Mental Health Questions Quiz 2

The nurse is providing teaching to a client who has schizophrenia and is taking quetiapine fumarate. Which of the following blood tests should be performed periodically? A. Potassium B. Uric acid C. Glucose D. Calcium

C. Glucose

A nurse is caring for a client who is screaming at staff members and other clients. Which of the following is a therapeutic response by the nurse to the client? A. "Stop screaming, and walk with me outside." B. "Why are you so angry and screaming at everyone?" C. "You will not get your way by screaming." D. "What was going through your mind when you started screaming?"

A. "Stop screaming, and walk with me outside."

A nurse is caring for a client who has substance-induced psychotic disorder and is experiencing auditory hallucinations. The client states, "The voices won't leave me alone!" Which of the following statements should the nurse make? (SATA) A. "When did you start hearing the voices?" B. "The voices arrant real, or else we would both hear them." C. "It must be scary to hear voices" D. "Are the voices telling you to hurt yourself?" E. "Why are the voices talking only to you?"

A. "When did you start hearing the voices?" C. "It must be scary to hear voices" D. "Are the voices telling you to hurt yourself?"

A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? (SATA) A. Auditory hallucination B. Lack of motivation C. Use of clang associations D. Delusion of persecution E. Constantly waving arms F. Flat affect

A. Auditory hallucination C. Use of clang associations D. Delusion of persecution E. Constantly waving arms

A nurse is assessing a client who has schizophrenia and is experiencing delusions. The nurse should identify that the client is experiencing which of the following types of symptoms? A. Positive B. Cognitive C. Negative D. Affective

A. Positive

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should anticipate a prescription of which of the following medications? A. Chlorpromazine B. Thiothixene C. Risperidone D. Haloperidol

C. Risperidone

A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which of the following manifestations should the charge nurse identify as being effectively treated by first-generation antipsychotics? (SATA) A. Auditory hallucinations B. Withdrawal from social situations C. Delusions of grandeur D. Severe agitation E. Anhedonia (inability to feel pleasure)

A. Auditory hallucinations C. Delusions of grandeur D. Severe agitation

A nurse is assessing a client who has schizophrenia. The client suddenly states, "I'm blue, so are you, and I'm leaving on a choo, choo, choo!" The nurse should identify the client's statement as which of the following speech patterns? A. Clang association B. Word salad C. neologism D. Echolalia

A. Clang association

A nurse is assessing a client who was diagnosed with schizophrenia. Which of the following client findings is considered a positive symptoms of schizophrenia? A. Hallucinations B. Social withdrawal C. Anergia D. Flat affect

A. Hallucinations

A nurse is admitting a client who states he is hearing voices telling him what to do. Which of the following actions should the nurse take? A. Instruct the client to sit in a quiet place when he hears voices. B. Ask the client to repeat what the voices are saying C. Tell the client that the voices do not exist D. Provide therapeutic touch when the client seems anxious

A. Instruct the client to sit in a quiet place when he hears voices.

A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? A. Offering advice B. Reflecting C. Listening attentively D. Giving information

A. Offering advice

A nurse is caring for a client with schizophrenia who has been taking chlorpromazine for the past 2 months. Which of the following findings demonstrates that the chlorpromazine has been effective? A. The client reports that hallucinations occur less frequently B. The client sleep uninterrupted for 6 hr each night C. The client reports that she is the "most important person on the unit." D. The client demonstrates stereotyped behaviors.

A. The client reports that hallucinations occur less frequently

A nurse is planning recreational activities for a young adult client who has an acute exacerbation of schizophrenia. Which of the following activities should the nurse plan for this client? A. Walking with a staff member B. Playing ping-pong in the dayroom with another client C. Playing basketball with other clients in the gym D. Riding a stationary bike alone in the fitness room

A. Walking with a staff member

A nurse is caring for a client who has schizoaffective disorder. Which of the following statements indicates the client is experiencing depersonalization? A. "I am a superhero and am immortal." B. "I am no one, and everyone is me." C. "I feel monsters pinching me all over." D. "I know that you are stealing my thoughts."

B. "I am no one, and everyone is me."

A nurse is assessing a client who has schizophrenia. Which of the following statements by the client should the nurse recognize as an erotomaniac delusion? A. "My coworker is trying to poison me because he is afraid I'll take his job." B. "I have only met Jenny twice, but I know she loves me." C. "I am selling my house before the earthquake hits in May." D. "The foil on my walls prevents the government from controlling me."

