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. Administer thiamine intramuscular (IM) Administering thiamine is important, especially in
clients with alcohol abuse, to prevent or treat potential Wernicke Korsakoff syndrome. However, the primary intervention when admitting a client is addressing immediate physical and psychological needs, such as personal hygiene.

B. Assist the client with personal hygiene needs This is the primary intervention upon admission.
It addresses the client's immediate physical and psychological wellbeing and helps establish a therapeutic rapport.

C. Place the client on continuous observation While observation may be necessary for safety, it is not the primary intervention in this scenario. Addressing personal hygiene needs takes precedence.

D. Explain milieu therapy Milieu therapy is an important aspect of a comprehensive treatment plan, but it is not the primary intervention upon admission. Immediate physical care and safety are the initial priorities.

A. "Why don't you discuss that with your physician?" B. "I would rather you reconsider that decision." C. "What happened the last time you stopped taking your medication?" D. "The physician prescribed that medication to help you."

Correct Answer is D

Explanation

A. This response may be seen as evading the client's statement. It's important to provide a more direct response.
B. This response may come across as controlling or confrontational, which may not promote open communication.
C. This response is a good therapeutic technique as it encourages the client to reflect on past experiences with stopping medication.
D. This response provides a clear and factual statement about the purpose of the prescribed medication, encouraging the client to understand its importance.

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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

The nurse is admitting a client with a dual diagnosis of major depressive disorder and alcohol abuse. What is the primary intervention?

Correct Answer is B

Explanation

Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

Correct Answer is D

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?

A client diagnosed with bipolar I disorder is in a manic state, rushing about the unit, and talking regularly with a flight of ideas. What is the most therapeutic intervention?

A nurse in the emergency department is implementing a plan of care for an older adult client who is experiencing delirium tremens. Which of the following actions should the nurse take first?

What intervention is a priority when the client is experiencing auditory hallucinations?

The client is experiencing a manic episode. Which of the following activities will be included in the plan of care?

A client is showing early signs of dementia. The client's spouse asks, "What may I expect next?" What is the nurse's best response?

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

The mother of a 20yearold woman recently diagnosed with paranoid schizophrenia asks the nurse what causes schizophrenia. The nurse recognizes which of the following are implicated in the etiology of schizophrenia?