A patient diagnosed with schizophrenia has been stable for a year; however, the family now reports the patient is tense, sleeps 3 to 4 hours per night, and has difficulty concentrating. The patient says. "My computer is sending out infected radiation beams." The nurse can correctly assess this information as an Indication of

chronic deterioration.

medication nonadherence.

the need for psychoeducation.

relapse.

Answer and Explanation

The Correct Answer is D

A. Chronic deterioration refers to a gradual, long-term decline in functioning, not the sudden emergence of new or worsening psychotic symptoms.

B. While relapse can sometimes be related to nonadherence, there is no direct evidence here that the patient has stopped taking medication, so this cannot be assumed.

C. Psychoeducation may be helpful, but the immediate concern is the reemergence of psychotic symptoms, not just a lack of understanding about the illness.

D. The patient is displaying insomnia, tension, difficulty concentrating, and paranoid delusions, which are early warning signs of a psychotic relapse in schizophrenia. Prompt intervention is necessary to prevent full exacerbation.

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Correct Answer is D

Explanation

A. Referral of a formerly suicidal patient to a support group is a form of tertiary prevention, aimed at preventing recurrence and promoting recovery after an event.

B. Psychiatric hospitalization of a suicidal patient is considered secondary prevention, targeting individuals at immediate risk to prevent harm.

C. Suicide precautions for 24 hours for newly admitted patients is secondary prevention, focused on intervening during a high-risk period.

D. Helping school children learn to manage stress and be resilient is primary prevention, aimed at preventing the onset of suicidal behaviors before any signs or risk factors appear.

A. Agnosia B. Impaired level of consciousness C. Disorientation to place, and time D. Apathy E. Wandering attention

Correct Answer is ["A","B","C","E"]

Explanation

A. Delirium can cause difficulty recognizing objects, people, or places, which is a form of agnosia.

B. Patients with delirium often have fluctuating levels of consciousness, ranging from lethargy to hyperalertness.

C. Delirium commonly affects orientation, causing confusion about where they are or what time it is.

D. Apathy is more characteristic of depression or dementia rather than the acute, fluctuating attention seen in delirium.

E. Patients with delirium often display inattention and an inability to focus, leading to distractibility and wandering attention.

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Naxlex Comprehensive Predictor Exams

Which measure would be considered a form of primary prevention for suicide?

Correct Answer is D

Explanation

Which assessment finding would the nurse expect to see in a patient experiencing delirium? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

It has been 5 days since a suicidal patient was hospitalized and prescribed an antidepressant medication. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.

What is the legal significance of a nurse's action when a patient verbally refuses medication and the nurse gives the medication over the patient's objection? The nurse

A bystander was killed during a robbery 2 weeks ago. His widow, who is diagnosed with schizoaffective disorder, cries spontaneously when talking about his death. Select the nurse's most therapeutic response.

A patient undergoing diagnostic tests says. "Nothing is wrong with me except a stubborn chest cold." The spouse reports the patient smokes, coughs daily. lost 15 pounds and is easily fatigued. Which defense mechanism is the patient using?

A patient diagnosed with schizophrenia has received fluphenazine decanoate twice a month for 3 years. The clinic nurse's notes that the patient grimaces and is constantly smacking his lips. The patient's neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect?

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