A 16-year-old client diagnosed with schizophrenia experiences command hallucinations to harm others. The clients parents ask a nurse. Where do the voices come from? Which is the appropriate nursing reply?

Your child has a chemical imbalance of the brain, which leads to altered thoughts

Your child's hallucinations are caused by medication interactions

your child has too little serotonin in the brain causing delusions and hallucinations

your child's abnormal hormonal changes have precipitated auditory hallucinations

Answer and Explanation

The Correct Answer is A

A. Your child has a chemical imbalance of the brain, which leads to altered thoughts: This is the correct answer. It acknowledges the role of a chemical imbalance in the brain contributing to altered thoughts and hallucinations in the context of schizophrenia.

B. Your child's hallucinations are caused by medication interactions: This explanation is not likely in this context. While medications can have side effects, command hallucinations in schizophrenia are primarily related to the underlying disorder.

C. Your child has too little serotonin in the brain causing delusions and hallucinations: While serotonin is involved in mood regulation, attributing hallucinations solely to low serotonin levels oversimplifies the complex neurobiology of schizophrenia.

D. Your child's abnormal hormonal changes have precipitated auditory hallucinations: Hormonal changes are not considered a primary cause of auditory hallucinations in schizophrenia. The emphasis is on neurobiological and genetic factors influencing brain function.

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Correct Answer is C

Explanation

A. Teaching clients about their illness: This function is within the scope of practice for both registered nurses and advanced practice psychiatric nurses. Registered nurses often provide education to clients about their illnesses, medications, and overall care.

B. Maintaining safety on the milieu: Both registered nurses and advanced practice psychiatric nurses are responsible for maintaining safety on the milieu. This includes monitoring the environment, assessing potential risks, and intervening to ensure the safety of clients and staff.

C. Prescribing medications: This function is exclusive to advanced practice psychiatric nurses, such as psychiatric nurse practitioners. Registered nurses do not have the authority to prescribe medications. Advanced practice psychiatric nurses receive additional education and training that allows them to prescribe medications as part of their role.

D. Administering medications: Registered nurses, including those specializing in psychiatric nursing, are authorized to administer medications. This is a common nursing function and does not require advanced practice authorization.

A. These programs help clients correct distorted body image B. These programs help clients manage uncontrollable behaviors C. These programs allow clients to maintain control D. These programs address underlying client anger

Correct Answer is B

Explanation

A. These programs help clients correct distorted body image:

While behavioral programs may incorporate components related to body image, the primary focus is often on addressing and modifying specific behaviors associated with eating disorders, such as binge eating, purging, or restrictive eating.

B. These programs help clients manage uncontrollable behaviors:

This is the correct answer. Behavior modification programs aim to address and modify specific behaviors that contribute to eating disorders. This can include establishing healthier eating patterns, reducing binge-purge cycles, and promoting more adaptive coping strategies.

C. These programs allow clients to maintain control:

While the concept of control is relevant to eating disorders, behavior modification programs are designed to help clients gain control over maladaptive behaviors and establish healthier patterns. It's not about maintaining control over the disorder itself.

D. These programs address underlying client anger:

While emotions, including anger, may play a role in eating disorders, behavior modification programs are more focused on targeting and modifying specific behaviors rather than addressing underlying emotions directly. Emotional aspects may be addressed through additional therapeutic interventions

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A 16-year-old client diagnosed with schizophrenia experiences command hallucinations to harm others. The clients parents ask a nurse. Where do the voices come from? Which is the appropriate nursing reply?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Within the nurse's scope of practice, which function is exclusive to the advanced practice psychiatric nurse?

Correct Answer is C

Explanation

Why are behavior modification programs the treatment of choice for clients diagnosed with eating disorders?

Correct Answer is B

Explanation

A client is diagnosed with schizophrenia. A physician orders haloperidol (Haldol), 50 mg bid: benztropine (Cogentin), 1 mg prn: and zolpidem (Ambien). 10 mg HS. Which client behavior would warrant the nurse to administer benztropine?

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