NURS 1102 Passpoint - Psychotic disorders {Revised} – Fairleigh Dickinson University | NURS1102 Passpoint - Psychotic disorders {A Grade}

NURS 1102 Passpoint-psychotic disorders –Fairleigh Dickinson University 170+ pages of questions and answers A well-known client suffers a psychotic break and is admitted to the psychiatric unit. A large group of reporters with cameras is camped out in the hospital parking lot. As a nurse walks to the employee parking after her shift, a reporter asks if she knows anything about the client's conditio Question 1 See full question A client with schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse is appropriate? You Selected: • "Your behavior won't be tolerated. Go to your room immediately." Correct response: • "Your cursing is interrupting the activity. Take time out in your room for 10 minutes." Explanation: Remediation: Question 2 See full question When conducting a mental status examination with a newly admitted client who has a diagnosis of paranoid schizophrenia, the client states, “I am being followed; it is not safe. They are monitoring my every move.” In which area of the mental status examination should the nurse document this information? You Selected:• insight Correct response: • thought content Explanation: Question 1 See full question A client with delusional thinking who is overweight and tends to eat when stressed shows a lack of interest in eating at meal times. She states that she is unworthy of eating and that her children will die if she eats. Which nursing action is most appropriate for this client? You Selected: • Paying special attention to the client's meal-related rituals and emotions Correct response: • Restricting the client's access to food except at specified meal and snack times Explanation: Remediation: Question 2 See full question A client is about to be discharged with a prescription for the antipsychotic agent haloperidol, 10 mg by mouth twice per day. During a discharge teaching session, a nurse should provide which instruction to the client? You Selected: • Apply a sunscreen before exposure to the sun. Correct response:• Apply a sunscreen before exposure to the sun. Explanation: Remediation: Question 3 See full question A client has been receiving chlorpromazine, an antipsychotic, to treat his psychosis. Which findings should alert the nurse that the client is experiencing pseudoparkinsonism? You Selected: • Tremors, shuffling gait, and masklike face Correct response: • Tremors, shuffling gait, and masklike face Explanation: Remediation: Question 4 See full question Which response demonstrates that the parents of a child with newly diagnosed schizophrenia understand their child's diagnosis? You Selected: • "We'll watch him swallow his daily pills and call the physician if he doesn't." Correct response: • "We'll watch him swallow his daily pills and call the physician if he doesn't." Explanation:Remediation: Question 5 See full question During a home visit for a client diagnosed with paranoid schizophrenia discharged 1 week ago, the client’s mother tearfully states, “I can hardly sleep because I am so worried about my daughter. I am afraid to leave her alone in the house. What if something should happen while I am gone?” Which caregiver problem would be the most inclusive one for the nurse to incorporate into the client’s plan of care? You Selected: • disturbed sleep pattern Correct response: • caregiver role strain Explanation: Remediation: Question 6 See full question An outpatient client who has a history of paranoid schizophrenia and chronic alcohol dependency has been taking risperidone for several months. She reports that she stopped drinking 4 days ago. The client is very frightened by the tactile hallucinations of bugs crawling under her skin. Which factor should the nurse incorporate into the plan of care when explaining the tactile hallucinations? You Selected: • alcohol withdrawal Correct response: • alcohol withdrawalExplanation: Remediation: Question 7 See full question The client with a diagnosis of schizophrenia spends much of the morning in the bedroom but seeks out the nurse for brief interactions throughout the morning. Which goal should the nurse assist the client with achieving in the afternoon? The client will: You Selected: • engage three of his peers in a card game. Correct response: • help put a puzzle together. Explanation: Remediation: Question 8 See full question The client with a diagnosis of schizophrenia walks into group naked. The nurse should: You Selected: • lead the client to his room and help him dress if he needs assistance. Correct response: • lead the client to his room and help him dress if he needs assistance. Explanation: Remediation: Question 9 See full questionOne of the clients in group with a dual diagnosis of chronic schizophrenia and alcohol abuse states, “I am