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N474 EXAM 2 QUESTIONS AND ANSWERS
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N474 EXAM 2 QUESTIONS AND ANSWERS...
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The nurse should recognize which of the following is a negativesymptom of schizophrenia.
A: Flattened affect
B: Disordered thought
C: Delusions
D: Hallucinations - ANSWER A
A client in an inpatient mental health unit loudly proclaims, "I am Jesus
Christ, the Lord and Savior." He walks around the unit mumbling to
himself, stopping occasionally to bestow his blessing on other clients
and staff members. Which of these approaches should be included in
the client's plan of care?
A: Using logical explanations to convince the client that his beliefs are
false.
B: Redirecting the client's focus to reality-based activities.
C: Encouraging the client to talk about his belief that he is Jesus Christ.
D: Assigning the client homework of interpreting Bible passages
concerning Jesus Christ. - ANSWER D
The nurse observes a newly admitted female, who has the tentative
diagnosis of schizophreniform disorder, standing alone in her room. The
client appears distressed and seems to be carrying on a conversation
with someone. The client says to the nurse, "The bad voices!" It is most
important for the nurse to obtain the answer to which of these
questions?
A: How long has the client heard the voices?
B: Can the client identify who the voices are?
C: Does the client hear the voices all the time or intermittently?
D: What messages are the voices giving to the client? - ANSWER
A homeless, male outpatient who has a long history of schizophrenia is
hospitalized intermittently with severe psychotic symptoms that occur
, when he "forgets" to take his antipsychotic medication. Which of these
approaches should be considered to help the client maintain an effective
medication regimen?
A: Warning the client that he will lose access to care if he does not take
his medication.
B: Recommending long-term institutionalization for the client.
C: Using a depot-injectable form of medication.
D: Telephoning the client to remind him to take his medication. -
ANSWER
A computer programmer who has schizophrenia says to the nurse,
"Hyperlink auto bat dot com." Which of these responses by the nurse
would be most appropriate?
A: "Auto bat dot com?" x
B: " I don't understand what that means."
C: "You aren't making any sense."
D: "Talking like that is your way of trying to make me angry." -
ANSWER
A patient diagnosed with schizophrenia might experience symptoms of
A: Visual hallucinations and fluctuating levels of consciousness
B: Aphonia and anomia
C: Catatonia and waxy flexibility
D: Paraphilias and paraphilic arousals - ANSWER
An example of positive symptoms of schizophrenia would be:
A: Eccentric dress and excessive makeup
B: Bizarre and hypomanic behavior
C: Cataplexy and catalepsy
D: Disorganized speech and behavior - ANSWER
An example of a potentially nonreversible drug side effect is
A: Hallucinations
B: Tardive dyskinesia
C: Hyperprolactinemia
D: Agranulocytosis - ANSWER
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