NUR 2459 • Mental Health Chapter
Review and answers (Chapter 24,
22,23,25,26 Questions and Answers
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A client with schizophrenia has physician's orders for haloperidol (Haldol) 5 mg IM STAT
and then 3 mg PO tid; 2 mg benztropine PO bid prn. Why is benztropine ordered?
a. To treat extrapyramidal symptoms
b. To prevent neuroleptic malignant syndrome
c. To decrease psychotic symptoms
d. To induce sleep
a. To treat extrapyramidal symptoms
A client on the psychiatric unit tells the nurse that the CIA is looking for him and will kill
him if they find him. The client's false belief is an example of a:
a. Delusion of persecution.
b. Delusion of reference.
c. Delusion of control or influence.
d. Delusion of grandeur.
a. Delusion of persecution.
The primary focus of family therapy for clients with schizophrenia and their families is:
a. To discuss problem-solving and adaptive behaviors for coping with stress.
b. To introduce the family to others with the same problem.
c. To keep the client and family in touch with the health-care system.
d. To promote family interaction and increase understanding of the illness.
d. To promote family interaction and increase understanding of the illness.
,A client recently admitted to the hospital reports to the nurse, "I don't understand why I
was brought here. I was simply hanging out in my apartment and the police said I had
to come with them." This is an example of what symptom of schizophrenia?
a. Delusions of reference
b. Loose association
c. Anosognosia
d. Auditory hallucinations
c. Anosognosia
Which of the following assessments by the nurse would convey a need for prn
benztropine?
a. Increased level of agitation
b. Complaints of a sore throat
c. A yellowish cast to the skin
d. Muscle spasms
d. Muscle spasms
A client on the psychiatric unit has been diagnosed with schizophrenia. He tells the
nurse that the CIA is looking for him and will kill him if they find him. The most
appropriate response by the nurse is:
a. "That's ridiculous. No one is going to hurt you."
b. "The CIA isn't interested in people like you."
c. "Why do you think the CIA wants to kill you?"
d. "I know you believe that, but it's really hard for me to believe."
d. "I know you believe that, but it's really hard for me to believe."
The nurse is interviewing a client on the psychiatric unit. The client tilts his head to the
side, stops talking in midsentence, and listens intently. Which of the following is the
most appropriate follow-up assessment based on this information?
a. Ask the patient if he is experiencing loose associations.
b. Ask the patient if he needs more medication.
c. Ask the patient if he is hearing something or someone other than the nurse's
, voice.
d. Ask the patient if his neck is stiff.
c. Ask the patient if he is hearing something or someone other than the nurse's
voice.
A client reports to the nurse that his foot is on fire and he thinks the demons are trying
to burn off his flesh. The priority nursing intervention for this symptom is to:
a. Administer prn haloperidol as ordered.
b. Evaluate the client's foot to rule out physical causes for his complaint.
c. Administer prn benztropine as ordered.
d. Ask the client if he would like to speak with a chaplain.
b. Evaluate the client's foot to rule out physical causes for his complaint.
When a client suddenly becomes aggressive and violent on the unit, which of the
following approaches would be best for the nurse to use first?
a. Provide large motor activities to relieve the client's pent-up tension.
b. Administer a dose of prn haloperidol to keep the patient calm.
c. Call for adequate help to control the situation safely.
d. Convey to the client that his behavior is unacceptable and will not be permitted.
c. Call for adequate help to control the situation safely.
A client has been diagnosed with schizophrenia. He has been socially isolated and is
hearing voices telling him to kill his parents. He has been admitted to the psychiatric
unit from the emergency department. The initial nursing intervention for Josh is to:
a. Give him an injection of haloperidol.
b. Assess his safety toward himself and others.
c. Place him in restraints.
d. Order him a nutritious diet.
b. Assess his safety toward himself and others.
An example of a treatable (reversible) form of NCD is one that is caused by which of the
following? (Select all that apply.)
