A client on the mental health unit has disorganized type schizophrenia. The nurse observes blunted affect and social isolation. He occasionally curses or calls another client a "jerk" without provocation. The nurse asks the client how he is feeling, and he responds, "Everybody picks on me. They frobitz me."

The client's communication exhibits
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A"}

A.   Neologisms are new words or expressions created by the individual, often with personal meaning only they understand. "Frobitz" is an example of a neologism.
B.   Loose associations involve a lack of logical connection between thoughts and ideas, leading to disjointed or incoherent speech.
C.   Delusional thinking involves holding false beliefs that are resistant to reason or contradictory to evidence.
D.   Circumstantial speech involves excessive and unnecessary detail before getting to the point of a conversation.

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Correct Answer is C

Explanation

A. The Michigan Alcohol Screening Test (MAST) is a tool used to screen for alcohol abuse or dependence, but it does not specifically assess withdrawal symptoms.

B. The CAGE questionnaire is used to screen for alcohol abuse, but it does not assess withdrawal symptoms.
C. The Clinical Institute Withdrawal Assessment for Alcohol (CIWA) is a validated tool used to assess the severity of alcohol withdrawal symptoms. It includes various criteria such as agitation, tremor, and hallucinations.
D. The Delirium Rating Scale (DMSE) is used to assess the severity of delirium, which can be caused by various factors including alcohol withdrawal, but it is not specific to alcohol withdrawal.

A. Encourage participation in various physical activities. B. Encourage participation in a group card game. C. Encourage participation in a BINGO game. D. Encourage the creation of a new interactive game for the unit.

Correct Answer is A

Explanation

A) Correct. Encouraging participation in physical activities can help channel excess energy and agitation associated with manic episodes.

B) Incorrect. Group card games may not provide an outlet for the high energy level typically seen in a manic episode.

C) Incorrect. While Bingo is a social activity, it may not be sufficient to address the high energy and potential restlessness seen in a manic episode.

D) Incorrect. Creating a new interactive game may not be feasible or appropriate in the acute setting, and it may not effectively address the client's current needs.

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Naxlex Comprehensive Predictor Exams

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

Correct Answer is C

Explanation

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

Correct Answer is A

Explanation

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?

A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?

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?

A nurse is caring for a client diagnosed with schizophrenia following a recent suicide attempt. Which of the following actions should the nurse take?

A client has been prescribed lithium for long-term maintenance of bipolar disorder diagnosis. Which statement by the client shows an understanding of the medication?

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"?

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

A nurse is planning to run a group for clients diagnosed with paranoia and schizophrenia on an acute care mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment?