mental health quiz 5

A nurse is caring for a client who has schizophrenia. Which of the following questions should the nurse ask during the exploitation phase of the nurse-client relationship?

"Which stress reduction techniques are you finding helpful alongside your medication?"

A nurse is caring for a client who has schizophrenia and is unaware of their own mental health. Which of the following is the client experiencing?

anasognosia

A nurse is caring for a young adult client who experienced a traumatic event and appears to be hallucinating. The client has no history of or evidence of risk factors for schizophrenia spectrum disorders and the client's toxicology screen is negative. Which of the following diagnoses provides the best explanation of this client's clinical manifestations?

brief psychotic disorder

A nurse is caring for a client who is experiencing delirium. Which of the following findings should the nurse expect?

tremors

A nurse is providing discharge instructions for a client who is prescribed clozapine. Which of the following information should the nurse include?

weekly blood draws will need to be done while taking this medication

A nurse is providing teaching to the caregiver of a client who is in the moderate stage of Alzheimer's disease. Which of the following client findings should the nurse inform the caregiver to expect at this stage?

Difficulty getting dressed

A nurse is caring for a client who has Alzheimer's disease and requires assistance with bathing and getting dressed in the morning. The nurse should identify that the client is in which of the following stages of the disease?

Moderate

A nurse working in an urgent care clinic is obtaining a history from a client who is experiencing delirium. Which of the following should the nurse identify as a cause of this disorder?

Vitamin deficiencies

A nurse is reviewing assessment findings for a 22 year old client who was found wandering in the street. Which of the following manifestations suggests the client is experiencing positive symptoms of psychosis?

clanging speech

A nurse at a community center is providing an in-service to a group of residents about decreasing the risk of Alzheimer's disease by consuming foods high in flavanol. Which of the following foods should the nurse include in the teaching?

oranges

A nurse is caring for a client who has schizophrenia. The client states, "My health care provider indicated that I likely got schizophrenia due to complications experienced in utero." Which of the following risk factors is this complications linked to?

physiological

A client who has schizophrenia shares with their nurse that they are feeling lonely and isolated. Which of the following actions is the nurse's priority?

share information about support groups for people who have serious mental illness (SMI).

A nurse is instructing a client who is experiencing hallucinations about medication use. Which of the following statements should the nurse make?

"Both prescription and over-the-counter medications can sometimes cause hallucinations in some people."

A nurse is caring for a client who has been diagnosed with schizophrenia. The client is exhibiting delusional behavior stating that a new nurse is from the FBI and is stealing their thoughts and ideas. Which of the following statements should the nurse make?

"I can see you are very concerned. The new nurse is not from the FBI and will not harm you."

A nurse at a community treatment center asks a client about their use of a prescribed anti-psychotic medication that should be taken daily. Which of the following client statements should suggest to the nurse that the client is not adhering to their medication treatment plan?

"I sometimes go a few days without taking my medication."

A nurse is providing information about hallucinations to a client who has schizophrenia. Which of the following statements should the nurse make?

"It is when you see or hear things that others are not experiencing."

A nurse is talking with a client about mental health care and services. The client asks, "What is the difference between psychosis and schizophrenia?" Which of the following responses should the nurse make?

"Psychosis describes conditions where a person loses contact with what is real. Schizophrenia is a mental health illness where the person can show manifestations of psychosis."

A nurse is talking with the family of a 28 year old client who has been diagnosed with schizophrenia. The client's parents ask, "Will my child ever be able to have a good quality of life?" Which of the following responses should the nurse make?

"With treatment and support your child will be able to live a productive and rewarding life."

A nurse is providing teaching to a client who has been newly diagnosed with Huntington's disease dementia. Which of the following information should the nurse include in the teaching?

"You will experience involuntary jerking motions."

A nurse is preparing a presentation on Huntington's disease dementia to a group of staff members. Which of the following should the nurse identify as the etiology of this disorder?

A gene located on chromosome 4

A nurse is caring for a client who has dementia. The client had a CT scan of the head that indicates amyloid plaques. The nurse should identify that the client has which of the following types of dementia?

Alzheimer's disease

A nurse is reviewing the medical records of a group of clients. Which of the following clients should the nurse identify as at risk for developing delirium?

An 85-year-old client who has a urinary tract infection

A nurse is caring for a client and the provider suspects the client might have frontotemporal lobar degeneration dementia. Which of the following tests should the nurse anticipate the provider to prescribe to confirm this diagnosis?

