SCHIZOPRENIA

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? 1. caregiver 2. anxiety 3. fear 4. disturbed sleep pattern

1. caregiver

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? 1. thought content 2. quality of speech 3. insight 4. judgment

1. thought content

A client reports having thoughts of being followed by foreign agents who are after his secret papers. Which response by the nurse is most appropriate when responding to the client's disturbed thought process? 1. "I do not see any foreign agents. 2. "I think these thoughts are frightening to you." 3. "I do not know what you mean. 4. "I would like you to come to group with me right now."

2. "I think these thoughts are frightening to you."

A young client diagnosed with paranoid schizophrenia is talking with the nurse and says, You know, when I thought everyone was out to get me, I was staying in my apartment all the time. Now, I would like to get out and do things again." What is the best initial response by the nurse? 1. "With whom do you want to do things?" 2. "What activities did you enjoy in the past?" 3, "What kind of transportation do you use?" 4. "How much money can you spend?"

2. "What activities did you enjoy in the past?"

The wife of a client admitted for treatment of newly diagnosed paranoid schizophrenia visits 2 days after her husband's admission and states to the nurse, "Why is he not eating? He is still talking about his food being poisoned." Which appraisal by the nurse is most accurate? 1. The wife's inquiry is reasonable. 2. Education about her husband's medications is needed. 3. Her expectations of her husband are realistic. 4. An increase in the client's medication is indicated.

2. Education about her husband's medications is needed.

A client who is neatly dressed and clutching a leather briefcase tightly in his arms scans the adult inpatient unit on his arrival at the hospital and backs away from the window. The client requests that the nurse move away from the window. The nurse recognizes that doing as the client requested is contraindicated for which reason? 1. The action will make the client feel that the nurse is humoring him. 2. The action indicates nonverbal agreement with the client's false ideas. 3. The client will then think that he will have his way when he wishes. 4. The nurse will be demonstrating a lack of composure over the situation.

2. The action indicates nonverbal agreement with the client's false ideas.

The parents of a 20-year-old female client diagnosed with paranoid schizophrenia admitted 4 days ago are attending a family psychoeducation group in the hospital. Which statement by the mother indicates that she understands her daughter's illness and management? 1. "I know that I will have to do everything for my daughter when she comes home. 2. "Tasks as simple as getting out of bed and showering in the morning may be difficult for her." 3. "I know that visits from her friends at home should be discouraged for a while." 4. "She will not experience a relapse as long as she takes her prescribed medication.

2. "Tasks as simple as getting out of bed and showering in the morning may be difficult for her."

A client on haloperidol has stiff muscles, restlessness, and internal jumpiness. The client has all of the following medications prescribed as needed. Which one would be most appropriate for the nurse to administer to decrease the client's symptoms? 1. lorazepam 2. benztropine 3. trazodone 4. olanzapine

2. benztropine

The nurse recognizes the client in the emergency department from a picture in the local paper. The client has recently received a major scholarship for high academic achievement. The client tells the nurse that he hears voices that tell him he is worthless. He has tried to kill himself, What statement is the most appropriate for the nurse to use first when attempting to establish a therapeutic relationship? 1. "You have a lot to live for." 2. "The voices are not real." 3. "I am sorry this is happening to you" 4. " Would you like me to call your parents?"

3. "I am sorry this is happening to you"

A newly admitted client describes her mission in life as one of saving her son by eliminating the "provocative sluts" of the world. There are several attractive young women on the unit. What should the nurse do first? 1. Ask the client for her definition of "provocative sluts. 2. Discuss the dress code with all clients at the next group meeting. 3. Have the client discuss her concerns in the next group session. 4. Ask the client to inform the staff if she has negative thoughts about other clients.

4. Ask the client to inform the staff if she has negative thoughts about other clients.