The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?
Hallucinations
Anhedonia
Illusions
Delusions
The Correct Answer is D
D. Delusions are false beliefs that are firmly held despite evidence to the contrary. They are not based on reality and are often resistant to rational persuasion or evidence. Delusions can take various forms, such as persecutory (feeling targeted or spied on), grandiose (believing in exaggerated self-importance), or paranoid (feeling threatened or persecuted).
A. Hallucinations involve perceiving sensory experiences that are not present in reality. These sensory experiences can occur in any of the five senses, including seeing, hearing, tasting, smelling, or feeling things that are not actually there.
B. Anhedonia refers to the inability to experience pleasure or interest in activities that are typically enjoyable.
C. Illusions involve misinterpreting real sensory stimuli. Unlike hallucinations, which involve perceiving sensory experiences that are not present, illusions occur when existing sensory stimuli are misinterpreted or distorted.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Methadone is a long-acting opioid agonist that helps stabilize individuals with opioid dependence by alleviating withdrawal symptoms and reducing drug cravings.
A. Methadone maintenance treatment (MMT) is a recognized and evidence-based approach for managing opioid dependence. When used as prescribed under the supervision of healthcare professionals, methadone is administered orally in controlled doses
C. Methadone is an opioid medication with the potential for dependence and addiction, especially when used improperly or in higher doses than prescribed.
D. Methadone is a long-acting opioid agonist that acts on the same receptors in the brain as heroin and other opioids. However, when used as prescribed for opioid dependence treatment, methadone is administered in controlled doses that are carefully titrated to stabilize individuals without producing euphoria or intoxication.
Correct Answer is D
Explanation
D. Remaining with the client provides support and reassurance during a period of agitation and restlessness. The presence of the nurse can help the client feel safe and supported, and it allows the nurse to assess the client's condition closely and intervene as needed.
A. While administering a PRN (as needed) sleeping medication may be considered in some situations, it is not the first-line intervention when a client is experiencing agitation and restlessness.
B. Encouraging the client to return to bed may be appropriate if they are willing and able to do so. However, if the client is agitated and pacing the floor, they may not feel comfortable or able to go back to bed.
C. Exploring alternatives to pacing the floor involves assessing the client's needs and preferences and identifying activities or strategies that may help alleviate agitation and promote relaxation. However, proper observation of the client behavior should be prioritized.
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