ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 22 : Schizophrenia and Related Disorders: Nursing Care of Persons with Thought Disorders Questions
Question 1 of 5
A client with schizoaffective disorder is having difficulty adhering to the medication regimen that requires the use of several agents. The client also is experiencing several side effects contributing to this nonadherence. The physician plans to change the client?s medication. Which agent would the nurse anticipate that the physician would prescribe?
Correct Answer: B
Rationale: Aripiprazole (
B) is a second-generation antipsychotic with a favorable side effect profile and efficacy for schizoaffective disorder, improving adherence. Lithium (
A) is for mood stabilization, clozapine (
C) is for treatment-resistant cases, and olanzapine (
D) has more side effects.
Question 2 of 5
While interviewing a client diagnosed with a delusional disorder, the client states, I have this really strange odor coming out of my mouth. I stop to brush my teeth almost every hour and then rinse with mouthwash every half hour to get rid of this smell. I?ve seen so many doctors, and they can?t tell me what?s wrong. The nurse interprets the client?s statement as reflecting which type of delusion?
Correct Answer: C
Rationale: The client?s belief in a persistent, unexplained mouth odor reflects a somatic delusion (
C), focusing on bodily concerns. Erotomanic (
A) involves romantic beliefs, grandiose (
B) involves inflated self-worth, and jealous (
D) involves infidelity, none of which apply.
Question 3 of 5
As part of an interdisciplinary team, a nurse is assisting in developing the plan of care for a client with a delusional disorder. Which of the following would the team be least likely to include in the plan?
Correct Answer: A
Rationale: Insight-oriented therapy (
A) is least likely for delusional disorder, as clients often lack insight into their delusions, making this approach less effective. Psychoeducation (
B), cognitive therapy (
C), and support therapy (
D) are more practical for managing symptoms and coping.
Question 4 of 5
When assessing a client with delusional disorder, the nurse would most likely expect to find impairment in which of the following? Select all that apply.
Correct Answer: A,B,D
Rationale: Delusional disorder often impairs social (
A), marital (
B), and occupational functioning (
D) due to the impact of delusions on relationships and work. Intellectual (
C) and mental status functioning (E) typically remain intact, as the disorder is focal.
Question 5 of 5
When obtaining a client?s history, the nurse determines that the client has been experiencing delusions and hallucinations for the past 3 months, which has caused some problems in his ability to function on a daily basis at work. He also is exhibiting catatonic excitement, echopraxia, loose associations, and pressured speech. The nurse suspects which of the following?
Correct Answer: D
Rationale: Schizophreniform disorder (
D) involves schizophrenia-like symptoms (delusions, hallucinations, disorganized speech, catatonia) lasting 1?6 months, matching the client?s 3-month duration. Schizophrenia (
A) requires 6+ months, schizoaffective disorder (
B) requires mood episodes, and brief psychotic disorder (
C) lasts less than 1 month.