not going to take medicine every day.” Which response by the nurse would be mostappropriate? You Selected: • “I hear you say that you do not like taking medication daily.” Correct response: • “I hear you say that you do not like taking medication daily.” Explanation: Remediation: Question 10 See full question While planning the care for a client with paranoid delusions, which of the following will be the nurse’s initial goal for the client? You Selected: • Establish trust with staff. Correct response: • Establish trust with staff. Explanation: Remediation: Question 3 See full questionOne of the clients in group with a dual diagnosis of chronic schizophrenia and alcohol abuse states, “I am not going to take medicine every day.” Which response by the nurse would be mostappropriate? You Selected: • “Let us discuss this tomorrow if we have time.” Correct response: • “I hear you say that you do not like taking medication daily.” Explanation: Remediation: Question 4 See full question The client tells the nurse that she stopped taking olanzapine 2 weeks ago because she is better and wants “to make it on my own without this darned medicine.” What would be the nurse’s mosttherapeutic response? You Selected: • “You have told me about other times like this when you stopped taking your medication and you got sick again. You should know better by now.” Correct response: • ”I know you get tired of taking the medication, especially when you are doing well. Is there any special reason you decided to stop right now?” Explanation: Remediation: Question 5 See full questionThe guardian of a client diagnosed with schizophrenia indicates to the nurse a concern that the client is at risk for suicide. Which question to the client would the nurse utilize to determine the seriousness of the suicidal idealization? You Selected: • “Are you planning on hurting yourself?” Correct response: Question 1 See full question A client who takes neuroleptic medication for treatment of chronic schizophrenia is admitted to the psychiatric unit. Nursing assessment reveals rigidity, fever, hypertension, and diaphoresis. Which life-threatening reaction do these findings suggest? You Selected: • Neuroleptic malignant syndrome Correct response: • Neuroleptic malignant syndrome Explanation: Remediation: Question 2 See full question A client with a diagnosis of borderline personality disorder is admitted to the psychiatric unit. The nurse expects the assessment to reveal: You Selected: • coldness, detachment, and lack of tender feelings. Correct response: • unpredictable behavior and intense interpersonal relationships.Explanation: A client with borderline personality disorder displays a pervasive pattern of unpredictable behavior, mood, and self-image. His interpersonal relationships may be intense and unstable, and his behavior may be inappropriate and impulsive. Although the client's impaired ability to form relationships may affect his parenting skills, his inability to function as a responsible parent is more typical of antisocial personality disorder. Somatic symptoms characterize avoidant personality disorder. Coldness, detachment, and lack of tender feelings typify schizoid and schizotypal personality disorders. Remediation: Question 3 See full question A client with a tentative diagnosis of psychosis is admitted to the psychiatric unit. A physician orders the phenothiazine thioridazine 50 mg by mouth three times per day. Phenothiazines differ from central nervous system (CNS) depressants in their sedative effects by producing: You Selected: • more prolonged sedative effects, making the client more difficult to arouse. Correct response: • a calming effect from which the client is easily aroused. Explanation: Remediation: Question 4 See full question A nurse is teaching a psychiatric client about his ordered drugs, chlorpromazine and benztropine. What evaluation would indicate a therapeutic response to these drugs? You Selected: • The client expresses a decrease in anxiety.Correct response: • The client is experiencing less psychosis and a decrease in extrapyramidal symptoms. Explanation: Benztropine is an anticholinergic medication administered to reduce the extrapyramidal adverse effects of chlorpromazine and other antipsychotic medications. Benztropine doesn't reduce psychotic symptoms, relieve anxiety, or control nausea and vomiting. If the client displays akathisia or meaningless movements, this is not a therapeutic effect of the medication. Remediation: Question 5 See full question The client with borderline personality disorder spends much time around the nurse's station, making numerous minor requests. The nurse interprets these behaviors as indicating which factor? You Selected: • fears of abandonment and attention seeking Correct response: • fears of abandonment and attention seeking - - - - - - - - - - Continued