A nurse is assessing a client who has schizophrenia. Which of the following behaviors should the nurse anticipate?

Preoccupied with folding clothes.

Periods of elation with unusual talkativeness.

Recurrent thoughts of past trauma.

Invents words that have no meaning.

Answer and Explanation

The Correct Answer is D

Choice A reason: Being preoccupied with repetitive activities such as folding clothes can sometimes occur in individuals with obsessive-compulsive disorder or autism spectrum disorders, but it is not a defining feature of schizophrenia.

Choice B reason: Elation and unusual talkativeness are hallmark features of mania in bipolar disorder, not schizophrenia.

Choice C reason: Recurrent thoughts of past trauma are more characteristic of post-traumatic stress disorder (PTSD), not schizophrenia.

Choice D reason: Creating words that have no meaning, also called neologisms, is a common positive symptom of schizophrenia and reflects disorganized thought processes.

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Correct Answer is ["B","C"]

Explanation

Choice A reason:A stimulating environment can exacerbate symptoms during the manic phase of bipolar disorder, as it may increase agitation, impulsivity, or overstimulation. Instead, a calm, structured environment is recommended to help stabilize the client’s mood and behavior.

Choice B reason:Consistent unit routines provide predictability and structure, which are essential for clients in the manic phase. This helps reduce chaos, supports medication adherence, and promotes a sense of safety, aiding in mood stabilization.

Choice C reason:Discouraging daytime napping is appropriate because excessive sleep during the day can disrupt the client’s sleep-wake cycle, potentially worsening manic symptoms. Encouraging a regular sleep schedule supports overall stability in bipolar disorder management.

Choice D reason:Scheduling daily seclusion times is not a standard intervention for mania unless the client poses an immediate safety risk. Seclusion is typically a last resort and not a routine part of care, as it can increase agitation or feelings of isolation.

A. Identifying individuals who are at higher risk for attempting suicide. B. Performing life-saving measures following a suicide attempt. C. Providing support for family and friends following a suicide. D. Recognizing the warning signs of suicide.

Correct Answer is A

Explanation

Choice A reason:Secondary interventions focus on early detection and intervention for individuals at risk to prevent progression of a problem. Identifying those at higher risk for suicide allows for targeted interventions, such as counseling or monitoring, to prevent attempts, making this a secondary intervention.

Choice B reason:Performing life-saving measures is a tertiary intervention, aimed at reducing harm after a suicide attempt has occurred. It focuses on recovery rather than prevention, so it is not a secondary intervention.

Choice C reason:Supporting family and friends after a suicide is a tertiary intervention, addressing the aftermath of the event to aid recovery and coping. It does not prevent the initial act, so it is not a secondary intervention.

Choice D reason:Recognizing warning signs is a primary intervention, aimed at prevention through awareness and education before risk escalates. It precedes identifying specific at-risk individuals, so it is not a secondary intervention.

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A nurse is assessing a client who has schizophrenia. Which of the following behaviors should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client’s plan of care?

Correct Answer is ["B","C"]

Explanation

A charge nurse is discussing suicide interventions with nursing staff. Which of the following should the nurse identify as an example of secondary intervention?

Correct Answer is A

Explanation

A 25-year-old male with schizophrenia is brought to the emergency department by his family. He is exhibiting severe agitation, auditory hallucinations, and paranoid delusions. What are the nursing priorities for managing this patient in an acute situation? (Select All that Apply.)

A nurse in an emergency department is caring for a client who is experiencing acute alcohol withdrawal. Which of the following actions should the nurse take first?

A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

Luis, a nursing student, is explaining to his patient the mechanism of action of selective serotonin reuptake inhibitors (SSRIs). What should he include?

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

A nurse is providing discharge teaching to a client with a new prescription for phenelzine (MAOI). The nurse should instruct the client to avoid which of the following foods when taking this medication?

A nurse is reading the medical record for a client who has schizophrenia, which indicates that the client exhibits depersonalization. Which of the following statements by the client confirms that she is experiencing depersonalization?