NURSING 301 Quiz 2 Complete Solution- NURS 301 Questions and Answers Study Guide.
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Course
NURSING 301
Institution
NURSING 301
1. A nurse is assessing a client with chronic schizophrenia. Which effects will the client most likely exhibit? Select all that apply.
Correct1
Apathy
2
Sadness
Correct3
Flatness
4
Hostility
5
Happiness
6
Depression
Apathy (indifference) is common among people with chroni...
1. A nurse is assessing a client with chronic schizophrenia. Which effects will the
client most likely exhibit? Select all that apply.
Correct1
Apathy
2
Sadness
Correct3
Flatness
4
Hostility
5
Happiness
6
Depression
Apathy (indifference) is common among people with chronic schizophrenia
because negative symptoms are more apparent. Flatness, with few extremes of emotion,
is common among people with chronic schizophrenia because negative symptoms are more
apparent. Extremes in emotions are not associated with chronic schizophrenia. Sadness is
related more to mood disorders, such as a depressive episode of bipolar disorder or major
depression. Hostility may be seen in some forms of schizophrenia, such as paranoid
schizophrenia, but it is rarely seen in the chronic stages. Happiness and elation are
associated with manic episodes of bipolar disorder, not chronic schizophrenia. Depression is
related to mood disorders, such as a depressive episode of bipolar disorder or major
depression.
Test-Taking Tip: Read carefully and answer the question asked; pay attention to specific
details in the question.
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2.
2. Which client characteristic is an initial concern for the nurse when caring for a
client with the diagnosis of paranoid schizophrenia?
1
,Continual pacing
Correct2
Suspicious feelings
3
Inability to socialize with others
4
Disturbed relationship with the family
The nurse must consider the client's suspicious feelings and establish basic trust to promote
a therapeutic milieu. Continual pacing is not a problem because the nurse can walk back
and forth with the client. Inability to socialize with others and disturbed relationship with the
family may be of long-range importance but have little influence on the nurse-client
relationship at this time.
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3.
3. A client has a diagnosis of schizoid personality disorder. During the assessment
the nurse should expect the client's behavior to be:
1
Rigid and controlling
2
Dependent and submissive
Correct3
Detached and socially distant
4
Superstitious and socially anxious
Clients with the diagnosis of schizoid personality disorder neither desire nor enjoy close
relationships, prefer solitary activities, and demonstrate emotional coldness, detachment,
and a flattened affect. Rigid and controlling behavior is typical of clients with the diagnosis
of obsessive-compulsive personality disorder. Dependent and submissive behavior is typical
of clients with the diagnosis of dependent personality disorder. Superstitious and socially
anxious behavior is typical of clients with the diagnosis of schizotypal personality disorder.
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,4.
4. A health care provider prescribes aripiprazole (Abilify) 15 mg by mouth once
a day for a client with the diagnosis of schizophrenia. The hospital pharmacy sends
aripiprazole 5 mg/tablet. How many tablets should the nurse administer? Record
your answer using a whole number. ___3_ tablets
Solve the problem using ratio and proportion.
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5.
5. 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?
Correct1
Fear of the other clients
2
Concern about family at home
3
Watching for an opportunity to escape
4
Trying to work out emotional problems
Because the client has paranoid feelings that other people are out to do harm, assignment
to a four-bed room may be threatening. Concern about family at home seems unlikely
because the disruption appears to have started with the transfer to a four-bed room.
Watching for an opportunity to escape is possible but unlikely; planning an escape is usually
not part of a schizophrenic pattern of behavior. Trying to work out emotional problems is
possible but not likely; clients with schizophrenia have difficulty solving problems.
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6.
6. When speaking with a client who has schizophrenia, the nurse notes that the
client keeps interjecting sentences that have nothing to do with the main thoughts
being expressed. The client asks whether the nurse understands. How should the
nurse reply?
1
"You aren't making any sense; let's talk about something else."
2
"Why don't you take a rest? We can talk again later this afternoon."
3
"I'd like to understand what you're saying, but you're too confused now."
Correct4
"I'd like to understand what you're saying, but I'm having trouble following you."
"I'd like to understand what you're saying, but I'm having trouble following you" lets the
client know that the nurse is trying to understand; it increases the client's feeling of self-
esteem and points out reality. Clients with schizophrenia have problems with associative
links, and these same problems will occur regardless of the topic. The statement "Why don't
you take a rest? We can talk again later this afternoon" cuts off communication and tells the
client that the nurse will speak only if the client's communication makes sense to the
listener. "I'd like to understand what you're saying, but you're too confused now" cuts off
communication and tells the client that the nurse will speak only if the client's
communication makes sense to the listener.
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7.
7. A client with the diagnosis of schizophrenia is given one of the antipsychotic
drugs. The nurse understands that antipsychotic drugs can cause extrapyramidal
side effects. Which effect is cause for the greatest concern?
1
Akathisia
Correct2
Tardive dyskinesia
3
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