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CHAPTER 15 ■ Schizophrenia Spectrum and Other Psychotic Disorders
4. A client on the psychiatric unit tells the nurse that the CIA is looking for him and will kill him if they find him. The client’s false belief is an example of a delusion of: a. Persecution b. Reference c. Control or influence d. Grandeur 5. The primary focus of family therapy for clients with schizophrenia and their families is: a. To discuss problem-solving and adaptive behaviors for coping with stress b. To introduce the family to others with the same problem
c. To keep the client and family in touch with the health-care system d. To promote family interaction and increase understanding of the illness
6. A client recently admitted to the hospital reports to the nurse, “I don’t understand why I was brought here. I was simply hanging out in my apartment and the police said I had to come with them.” This is an example of what symptom of schizophrenia? a. Delusions of reference b. Loose association c. Anosognosia d. Auditory hallucinations
Clinical Judgment Questions
7. Which of the following assessments by the nurse would convey a need for prn benztropine? a. Increased level of agitation b. Complaints of a sore throat c. A yellowish cast to the skin d. Muscle spasms 8. A client on the psychiatric unit has been diagnosed with schizophrenia. The client tells the nurse that the CIA is looking for them and will kill them if they find them. The most appropriate response by the nurse is:
a. “That’s ridiculous. No one is going to hurt you.” b. “The CIA isn’t interested in people like you.” c. “Why do you think the CIA wants to kill you?” d. “I know you believe that, but it’s really hard for me to believe.”
9. The nurse is interviewing a client on the psychiatric unit. The client tilts their head to the side, stops talking in midsentence, and listens intently. Which is the most appropriate follow-up assessment based on this information? a. Ask the client if they are experiencing loose associations. b. Ask the client if they need more medication. c. Ask the client if they are hearing something or someone other than the nurse’s voice. d. Ask the client if their neck is stiff. 10. A client reports to the nurse that their foot is on fire, and they think the demons are trying to burn off their flesh. The priority nursing intervention for this symptom is to: a. Administer prn haloperidol as ordered b. Evaluate the client’s foot to rule out physical causes for their complaint c. Administer prn benztropine as ordered d. Ask the client if they would like to speak with a chaplain
Continued
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