A newly admitted client diagnosed with paranoid schizophrenia is super vigilant and constantly scans the environment. The client states, "I saw doctors talking in the hall. They were plotting to kill me." Which of the following does the nurse correctly identify as this behavior?

An idea of reference

A delusion of infidelity

An auditory hallucination

Echolalia

Answer and Explanation

The Correct Answer is A

A) Correct. An idea of reference is a false belief that ordinary events, objects, or behaviors of others have a particular and unusual meaning directly pertaining to oneself. In this case, the client believes that the doctors' conversation in the hall is about them.

B)   Incorrect. A delusion of infidelity involves a false belief that one's partner is being unfaithful.
C)   Incorrect. Auditory hallucinations involve hearing things that are not present.
D)   Incorrect. Echolalia is the repetition of another person's words.

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Correct Answer is B

Explanation

A. These symptoms are not characteristic of alcohol withdrawal delirium.
B. Alcohol withdrawal delirium is characterized by symptoms such as hypertension, disorientation, and hallucinations.
C. Hypotension and bradycardia are not typically associated with alcohol withdrawal delirium. They may be seen in other types of alcohol withdrawal.
D. These symptoms are not specific to alcohol withdrawal delirium. They may be present in other forms of alcohol withdrawal.

A. The client has increasing aggression. B. The client has elevated blood pressure. C. The client has complaints of dizziness. D. The client has extrapyramidal symptoms (EPS).

Correct Answer is D

Explanation

A. Increasing aggression may be an indication for a PRN medication, but benztropine specifically targets extrapyramidal symptoms (EPS).
B. Elevated blood pressure is not a direct indication for benztropine; it is used to address EPS.

C. Complaints of dizziness may not be directly related to EPS, which is the target of benztropine.
D. Benztropine is an anticholinergic medication used to manage extrapyramidal symptoms (EPS) associated with antipsychotic medications like haloperidol.

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A newly admitted client diagnosed with paranoid schizophrenia is super vigilant and constantly scans the environment. The client states, "I saw doctors talking in the hall. They were plotting to kill me." Which of the following does the nurse correctly identify as this behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal delirium. The nurse would monitor for which symptoms?

Correct Answer is B

Explanation

Benztropine is ordered as needed (PRN) for a client taking haloperidol after being diagnosed with schizoaffective disorder. Which of the following assessments by the nurse would indicate a need for this medication?

Correct Answer is D

Explanation

The nurse receives report on a male client diagnosed with schizoaffective disorder and is informed that the client's verbal communication includes "circumstantiality." What intervention is most therapeutic when caring for this client?

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