B. "I have only met Jenny twice, but I know she loves me."

A nurse is caring for a client who has schizophrenia and states, "My doctor is trying to kill me." Which of the following responses should the nurse make? A. "Why would you say that your doctor is trying to kill you?" B. "It must be frightening to feel that your doctor is trying to kill you." C. "Your doctor wants to help you, not kill you." D. "How long has your doctor been trying to kill you."

B. "It must be frightening to feel that your doctor is trying to kill you."

A nurse is caring for a client who has schizophrenia and started taking a first-generation antipsychotic medication 3 weeks ago. The client reports a feeling of inner restlessness, rocks back and forth when sitting down, and paces frequently. The nurse should identify that the client is experiencing which of the following adverse effects of antipsychotic medications? A. Neuroleptic malignant syndrome B. Akathisia C. Anticholinergic toxicity D. Opisthotonos

B. Akathisia

A nurse is speaking with a client who has schizophrenia when he suddenly seems to stop focusing on the nurse's questions and begins looking at the ceiling and talking to himself. Which of the following actions should the nurse take? A. Stop the interview at this point, and resume later when the client is better able to concentrate B. Ask the client, "Are you seeing something on the ceiling?" C. Tell the client, "You seem to be looking at something on the ceiling. I see something there, too." D. Continue the interview without comment on the client's behavior.

B. Ask the client, "Are you seeing something on the ceiling?"

A nurse is assessing a client in an inpatient mental health unit. Which of the following findings should the nurse expect if the client is in the pre-assaultive stage of violence? (SATA) A. Lethargy B. Defensive responses to questions C. Disorientation D. Facial grimacing E. Agitation

B. Defensive responses to questions D. Facial grimacing E. Agitation

A nurse is assessing a client who is currently taking perphenazine. Which of the following findings should the nurse identify as an extrapyramidal symptom (EPS)? (SATA) A. Decrease LOC B. Drooling C. Involuntary arm movements D. Urinary retention E. Continual pacing

B. Drooling C. Involuntary arm movements E. Continual pacing

A nurse is caring for a client on an acute mental health unit. The client reports hearing voices that are telling her to "kill your doctor." Which of the following actions should the nurse take first? A. Use therapeutic communication to discuss the hallucination with the client. B. Initiate one-to-one observation of the client C. Focus the client on reality D. Notify the provider of the client's statement.

B. Initiate one-to-one observation of the client

A nurse is caring for a client who is speaking in a loud voice with clenched fists. Which of the following actions should the nurse take? A. Insist that the client stop yelling. B. Request that other staff members remain close by. C. Move as close to the client as possible. D. Walk away from the client.

B. Request that other staff members remain close by.

A nurse is teaching a client who has schizophrenia about involuntary commitment. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A. "My family cannot commit me because I am homeless." B. "Even when I'm calm, I'll be forced to take psychotropic medication." C. "At least 2 doctors must support the commitment application." D. "I am afraid the doctors will make me have surgery."

C. "At least 2 doctors must support the commitment application."

A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates that the client is displaying cognitive symptoms? A. "I just feel so hopeless" B. "The government has been watching my house." C. "I am unable to remember to brush my teeth." D. "I no longer enjoy the activities I used to love."

C. "I am unable to remember to brush my teeth."

A nurse on a mental health unit is observing a client who has schizophrenia. Which of the following client statements should the nurse recognize as clang association? A. "Her mannerologies are poor." B. "My dog blank a boat to supreme heights." C. "I can play the flute while wearing a suit. You are cute." D. "My joints ache. My friend is In the joint."

C. "I can play the flute while wearing a suit. You are cute."

A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone. Which of the following client statements indicates understanding of the teaching? A. "I will be able to stop taking this medication as soon as I feel better." B. "If I feel drowsy during the day, I will stop taking this medication and call my provider." C. "I will be careful not to gain too much weight while taking this medication." D. "This medication is highly addictive and must be withdrawn slowly."

C. "I will be careful not to gain too much weight while taking this medication."

A nurse is caring for a client who has schizophrenia. Which of the following client statements should the nurse identify as a persecutory delusion? A. "A tornado is going to wipe us out in 9 days." B. "My brain is dead, and my body is slowly rotting away." C. "The government is after me because I know top-secret information." D. "The TV is purposely playing commercials for products I don't like."

