ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 22 : Schizophrenia and Related Disorders: Nursing Care of Persons with Thought Disorders Questions
Question 1 of 5
A nurse is working with a group of clients diagnosed with schizophrenia in a community setting. Which of the following would least likely be a priority?
Correct Answer: A
Rationale: While improving quality of life (
A) is important, managing psychosis (
C), preventing relapse (
D), and instilling hope (
B) are more immediate priorities in schizophrenia care to stabilize symptoms and maintain recovery. Quality of life is a longer-term goal.
Question 2 of 5
A client with schizophrenia is prescribed clozapine because other prescribed medications have been ineffective. After teaching the client and family about the drug, the nurse determines that the teaching was successful when they state which of the following?
Correct Answer: B
Rationale: Clozapine (
B) requires weekly white blood cell counts due to the risk of agranulocytosis. Electrocardiograms (
A) are not routine, smoking (
C) affects clozapine metabolism but not toxicity directly, and weight loss (
D) is unlikely (weight gain is more common).
Question 3 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 4 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 5 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.