Nokea
The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?
- A. Hallucinations
- B. Delusions
- C. Anhedonia
- D. Ideas of reference
Correct Answer: B
Rationale: Believing nurses are spying indicates delusions, fixed false beliefs, distinct from hallucinations (false perceptions), anhedonia (lack of pleasure), or ideas of reference (external events with personal meaning).
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A client with schizophrenia is reluctant to take his prescribed oral medication. The most therapeutic response by the nurse to this refusal is,
- A. I can see that you're uncomfortable now, so we can wait until tomorrow.
- B. If you refuse these pills, you'll have to get an injection.
- C. What is it about the medicine that you don't like?
- D. You know you have to take this medicine for your own good.
Correct Answer: C
Rationale: Exploring reasons for medication refusal addresses barriers to compliance, fostering collaboration, unlike threats, delays, or non-therapeutic insistence.
The nurse is working with a client with schizophrenia, disorganized type. It is time for the client to get up and eat breakfast. Which of the following statements by the nurse would be most effective in helping the client prepare for breakfast?
- A. I'll expect you in the dining room in 20 minutes.
- B. It's time to put your dress on now.
- C. Stay right there and I'll get your clothes for you.
- D. Why don't you stay here and I'll get your tray for you.
Correct Answer: B
Rationale: Clear, simple directions like dressing support self-care in disorganized schizophrenia, unlike authoritarian demands or doing tasks for the client.
A student nurse is having a first experience in an inpatient psychiatric unit and is frightened by the behaviors of the clients with schizophrenia. The student should take which of the following actions to deal with fear?
- A. Express fear to the psychiatrist during rounds
- B. Pretend to not be afraid
- C. Stay in an open area while talking with the clients
- D. Insist that the clients behave appropriately
Correct Answer: C
Rationale: Staying in an open area ensures safety, addressing fear constructively, unlike pretending, expressing fear publicly, or demanding client behavior changes.
A client with schizophrenia is admitted to the inpatient unit. He does not speak when spoken to but has been observed talking to himself on occasion. What would be the priority objective at this time?
- A. The client will begin talking with other clients
- B. The client will express his feelings freely
- C. The client will increase his socialization with others
- D. The client will increase his reality orientation
Correct Answer: D
Rationale: Increasing reality orientation is the priority to ground the client before addressing socialization or emotional expression, given his current withdrawn state.
The nurse reviews current literature and identifies that which of the following are included in current studies of biologic theories regarding the etiology of schizophrenia?
- A. That there is a particular pathologic structure associated with the disease.
- B. That genetics is the cause of schizophrenia.
- C. Persons with schizophrenia have decreased brain volume and abnormal brain function in the frontal and temporal areas of persons with schizophrenia.
- D. The brain activity of persons with schizophrenia differs from people who do not have schizophrenia.
- E. That the etiology of schizophrenia may be related to the body's response to exposure of a virus.
Correct Answer: B,C,D,E
Rationale: Biologic theories include genetics, decreased brain volume, abnormal brain function, and immunovirology (viral response), but no specific pathologic structure has been identified.