ATI LPN
Psychiatric Mental Health Nursing 8th Edition
Chapter 16 Questions
Question 1 of 5
The nurse is working with a client with schizophrenia, disorganized type. It is time for the client to get up and eat breakfast. Which of the following statements by the nurse would be most effective in helping the client prepare for breakfast?
Correct Answer: B
Rationale: Clear, simple directions like dressing support self-care in disorganized schizophrenia, unlike authoritarian demands or doing tasks for the client.
Question 2 of 5
A client with schizophrenia reads the advice column in the newspaper daily. When asked why the client is so interested in the advice column, the client replies, 'This person is my guide and tells me what I must do every day.' The nurse would best describe this type of thinking as which of the following?
Correct Answer: A
Rationale: Believing the advice column has personal significance indicates a referential delusion, unlike grandiose delusions (exaggerated self-importance), thought insertion, or personalization.
Question 3 of 5
Which of the following are central components of a psychiatric rehabilitation and recovery program?
Correct Answer: B,C,D
Rationale: Rehabilitation focuses on client-driven goals like managing life, making treatment decisions, and improving quality of life from the client's perspective, not society's.
Question 4 of 5
The client with schizophrenia makes the following statement. 'I just don't know how to count. The sky turned to fire. I have a ball in my head.' The nurse documents this entire statement as an example of
Correct Answer: D
Rationale: The fragmented, poorly related thoughts demonstrate associative looseness, not flight of ideas (rapid but connected thoughts), ideas of reference, or solely delusional thinking.
Question 5 of 5
A student nurse is having a first experience in an inpatient psychiatric unit and is frightened by the behaviors of the clients with schizophrenia. The student should take which of the following actions to deal with fear?
Correct Answer: C
Rationale: Staying in an open area ensures safety, addressing fear constructively, unlike pretending, expressing fear publicly, or demanding client behavior changes.