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Showing 25 questions, Sign in for moreA nurse is discussing discharge plans with a homeless client diagnosed with paranoid schizophrenia. What is the primary factor that will affect the formulation of the discharge plan for this client?
A nurse is educating a client diagnosed with schizophrenia on appropriate measures to help prevent the relapse of schizophrenic symptoms. Which interventions should the nurse encourage the client to use to help prevent symptom relapse? Select all that apply.
A nurse is reviewing with the client’s father the discharge plan of a client recently diagnosed with paranoid schizophrenia. Which of the father’s statements indicates to the nurse that he understands the diagnoses and prognosis of paranoid schizophrenia?
The mother of a client diagnosed with paranoid schizophrenia visiting her son 2 days after his admission to the psychiatric unit approaches a nurse and states, “He is still talking about how the government is controlling his thoughts.” What is the most accurate nursing appraisal of the mother’s statement?
A client admitted to a behavioral medicine unit with a diagnosis of catatonic schizophrenia is constantly rearranging furniture and appears to be responding to internal stimuli. In addition to being free of physical injury during phases of hyperactivity, which short-term goal is appropriate for this client?
A nurse includes the nursing diagnosis of disturbed thought processes secondary to paranoia in the care plan for a newly admitted client diagnosed with schizophrenia. Which approach is most appropriate for this client?
A nurse is discussing the importance of taking medication as prescribed with a client diagnosed with paranoid schizophrenia. Which response demonstrates that the nurse understands the importance of relapse prevention?
A nurse is reviewing with the family the discharge plan of a client diagnosed with paranoid schizophrenia. A family member asks, “What should I do if the voices come back again?” Which nurse response is most appropriate when advising the family member of what to do during a relapse of paranoid schizophrenia?
Which specific client outcome best reflects the primary goal of crisis intervention for a client diagnosed with schizophrenia who is experiencing an alcohol-induced crisis?
A client diagnosed with schizophrenia is refusing to take a prescribed psychotropic medication. A nurse attempts to persuade the client to comply with the physician’s orders. Under which circumstance could the client be forced to take medication?
A client with schizophrenia has a history of nonadherence to the prescribed medication regimen and requires hospitalization for exacerbation of schizophrenic symptoms. Injectable antipsychotic agents are being considered for long-term use to better stabilize the client’s symptoms. Which medications, if prescribed by the health-care provider, should the nurse question? Select all that apply.
A client with schizophrenia is being prepared for discharge. He tells the nurse that he has no home or family and has been living on the street. Which response by the nurse is most appropriate?
A nurse is preparing to care for a client diagnosed with catatonic schizophrenia. In anticipation of this client’s arrival, what should the nurse do?
A nurse is caring for a client who has schizophrenia. What’s the first-line treatment for this client?
On the treatment plan for a client diagnosed with schizophrenia, one of the goals is to discuss issues that reinforce reality. Which intervention should the nurse use to assist the client to meet this goal?
A nurse is caring for a schizophrenic client who’s well managed on medications. He reveals that he’s doing so well, he doesn’t think he needs to take medication anymore. What response indicates the nurse best understands the client’s diagnosis?
A client diagnosed with schizophrenia is about to be discharged and is facing the stressor of acquiring independent employment. For the nurse using a behavioral approach, which nursing intervention is most appropriate in meeting this client’s needs?
A nurse is admitting a client to the in-patient unit who is exhibiting bizarre delusions, auditory hallucinations, and incoherent speech. The client is experiencing suicidal ideations and rates mood at 2/10. Based on this clinical picture, the client is manifesting symptoms in what diagnostic category?
A new graduate nurse is assessing a 20-year-old client in the emergency department. The client is seeing and hearing things that others do not see or hear. The nurse tells the supervisor, “I believe the client has schizophrenia.” Which of the following supervisor responses is the most appropriate? Select all that apply.
The nurse is performing an admission assessment on a client diagnosed with paranoid schizophrenia. To receive the most accurate assessment information, which should the nurse consider?
Clients diagnosed with schizophrenia may have difficulty knowing where their ego boundaries end and others’ begin. Which client behavior reflects this deficit?
The children’s saying, “Step on a crack and you break your mother’s back,” is an example of which type of thinking?
The nurse is assessing a client diagnosed with schizophrenia. The client states, “We wanted to take the bus, but the airport took all the traffic.” Which charting entry accurately documents this symptom?
The nurse reports that a client diagnosed with a thought disorder is experiencing religiosity. Which client statement would confirm this finding?
The nurse states, “It’s time for lunch.” A client diagnosed with schizophrenia responds, “It’s time for lunch, lunch, lunch.” Which type of communication process is the client using, and what is the underlying reason for its use?
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