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 A

Explanation

A. Word salad refers to a jumble of incoherent words and phrases without logical connection, as seen in the patient’s statement.
B. Echolalia is the repetition of another person’s spoken words, not unrelated word combinations.
C. Neologism is the invention of new, made-up words, not a random string of real words.
D. Anhedonia is the inability to experience pleasure, not a speech disturbance.

A. "The most common side effects are directly related to the use of anesthesia." B. The main side effects are temporary, and may include mild confusion, a headache, and short-term memory loss." C. "Most clients have no adverse effects to this treatment, but muscle cramping may result from the induced seizure." D. "Some clients have been known to have a myocardial infarction, but we will monitor your spouse closely to be certain this does not happen."

Correct Answer is B

Explanation

A. While anesthesia is used, the side effects from it are not the main concern with ECT.
B. The most common side effects are mild confusion, headache, and short-term memory loss, which are typically temporary.
C. Muscle relaxants are given before the procedure to prevent cramping or injury from the seizure.
D. Myocardial infarction is not a common side effect; this response could unnecessarily alarm the spouse.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newly hospitalized patient experiencing psychosis says. "Red chair out town board." Which term should the nurse use to document this finding?

Correct Answer is A

Explanation

A nurse is caring for a client who has major depressive disorder and is scheduled for electroconvulsive therapy (ECT). The client's spouse asks the nurse about the possible side effects of the ECT. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A patient insistently states, "I can decipher codes of DNA just by looking at someone." Which problem is evident?

A nurse cares for a patient experiencing an opioid overdose. Which focused assessment has the highest priority?

A child diagnosed with ADHD shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine salts (Adderall). The nurse should monitor for which desired behavior?

A patient experiences a sudden episode of severe anxiety. Which medication would be the expected drug to be given to help with the sudden episode of severe anxiety?

A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately?

A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?

A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?