The nurse is evaluating several clients with a diagnosis of schizophrenia. Which client will be assessed as having the worst potential outcomes?

An adolescent client with alogia, anhedonia, and a flat or blunted affect.

A client who has a first cousin with bipolar I disorder.

A client with an exacerbation of hallucinations and delusions 2 years after diagnosis.

An older adult client with an onset of positive symptoms at age 35.

Answer and Explanation

The Correct Answer is A

Choice A reason: This client presents with negative symptoms of schizophrenia, which are often associated with a poorer prognosis. Negative symptoms like alogia and anhedonia indicate a diminished emotional response and lack of motivation, which can severely impact the client's ability to function and respond to treatment.

Choice B reason: Having a first cousin with bipolar I disorder may suggest a genetic predisposition to mood disorders but does not directly influence the prognosis of a client already diagnosed with schizophrenia.

Choice C reason: While an exacerbation of hallucinations and delusions indicates a worsening of symptoms, it is the positive symptoms of schizophrenia that are often more responsive to treatment. Therefore, this client may not necessarily have the worst outcomes.

Choice D reason: An older adult with a late onset of schizophrenia typically has a better prognosis than those with an earlier onset. Late-onset schizophrenia is often less severe and may respond better to treatment.

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

Explanation

Choice A reason: Increasing exercise and taking regular walks can significantly improve mental and emotional health, indicating the client has understood the education provided.

Choice B reason: Setting a regular bedtime and ensuring adequate sleep are essential for mental health, reflecting the effectiveness of the education.

Choice C reason: Improving nutritional intake and avoiding junk food are positive steps towards better mental health, showing the client's understanding.

Choice D reason: Regular follow-ups with a healthcare provider are good practice but not directly related to the immediate improvement of mental and emotional health.

Choice E reason: Adherence to medication, especially for chronic conditions like diabetes, is crucial for overall health, which can influence mental and emotional well-being.

A. Drinks alcohol to excess 3 days a week. B. States that they hang on to bad relationships due to fear of being alone. C. Went back to college to complete a degree in nursing. D. Divorced 3 times with tumultuous relationships with spouses. E. Several trusting relationships with friends.

Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Drinking alcohol to excess is a behavior that can be influenced by growing up in a home with alcoholic parents, as it may become a learned coping mechanism.

Choice B reason: Hanging on to bad relationships due to fear of being alone can be a behavior stemming from the instability and insecurity experienced in a home with alcoholic parents.

Choice C reason: Returning to college to complete a degree does not directly correlate with the influence of growing up in a home with alcoholic parents and is more indicative of personal ambition and goals.

Choice D reason: Having multiple divorces with tumultuous relationships could be related to the dysfunctional relationship dynamics observed in a home with alcoholic parents.

Choice E reason: Forming several trusting relationships with friends does not necessarily correlate with growing up in a home with alcoholic parents and is generally a positive social behavior.

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The nurse is evaluating several clients with a diagnosis of schizophrenia. Which client will be assessed as having the worst potential outcomes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education for a client to improve mental and emotional health and influence the client's response to illness. Which statement made by the client indicates that the education is effective? (Select all that apply.)

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

Explanation

The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

When engaging with clients, which techniques should the nurse avoid using to foster more therapeutic responses? Select all that apply.

The nurse is educating a client with alcoholism who has been in rehabilitation for two weeks to prepare for discharge. Which statement made by the client indicates that education was effective and the client is best prepared for discharge?

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client engages in constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

A nurse is assessing a client who has illness anxiety disorder. Which of the following findings should the nurse expect?

The nurse is working with another nurse in the emergency department (ED) when a client comes in stating they have been raped during a date. Which statement made by the other nurse privately requires immediate correction?

The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. With which types of personality disorders should the nurse use a matter-of-fact approach? (Select all that apply)

What is Wernicke-Korsakoff syndrome?

A client and their spouse come to talk with the nurse about their suspicion that the client may have intermittent explosive disorder after researching it on the internet. Which behaviors reported by the spouse indicate that the client may be experiencing this disorder? (Select all that apply.)