A client with schizophrenia who frequently has auditory hallucinations has been taught strategies to ...

A client with schizophrenia who frequently has auditory hallucinations has been taught strategies to deal with them. Which observation indicates that the client is effectively using an interaction strategy?
 
  1. Playing the piano and singing loudly
  2. Sitting quietly and listening to what the voices have to say
  3. Reading out loud while reading the newspaper
  4. Talking to the voice and pretending to use a mobile phone

Question 2

The nurse recognizes that the client with schizophrenia often stops taking her medication secondary to side effects. To prevent this from occurring, what should the nurse plan to teach the client?
 
  1. Take an over-the-counter analgesic as needed for headaches.
  2. Avoid prolonged exposure to sunlight and wear sunscreen.
  3. Dress lightly to keep from getting too warm.
  4. Eat a high-calorie, high-protein diet to avoid weight loss.

Question 3

The physician asks the nurse whether the client with schizophrenia is experiencing any negative symptoms. The nurse responds that the client frequently:
 
  1. answers questions in one- and two-word phrases with little expression.
  2. is still delusional and believes she is Marilyn Monroe.
  3. dresses in brightly colored, mismatched outfits.
  4. has visual hallucinations of seeing polar bears in the room.

Question 4

Which action by the nurse would be most effective when dealing with a client with schizophrenia who is shouting and being verbally aggressive?
 
  1. Take the client's arms, and gently but firmly guide him to a safe place.
  2. Encourage the client to come into the dayroom and watch television.
  3. Ignore the client's behavior unless it escalates or the client threatens another person.
  4. Approach the client with the nurse's hands at her side, and talk calmly to the client.

Question 5

The nurse is discussing the employment history of a client with schizophrenia. Due to cognitive impairment associated with the disease, the nurse understands that the client might have difficulty:
 
  1. understanding why he was terminated by an employer.
  2. remembering what kind of work he did 10 years ago.
  3. explaining what things he likes to do.
  4. describing the repetitive tasks involved in the job.

Question 6

A client with schizophrenia has developed tardive dyskinesia secondary to a psychotropic medication. When a family member asks the nurse if anything can be done to stop the symptoms, the nurse should explain:
 
  1. The physician will probably order an anticholinergic medication to reduce the symptoms.
  2. If the lowest effective dose of the medication is given, the symptoms could decrease.
  3. Another atypical antipsychotic medication will be given that doesn't have these side effects.
  4. If the antipsychotic medication is stopped, these symptoms are reversible.

Question 7

A client in the mental health unit is being evaluated for schizophrenia. In addition to the client's having hallucinations, the nurse identifies which observation that would support the diagnosis?
 
  1. The client is convinced he is Elvis Presley.
  2. The client has frequent outbursts of yelling and shouting.
  3. The client has had symptoms for over 30 days.
  4. The client refuses to eat or come out of his room.

Question 8

The sibling of a client with schizophrenia states to the nurse: I understand there is a genetic link to this disorder. Can you tell me anything more about that? The nurse should respond:
 
  1. As long as you are not identical twins, the occurrence in siblings is just a coincidence.
  2. You should have gene testing if you are concerned you will develop the disease.
  3. Recent research indicates schizophrenia is linked mainly to an excess in brain neurotransmitters, not genetics.
  4. Siblings of people with schizophrenia have a much higher incidence of the having the disease as well.

Question 9

The nurse is talking with a mentally ill client in the hospital and notes that the client begins to talk loudly and to pace. The initial response by the nurse would be to:
 
  1. take the client's hand to soothe the client.
  2. gather other staff members around the client.
  3. tell the client that the behavior is inappropriate.
  4. notify the physician for emergency drugs to sedate the client.