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A person suffering from schizophrenia has little emotional expression when interacting with others. The nurse would document the client's affect as which of the following?
- A. Flat
- B. Blunt
- C. Bright
- D. Inappropriate
- E. Pleasant
Correct Answer: A,B
Rationale: Flat or blunted affect, showing little to no emotional expression, is typical in schizophrenia, unlike bright, inappropriate, or pleasant affect.
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The parents of a young adult male who has schizophrenia ask how they can recognize when their son is beginning to relapse. The nurse teaches the family to look for which of the following?
- A. Excessive sleeping
- B. Fatigue
- C. Irritability
- D. Increased inhibition
- E. Negativity
Correct Answer: B,C,E
Rationale: Fatigue, irritability, and negativity are early relapse signs, unlike excessive sleeping or increased inhibition, which are less specific to schizophrenia relapse.
A client with schizophrenia is attending a follow-up appointment at the community mental health clinic. The client reports to the nurse, 'I stopped taking the antipsychotic medication because I can't get a hard-on with my girlfriend anymore.' Which of the following should the nurse recommend to enhance the client's well-being?
- A. It sounds like that is a problem for you. Don't you still find her to be sexy enough?
- B. Sexual dysfunction is a temporary side effect and should get better once your body is used to the medication.
- C. You should avoid having sex with your girlfriend anyway. Do you really want her to get pregnant?
- D. It is important for you to take an antipsychotic medication. You may need a different type that will be less likely to affect your sexual functioning. I would like to call your physician about this.
Correct Answer: D
Rationale: Suggesting a medication change addresses sexual dysfunction, a common side effect, promoting adherence and well-being, unlike dismissive or inappropriate responses.
All of the following are nursing diagnoses identified for a client with schizophrenia. The student nurse correctly anticipates which diagnosis will resolve when the client's negative symptoms improve?
- A. Impaired verbal communication
- B. Risk for other-directed violence
- C. Disturbed thought processes
- D. Social isolation
Correct Answer: D
Rationale: Social isolation, a negative symptom, improves with negative symptom reduction, unlike impaired communication, violence risk, or thought processes, which are positive symptom-related.
A client who has schizophrenia is having a conversation with the nurse suddenly stops talking in the middle of a sentence. The client is experiencing which type of thought disruption?
- A. Thought withdrawal
- B. Thought insertion
- C. Thought blocking
- D. Thought broadcasting
Correct Answer: C
Rationale: Sudden cessation of speech indicates thought blocking, unlike thought withdrawal (belief others take thoughts), insertion (belief others place thoughts), or broadcasting (belief others hear thoughts).
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.