A nursing student is preparing to care for a client diagnosed with schizophrenia. When interacting with the client, the student notices that the client is highly suspicious and guarded, stating, "They're out to get me." The student identifies this as what?
Paranoia.
Stilted language.
Pressured speech.
Autistic thinking.
The Correct Answer is A
Choice A reason: This is the correct choice. The client's belief that "They're out to get me" is indicative of paranoia, a common symptom in schizophrenia.
Choice B reason: This choice is incorrect. Stilted language refers to an unnatural, formal way of speaking, not suspicion or guardedness.
Choice C reason: This choice is incorrect. Pressured speech is rapid and urgent speech, which is not described in the scenario.
Choice D reason: This choice is incorrect. Autistic thinking is associated with autism, not schizophrenia, and does not involve paranoia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Other complaints are important but do not directly address the issue of sleep disturbance due to ADHD medication.
Choice B reason: Crushing a sustained-release tablet can release the medication too quickly, but it is not related to the timing of the medication affecting sleep.
Choice C reason: This is the correct choice. The timing of ADHD medication is crucial as stimulants can cause sleep issues if taken too late in the day.
Choice D reason: While over-the-counter medications can affect sleep, the timing of ADHD medication is more likely to be the cause of sleep problems.
Correct Answer is C
Explanation
Choice A reason: Encouraging a client to live in the past is not a therapeutic goal. Reminiscence therapy is used to stimulate memories and conversations, not to have clients dwell in the past.
Choice B reason: Helping children identify old photographs may be a side benefit but is not the primary therapeutic reason for using photo albums in dementia care.
Choice C reason: Viewing photos as part of reminiscence therapy can help clients with dementia recall memories and engage with others, which can improve their mood and cognitive function.
Choice D reason: While sharing photos might encourage interaction, the primary benefit of viewing photos in dementia care is to provide comfort and stimulate memory for the client, not necessarily to foster interactions with others.
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