A client diagnosed with schizophrenia is experiencing delusions of persecution. How would the client express feeling persecuted?

The client believes the message from the television is that he is "a burden to everyone."

The client believes the President of The United States is his brother.

The client believes the voice he hears is telling him to hurt someone.

The client believes the Central Intelligence Agency (CIA) is hunting for him to destroy him.

Answer and Explanation

The Correct Answer is D

A.   This option describes a feeling of burden, but it doesn't specifically address persecution.
B.   This option describes a delusion involving a familial relationship with a public figure, but it doesn't specifically address persecution.
C.   This option describes a command hallucination, which can be related to violence, but it doesn't directly address feeling persecuted.
D.   This option directly addresses the feeling of persecution by believing a powerful agency is actively seeking to harm the client.

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Correct Answer is A

Explanation

A) Correct. Encouraging participation in physical activities can help channel excess energy and agitation associated with manic episodes.

B) Incorrect. Group card games may not provide an outlet for the high energy level typically seen in a manic episode.

C) Incorrect. While Bingo is a social activity, it may not be sufficient to address the high energy and potential restlessness seen in a manic episode.

D) Incorrect. Creating a new interactive game may not be feasible or appropriate in the acute setting, and it may not effectively address the client's current needs.

A. Orienting the client to the unit B. Reinforcing reality with the client C. Establishing a nonthreatening relationship D. Assessing the client for physical problems

Correct Answer is D

Explanation

A. Orienting the client to the unit While orientation is important, the client's prolonged
immobility and stupor necessitate a physical assessment first to ensure there are no underlying medical issues contributing to this state.

B. Reinforcing reality with the client The client's catatonic state may make it difficult to effectively communicate or engage in reality orientation at this point. Addressing potential physical issues is the initial priority.

C. Establishing a nonthreatening relationship Building a therapeutic relationship is crucial, but given the client's current state, assessing for physical problems takes precedence.

D. Assessing the client for physical problems The client's prolonged catatonic state requires an
immediate physical assessment to rule out any underlying medical conditions contributing to his condition.

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A client diagnosed with schizophrenia is experiencing delusions of persecution. How would the client express feeling persecuted?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is experiencing a manic episode. Which of the following activities will be included in the plan of care?

Correct Answer is A

Explanation

A 28-year old male admitted with catatonic schizophrenia has been mute and motionless for several days while at home prior to admission. He still appears stuporous in the hospital. Which nursing intervention would be an initial priority?

Correct Answer is D

Explanation

A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how this therapy would help alleviate depressive thoughts. What is the best response by the nurse?

A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. What information should be included in the teaching? (Select all that apply.)

The nurse is admitting a client with a dual diagnosis of major depressive disorder and alcohol abuse. What is the primary intervention?

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