Review and answers (Chapter 24,
22,23,25,26 Questions and Answers
Best rated A+ Guaranteed Success
Latest Update
A client with schizophrenia has physician's orders for haloperidol (Haldol) 5 mg IM STAT
and then 3 mg PO tid; 2 mg benztropine PO bid prn. Why is benztropine ordered?
a. To treat extrapyramidal symptoms
b. To prevent neuroleptic malignant syndrome
c. To decrease psychotic symptoms
d. To induce sleep
a. To treat extrapyramidal symptoms
A client on the psychiatric unit tells the nurse that the CIA is looking for him and will kill
him if they find him. The client's false belief is an example of a:
a. Delusion of persecution.
b. Delusion of reference.
c. Delusion of control or influence.
d. Delusion of grandeur.
a. Delusion of persecution.
The primary focus of family therapy for clients with schizophrenia and their families is:
a. To discuss problem-solving and adaptive behaviors for coping with stress.
b. To introduce the family to others with the same problem.
c. To keep the client and family in touch with the health-care system.
d. To promote family interaction and increase understanding of the illness.
d. To promote family interaction and increase understanding of the illness.
,A client recently admitted to the hospital reports to the nurse, "I don't understand why I
was brought here. I was simply hanging out in my apartment and the police said I had
to come with them." This is an example of what symptom of schizophrenia?
a. Delusions of reference
b. Loose association
c. Anosognosia
d. Auditory hallucinations
c. Anosognosia
Which of the following assessments by the nurse would convey a need for prn
benztropine?
a. Increased level of agitation
b. Complaints of a sore throat
c. A yellowish cast to the skin
d. Muscle spasms
d. Muscle spasms
A client on the psychiatric unit has been diagnosed with schizophrenia. He tells the
nurse that the CIA is looking for him and will kill him if they find him. The most
appropriate response by the nurse is:
a. "That's ridiculous. No one is going to hurt you."
b. "The CIA isn't interested in people like you."
c. "Why do you think the CIA wants to kill you?"
d. "I know you believe that, but it's really hard for me to believe."
d. "I know you believe that, but it's really hard for me to believe."
The nurse is interviewing a client on the psychiatric unit. The client tilts his head to the
side, stops talking in midsentence, and listens intently. Which of the following is the
most appropriate follow-up assessment based on this information?
a. Ask the patient if he is experiencing loose associations.
b. Ask the patient if he needs more medication.
c. Ask the patient if he is hearing something or someone other than the nurse's
, voice.
d. Ask the patient if his neck is stiff.
c. Ask the patient if he is hearing something or someone other than the nurse's
voice.
A client reports to the nurse that his foot is on fire and he thinks the demons are trying
to burn off his flesh. The priority nursing intervention for this symptom is to:
a. Administer prn haloperidol as ordered.
b. Evaluate the client's foot to rule out physical causes for his complaint.
c. Administer prn benztropine as ordered.
d. Ask the client if he would like to speak with a chaplain.
b. Evaluate the client's foot to rule out physical causes for his complaint.
When a client suddenly becomes aggressive and violent on the unit, which of the
following approaches would be best for the nurse to use first?
a. Provide large motor activities to relieve the client's pent-up tension.
b. Administer a dose of prn haloperidol to keep the patient calm.
c. Call for adequate help to control the situation safely.
d. Convey to the client that his behavior is unacceptable and will not be permitted.
c. Call for adequate help to control the situation safely.
A client has been diagnosed with schizophrenia. He has been socially isolated and is
hearing voices telling him to kill his parents. He has been admitted to the psychiatric
unit from the emergency department. The initial nursing intervention for Josh is to:
a. Give him an injection of haloperidol.
b. Assess his safety toward himself and others.
c. Place him in restraints.
d. Order him a nutritious diet.
b. Assess his safety toward himself and others.
An example of a treatable (reversible) form of NCD is one that is caused by which of the
following? (Select all that apply.)
