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
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 2 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.
Question 3 of 5
A group of nursing students is reviewing information about other psychotic disorders. The students demonstrate understanding of this information when they identify which disorder as involving an inducer?
Correct Answer: C
Rationale: Shared psychotic disorder (
C), or folie à deux, involves an inducer who transmits delusional beliefs to another person. Brief psychotic disorder (
A) is time-limited, schizophreniform disorder (
B) mimics schizophrenia, and substance-induced psychosis (
D) is caused by substances, not an inducer.
Question 4 of 5
The nurse is caring for a client in an inpatient mental health setting. The nurse notices that when the client is conversing with other clients, he repeats what they are saying word for word. The nurse interprets this finding and documents it as which of the following?
Correct Answer: D
Rationale: Echolalia (
D) is the correct term for the client?s behavior of repeating others? words verbatim, a common symptom in schizophrenia or other psychotic disorders, reflecting impaired communication processing. Echopraxia (
A) involves mimicking movements, not speech. Neologisms (
B) are made-up words, and tangentiality (
C) refers to responses that veer off-topic, neither of which apply here.
Question 5 of 5
While caring for a hospitalized client with schizophrenia, the nurse observes that the client is listening to the radio. The client tells the nurse that the radio commentator is speaking directly to him. The nurse interprets this finding as which of the following?
Correct Answer: C
Rationale: Referential thinking (
C) describes the client?s belief that neutral events, like a radio broadcast, are personally directed at them, a common delusion in schizophrenia. Autistic thinking (
A) involves private, illogical thoughts, concrete thinking (
B) is overly literal interpretation, and illusional thinking (
D) is not a standard term, making them incorrect.