A nurse is assessing a client who has schizophrenia. Which of the following behaviors should the nurse anticipate?

Preoccupied with folding clothes.

Periods of elation with unusual talkativeness.

Recurrent thoughts of past trauma.

Invents words that have no meaning.

Answer and Explanation

The Correct Answer is D

Choice A reason: Being preoccupied with repetitive activities such as folding clothes can sometimes occur in individuals with obsessive-compulsive disorder or autism spectrum disorders, but it is not a defining feature of schizophrenia.

Choice B reason: Elation and unusual talkativeness are hallmark features of mania in bipolar disorder, not schizophrenia.

Choice C reason: Recurrent thoughts of past trauma are more characteristic of post-traumatic stress disorder (PTSD), not schizophrenia.

Choice D reason: Creating words that have no meaning, also called neologisms, is a common positive symptom of schizophrenia and reflects disorganized thought processes.

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Correct Answer is C

Explanation

Choice A reason:Clozapine is an antipsychotic used primarily for schizophrenia, not for preventing seizures. While it may lower the seizure threshold as a side effect, it is not prescribed for seizure control, making this statement incorrect.

Choice B reason:Clozapine is typically administered orally, not by intramuscular injection every 2 weeks. Long-acting injectable antipsychotics exist, but clozapine is not one of them, so this statement does not reflect correct understanding.

Choice C reason:Clozapine can cause orthostatic hypotension, leading to dizziness or fainting upon standing. Rising slowly from a lying position helps prevent this, indicating the client understands an important precaution for safe use of the medication.

Choice D reason:Ringing in the ears (tinnitus) is not a common side effect of clozapine. More common side effects include sedation, weight gain, and agranulocytosis, so this statement does not show correct understanding.

A. Provide professional counseling for staff members. B. Give the family an opportunity to talk about their feelings. C. Identify cues in the client's behavior that might have warned them that he was contemplating suicide. D. Change policies for staff observation of clients who are suicidal.

Correct Answer is A

Explanation

Choice A reason:A suicide in a mental health facility is a traumatic event for staff, who may experience guilt, grief, or burnout. Providing professional counseling as the priority intervention supports staff mental health, enabling them to process the event, maintain their well-being, and continue providing safe, effective care to other clients.

Choice B reason:Supporting the family’s emotional needs is important, but it is not the immediate priority. Staff must first address their own psychological well-being to ensure they can provide compassionate and professional support to the family and other clients effectively.

Choice C reason:Reviewing the client’s behavior for missed warning signs is valuable for learning and improving future care. However, this retrospective analysis is not the immediate priority, as it does not address the urgent emotional needs of staff following the traumatic event.

Choice D reason:Updating observation policies could enhance future suicide prevention, but it is not the immediate priority. Policy changes require time and analysis, whereas supporting staff mental health is critical to maintaining unit functionality and safety in the aftermath of the incident.

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A nurse is assessing a client who has schizophrenia. Which of the following behaviors should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who has a new prescription for clozapine. Which of the following statements indicates the client understands the teaching?

Correct Answer is C

Explanation

A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident?

Correct Answer is A

Explanation

A nurse is assessing a client who has schizophrenia. Which of the following behaviors should the nurse anticipate?

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