A nursing student is preparing to care for a client diagnosed with schizophrenia. When interacting with the client, the student notices that the client is highly suspicious and guarded, stating, "They're out to get me." The student identifies this as what?

Paranoia.

Stilted language.

Pressured speech.

Autistic thinking.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. The client's belief that "They're out to get me" is indicative of paranoia, a common symptom in schizophrenia.

Choice B reason: This choice is incorrect. Stilted language refers to an unnatural, formal way of speaking, not suspicion or guardedness.

Choice C reason: This choice is incorrect. Pressured speech is rapid and urgent speech, which is not described in the scenario.

Choice D reason: This choice is incorrect. Autistic thinking is associated with autism, not schizophrenia, and does not involve paranoia.

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Correct Answer is D

Explanation

Choice A reason: Engaging the client in recreational activities may not be suitable during a panic atack as it might not address the immediate need for calm and safety.
Choice B reason: While medication can be helpful, the priority during a panic atack is to provide immediate, non- pharmacological support to ensure safety.
Choice C reason: Oﬀering therapy is beneficial but not the first-line intervention during an acute panic atack where immediate safety and reassurance are needed.
Choice D reason: This is the correct choice. The nurse should remain with the client to provide reassurance, assess their needs, and ensure safety during the panic atack.

A. "You may want to consider moving to a group home, since you will not be free of the troublesome symptoms." B. "While you may not be completely symptom-free, you should still see an increase in your quality of life by continuing with the treatment plan." C. "Why are you not seeing the value of this treatment plan for recovery?" D. "The medical model of recovery works to eliminate all symptoms. Maybe you should see a medical doctor."

Correct Answer is B

Explanation

Choice A reason: Suggesting a move to a group home based on symptom presence may not be appropriate. Quality of life can be improved in various living situations, and the decision should be individualized.

Choice B reason: This statement is supportive and realistic, acknowledging that while symptoms may persist, quality of life can still improve with ongoing treatment.

Choice C reason: This question could be perceived as confrontational. It's important to discuss the treatment plan's value in a way that is supportive and understanding.

Choice D reason: The medical model aims to reduce symptoms, but it is not always possible to eliminate them entirely. Recovery involves managing symptoms and improving quality of life.

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A nursing student is preparing to care for a client diagnosed with schizophrenia. When interacting with the client, the student notices that the client is highly suspicious and guarded, stating, "They're out to get me." The student identifies this as what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

Correct Answer is D

Explanation

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

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