A nurse is assisting with a presentation about types of aggression to a group of residents at a community outreach center. One of the attendees states, "I keep seeing the same person outside my apartment and they are leaving me items at my door." Which of the following types of aggression should the nurse identify the client is experiencing?

Bullying

Stalking

Assault

Abandonment

Answer and Explanation

The Correct Answer is B

A. Bullying. Bullying typically involves repeated aggressive behavior that is intended to intimidate or harm another individual, often occurring in a more social or organizational context, such as schools or workplaces. The described behavior does not align with this definition.
B. Stalking. Stalking involves unwanted and repeated surveillance or contact with an individual, which can include leaving items at their residence. The attendee's experience of seeing the same person outside their apartment and receiving items at their door indicates a pattern of behavior consistent with stalking.
C. Assault. Assault refers to the threat or act of causing physical harm to another person. In this scenario, there is no indication of a direct threat or physical attack, so this option is not applicable.
D. Abandonment. Abandonment typically refers to a caregiver or responsible party leaving a person without necessary care or support. This concept does not fit the situation described, as it does not involve the dynamics of an aggressive or threatening relationship.

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Correct Answer is D

Explanation

A. Shuffling walk. A shuffling walk is typically associated with parkinsonism or other movement disorders, which may occur with antipsychotic medications, but the specific symptom of restlessness more directly relates to other conditions.
B. Suicidal ideation. While monitoring for suicidal ideation is important in any client with psychosis, it is not specifically associated with the restlessness that the client reports in relation to chlorpromazine use.
C. Abnormal movements of the tongue and face. Abnormal movements of the tongue and face are more characteristic of tardive dyskinesia, which develops over a longer period of treatment. The acute restlessness the client is experiencing is more closely aligned with akathisia, a side effect of antipsychotic medications.
D. Oculogyric crisis. This condition involves involuntary upward eye movement and can occur as an acute dystonic reaction to antipsychotic medications like chlorpromazine. Given the client's report of restlessness, the nurse should monitor for this adverse effect, as it is more likely to manifest in the context of acute medication side effects.

A. Incoherent speech B. Severe delusions C. Withdrawn behavior D. Frequent hallucinations

Correct Answer is C

Explanation

A. Incoherent speech. Incoherent speech is more characteristic of acute episodes of schizophrenia rather than the prodromal phase. During the prodromal phase, symptoms are typically less severe and may not include full-blown disorganized thinking.
B. Severe delusions. Severe delusions are indicative of an active psychotic phase of schizophrenia. The prodromal phase generally involves milder symptoms that precede the onset of more severe psychotic episodes.
C. Withdrawn behavior. The prodromal phase of schizophrenia is often marked by subtle changes in behavior, including social withdrawal, decline in self-care, and changes in functioning. Withdrawn behavior is a common manifestation during this phase, signaling the beginning of deterioration before the onset of more intense symptoms.
D. Frequent hallucinations. Hallucinations are more commonly seen during the active phase of schizophrenia rather than the prodromal phase. In this early stage, clients may experience less intense symptoms and may not exhibit frequent or vivid hallucinations.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

Correct Answer is D

Explanation

A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?

Correct Answer is C

Explanation

A nurse is caring for a client who has bulimia nervosa has a new prescription for a selective serotonin reuptake inhibitor (SSRI). Which of the following medications should the nurse anticipate administering?

A nurse is caring for a client who has schizophrenia. In which of the following phases of the nurse-client relationship should the nurse suggest a guided therapy session?

A nurse is caring for a client in an outpatient clinic. Exhibits Select the 3 interventions the nurse should plan to take.

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

A nurse on an inpatient unit is caring for a client who has somatic symptom disorder. The client comes to the nurse's station and reports chest pain. The nurse knows this is a new symptom for the client. Which of the following actions should the nurse take?

A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?

A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?