A client diagnosed with schizophrenia is experiencing delusions of persecution. How would the client express feeling persecuted?

The client believes the message from the television is that he is "a burden to everyone."

The client believes the President of The United States is his brother.

The client believes the voice he hears is telling him to hurt someone.

The client believes the Central Intelligence Agency (CIA) is hunting for him to destroy him.

Answer and Explanation

The Correct Answer is D

A.   This option describes a feeling of burden, but it doesn't specifically address persecution.
B.   This option describes a delusion involving a familial relationship with a public figure, but it doesn't specifically address persecution.
C.   This option describes a command hallucination, which can be related to violence, but it doesn't directly address feeling persecuted.
D.   This option directly addresses the feeling of persecution by believing a powerful agency is actively seeking to harm the client.

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Correct Answer is B

Explanation

A) Incorrect. While understanding if the client is experiencing a relapse is important, knowing the timing of the last drink is crucial for assessing the level of intoxication.

B) Correct. Knowing the time of the last drink helps the nurse gauge the current level of alcohol in the client's system, which is crucial in assessing and managing alcohol intoxication.

C) Incorrect. While understanding the duration of the client's problem with alcohol is important, it is not the most immediate concern when the client is showing symptoms of intoxication.
D) Incorrect. Asking about liver problems is relevant but not the first priority when the client is exhibiting signs of alcohol intoxication.

A. "This therapy helps you learn to think more positively, and thereby reduce depressive thoughts and symptoms." B. "In this therapy, you will explore past events and analyze how these events have affected your behavior and thoughts." C. "This type of therapy focuses on how you use defense mechanisms to feel more comfortable and content." D. "The purpose of this therapy is to determine how to get psychological needs met through interpersonal relationships."

Correct Answer is A

Explanation

A. "This therapy helps you learn to think more positively, and thereby reduce depressive
thoughts and symptoms." Cognitive behavioral therapy (CBT) aims to identify and challenge negative thought patterns and replace them with more positive and realistic thinking, which can help alleviate symptoms of depression.

B. "In this therapy, you will explore past events and analyze how these events have affected your behavior and thoughts." This description is more characteristic of psychodynamic therapy, not cognitive behavioral therapy.

C. "This type of therapy focuses on how you use defense mechanisms to feel more comfortable and content." This description aligns more with psychodynamic therapy, not cognitive behavioral therapy.

D. "The purpose of this therapy is to determine how to get psychological needs met through
interpersonal relationships." This statement does not accurately describe cognitive behavioral
therapy, which primarily focuses on identifying and changing maladaptive thought patterns and behaviors.

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A client diagnosed with schizophrenia is experiencing delusions of persecution. How would the client express feeling persecuted?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is showing symptoms of alcohol intoxication. What question should the nurse ask first?

Correct Answer is B

Explanation

A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how this therapy would help alleviate depressive thoughts. What is the best response by the nurse?

Correct Answer is A

Explanation

A nurse is teaching a group of clients regarding the use of naltrexone in treating alcoholism. What would the nurse teach about the effectiveness of this drug?

While caring for a depressed client, a nurse would evaluate the need for suicide precautions under which circumstance?

The nurse is obtaining the mental health history of a newly admitted client diagnosed with schizophrenia. The client's family reports the client is hearing voices and cannot stay focused on the topic of a discussion. Which thought disturbance is the client demonstrating?

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A newly admitted client has a diagnosis of schizoaffective disorder. Based on this diagnosis, the nurse would expect to find which of the following symptoms?

The nurse states in report that the client is experiencing positive symptoms of schizophrenia. What symptoms would the nurse receiving report expect to observe?

A client diagnosed with bipolar II disorder has a problem statement of impaired social interactions related to egocentrism. Which short-term correctly written outcome is an appropriate expectation for this client problem?