Nokea
A client diagnosed with schizophrenia is laughing and talking while sitting alone. Which of the following is the best response by the nurse?
- A. Can you share your joke with me?
- B. To sit with the client quietly until the client is ready to talk
- C. Tell me what's happening.
- D. You look lonely here. Let's join the others in the day room.
Correct Answer: C
Rationale: Asking what's happening explores the client's experience, engaging them in reality-based interaction, unlike assuming loneliness, humor, or waiting silently.
You may also like to solve these questions
The client with schizophrenia is experiencing delusions. Which of the following is the most appropriate response by the nurse?
- A. I can see you want to be alone. I'll come back another time.
- B. What are you hearing and seeing?
- C. I don't hear or see anyone else, what are you hearing and seeing?
- D. I can tell you are hearing voices but they are not real.
Correct Answer: C
Rationale: Presenting reality while inquiring about the client's experience avoids reinforcing delusions and promotes engagement, unlike dismissing or confronting the delusion directly.
A client who has suspicion has been placed in a room with a roommate. The night nurse reports that this client has been awake for the past 3 nights. The likely explanation for his wakefulness is which of the following?
- A. He is fearful of what his roommate might do to him while he sleeps.
- B. He is a light sleeper and unaccustomed to a roommate.
- C. He is watching for an opportunity to escape.
- D. He is worrying about his family problems.
Correct Answer: A
Rationale: Suspicion in schizophrenia often causes fear of harm from others, like a roommate, making it the most likely reason for wakefulness over other explanations.
Which of the following questions would best help the nurse to evaluate the effectiveness of antipsychotic medications for a client who has schizophrenia?
- A. Have the symptoms you were experiencing disappeared?
- B. If the symptoms have not disappeared, are you able to carry out your daily life despite the persistence of some psychotic symptoms?
- C. Are you committed to taking the medication as prescribed?
- D. Are you satisfied with your quality of life?
- E. Do you have access to community agencies that will help you to live successfully in this community?
Correct Answer: A,B,C,D
Rationale: Questions about symptom reduction, daily functioning, adherence, and quality of life directly evaluate medication effectiveness, unlike community agency access.
A client with schizophrenia has returned to the clinic because of an increase in symptoms. The client reports he stopped taking his meds because he did not like the side effects. The nurse educates the client about managing uncomfortable side effects. Which of the following is included in the teaching plan?
- A. Suck on hard candy as desired
- B. Spend at least 30 minutes outside in the sun daily
- C. Use stool softeners as needed
- D. Decrease the amount of daily fluid intake
- E. Maintain a balanced calorie-controlled diet
Correct Answer: A,C,E
Rationale: Managing side effects like dry mouth (candy), constipation (stool softeners), and weight gain (diet) supports adherence, unlike increased sun exposure or reduced fluid intake.
The nurse is assessing for negative symptoms of schizophrenia in a newly admitted client. The nurse would note which behavior as indicative of a negative symptom?
- A. Difficulty staying on subject when responding to assessment questions
- B. Belief of owning a transportation device allowing for travel to the center of the Earth
- C. Hesitant to answer the nurse's questions during the assessment interview
- D. Mimicking the postural changes made by the nurse during the assessment interview
Correct Answer: C
Rationale: Hesitancy to answer reflects alogia, a negative symptom, unlike associative looseness, delusions, or echopraxia, which are positive symptoms of schizophrenia.