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 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 2 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 3 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).
Question 4 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 5 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.