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 C

Explanation

a. "I am less likely to get an infection while taking this medication." This statement is incorrect. Chlorpromazine can actually increase the risk of infection due to potential side effects like agranulocytosis (a drop in white blood cell count).
b. "Weight loss is a sign that my medication dose is too low." This statement is incorrect. Chlorpromazine typically causes weight gain rather than weight loss.
c. "I will contact my healthcare provider if I have difficulty urinating." This statement indicates an understanding of one of the potential side effects of chlorpromazine, which can cause urinary retention due to its anticholinergic properties.
d. "I will stop taking this medication once my hallucinations go away." This statement is incorrect. Discontinuing antipsychotic medication without a healthcare provider's guidance can lead to a relapse of symptoms.

A. "We can keep the scatter (throw) rug in the bathroom for safety." B. "One family member should provide all care for the client when at home." C. "We should leave food by the bedside in case the client gets hungry." D. "We can use respite care for short term relief for caregiving."

Correct Answer is D

Explanation

a. "We can keep the scatter (throw) rug in the bathroom for safety." This is incorrect because scatter rugs are a fall hazard and should be removed.
b. "One family member should provide all care for the client when at home." This is incorrect because caregiving should ideally be a shared responsibility to prevent caregiver burnout.
c. "We should leave food by the bedside in case the client gets hungry." This is incorrect because it can pose choking hazards and does not address proper supervision for eating.
d. "We can use respite care for short term relief for caregiving." This is correct as it shows understanding of the importance of respite care to prevent caregiver burnout and ensure sustained quality care for the client.

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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

A client with schizophrenia is receiving teaching from the nurse about their prescribed medication, Chlorpromazine. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

The nurse is giving discharge instructions to the family of a client diagnosed with a neurocognitive disorder. The nurse includes the client's family. Which statement by the family would indicate that teaching has been effective? The family states:

Correct Answer is D

Explanation

A nurse is caring for a client who is diagnosed with a conversion disorder. What actions should the nurse include in the plan of care?

A nurse working in a mental health unit reviews therapeutic and non-therapeutic communication techniques with a student nurse. All of the following are therapeutic communication techniques except:

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 client is diagnosed with Alzheimer's disease. When asked about the previous evening, the client describes a wonderful evening spent on a cruise. Which symptom is the client exhibiting?

The nurse is caring for a client who has anger management issues and starts to explore a career as a professional wrestler. This is an example of which defense mechanism?

A nurse is providing discharge teaching to a client prescribed diazepam. Which client statement would indicate that the client teaching was effective? "

The nurse is working with a client diagnosed with Somatic Symptom Disorder. What predominant symptoms should the nurse expect to assess?

A client is diagnosed with Trichotillomania. The client has relieved the anxiety over the years by doing what type of behavior?