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 C

Explanation

A. Discussing checking the time might not address the underlying behavior but could be explored as part of understanding the client's routines.
B. Determining the locks' type and size might be relevant but might not address the behavior's root cause.
C. Planning daily activities is important and can help her manage her time effectively.
D. Asking the client why she checks the locks may not hep in addressing the underlying issue.

A. Explain that opioid receptor response reduces with continued use. B. Collect information on all sources used to obtain opioids. C. Advise that detoxification will be needed to reattain pain relief. D. Discuss the dangers of using opioids for non-medical purposes.

Correct Answer is A

Explanation

A. Explaining the phenomenon of opioid tolerance and receptor response reduction with continued use helps the client understand why increased dosage might be needed.
B. Collecting information on opioid sources is important but doesn't directly address the issue of increased tolerance.
C. Detoxification might be an extreme measure and is not the first step in addressing increased opioid tolerance.
D. Discussing the dangers of opioid misuse is essential, but it doesn't address the specific issue of increased tolerance for pain relief.

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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 female client engages in repeated checks of door and window locks and behavior that prevents her from arriving on time and interfering with her ability to function effectively. Which action should the nurse take?

Correct Answer is C

Explanation

A client reports needing to increase opioid dosage to achieve the original level of pain relief.Which action should the nurse take?

Correct Answer is A

Explanation

A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and lack of motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?

The nurse documents that a male client with schizophrenia is delusional. Which statement by the client confirms this assessment?

Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?

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?

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

A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response should the nurse provide to this client?

A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

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