NURS 1102 PASSPOINT PSYCHOTIC DISORDERS 140 PAGES

NURS 1102 PASSPOINT PSYCHOTIC DISORDERS the psychiatric unit. A large group of reporters with cameras is camped out in the hospital parking lot. As a nurse walks to the employee parking after her shift, a reporter asks if she knows anything about the client's conditio Question 1 See full question A client with schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse is appropriate? You Selected:  "Your behavior won't be tolerated. Go to your room immediately." Correct response:  "Your cursing is interrupting the activity. Take time out in your room for 10 minutes." Explanation: Remediation: Question 2 See full question When conducting a mental status examination with a newly admitted client who has a diagnosis of paranoid schizophrenia, the client states, “I am being followed; it is not safe. They are monitoring my every move.” In which area of the mental status examination should the nurse document this information? You Selected:  insight Correct response:  thought content Explanation: Question 1 See full question A client with delusional thinking who is overweight and tends to eat when stressed shows a lack of interest in eating at meal times. She states that she is unworthy of eating and that her children will die if she eats. Which nursing action is most appropriate for this client? NURS 1102 PASSPOINT PSYCHOTIC DISORDERS You Selected:  Paying special attention to the client's meal-related rituals and emotions Correct response:  Restricting the client's access to food except at specified meal and snack times Explanation: Remediation: Question 2 See full question A client is about to be discharged with a prescription for the antipsychotic agent haloperidol, 10 mg by mouth twice per day. During a discharge teaching session, a nurse should provide which instruction to the client? You Selected:  Apply a sunscreen before exposure to the sun. Correct response:  Apply a sunscreen before exposure to the sun. Explanation: Remediation: Question 3 See full question A client has been receiving chlorpromazine, an antipsychotic, to treat his psychosis. Which findings should alert the nurse that the client is experiencing pseudoparkinsonism? You Selected:  Tremors, shuffling gait, and masklike face Correct response:  Tremors, shuffling gait, and masklike face Explanation: Remediation: Question 4 See full question Which response demonstrates that the parents of a child with newly diagnosed schizophrenia understand their child's diagnosis? You Selected:  "We'll watch him swallow his daily pills and call the physician if he doesn't." Correct response:  "We'll watch him swallow his daily pills and call the physician if he doesn't." Explanation: Remediation: Question 5 See full question During a home visit for a client diagnosed with paranoid schizophrenia discharged 1 week ago, the client’s mother tearfully states, “I can hardly sleep because I am so worried about my daughter. I am afraid to leave her alone in the house. What if something should happen while I am gone?” Which caregiver problem would be the most inclusive one for the nurse to incorporate into the client’s plan of care? You Selected:  disturbed sleep pattern Correct response:  caregiver role strain Explanation: Remediation: Question 6 See full question An outpatient client who has a history of paranoid schizophrenia and chronic alcohol dependency has been taking risperidone for several months. She reports that she stopped drinking 4 days ago. The client is very frightened by the tactile hallucinations of bugs crawling under her skin. Which factor should the nurse incorporate into the plan of care when explaining the tactile hallucinations? You Selected:  alcohol withdrawal Correct response:  alcohol withdrawal Explanation: Remediation: Question 7 See full question The client with a diagnosis of schizophrenia spends much of the morning in the bedroom but seeks out the nurse for brief interactions throughout the morning. Which goal should the nurse assist the client with achieving in the afternoon? The client will: You Selected:  engage three of his peers in a card game. Correct response:  help put a puzzle together. Explanation: Remediation: Question 8 See full question The client with a diagnosis of schizophrenia walks into group naked. The nurse should: You Selected:  lead the client to his room and help him dress if he needs assistance. Correct response:  lead the client to his room and help him dress if he needs assistance. Explanation: Remediation: Question 9 See full question One of the clients in group with a dual diagnosis of chronic schizophrenia and alcohol abuse states, “I am not going to take medicine every day.” Which response by the nurse would be mostappropriate? You Selected:  “I hear you say that you do not like taking medication daily.” Correct response:  “I hear you say that you do not like taking medication daily.” Explanation: Remediation: Question 10 See full question While planning the care for a client with paranoid delusions, which of the following will be the nurse’s initial goal for the client? You Selected:  Establish trust with staff. Correct response:  Establish trust with staff. Explanation: Remediation: Question 3 See full question One of the clients in group with a dual diagnosis of chronic schizophrenia and alcohol abuse states, “I am not going to take medicine every day.” Which response by the nurse would be mostappropriate? You Selected:  “Let us discuss this tomorrow if we have time.” Correct response:  “I hear you say that you do not like taking medication daily.” Explanation: Remediation: Question 4 See full question The client tells the nurse that she stopped taking olanzapine 2 weeks ago because she is better and wants “to make it on my own without this darned medicine.” What would be the nurse’s mosttherapeutic response? You Selected:  “You have told me...

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