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
The nurse is caring for a client diagnosed with a delusional disorder. While assessing this client, which of the following would the nurse expect to find?
Correct Answer: D
Rationale: Delusional disorder (
D) is characterized by persistent, non-bizarre delusions lasting at least one month without prominent mood or psychotic symptoms. Depression (
A) is not typical, disruptive behavior (
B) is uncommon, and delusions are not bizarre (
C) but plausible.
Question 2 of 5
The nurse is preparing to interview a client who has a delusional disorder. Which of the following would the nurse expect?
Correct Answer: B
Rationale: Clients with delusional disorder typically exhibit normal behavior (
B) outside their specific delusions, with intact cognition and affect. Cognitive impairment (
A), labile affect (
C), and motor symptoms (
D) are more characteristic of other psychotic disorders like schizophrenia.
Question 3 of 5
The nurse is preparing to document information obtained from a client diagnosed with a delusional disorder who is experiencing somatic delusions. Which of the following would the nurse most likely document?
Correct Answer: D
Rationale: Somatic delusions in delusional disorder involve persistent beliefs about bodily functions or sensations (
D), such as unusual odors or physical defects. Disorientation (
A), reduced attention (
B), and above-average intelligence (
C) are not typically associated with somatic delusions.
Question 4 of 5
A client with schizoaffective disorder is prescribed clozapine to treat her symptoms. Which of the following instructions would the nurse provide?
Correct Answer: C
Rationale: Clozapine (
C) is associated with significant weight gain, a metabolic side effect requiring monitoring and reporting if rapid. Dry mouth (
A) is minor, urine color changes (
B) are not typical, and discontinuing for drowsiness (
D) is incorrect without medical guidance.
Question 5 of 5
After teaching a group of students about the epidemiology of schizoaffective disorder, the instructor determines that the teaching was successful when the students state which of the following?
Correct Answer: B
Rationale: Schizoaffective disorder (
B) is more prevalent in women, possibly due to hormonal or genetic factors. It is rare in children (
A), not specific to African Americans (
C), and has a genetic component, making it more common in relatives (
D).