A newly admitted patient diagnosed with schizophrenia is hypervigilant and constantly scans the environment. The patient states, "I saw two doctors talking in the hall. They were plotting to kill me." The nurse may correctly assess this behavior as:
a.ech

an idea of reference.

A person has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today the person shouts, "They're all plotting to destroy me. Isn't that true" Select the nurse's most therapeutic response.
a."Everyone here is

Feeling that people want to destroy you must be very frightening.

A patient diagnosed with schizophrenia says, "My co-workers are out to get me. I also saw two doctors plotting to kill me." How does this patient perceive the environment
a.Disorganized
b.Dangerous
c.Supportive
d.Bizarre

Dangerous

When a patient diagnosed with schizophrenia was discharged 6 months ago, haloperidol (Haldol) was prescribed. The patient now says, "I stopped taking those pills. They made me feel like a robot." What are common side effects the nurse should validate with

Sedation and muscle stiffness

Which hallucination necessitates the nurse to implement safety measures The patient says,
a."I hear angels playing harps."
b."The voices say everyone is trying to kill me."
c."My dead father tells me I am a good person."
d."The voices talk only at night w

The voices say everyone is trying to kill me.

A patient's care plan includes monitoring for auditory hallucinations. Which assessment findings suggest the patient may be hallucinating
a.Detachment and overconfidence
b.Darting eyes, tilted head, mumbling to self
c.Euphoric mood, hyperactivity, distrac

Darting eyes, tilted head, mumbling to self

A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function. The patient is also overweight and hypertensive. Which drug should the nurse

Aripiprazole (Abilify)

A patient diagnosed with schizophrenia tells the nurse, "I eat skiller. Tend to end. Easter. It blows away. Get it" Select the nurse's best response.
a."Nothing you are saying is clear."
b."Your thoughts are very disconnected."
c."Try to organize your tho

I am having difficulty understanding what you are saying.

A patient diagnosed with schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which patient needs are of priority importance
a.Self-esteem
b.Psychosocial
c.Physiological
d.Self-actualization

Physiological

A patient diagnosed with schizophrenia demonstrates little spontaneous movement and has waxy flexibility. The patient's activities of daily living are severely compromised. An appropriate outcome would be that the patient will:
a.demonstrate increased int

perform self-care activities with coaching by the end of day 3

A nurse observes a catatonic patient standing immobile, facing the wall with one arm extended in a salute. The patient remains immobile in this position for 15 minutes, moving only when the nurse gently lowers the arm. What is the name of this phenomenon

Waxy flexibility

A patient is experiencing delusions of persecution about being poisoned. The patient has refused all hospital meals for 3 days. Which intervention is most likely to be acceptable to the patient
a.Allowing the patient supervised access to food vending mach

Allowing the patient supervised access to food vending machines

A community mental health nurse wants to establish a relationship with a very withdrawn patient diagnosed with schizophrenia. The patient lives at home with a supportive family. Select the nurse's best plan.
a.Visit daily for 4 days, then every other day

Visit daily for 4 days, then every other day for 1 week; stay with patient for 20 minutes, accept silence; state when the nurse will return.

Withdrawn patients diagnosed with schizophrenia:
a.are usually violent toward caregivers.
b.universally fear sexual involvement with therapists.
c.exhibit a high degree of hostility as evidenced by rejecting behavior.
d.avoid relationships because they be

avoid relationships because they become anxious with emotional closeness.

A newly admitted patient diagnosed with schizophrenia says, "The voices are bothering me. They yell and tell me I am bad. I have got to get away from them." Select the nurse's most helpful reply.
a."Do you hear the voices often"
b."Do you have a plan for

I'll stay with you. Focus on what we are talking about, not the voices.

A patient diagnosed with schizophrenia has taken fluphenazine (Prolixin) 5 mg po bid for 3 weeks. The nurse now observes a shuffling propulsive gait, a mask-like face, and drooling. Which term applies to these symptoms
a.Neuroleptic malignant syndrome
b.H

Pseudoparkinsonism

A patient diagnosed with schizophrenia is very disturbed and violent. After several doses of haloperidol (Haldol), the patient is calm. Two hours later the nurse sees the patient's head rotated to one side in a stiff position, the lower jaw thrust forward

An acute dystonic reaction

An acutely violent patient diagnosed with schizophrenia receives several doses of haloperidol (Haldol). Two hours later the nurse notices the patient's head rotated to one side in a stiffly fixed position, the lower jaw thrust forward, and drooling. Which

Administer diphenhydramine (Benadryl) 50 mg IM from the PRN medication administration record.

A patient took trifluoperazine 30 mg po daily for 3 years. The clinic nurse notes that the patient grimaces and constantly smacks both lips. The patient's neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect
a.Agranu

Tardive dyskinesia

A nurse sits with a patient diagnosed with schizophrenia. The patient starts to laugh uncontrollably, although the nurse has not said anything funny. Select the nurse's best response.
a."Why are you laughing"
b."Please share the joke with me."
c."I don't

You're laughing. Tell me what's happening.

