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
Which of the following would be most important for the nurse to keep in mind when establishing the nurse-patient relationship with a client with schizophrenia to promote recovery?
Correct Answer: C
Rationale: Short, time-limited interactions (
C) are most effective for clients with schizophrenia experiencing psychosis, as they reduce overstimulation and build trust gradually. Relationships take time (
A), interdisciplinary teams share decisions (
B), and engagement is often challenging (
D), not readily achieved.
Question 2 of 5
A nurse is developing a teaching plan for a client with schizophrenia. Which method would the nurse use to be most effective?
Correct Answer: B
Rationale: Having the client write down information (
B) reinforces learning through repetition and active engagement, accommodating cognitive deficits in schizophrenia. Trial and error (
A) or guessing (
C) may confuse, and colorful visuals (
D) may overstimulate psychotic clients.
Question 3 of 5
Assessment of a client with schizophrenia reveals that he is hearing voices that tell him that people are staring at him and illusions. When developing the plan of care for this client, which nursing diagnosis would be most appropriate?
Correct Answer: C
Rationale: Disturbed sensory perception (
C) is most appropriate, as the client?s hallucinations (voices) and illusions directly indicate altered sensory processing. Disturbed thought processes (
A) is less specific, risk for violence (
B) is not indicated, and ineffective coping (
D) is secondary.
Question 4 of 5
A nursing instructor is preparing a class lecture about schizophrenia and outcomes focusing on recovery. Which of the following would the instructor include as a major goal?
Correct Answer: D
Rationale: Social engagement (
D) is a major recovery goal in schizophrenia, promoting reintegration and quality of life. Continuity of care (
A) and crisis stabilization (
C) are means to achieve recovery, and shorter stays (
B) are logistical, not primary goals.
Question 5 of 5
After assessing a client with schizophrenia, the nurse suspects that the client is experiencing an anticholinergic crisis. Which of the following would the nurse most likely have assessed? Select all that apply.
Correct Answer: B,C,F
Rationale: Anticholinergic crisis symptoms include blurred vision (
B), ataxia (
C), and disorientation (F) due to excessive anticholinergic effects (e.g., from medications). Dilated pupils (
A) may occur but are less specific, coherent speech (
D) is unlikely, and facial pallor (E) is not typical.