A client with a diagnosis of schizophrenia says to the student nurse, "The mazurkas are coming. The mazurkas are coming." The client's use of the word "mazurka" is most likely a/an

example of loose associations.

manifestation of dyslexia.

neologism.

flight of ideas.

Answer and Explanation

The Correct Answer is C

a. Loose associations involve a disorganized and fragmented way of thinking where the person’s thoughts are only loosely connected.
b. Dyslexia is a learning disorder characterized by difficulty reading.
c. A neologism is a newly coined word or expression that is often used by individuals with schizophrenia. It is a made-up word that has meaning only to the person using it.
d. Flight of ideas is a rapid shift from one topic to another, typically seen in manic episodes of bipolar disorder.

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Correct Answer is B

Explanation

a. Diphenhydramine: Diphenhydramine is an antihistamine that can also be used for its sedative properties to help calm an agitated client.
b. Ondansetron: Ondansetron is an antiemetic used to prevent nausea and vomiting, not for managing agitation or assaultive behavior. The nurse should question this order as it is not appropriate for the client's current symptoms.
c. Lorazepam: Lorazepam is a benzodiazepine used for its anxiolytic and sedative effects, making it appropriate for calming an agitated client.
d. Haloperidol: Haloperidol is an antipsychotic medication commonly used to manage severe agitation and aggressive behavior.

A. Aphasia B. Delirium C. Apraxia D. Confabulation

Correct Answer is D

Explanation

a. Aphasia: Aphasia is a language disorder that affects a person's ability to communicate. It does not involve the creation of false memories or stories.
b. Delirium: Delirium is an acute, often sudden change in mental status that can cause confusion and impaired attention, but it is not characterized by the fabrication of detailed stories.
c. Apraxia: Apraxia is a motor disorder where a person has difficulty with the motor planning to perform tasks or movements. It does not involve creating false stories.
d. Confabulation: Confabulation involves the creation of false memories or stories without the intention to deceive. This is common in Alzheimer's disease as the brain attempts to fill gaps in memory.

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A client with a diagnosis of schizophrenia says to the student nurse, "The mazurkas are coming. The mazurkas are coming." The client's use of the word "mazurka" is most likely a/an

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is agitated and assaultive and unable to be verbally de-escalated is on the inpatient unit. The doctor ordered medications for the nurse to administer to the client. Which medication would the nurse question?

Correct Answer is B

Explanation

A client is diagnosed with Alzheimer's disease. When asked about the previous evening, the client describes a wonderful evening spent on a cruise. Which symptom is the client exhibiting?

Correct Answer is D

Explanation

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