Schizophrenia ATI Practice Questions

A nurse in a mental health facility is admitting a client who has antisocial personality disorder. Which of the following behaviors should the nurse expect the client to exhibit? A. Lack of remorse B. Self-mutilation C. Delusional behavior D. Splitting

A

A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? A. Amantadine B. Bupropion C. Phenelzine D. Hydroxyzine

A

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

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

A

A nurse is assessing a client with 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

A nurse is caring for a client who has schizophrenia and a prescription for chlorpromazine. For which of the following adverse effects should the nurse monitor? A. Orthostatic hypotension B. Diarrhea C. Urinary frequency D. Bradycardia

A

A nurse is caring for a client who has schizophrenia and is hearing voices. Which of the following actions is the nurse's priority? A. Ask the client what the voices are saying B. Focus the client's attention on reality-based activities C. Make eye contact when speaking with the client D. Encourage the client to listen to music through headphones

A

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 demonstrating which of the following positive positive manifestations of schizophrenia? A. Clang association B. Echolalia C. Magical thinking D. Word salad

A

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

A

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 sleeps uninterrupted for 6hr each night C. The client reports that she is the "most important person on the unit." D. The client demonstrates stereotype behaviors.

A

A nurse is creating a plan of care for a group of clients. Which of the following interventions is the priority for the nurse to include? A. Offering high-calorie beverages to a client who is in the manic phase of bipolar disorder B. Practicing relaxation techniques with a client who has an anxiety disorder C. Assisting a client who has a depressive disorder with decision-making regarding group activities D. Providing teaching to a client who has schizophrenia about a new prescription for clozapine

A

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

A nurse is following up with a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? Select all that apply A. Disorganized speech B. Bizarre behavior C. Impaired social interactions D. Hallucinations E. Decreased motivation

A B D

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

A nurse is assessing a client who recently began taking haloperidol. Which of the following findings is the priority to report to the provider? A. Shuffling gait B. Neck spasms C. Drowsiness D. Sexual dysfunction

B

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, walks 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

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 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

A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Which of the following statements by the client should prompt the nurse to notify the provider immediately? A. "My last bowel movement was 2 days ago." B. "My tongue keeps moving like a worm." C. "I feel dizzy when I stand up too quickly." D. "I can't stop blinking when I'm in the sun."

B

A nurse is providing teaching for a client who is to begin taking risperidone. Which of the following instructions should the nurse include? A. "Add extra snacks to your diet to prevent weight loss." B. "Notify the provider if you have trouble sleeping." C. "You may begin to have mild seizures while taking this medication." D. "This medication is likely to increase your libido."

B

A nurse is teaching a client who has schizophrenia about strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? A. Take the medications in the morning to prevent insomnia B. Chew sugarless gum to moisten the mouth C. Use cooling measures to decrease fever D. Take an antacid to relieve nausea

B

A nurse working in a mental health facility is preparing to discharge a client who has schizophrenia and requires assistance with housing. Which of the following referrals should the nurse recommend to the provider? A. Occupational therapist B. Social worker C. Physical therapist D. Spiritual support

B

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

A nurse is assessing a client who has schizophrenia and takes haloperidol 3 times daily. The client has developed involuntary writhing movements 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

A nurse is assessing a newly admitted client who has schizophrenia. The client suddenly looks 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

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

A nurse is caring for a client who has schizophrenia. The nurse notices that the client is pacing up and down the hall 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

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 purposefully playing commercials for products I don't like."

C

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 not longer enjoy the activities I used to love."

C

A nurse is performing an admission assessment for 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 conversation." 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

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

A nurse is providing teaching to a client who has a new prescription for chlorpromazine. Which of the following statements should the nurse make? A. This medication is a tricyclic antidepressant and will improve you mood." B. "This medication is an opioid antagonist and blocks the pleasurable effects of alcohol." C. "This medication is an antipsychotic that controls manifestations of schizophrenia." D. "This medication is a cholinesterase inhibitor that slows the progression of dementia."

C

A 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

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

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

A nurse in an acute mental health facility is reviewing the medication records of a group of clients. The nurse should expect a prescription for memantine for a client who has which of the following diagnoses? A. Postpartum depression B. Schizophrenia C. Obesity D. Severe Alzheimer's disease

D

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

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

A nurse is assessing a client who has schizophrenia. The client states, "I need to get my gummamoshu from by 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

A nurse is assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify an increase in which of the following parameters as an early indication of an adverse effect of this medication? A. Urine specific gravity B. Urine output C. Blood pressure D. Temperature

D

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 agitated 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 pacing back and forth. Can you tell me what you are feeling?"

D

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

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

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

A nurse is caring for a client who has schizophrenia. The client tells the nurse that he's hearing voices in his head telling him to purchase a knife today. He states that he knows purchasing the knife will make him, "do something bad." Which of the following responses should the nurse make? A. "Why do you think the voices want you to buy a knife?" B. "Do you already own knives?" C. "When the voices speak, do you always do what they say?" D. "I don't hear any voices, just yours and mine. But, I understand that you are fearful."

D

A nurse is caring for a client who has schizophrenia. Which of the following statements indicates clang associations? 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

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

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

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

A nurse is monitoring a client who has schizophrenia and is receiving treatment with fluphenazine hydrochloride. Which of the following findings is an indication of neuroleptic malignant syndrome that nurse should report to the provider? A. Blurred vision B. Urinary retention C. Muscle flaccidity D. Elevated temperature

D

A nurse is observing a client with schizophrenia in the dayroom. Another client asks him if several items of clothing match. He replies, "A match. I like matches. They are the givers of light, the light of the world. Let your light shine on." The nurse should identify these statements as which of the following speech alterations? A. Clang association B. Echolalia C. Word salad D. Associative looseness

D

A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? A. "You should have a high-carbohydrate snack between meals and at bedtime B. "You are likely to develop hand tremors if you take this medication for a long period of time." C. "You may experience temporary numbness of your mouth after each dose." D. "You should have your white blood cell count monitored every week."

D

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

D

A nurse is reviewing the laboratory data for a client who is receiving clozapine for schizophrenia. The nurse should identify which of the following findings as a potential adverse effect of the medication? A. Fasting BG 95mg/dL B. Triglycerides 125mg/dL C. Total cholesterol 175mg/dL D. Absolute neutrophil count 1,200mm3

D