A nurse is caring for a client who has schizophrenia. The client suddenly moves to the corner of the room and shouts, "Get it away from me!" Which of the following actions should the nurse take?

Tell the client that there is nothing there.

Ask the client to describe what is being seen.

Touch the client's arm reassuringly.

Remove the client from the room.

Answer and Explanation

The Correct Answer is B

A. Tell the client that there is nothing there. Dismissing the client's perception may increase distress and reduce trust in the nurse-client relationship. A therapeutic approach acknowledges the client’s experience without reinforcing or denying hallucinations.
B. Ask the client to describe what is being seen. Encouraging the client to describe the hallucination helps assess its nature and severity. Understanding the content allows the nurse to provide appropriate support, ensure safety, and guide interventions.
C. Touch the client's arm reassuringly. Touching the client without consent, especially during a distressing hallucination, may escalate fear or agitation. Maintaining a calm and non-threatening presence is more appropriate.
D. Remove the client from the room. Relocating the client without assessing the hallucination may not address the underlying distress. Identifying triggers and using therapeutic communication are more effective initial interventions.

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Correct Answer is D

Explanation

A. Paranoid personality disorder. Paranoid personality disorder is characterized by distrust and suspicion of others without delusions or hallucinations. Individuals may misinterpret benign interactions as threatening but do not typically display magical thinking or bizarre beliefs.
B. Antisocial personality disorder. Antisocial personality disorder involves a disregard for social norms, manipulation, and lack of empathy. Individuals with this disorder do not usually exhibit delusions or claims of supernatural abilities.
C. Avoidant personality disorder. Avoidant personality disorder is marked by social inhibition, feelings of inadequacy, and hypersensitivity to criticism. These individuals avoid social situations but do not exhibit magical thinking or unusual beliefs.
D. Schizotypal personality disorder. Schizotypal personality disorder involves eccentric behavior, unusual thinking, and cognitive distortions such as magical thinking and paranoia. The belief that one can read minds is a characteristic feature of this disorder.

A. Serotonin B. Histamine C. Dopamine D. Norepinephrine

Correct Answer is A

Explanation

A. Serotonin. Serotonin plays a crucial role in regulating sleep, memory, and concentration. Low serotonin levels are associated with sleep disturbances, cognitive impairments, and mood disorders such as depression, which can further exacerbate difficulties with memory and focus.
B. Histamine. Histamine primarily regulates wakefulness and alertness but is not the primary neurotransmitter involved in sleep dysregulation, memory, and concentration. While histamine imbalance can contribute to sleep disturbances, it is more commonly linked to allergic responses and arousal states.
C. Dopamine. Dopamine is involved in motivation, reward, and motor control. While dopamine dysfunction can lead to cognitive issues, it is more closely associated with disorders such as Parkinson’s disease and schizophrenia rather than sleep dysregulation and poor memory.
D. Norepinephrine. Norepinephrine is a key neurotransmitter in the body's stress response and alertness regulation. While it influences attention and arousal, its dysregulation is more commonly linked to anxiety and hypervigilance rather than the described symptoms.

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A nurse is caring for a client who has schizophrenia. The client suddenly moves to the corner of the room and shouts, "Get it away from me!" Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who screams, "I can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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