The nurse assesses a patient diagnosed with schizophrenia. Which assessment finding would the nurse regard as a negative symptom of schizophrenia
a.Auditory hallucinations
b.Delusions of grandeur
c.Poor personal hygiene
d.Psychomotor agitation

Poor personal hygiene

What assessment findings mark the prodromal stage of schizophrenia
a.Withdrawal, misinterpreting, poor concentration, and preoccupation with religion
b.Auditory hallucinations, ideas of reference, thought insertion, and broadcasting
c.Stereotyped behavior

Withdrawal, misinterpreting, poor concentration, and preoccupation with religion

A patient diagnosed with schizophrenia says, "Contagious bacteria are everywhere. When they get in your body, you will be locked up with other infected people." Which problem is evident
a.Poverty of content
b.Concrete thinking
c.Neologisms
d.Paranoia

Paranoia

A patient diagnosed with schizophrenia begins a new prescription for lurasidone HCL (Latuda). The patient is 5'6" and currently weighs 204 lbs. Which topic is most important for the nurse to include in the teaching plan related to this medication
a.How to

Weight management strategies

A patient diagnosed with schizophrenia says, "It's beat. Time to eat. No room for the cat." What type of verbalization is evident
a.Neologism
b.Idea of reference
c.Thought broadcasting
d.Associative looseness

Associative looseness

A patient diagnosed with schizophrenia has taken a conventional antipsychotic medication for a year. Hallucinations are less intrusive, but the patient continues to have apathy, poverty of thought, and social isolation. The nurse would expect a change to

Olanzapine (Zyprexa)

The family of a patient diagnosed with schizophrenia is unfamiliar with the illness and family's role in recovery. Which type of therapy should the nurse recommend
a.Psychoeducational
b.Psychoanalytic
c.Transactional
d.Family

Psychoeducational

A patient diagnosed with schizophrenia has been stable for a year; however, the family now reports the patient is tense, sleeps 3 to 4 hours per night, and has difficulty concentrating. The patient says, "My computer is sending out infected radiation beam

relapse.

A patient diagnosed with schizophrenia begins to talks about "macnabs" hiding in the warehouse at work. The term "macnabs" should be documented as:
a.a neologism.
b.concrete thinking.
c.thought insertion.
d.an idea of reference.

a neologism.

A patient diagnosed with schizophrenia anxiously says, "I can see the left side of my body merging with the wall, then my face appears and disappears in the mirror." While listening, the nurse should:
a.sit close to the patient.
b.place an arm protectivel

maintain a normal social interaction distance from the patient.

A patient diagnosed with schizophrenia and auditory hallucinations anxiously tells the nurse, "The voice is telling me to do things." Select the nurse's priority assessment question.
a."How long has the voice been directing your behavior"
b."Does what the

What is the voice telling you to do

A patient receiving risperidone (Risperdal) reports severe muscle stiffness at 1030. By 1200, the patient has difficulty swallowing and is drooling. By 1600, vital signs are 102.8� F; pulse 110; respirations 26; 150/90. The patient is diaphoretic. Select

Neuroleptic malignant syndrome; notify health care provider stat.

A nurse asks a patient diagnosed with schizophrenia, "What is meant by the old saying 'You can't judge a book by looking at the cover.'" Which response by the patient indicates concrete thinking
a."The table of contents tells what a book is about."
b."You

The table of contents tells what a book is about.

The nurse is developing a plan for psychoeducational sessions for several adults diagnosed with schizophrenia. Which goal is best for this group Members will:
a.gain insight into unconscious factors that contribute to their illness.
b.explore situations t

demonstrate improved social skills.

A client says, "Facebook has a new tracking capacity. If I use the Internet, Homeland Security will detain me as a terrorist." Select the nurse's best initial action.
a.Tell the client, "Facebook is a safe website. You don't need to worry about Homeland S

Tell the client, "You are in a safe place where you will be helped.

Which finding constitutes a negative symptom associated with schizophrenia
a.Hostility
b.Bizarre behavior
c.Poverty of thought
d.Auditory hallucinations

Poverty of thought

A patient insistently states, "I can decipher codes of DNA just by looking at someone." Which problem is evident
a.Visual hallucinations
b.Magical thinking
c.Idea of reference
d.Thought insertion

Magical thinking

A nurse at the mental health clinic plans a series of psychoeducational groups for persons newly diagnosed with schizophrenia. Which two topics take priority
a."The importance of taking your medication correctly"
b."How to complete an application for empl

-"The importance of taking your medication correctly"
-"Ways to quit smoking

A patient diagnosed with schizophrenia was hospitalized after arguing with co-workers and threatening to harm them. The patient is aloof, suspicious, and says, "Two staff members I saw talking were plotting to kill me." Based on data gathered at this poin

-Risk for other-directed violence
-.Disturbed thought processes