A nurse is caring for a schizophrenic client who is exhibiting delusional thinking, visual hallucinations, suicidal ideations, and periods of depression. The nurse would recognize that the client is displaying which category of schizophrenia?

Psychotic disorder

Schizoaffective disorder

Paranoid disorder

Schizophreniform disorder

Answer and Explanation

The Correct Answer is B

a. Psychotic disorder: Schizophrenia is a well-defined psychotic disorder characterized by delusions, hallucinations, and disorganized thinking, but it doesn't specifically address the mood component present in this case.
b. Schizoaffective disorder: Schizoaffective disorder is characterized by symptoms of both schizophrenia (such as delusions and hallucinations) and mood disorders (such as depression or mania). The presence of delusional thinking and visual hallucinations, combined with periods of depression and suicidal ideations, fits the profile of schizoaffective disorder.
c. Paranoid disorder: Paranoid disorder is characterized by a pervasive pattern of suspicion and distrust, but it doesn't necessarily involve hallucinations or disorganized thinking like schizophrenia.
d. Schizophreniform disorder: Schizophreniform disorder is similar to schizophrenia but with a shorter duration of symptoms (less than 6 months). The prompt doesn't specify the duration, making schizophrenia a more likely diagnosis.

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Correct Answer is B

Explanation

a. While buspirone can be used for long-term management, clonazepam is typically used for short periods.
b. This statement demonstrates the client understands clonazepam's short-term use for acute anxiety and buspirone's long-term role in managing GAD.
c. Buspirone doesn't typically cause drowsiness, unlike some other anxiety medications.
d. While tolerance can occur with some medications, buspirone is less likely to cause this compared to clonazepam.

A. leave the client alone to work out the problem, then tell the physician about the incident. B. tell the client to return to room and write their thoughts in a journal. C. give the prescribed flumazenil 5 mg IM D. remain with the client and ensure safety.

Correct Answer is D

Explanation

a. Leave the client alone: Leaving the client alone during a flashback could be dangerous.
b. Journaling: While journaling can be helpful for managing PTSD, it's not appropriate during a crisis situation.
c. Flumazenil: Flumazenil is used to reverse benzodiazepine overdose, not for PTSD flashbacks.
d. remain with the client and ensure safety: A PTSD flashback can be overwhelming and lead to self-harm or aggression. The nurse's priority is to ensure the client's safety and the safety of others.

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A nurse is caring for a schizophrenic client who is exhibiting delusional thinking, visual hallucinations, suicidal ideations, and periods of depression. The nurse would recognize that the client is displaying which category of schizophrenia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with General Anxiety Disorder (GAD) is started on clonazepam and buspirone. Which statement made by the client indicates teaching has been effective? The client verbalizes that:

Correct Answer is B

Explanation

A client, who was diagnosed with Post Traumatic Stress Disorder (PTSD), is now experiencing flashbacks and is displaying irritable behavior. The nurse would:

Correct Answer is D

Explanation

The nurse's approach to a client with neurotic vs. psychotic behavior is different mainly because clients with neurotic behavior.

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