A client with a diagnosis of schizophrenia says to the student nurse, "The mazurkas are coming. The mazurkas are coming." The client's use of the word "mazurka" is most likely a/an

example of loose associations.

manifestation of dyslexia.

neologism.

flight of ideas.

Answer and Explanation

The Correct Answer is C

a. Loose associations involve a disorganized and fragmented way of thinking where the person’s thoughts are only loosely connected.
b. Dyslexia is a learning disorder characterized by difficulty reading.
c. A neologism is a newly coined word or expression that is often used by individuals with schizophrenia. It is a made-up word that has meaning only to the person using it.
d. Flight of ideas is a rapid shift from one topic to another, typically seen in manic episodes of bipolar disorder.

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Correct Answer is A

Explanation

a. Establish rapport and develop treatment goals: During the orientation phase, the primary focus is on building trust and rapport with the client. Establishing rapport and developing treatment goals are essential to creating a therapeutic alliance and setting the stage for effective treatment.
b. Acknowledge the client's actions, and generate alternative behaviours: This action is more appropriate during the working phase, where the nurse and client work on behavior change and coping strategies.
c. Explore how thoughts and feelings about this client may adversely impact nursing care: This is part of the nurse's self-reflection and supervision but is not the priority during the orientation phase.
d. Attempt to find alternative placement: This may be considered if the current setting is unsuitable, but it is not the primary focus of the orientation phase.

A. "The voices must sound scary, but the devil is not talking to you. This is part of your illness." B. "The devil only talks to people who are receptive to his influence." C. "You are not going to hell. You are a good person." D. "Did you take your medicine this morning?"

Correct Answer is A

Explanation

a. "The voices must sound scary, but the devil is not talking to you. This is part of your illness." Validating the experience ("The voices must sound scary") shows empathy and avoids dismissing the client's reality. Explaining it as part of the illness ("This is part of your illness") provides a non-judgmental explanation.
b. "The devil only talks to people who are receptive to his influence." Denying the voices can be dismissive and make the client feel isolated.
c. "You are not going to hell. You are a good person." While offering reassurance might seem comforting, it doesn't address the specific hallucination.
d. "Did you take your medicine this morning?" Medication is important, but the immediate priority is to address the hallucination and provide support.

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A client with a diagnosis of schizophrenia says to the student nurse, "The mazurkas are coming. The mazurkas are coming." The client's use of the word "mazurka" is most likely a/an

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?

Correct Answer is A

Explanation

A client diagnosed with schizophrenia disorder states, "Can't you hear them? It's the devil. The devil is telling me I'm going to hell." Which is the most appropriate nursing response?

Correct Answer is A

Explanation

The nurse recognizes that a function of the Mental Status Exam is:

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