The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

Exhibits compulsive, ritualistic behaviors.

Responds with illogical answers to questions.

Admits to frequently thinking about committing suicide.

Describes times of depression followed by feelings of euphoria.

Answer and Explanation

The Correct Answer is B

A.   Compulsive, ritualistic behaviors might be seen in other psychiatric conditions but are not specifically characteristic of schizophrenia.
B.   Responding with illogical answers to questions is a common symptom of schizophrenia, specifically disorganized thinking or speech.
C.   Frequent thoughts of committing suicide might occur in various psychiatric conditions but are not specific to schizophrenia.
D.   Describing times of depression followed by feelings of euphoria is more characteristic of bipolar disorder, not schizophrenia.

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Correct Answer is D

Explanation

A. "Client has been sexually assaulted" is a formal and concise description. However, it isn’t written as a client would say it which is a key requirement in documentation of the presenting complaint.
B. "Client reported that she had sexual relations against her will" might be accurate but doesn't convey the severity of the situation as clearly as the term "sexually assaulted."
C. "Client claims that she was forced to participate in sexual intercourse" might describe the situation but doesn't necessarily reflect the urgency or trauma of the incident.
D. "Client states, 'My date raped me tonight'" is documented in the client’s own words and is descriptive enough to be the presenting complaint.

A. A hyperactive 4-year-old who has recently been tested for autism. B. An adolescent who is depressed over not being accepted by peers. C. An older adult resident of a long-term care facility who sometimes takes other residents' belongings. D. An adult with schizophrenia who often refuses to take prescribed antipsychotic medications.

Correct Answer is B

Explanation

A. Role-playing might not be suitable for a hyperactive 4-year-old with potential autism, as their attention span and ability to engage in structured activities might be limited.
B. Adolescents often benefit from role-playing to navigate social situations and address feelings of rejection or lack of acceptance from peers.
C. Role-playing might not be as effective for an older adult in a long-term care facility who takes others' belongings, as this behavior may require different interventions.
D. While role-playing can be helpful for individuals with schizophrenia, their tendency to refuse medications might not necessarily be addressed through this method.

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The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young female client is admitted to the emergency room because she was raped that evening by her date. Which computer documentation should the nurse enter in the electronic medical record as the client's chief complaint?

Correct Answer is D

Explanation

The nurse plans to use role-playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?

Correct Answer is B

Explanation

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