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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: This statement is incorrect because stimulants used to treat ADHD can actually cause insomnia and might reduce the amount of sleep a child gets.

Choice B reason: This is the correct statement. Parents acknowledging the potential side eﬀects of stimulant medications, such as insomnia, loss of appetite, or weight loss, indicates an understanding of the medication's eﬀects.

Choice C reason: This statement could be correct depending on the specific medication prescribed, but it does not reﬂect an understanding of the potential side eﬀects, which is crucial for managing the child's care.

Choice D reason: Regular blood level checks are not typically required for ADHD stimulant medications, so this statement does not indicate eﬀective teaching about the medication.

A. The client will implement relaxation techniques to help manage his or her anxiety within 2 days. B. The client will demonstrate an understanding of the benefits of deep breathing within 2 days. C. The client will deliberately confront the trigger of his or her anxiety within 3 months. D. The client will experience notably less anxiety when engaged in delaying the ritual within 3 months.

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.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A 9-year-old client with atention deficit hyperactivity disorder (ADHD) has been placed on a stimulant. The nurse knows that the teaching has been eﬀective when the client's parents make which statement?

Correct Answer is B

Explanation

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

Correct Answer is D

Explanation

A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

The client is being admited with suicidal thoughts. Which questions should the nurse ask the client? Select all that apply.

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

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?

The nurse is teaching the client with obsessive-compulsive disorder about reducing anxiety. Which would the nurse not include in teaching?

A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?

Which intervention is appropriate for a psychiatric-mental health nurse at the basic level of practice?