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 A

Explanation

A) Correct. Tardive dyskinesia is a side effect of long-term neuroleptic (antipsychotic) treatment. It is characterized by involuntary, repetitive movements, particularly of the face and tongue. This condition is more commonly seen in clients who have been on neuroleptics for extended periods.

B) Incorrect. Discontinuing neuroleptic treatment may lead to withdrawal symptoms or symptom recurrence, but it does not directly increase the risk of developing tardive dyskinesia.

C) Incorrect. Neuroleptic malignant syndrome (NMS) is a different side effect associated with neuroleptic medications, characterized by hyperthermia, autonomic dysregulation, altered mental status, and generalized muscle rigidity.

D) Incorrect. Monoamine oxidase inhibitors (MAOIs) are a different class of medications and are not associated with the development of tardive dyskinesia.

A. Kidney function studies B. Red blood cell count C. Liver function studies D. White blood cell count

Correct Answer is D

Explanation

A. Kidney function studies While monitoring kidney function is important for clients on certain medications, it is not the primary laboratory test for monitoring clozapine. Clozapine is associated with agranulocytosis, which affects white blood cell count.

B. Red blood cell count Monitoring red blood cell count is not the primary concern when a client is prescribed clozapine. The main concern with clozapine is agranulocytosis, which affects white blood cells.

C. Liver function studies While liver function is important to monitor with some medications, it is not the primary laboratory test for monitoring clozapine. The primary concern with clozapine is agranulocytosis, which affects white blood cell count.

D. White blood cell count Clozapine is associated with agranulocytosis, a potentially life- threatening condition characterized by a severe decrease in white blood cells. Regular
monitoring of white blood cell count is crucial to detect and prevent this adverse effect. This test should be performed before starting clozapine and regularly throughout treatment. If the white blood cell count drops significantly, clozapine may need to be discontinued. This makes it the
most important laboratory study to monitor when a client is prescribed clozapine.

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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

What client population is at risk of developing tardive dyskinesia?

Correct Answer is A

Explanation

A client with schizophrenia has begun a new prescription of clozapine. The nurse should assess the result of which laboratory study to monitor for adverse effects?

Correct Answer is D

Explanation

The nurse receives report on a male client diagnosed with schizoaffective disorder and is informed that the client's verbal communication includes "circumstantiality." What intervention is most therapeutic when caring for this client?

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

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