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
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 2 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 3 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 4 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.
Question 5 of 5
A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone. His clothing is disheveled, his hair is uncombed and matted, and his body has a strange odor. During an interview, the client?s family voices a desire for the client to live with them when he is discharged. Based on the assessment findings, which nursing diagnosis would be the priority?
Correct Answer: D
Rationale: Bathing Self-Care Deficit (
D) is the priority nursing diagnosis, as the client?s disheveled appearance, matted hair, and body odor indicate an immediate inability to maintain personal hygiene, which affects health and social integration. Ineffective Role Performance (
A) and Social Isolation (
B) are relevant but secondary, and Dysfunctional Family Processes (
C) is not supported by the family?s supportive stance.