C. "The government is after me because I know top-secret information."

A nurse in an acute mental health facility is caring for a client who has schizophrenia. The client asks the nurse, "Can I vote in the upcoming presidential election?" Which of the following responses should the nurse offer? A. "Why do you want to vote while you are in the hospital?" B. "I wouldn't worry about voting right now." C. "We can work together to find out how you can get a mail-in ballot." D. "You'll have a lot more opportunities to vote after you get better."

C. "We can work together to find out how you can get a mail-in ballot."

A nurse is assessing a newly admitted client who has schizophrenia. The client suddenly look at an empty chair and appears to be listening to something. Which of the following responses should the nurse make? A. "I thought I heard something too." B. "Is someone telling you something?" C. "What are you hearing?" D. "There is nobody in that chair for you to listen to."

C. "What are you hearing?"

A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and down the fall rapidly and muttering in an angry manner. Which of the following actions should the nurse perform first? A. Apply mechanical restraints to the client. B. Administer PRN haloperidol IM to the client C. Approach the client in a non-threatening manner D. Place the client in seclusion.

C. Approach the client in a non-threatening manner

A nurse is caring for a client who takes ziprasidone. The client reports difficulty swallowing the oral medication and becomes extremely agitated with injectable administration. The nurse should contact the provider to discuss a change to which of the following medications? (SATA) A. Olanzapine B. Quetiapine C. Aripiprazole D. Clozapine E. Asenapine

C. Aripiprazole D. Clozapine E. Asenapine

A nurse is caring for a client who has schizophrenia. The client states, "I like to play ball. Walk down the hall. Be careful; don't fall." The nurse should identify that the client is using which of the following speech patterns? A. Pressured speech B. Circumstantial speech C. Clang association D. Flight of ideas

C. Clang association

A nurse is caring for a client in an inpatient mental health facility who gets up from a chair and throws it across the day room. Which of the following is the priority nursing action? A. Encourage the client to express her feelings. B. Maintain eye contact with the client. C. Move the client away from others. D. Tell the client that the behavior is not acceptable.

C. Move the client away from others.

A nurse is performing an admission assessment for a client who has schizophrenia. The nurse notices that the client's appearance is unkempt, and he appears to be actively hallucinating. Which of the following should be the nurse's priority assessment? A. Perception of reality B. Ability to follow directions C. Physical needs D. Mental status

C. Physical needs

A nurse is assessing a client who has schizophrenia and takes haloperidol 3 times daily. The client has developed involuntary writhing movement of the tongue and constant lip smacking. The nurse should identify that these manifestations indicate which of the following adverse effects of haloperidol? A. Akathisia B. Acute dystonia C. Tardive dyskinesia D. Pseudoparkinsonism

C. Tardive dyskinesia

A nurse caring is for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse's use of interpersonal communication? A. The nurse discusses the client's weight loss during a health care team meeting B. The nurse examines her own personal feelings about clients who have anorexia nervosa C. The nurse asks the client about her body image perception D. The nurse presents an educational session about anorexia nervosa to a large group of adolescents

C. The nurse asks the client about her body image perception

A nurse is caring for a client who has schizophrenia. Which of the following client statements indicates clang association? A. "I am the king, and everyone should bow to me." B. "I'm feeling schmoolizious today." C. "Option, contrary, moose, allergic." D. "Basketball in the hall very tall."

D. "Basketball in the hall very tall."

A nurse is caring for the parents of a child who has demonstrated recent changes in behavior and mood. When the mother of the child asks the nurse for reassurance about her son's condition, which of the following responses should the nurse make? A. "I think your son is getting better. What have you noticed?" B. "I'm sure everything will be okay. It just takes time to heal." C. "I'm not sure what's wrong. Have you asked the doctor about your concerns?" D. "I understand you're concerned. Let's discuss what concerns you specifically."

D. "I understand you're concerned. Let's discuss what concerns you specifically."

A nurse is discussing exercise activities with an acute care client who has schizophrenia and is overweight due to psychotropic medications. The client refuses to participate in an aerobic exercise class and instead requests to walk in the facility's gym. Which of the following responses should the nurse make? A. "Can you tell me why you do not want to participate in the planned group activity?" B. "Do you understand that psychotropic medications cause weight gain?" C. "The aerobics class will be more effective at burning calories than walking." D. "It sounds like you have come up with an alternative exercise that works for you."

D. "It sounds like you have come up with an alternative exercise that works for you."

A nurse is providing teaching to the family of a client who has schizophrenia. Which of the following statements by a family member indicates an understanding of the teaching? A. "We will not set time limits for discussing her delusions." B. "We will avoid reacting to her command hallucinations." C. "She might lose weight due to her medication." D. "She might be having a relapse if she stops attending social events."

