A 30-year-old man is admitted to the mental health inpatient unit diagnosed with schizophrenia.

His clothes are dirty, his hair is unkempt, he hasn’t shaved for several days, and his teeth are chipped with several cavities visible.

He is experiencing hallucinations and delusions.

What is the primary concern for this client?

Inability to engage in self-care activities.

Refusal to participate in self-care activities.

Difficulty in social interactions.

Resistance to medication therapy.

Answer and Explanation

The Correct Answer is A

Choice A rationale
The description of the man’s appearance and behavior suggests that he is struggling with basic self-care activities, such as maintaining personal hygiene and taking care of his physical health. This is a common issue for individuals with schizophrenia.
Choice B rationale
While refusal to participate in self-care activities could be a concern, the information provided doesn’t indicate that the man is refusing to engage in these activities. Rather, it seems he may be unable to do so.
Choice C rationale
Difficulty in social interactions can be a symptom of schizophrenia, but the primary concern in this case, based on the information given, appears to be the man’s inability to engage in self-care activities.
Choice D rationale
Resistance to medication therapy could be a concern for individuals with schizophrenia, but the information provided doesn’t indicate that this is the primary concern in this case.

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Correct Answer is C

Explanation

Choice A rationale
While trying to look on the bright side can be a helpful strategy, it does not necessarily demonstrate empathy. Empathy involves understanding and sharing the feelings of another person.
Choice B rationale
Telling someone they will feel better soon can be seen as dismissive of their current feelings and does not demonstrate empathy.
Choice C rationale
Saying “It must be difficult for you going through this” is an empathetic response because it acknowledges the person’s feelings and shows understanding of their situation.
Choice D rationale
While expressing sorrow for someone’s loss can be seen as sympathetic, it does not necessarily demonstrate empathy. Empathy involves understanding and sharing the feelings of another person.

A. Asperger’s syndrome B. Rett syndrome C. Autism D. Childhood disintegrative disorder

Correct Answer is C

Explanation

Choice A rationale
Asperger’s syndrome is a type of pervasive developmental disorder. It is characterized by difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior and interests. However, it does not typically involve significant issues with imaginative use.
Choice B rationale
Rett syndrome is a rare genetic disorder that primarily affects girls and leads to severe cognitive and physical impairments. It does not match the description given in the question.
Choice C rationale
Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. Children with autism often have significant issues with social interaction, communication, imaginative use, and a limited range of activities, which matches the description given in the question.
Choice D rationale
Childhood disintegrative disorder is a rare condition characterized by late onset of developmental delays—or severe and sudden reversals—in language, social function, and motor skills. While it involves issues with social interaction and communication, it does not typically involve issues with imaginative use.

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Naxlex Comprehensive Predictor Exams

Which statement is the best example of an empathetic response, an effective tool in establishing rapport?

Correct Answer is C

Explanation

Which pervasive developmental disorder is diagnosed when a child exhibits significant issues with social interaction, communication, imaginative use, and a limited range of activities?

Correct Answer is C

Explanation

At what point should the process of preparing for client discharge begin?

A nurse is working with three depressed clients in group therapy. The nurse yawns and keeps looking at her watch during the therapy time. This is an example of which nontherapeutic communication technique?

A suicidal client tells a nurse that he has a plan to kill himself. The nurse asks why he has not already put the plan into action. This is an example of which nontherapeutic communication technique?

What qualities must be communicated to a client to establish a therapeutic relationship?

In which of the following examples should mental health assistance be immediately sought?

A teenager believes that she cannot cope without heroin and uses it to prevent withdrawal symptoms. This teenager is in which stage of chemical dependency?

What is included in a mental health admission assessment?

A female patient wants to discuss her history of childhood sexual abuse. The nurse tells her not to talk about it. This is an example of which non-therapeutic communication technique?