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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This choice is incorrect because stimulant medications used to treat ADHD are known to potentially cause insomnia rather than increased sleep duration.
Choice B reason: This is the correct choice. Common side effects of stimulant medications for ADHD include insomnia, loss of appetite, and weight loss. These side effects are well-documented and are important for parents to be aware of.
Choice C reason: This choice is incorrect. While the frequency of medication administration is important, the statement is too vague and does not reflect the common dosing schedule for ADHD stimulant medications, which can vary based on the specific medication and the individual's needs.
Choice D reason: This choice is incorrect. Routine blood level monitoring is not a standard requirement for ADHD stimulant medication therapy. Monitoring typically focuses on growth, blood pressure, heart rate, and the presence of any side effects.
Correct Answer is B
Explanation
Choice A reason: While support groups can be beneficial, they are not a direct coping strategy for managing daily obsessions and compulsions.
Choice B reason: This is the correct choice. Developing strategies to interrupt obsessive thoughts is a key component of cognitive-behavioral therapy, which is effective in treating OCD.
Choice C reason: Maintaining a structured environment may help reduce stress but does not directly address coping with obsessions and compulsions.
Choice D reason: Healthy sleep hygiene is important, but it is not a strategy specifically aimed at coping with OCD symptoms.
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