Hesi Fundamental
Which characteristic accurately describes delusion according to the psychodynamic theory
A defense against anxiety
Which time in the daily routine do clients tend to hallucinate more vividly
After going to bed
A client with schizophrenia is unable to feel happiness and joy which symptoms does this describe
Anhedonia
Which sign indicates elevated body temperature
Anorexia, glassy eyes and elevated respiratory rate
Which type of hallucination is most commonly experienced
Auditory
Which is the primary basis for the development of schizophrenia
Biological perspective
Which herb may improve memory and boost energy
Ginkgo
Which condition in the client may produce subnormal temperature
Hypothyroidism
Which information regarding intramuscular injection would the need to recall when caring for a client diagnosed with schizophrenia who is prescribed reserpine
Medication is injected in a slow continuous motion
A nursing instructor provides education for the students on thermoregulation in the nursery the students determine that in the healthy full term neonate heat production is accomplished by what
Metabolism of brown fat
Which client statement supports the diagnosis of somatic delusions
My heart stopped beating 3 days ago and now my lungs are rotting away
A client diagnosed with schizophrenia repeatedly says to the nurse no Miley handy which behavior is the client exhibiting
Neologism
Which action address the potential for fluid overload if a client with schizophrenia is receiving iv fluids after becoming dehydrated
Perform auscultation of lungs
A young adult client is admitted to the hospital with a diagnosis of schizophrenia paranoid type the client has been saying the voices in heaven are telling me to come home to god which client problems should be the initial focus care
Possibility of self harm
Which nursing intervention would benefit a client with hyperthermia
Removing any external covering
Which site of temperature measurement is least preferred if the client has diaphoresis
Temporal
Which drug is considered a neuroleptic
Thioridazine and chlorpromazine
Which type of delusional is characterized by the client belief that thoughts are being removed from his or her mind
Thought withdrawal
A nurse is caring for a client with an under active thyroid gland which response would the nurse expect the client to exhibit as a result of decreased levels of triiodothyronine and thyroxine
Weight gain and cold intolerance
Which second generation antidepressant can worsen uncontrolled angle closure glaucoma
duloxetine
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 most appropriate conclusion to make about what the client was experiencing?
illusion
