Chapter 24. Schizophrenia
Spectrum and Other Psychotic
Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
Multiple Choice
1. A paranoid client presents with bizarre behaviors, neologisms, and
...
Chapter 24. Schizophrenia
Spectrum and Other Psychotic
Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
Multiple Choice
1. A paranoid client presents with bizarre behaviors, neologisms, and thought insertion.
Which nursing action should be prioritized to maintain this client’s safety?
A. Assess for medication noncompliance
B. Note escalating behaviors and intervene immediately
C. Interpret attempts at communication
D. Assess triggers for bizarre, inappropriate behaviors
Care
2. A client diagnosed with schizoaffective disorder is admitted for social skills training. Which
information should be taught by the nurse?
A. The side effects of medications
B. Deep breathing techniques to decrease stress
C. How to make eye contact when communicating
D. How to be a leader
3. A 16-year-old client diagnosed with schizophrenia experiences command hallucinations to
harm others. The client’s parents ask a nurse, “Where do the voices come from?” Which is
the appropriate nursing reply?
A. “Your child has a chemical imbalance of the brain, which leads to altered thoughts.”
B. “Your child’s hallucinations are caused by medication interactions.”
C. “Your child has too little serotonin in the brain, causing delusions and hallucinations.”
D. “Your child’s abnormal hormonal changes have precipitated auditory hallucinations.”
4. Parents ask a nurse how they should reply when their child, diagnosed with schizophrenia,
tells them that voices command him to harm others. Which is the appropriate nursing reply?
A. “Tell him to stop discussing the voices.”
B. “Ignore what he is saying, while attempting to discover the underlying cause.”
C. “Focus on the feelings generated by the hallucinations and present reality.”
D. “Present objective evidence that the voices are not real.”
5. A nurse is assessing a client diagnosed with schizophrenia. The nurse asks the client, “Do
you receive special messages from certain sources, such as the television or radio?” Which
potential symptom of this disorder is the nurse assessing?
A. Thought insertion
B. Paranoia
C. Magical thinking
D. Delusions of reference
6. A client diagnosed with schizophrenia tells a nurse, “The ‘Shopatouliens’ took my shoes
out of my room last night.” Which is an appropriate charting entry to describe this client’s
statement?
A. “The client is experiencing command hallucinations.”
B. “The client is expressing a neologism.”
C. “The client is experiencing a paranoia.”
D. “The client is verbalizing a word salad.”
7. During an admission assessment, a nurse asks a client diagnosed with schizophrenia,
“Have you ever felt that certain objects or persons have control over your behavior?” The
nurse is assessing for which type of thought disruption?
A. Delusions of persecution
B. Delusions of influence
C. Delusions of reference
D. Delusions of grandeur
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