A nurse is caring for a client who has schizophrenia.

Nurses' Notes: Day 1 1030: A 35-year-old client who has schizophrenia is admitted.

Diagnosed 15 years ago.

Brought in by partner and states client has remained in room for the last several days and movements are delayed.

Day 1 1730: Client refuses to eat or drink.

Client appears withdrawn and does not engage in conversation.

Client has flat affect.

Does not want to go to therapy session and wants to sleep.

Client's movements are slow.

Vital Signs: Day 1 1030: Temperature 37° C (98.6° F). Heart rate 72/min.

Respiratory rate 20/min.

Blood pressure 132/38 mm Hg. Oxygen saturation: 99% on room air.

Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia:.

A nurse is discussing schizophrenia spectrum disorders with a client.

The client states, "My friend says that before I started hearing voices, I stopped hanging out with them.

Why is that?" Which of the following responses should the nurse make?

A nurse on an inpatient mental health unit is caring for a client who was admitted for suicidal ideation.

Which of the following statements by the client should the nurse identify as a continuation of suicidal ideation?

A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine.

For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued?

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 caring for a client who has bipolar disorder and a new prescription for valproate.

Which of the following instructions should the nurse give the client about the use of this medication?

A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns.

Which of the following is the priority nursing intervention for this client?

A nurse in a mental health facility is caring for a client.

Medical History: Antisocial personality disorder.

Substance use disorder.

Nurses' Notes:. 1400: Client admitted to facility by court order for evaluation following arrest for disorderly conduct and resisting arrest.

Client states, "That judge is so stupid.

I don't belong here!" Client has rigid posture, is pacing around the room attempting to intimidate staff and other clients on the unit.

Extra staff members gather.

1500: Client escorted to room.

Client becomes flirtatious with assistant personnel (AP). Client introduced to roommate, whom they ignore.

Continues to flirt with AP. 1800: Client refuses to go to dining room for dinner.

States, "I'm not sitting down with a bunch of nuts.

Bring my food to me!". For each potential nursing action, click to specify if the potential action is anticipated or contraindicated for the client.

A nurse is caring for a client who was recently diagnosed with somatic symptom disorder.

The client says to the nurse, "I don't understand, they can't find anything medically wrong with me. I guess I will never feel better.”. Which of the following responses is the most therapeutic?

A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations.

Which of the following responses should the nurse make first?

A nurse is reviewing the medical record of a client who performs self-injury.

Which of the following information should the nurse identify as placing the client at risk for self-harm behaviors?