Schizophrenia and Personality Disorders - Evolve

When a nurse enters a room to administer an oral medication to an agitated and angry client with schizophrenia, paranoid type, the client shouts, "Get out of here!" What is the most therapeutic response.

"I'll be back in a few minutes so we can talk."

The nurse cares for a client who has schizophrenia and is taking chlorpromazine. The nurse instructs the family members to inform the nurse if any adverse effects develop. Which side effects are considered late extrapyramidal side effects?

Worm-like tongue movements.

A young client is admitted to the hospital with a diagnosis of acute schizophrenia. The family reports that one day the client looked at a linen sheet on a clothesline and thought it was a ghost. What is the mostappropriate conclusion to make about what the client was experiencing?

Illusions.

A client with the diagnosis of schizophrenia, paranoid type, is admitted to the hospital. The client says to the nurse, "I know they're spying on me in here, too. I'm not safe anywhere!" What is the most therapeutic response by the nurse?

You don't feel safe anywhere, not even the hospital?

A client with schizophrenia who is being admitted to a psychiatric hospital for evaluation refuses to remove dirty clothing. What should the nurse do to best meet the client's needs?

Allow the client to undress when ready to help maintain identity.

A 22-year-old client with the diagnosis of schizophrenia has been in a mental health facility for approximately 2 weeks. After the parents visit the client is seen pacing in the hall, talking loudly alone. What should the nurse's initial intervention be?

Asking the client about the events of the day.

A client is admitted to a psychiatric unit with the diagnosis of schizophrenia, undifferentiated type. When assessing the client, the nurse identifies the presence of several characteristics related to this disorder. What may this include? Select all that apply

Bizarre behavior Disorganized speech Auditory Hallucinations

A healthcare provider prescribes clozapine to a client with schizophrenia. Which parameters should be assessed before initiating the drug? Select all that apply.

Body Mass Index White Blood Cell count Absolute Neutrophil count

What should a nurse do when a client with the diagnosis of schizophrenia talks about being controlled by others?

Determined the content of the delusions of control.

What should a nurse do first when managing interpersonal relationships with a client who has schizophrenia?

Establish a one-on-one relationship and then bring the client into group activities.

The night nurse reports that a young client with paranoid schizophrenia has been awake for several nights. The day nurse reviews the client's record and finds that this client did not have an interrupted sleep pattern disorder before transfer from a private room to a four-bed room 3 days ago. What factor should the nurse identify as most likely related to the client's sleeplessness?

Fear of the other clients.

After treatment, an adolescent with a history of schizophrenia improves and is to be discharged. The parents tell the nurse that they are concerned about how to respond "if our child starts to act crazy." What is the mosttherapeutic response by the nurse?

Having the parents discuss mutual concerns with their child before the discharge date.

The nurse finds a client with schizophrenia lying under a bench in the hall. The client says, "God told me to lie here." What is the best response by the nurse?

I didn't hear anyone talking; come with me to your room.

A nurse is assessing an adolescent client with the diagnosis of schizophrenia, undifferentiated type. Which signs and symptoms should the nurse expect the client to experience?

Loosened associations and hallucinations.

A client who has been hospitalized with schizophrenia tells the nurse, "My heart has stopped and my veins have turned to glass!" What should the nurse conclude that the client is experiencing?

Somatic delusions

A client with paranoid schizophrenia wraps the legs in toilet paper, believing that this will provide protection from deadly germs contaminating the floor. What is the best nursing intervention?

Talking with the client about anxiety that focuses on health.

A client with schizophrenia is going to occupational therapy for the first time. The client doesn't want to go and tells the nurse so. What is the most therapeutic initial response by the nurse?

Tell me what concerns you about going to occupational therapy.

A client with the diagnosis of borderline personality disorder has been exhibiting manipulative, inappropriate behavior and consistently attempting to take advantage of the other clients. What should the nurse consider first before confronting the client?

The depth of their working relationship.

During a nursing team conference, a mental health worker suggests that a client with schizophrenia, paranoid type, be assigned to group therapy. What should the nurse manager explain about this type of therapy for this client?

Therapeutic group work tends to be threatening to individuals who are suspicious.

A client with schizophrenia is observed sitting alone quietly talking. The client appears sad and is tearful. Place the following nursing assessment questions in the appropriate order to best ensure client safety.

What do you usually do to make the voices stop?

A nurse who has been working with a client with the diagnosis of borderline personality disorder is leaving for vacation in 2 weeks and tells the client. What client response indicates to the nurse that the client's ability to maintain a more mature relationship has progressed?

Wishes the nurse a safe trip and offers thanks for the help received.