A client with chronic alcoholism has been found to have Wernicke encephalopathy. What is this irreversible complication characterized by?

Thiamine deficiency

Hypothalamic and mammillary body lesions

Inability to learn new skills and short-term memory loss

Double vision and rapid eye movement

Answer and Explanation

The Correct Answer is B

A.   Wernicke encephalopathy is caused by thiamine (Vitamin B1) deficiency, but it is not characterized by thiamine deficiency itself.
B.   Wernicke encephalopathy is characterized by lesions in the hypothalamus and mammillary bodies in the brain.
C.   While cognitive impairment may be present, this is not the primary characteristic of Wernicke encephalopathy.
D.   Double vision and rapid eye movement are symptoms of Wernicke encephalopathy, but they are not the irreversible complication itself.

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Correct Answer is C

Explanation

A. While understanding precipitating factors is important, it is not the immediate priority when the client is actively experiencing hallucinations.
B. Distracting the client may not address the underlying cause of the hallucinations, which should be the priority.
C. Determining the content of the hallucinations can provide important information for assessment and intervention.
D. Dismissing the client's experience can be alienating and unhelpful.

A. Delusional thinking and mood changes B. Waxy flexibility and catatonic excitement C. Bizarre mannerisms and hostility D. Agitation and ideas of reference

Correct Answer is A

Explanation

A) Correct. Schizoaffective disorder is characterized by a combination of symptoms of schizophrenia (such as delusions and hallucinations) and mood disorders (such as depression or mania).

B) Incorrect. Waxy flexibility and catatonic excitement are more commonly associated with catatonic schizophrenia, not schizoaffective disorder.

C) Incorrect. Bizarre mannerisms and hostility may be seen in various psychiatric disorders but are not specific to schizoaffective disorder.

D) Incorrect. While agitation and ideas of reference can occur in schizoaffective disorder, they are not the defining features of this diagnosis.

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A client with chronic alcoholism has been found to have Wernicke encephalopathy. What is this irreversible complication characterized by?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

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?

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?

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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?

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?

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The nurse is admitting a client with the diagnosis of schizophreniform disorder. What should the nurse expect to find?

When assessing a client immediately following electroconvulsive therapy (ECT), the nurse expects what side effect in a client?

A 28-year old male admitted with catatonic schizophrenia has been mute and motionless for several days while at home prior to admission. He still appears stuporous in the hospital. Which nursing intervention would be an initial priority?