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 C

Explanation

Choice A reason: Trying to fix the problem may not be helpful as OCD is a chronic condition that requires professional treatment.
Choice B reason: It is unrealistic to expect that a client with OCD will not have any compulsions at all.
Choice C reason: Patience is key in supporting a family member with OCD as they work through their treatment.
Choice D reason: Reminding the client to not perform rituals can increase anxiety and is not a recommended approach.

A. Engaging the client in recreational activities. B. Requesting a prescription for an anti-anxiety agent. C. Oﬀering the client therapy to calm down. D. Remaining with the client to assess needs.

Correct Answer is D

Explanation

Choice A reason: Engaging in activities might be too demanding during a panic atack and could potentially exacerbate the client's anxiety.

Choice B reason: While medication may be part of the treatment plan, the immediate priority is to ensure the client's safety and comfort, which is best achieved by staying with them.

Choice C reason: Oﬀering therapy in the midst of a panic atack is not practical; the immediate need is to help the client feel safe and manage their acute symptoms.

Choice D reason: Staying with the client to assess their needs is the most appropriate immediate intervention to ensure safety and provide reassurance during a panic atack.

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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 psychiatric-mental health nurse is conducting an educational session for families of clients diagnosed with obsessive-compulsive disorder (OCD). What components should the nurse teach the families of clients diagnosed with OCD?

Correct Answer is C

Explanation

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

The nurse is educating a client and family regarding the eﬀects of antipsychotic medications. Which extrapyramidal symptoms that may be caused by antipsychotic drugs will the nurse include in the education plan? Select all that apply.

The geriatrician has prescribed medication for an 80-year-old client to treat the client's dementia. Which teaching points should the nurse provide to the client's spouse about the new medication?

A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

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?

Schizophrenia is most often characterized by which assessment finding?

When conducting a risk assessment for suicide, the nurse most likely identifies which client as having the greatest risk for completing suicide?

An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?