts have power over others.
4 The nurse is assessing for the potential symptom of delusions of reference. A client
that believes he or she receives messages through the radio is experiencing delusions
of reference. These delusions involve the client interpreting events within the
environment as being directed toward himself or herself. Clients with delusions of
reference believe that others are trying to send them messages in various ways, or they
must break a code to receive a message.
