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. Assist the client with bathing and toileting. This intervention addresses the client's immediate and essential needs. Ensuring basic hygiene and toileting are crucial for maintaining the client's health, dignity, and comfort. Assisting with activities of daily living (ADLs) is a priority for clients who are unable to perform these tasks independently.
b. Design a bulletin board to represent the current season. While this can help with orientation and provide a sense of time and place, it is not as critical as addressing the client's basic physical needs.
c. Present evidence of objective reality to improve cognition. Reality orientation can be beneficial, but it is not a priority intervention compared to meeting the client's immediate physical needs.
d. Label the door to the client's room with name and number. This helps with orientation and independence but is less critical than ensuring the client’s hygiene and toileting needs are met.

A. refuses to eat lunch. B. requests prn medications. C. is pacing around the milieu. D. sits in a group with their peers.

Correct Answer is C

Explanation

a. refuses to eat lunch. Refusal to eat lunch might indicate displeasure or upset but does not directly suggest escalating aggression.
b. requests prn medications. Requesting prn (as needed) medications typically indicates the client is aware of their distress and is seeking help, not escalating aggression.
c. is pacing around the milieu. Pacing can be a sign of increasing agitation and is often observed in clients who are escalating towards aggressive behavior. This physical activity can indicate restlessness and an inability to calm down.
d. sits in a group with their peers. Sitting in a group with peers suggests a level of social engagement and does not indicate escalating aggression.

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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

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Naxlex Comprehensive Predictor Exams

A client diagnosed with Alzheimer's Disorder has impairments of memory and judgement and is incapable of performing activities of daily living. Which nursing intervention should take priority?

Correct Answer is A

Explanation

The nurse is assessing an inpatient client with a known history of violence. The client suddenly displays clenched fists. What additional behavior by the client would suggest that the aggression is escalating? The client:

Correct Answer is C

Explanation

Which major health complication is associated with a client diagnosed with anorexia nervosa, does the nurse assess as a priority?

Which of the following will the nurse use when communicating with a client who has a cognitive disorder?

The nurse is caring for a client in the immediate postoperative period after an open cholecystectomy. Which task could be delegated to the unlicensed nursing assistant?

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

Which nursing behavior will enhance the establishment of a trusting relationship with a client diagnosed with schizophrenia disorder?

A new nurse orientee asks why a client admitted to the psychiatric unit is placed in seclusion. The nurse precepting the new nurse explains that which of the following is a benefit of seclusion?

A 16-year-old client diagnosed with schizophrenia disorder experiences command hallucinations to harm others. The client's parents ask a nurse, "Where do the voices come from?" Which is the appropriate nursing response?

The nurse understands that which medication has been used with some success in clients diagnosed with anorexia nervosa along with depression?