Computed tomography

A nurse is caring for a client who has been diagnosed with "mad cow disease." The nurse should identify that the client has which of the following types of dementia?

Creutzfeldt-Jakob disease (CJD)

A charge nurse is teaching a newly licensed nurse about the use of music therapy for clients who have Alzheimer's disease. Which of the following information should the nurse identify as the purpose of music therapy?

Evokes memories

A nurse is caring for a client who is experiencing delirium. Which of the following manifestations should the nurse expect?

Hallucinations

A nurse is planning a music therapy activity for a group of clients who have dementia. Which of the following should the nurse identify as the purpose for this activity?

Improve appetite

A nurse is caring for a client who has Huntington's disease dementia. Which of the following manifestations should the nurse expect?

Impulsive behaviors

A nurse is caring for an older adult client who has dementia. Which of the following findings should the nurse expect?

Inability to manage finances

A nurse is speaking with the caregiver of a client who has dementia about including omega-3 fatty acids in the client's diet. Which of the following foods should the nurse recommend?

Leafy vegetables

A nurse is selecting a dietary plan for a client who has a family history of Alzheimer's disease. Which of the following plans should the nurse select to promote the client's cognitive function?

MIND diet

A nurse is caring for a client who is confused and unable to remember the time of year. The provider suspects the client has dementia. Which of the following diagnostic tests should the nurse anticipate the provider to prescribe to confirm the client's condition?

MRI scan

A nurse is caring for a client and the provider suspects the client has Alzheimer's disease. Which of the following diagnostic tests should the nurse anticipate the provider to prescribe to confirm the client's condition?

Positron emission tomography

A home health nurse is determining the needs of a client who lives at home and has dementia. Which of the following is the priority for the nurse to assess?

Supervision

A nurse is evaluating a client for schizophrenia and asks the client about their work, social, and home life. For which of the following reasons should the nurse ask about these topics?

To gather insight into the client's background in order to guide care

nurse is admitting a client to a home care program. Complete the following sentence by using the list of options. The nurse is prioritizing a plan of care for this client. The highest priority is the client's ________ followed by ______ .

Wandering-Administration of medication

A nurse is caring for a client who has schizophrenia. Which of the following should the nurse identify as a social determinant of health for the client?

access to healthy food

A nurse is caring for a client who is being evaluated for schizophrenia spectrum disorder. Which of the following is used to determine a diagnosis for schizophrenia?

clinical observation

A nurse is caring for a client who has been diagnosed with schizophrenia. Which of the following findings indicates that they client is in the residual phase of the disorder?

decline in symptoms of psychosis

A nurse is caring for a client who has schizophrenia. Which of the following describes the physiological changes caused by exposure to risk factors for this disorder?

decreased grey matter volume in the brain

A nurse is caring for a client who has a major depressive disorder. Which of the following findings should indicate to the nurse the client is experiencing psychosis?

delusions

A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should indicate to the nurse the client is in the mild stage of the disease?

difficulty sleeping

A nurse is working in a community health center is providing an in-service to a group of residents about schizophrenia. Which of the following should the nurse include as an environmental risk factor for this condition?

experiencing poverty

A nurse is caring for a client who has been diagnosed with schizophrenia. Which of the following should the nurse identify as a positive symptom?

hallucination

A nurse is speaking with a client about the potential impact of living with a serious mental illness. Which of the following pieces of information should the nurse share?

having a job is positively associated with recovery from serious mental illness (SMI)

A nurse is providing education to a group of staff members about risk factors for schizophrenia. Which of the following risk factors should the nurse include?

having a twin sibling who has the disorder

A nurse is caring for a client who is experiencing psychosis. Which of the following manifestations should the nurse identify as a positive symptom of schizophrenia?

hearing voices

A nurse is caring for a client who has a SMI and has been recently released from prison. Which of the following factors related to being released from a prison increases the client's risk of relapsing?

inability to find housing

A nurse is caring for a client in a Veterans' Administration facility. The nurse should first address the client's XXX due to XXX

living situation; physiological needs

A nurse is caring for a client with schizophrenia. Select the 3 findings that require immediate follow up by the nurse

temperature, stupor-like state, and muscle rigidity

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a cognitive symptom?

unable to concentrate

A nurse is caring for a client who is at risk for developing schizophrenia. Which of the following findings should the nurse identify as an environmental risk factor?

using cannabis