D. "She might be having a relapse if she stops attending social events."

A nurse is caring for a client who has schizophrenia. The client states, "Aliens came into my room last night and took a sample of my blood." Which of the following responses should the nurse make? A. "Aliens do not exist." B. "Has your daughter had her baby?" C. "Do you mean to say a laboratory technician drew your blood last night?" D. "That does not sound real."

D. "That does not sound real."

A nurse is caring for a client who has schizophrenia and is admitted to the mental health unit. The client has a history of aggression and is observed continually pacing the hallway in an agitate manner over the past hour. Which of the following responses should the nurse make? A."It's a beautiful day outside. Let's take a walk together." B. "Sit down and we'll try out a relaxation exercise." C. "Would you like your anti-anxiety medication now?" D. "You are packing back and forth. Can you tell me what you are feeling?"

D. "You are packing back and forth. Can you tell me what you are feeling?"

A nurse is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication? A. "I wish you would not make me angry." B. "I feel angry when you leave me." C. "It makes me angry when you interrupt me." D. "You'd better listen to me."

D. "You'd better listen to me."

A nurse is collecting data from a client with schizophrenia who was recently admitted to acute care. Which of the following findings should the nurse expect? A. Seductive behaviors B. Obsession with rituals C. Uncontrolled appetite D. Associative looseness

D. Associative looseness

A nurse is caring for a client who has schizophrenia and is being discharged from an acute mental health setting. Which of the following should be included in the discharge plan? A. Refer the client to respite care services B. Provide a list of primary preventive mental health groups C. Enroll the client in a 12-step program D. Contact an intensive outpatient program

D. Contact an intensive outpatient program

A nurse is caring for a client with schizophrenia who is having command hallucinations. Which of the following actions is the priority. for the nurse to take? A. Identify triggers that initiate the client's hallucinations B. Administer an antipsychotic medication C. Focus on reality-based orientation D. Determine what the voices are saying

D. Determine what the voices are saying

A nurse in an outpatient mental health clinic is interviewing a client who has schizophrenia and appears to be experiencing auditory hallucinations. Which of the following actions should the nurse take first? A. Teach the client strategies to decrease the hallucinations B. Identify whether the client is on antipsychotic medications C. Distract the client from the hallucination D. Explore what the voices are saying to the client.

D. Explore what the voices are saying to the client.

A nurse is admitting a client who has schizophrenia. During the initial interview, which of the following behaviors should the nurse identify as a positive manifestation of schizophrenia? A. Anhedonia B. Avolition C. Flat affect D. Hallucinations

D. Hallucinations

A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? A. Person space B. Posture C. Eye contact D. Intonation

D. Intonation

The nurse is assessing a client who has schizophrenia. The client states, "I need to get my gummamashu from my house." The nurse recognizes this statement as an example of which of the following? A. Flight of ideas B. Echolalia C. Perseveration D. Neologism

D. Neologism

A nurse in an acute mental health facility is communication with a client. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? A. Offering general leads B. Summarizing C. Focusing D. Restating

D. Restating

A nurse is caring for a client who has schizophrenia and is experiencing negative symptoms. Which of the following manifestations should the nurse expect? A. Hallucinations B. Impaired memory C. Dysphoria D. Social discomfort

D. Social discomfort

A nurse is caring for a client who has schizophrenia. The client states, "My internal organs have turned to stone." The nurse should document this finding as which of the following types of delusions? a.Somatic b. Reference c. Persecutory d.. Grandiose

a. Somatic

A nurse is caring for a client who has schizophrenia. The client spends a great deal of time repeating rhyming syllables such as me, see, bee, tree. The nurse recognizes that the client is demonstratting what positive manifestations of schizophrenia? a. clang association b. echolalia c. magical thinking d. word salad

a. clang association

The client hears the word "match." The client replies, "A match. I like matches. They are the light of the world. God will light the world. Let your light so shine." Which communication pattern does the nurse identify? a. Word salad b. Clang association c. Associative looseness d. Echola

c. Associative looseness

The nurse is collecting data from a client who has schizophrenia. The client suddenly stops talking and begins staring intently at a chair in the corner of the room. Which of the following responses should the nurse make? a. Please try to focus on our coversation b. There is nothing over there except a chair c. Tell me what you are seeing by that chair d. Whatever you are seeing by that chair is not real

c. Tell me what you are seeing by that chair