The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

"Those voices keep telling me that I need to get a knife and cut myself."

"Can you hear those children singing in the room with us?"

"I keep smelling feces in the room, and I can't get the odor out of my nose."

"I keep tasting things that are foul like onions and garlic, but I don't eat those."

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement clearly indicates the presence of auditory hallucinations, which are a common symptom of schizophrenia.
Choice B reason: While this could suggest auditory hallucinations, it could also be a question about shared experience and not necessarily indicative of a hallucination.
Choice C reason: Smelling feces where there is none could indicate an olfactory hallucination, which is less common than auditory hallucinations in schizophrenia.
Choice D reason: Tasting foul substances that are not present could suggest gustatory hallucinations, which, like olfactory hallucinations, are less common in schizophrenia.

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Correct Answer is D

Explanation

Choice A reason: Implementing relaxation techniques is a helpful goal, but it does not directly address the compulsive behavior which is the focus of response prevention therapy.

Choice B reason: Understanding the benefits of deep breathing is beneficial, but it is not the primary goal of response prevention therapy.

Choice C reason: Confronting the trigger is part of the process, but the ultimate goal is to reduce anxiety associated with delaying or preventing the ritual.

Choice D reason: This is the correct choice. The primary goal of response prevention therapy is to reduce the anxiety associated with OCD rituals, making this the most appropriate goal.

A. Prescribing psychotropic medications. B. Conducting family therapy. C. Interpreting laboratory tests. D. Promoting symptom management.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect as prescribing medications is not within the scope of practice for a basic- level psychiatric-mental health nurse.
Choice B reason: Conducting family therapy typically requires advanced training and is not usually within the scope of a basic-level nurse.
Choice C reason: Interpreting laboratory tests is generally not within the scope of a basic-level psychiatric-mental health nurse.
Choice D reason: This is the correct choice. Promoting symptom management is an appropriate intervention for a psychiatric-mental health nurse at the basic level of practice.

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The nurse is performing a mental health assessment for a client with schizophrenia. Which statement made by the client demonstrates that the client is having auditory hallucinations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which goal is appropriate for the client being treated for obsessive-compulsive disorder with response prevention therapy?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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