Which nursing documentation entry accurately describes a client's use of confabulation?

"Attempts to communicate by using rhyming words."

"Nonverbals indicate communication with unseen others."

"Verbalizes happiness about trip to park which was not based in fact."

"Rambles about early childhood experiences jumping from topic to topic."

Answer and Explanation

The Correct Answer is C

Confabulation involves the fabrication of details or events to fill in gaps in memory. In this case, the client is expressing happiness about a trip to the park that did not actually occur, which is an example of confabulation.

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Correct Answer is C

Explanation

A) Incorrect. The ability to accomplish activities of daily living is not specific to the diagnosis of schizophreniform disorder.

B) Incorrect. The client's emotional state or demeanor is not a specific indicator of schizophreniform disorder.

C) Correct. Schizophreniform disorder is characterized by the presence of hallucinations,
delusions, and other psychotic symptoms for less than six months. It is considered a provisional diagnosis while the condition is still in its early stages.

D) Incorrect. Euphoria and excessive energy are not specific features of schizophreniform disorder.

A. Increase your fluid and fiber intake to prevent constipation. B. Have your blood pressure checked frequently for hypertension. C. Expect to have your blood checked weekly for serum electrolyte imbalances. D. Increase caloric intake to prevent weight loss.

Correct Answer is B

Explanation

A) Incorrect. While maintaining proper nutrition is important, this statement is not directly related to the use of risperidone.

B) Correct. Risperidone, an atypical antipsychotic, can be associated with metabolic side effects, including hypertension. Therefore, monitoring blood pressure is important.

C) Incorrect. While regular monitoring of blood parameters may be necessary for some medications, it is not a specific requirement for risperidone.

D) Incorrect. While weight changes can occur with risperidone, there is no specific indication to increase caloric intake in this context.

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Which nursing documentation entry accurately describes a client's use of confabulation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a client with the diagnosis of schizophreniform disorder. What should the nurse expect to find?

Correct Answer is C

Explanation

A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A client diagnosed with bipolar disorder has recently started taking lamotrigine as part of their medication regimen. Which of the following would be an essential teaching point to include regarding the medication?

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