Correct Answer: A

Rationale: The correct answer is A. This statement indicates a lack of understanding about medication management for schizophrenia. Medications for schizophrenia should be taken consistently as prescribed for optimal effectiveness, regardless of how the client feels.
Choice B is a correct statement as regular follow-up with a psychiatrist is important for monitoring progress and adjusting treatment.
Choice C demonstrates good awareness of potential side effects and the need for communication with healthcare providers.
Choice D reflects appropriate knowledge as alcohol can interact with medications and may reduce their effectiveness.

Correct Answer: B

Rationale: The correct answer is B: Projection. Projection involves attributing one's own unacceptable feelings or thoughts to others, as seen in the client's accusations of his roommate's behavior. In this scenario, the client is projecting his own anger and potential for violence onto his roommate.
Choice A, Denial, involves refusing to acknowledge some aspect of reality.
Choice C, Rationalization, is a defense mechanism where logical reasons are given to justify behaviors that are actually based on unacceptable motives.
Choice D, Splitting, is a defense mechanism where a person sees others as all good or all bad, not applicable in this case.

Correct Answer: B

Rationale: In clients with paranoia, they typically exhibit an intense fear of being harmed, persecuted, or targeted by others. This fear often dominates their thoughts and can significantly impact their daily functioning and interactions.
Choice A, being unmotivated and withdrawn, is more indicative of negative symptoms of schizophrenia, such as avolition and social withdrawal.
Choice C, displaying a blunted affect and lacking emotional response, is associated with flat affect, a symptom commonly seen in schizophrenia but not specific to paranoia.
Choice D, avoiding group activities and showing decreased appetite, may be related to various symptoms or side effects, but it is not a defining characteristic of paranoia in schizophrenia.

Correct Answer: B

Rationale: The correct response for the RN is to advise the employee not to act impulsively when feeling angry. This approach helps the individual learn to manage anger in a constructive manner, reducing the likelihood of potential conflicts.
Choice A is incorrect because while acknowledging that anger can escalate into confrontations is valid, it does not provide immediate guidance on managing the anger.
Choice C focuses on the dangers of expressing anger to strangers but does not address the core issue of managing anger.
Choice D simply acknowledges the employee's feelings without providing guidance on how to address the situation effectively.

Correct Answer: B

Rationale: The level of cognitive development is a crucial factor that can complicate the diagnosis of mental illness in young children. Young children may not have fully developed cognitive abilities to express their symptoms or understand diagnostic procedures, making it challenging for healthcare providers to assess their mental health accurately. Limited language skills (choice
A) can hinder communication but are not as significant as cognitive development in diagnosing mental illness. Emotional development (choice
C) is important but may not be as directly linked to the diagnostic challenges as cognitive development. Parental denial (choice
D), although a potential barrier, is not a factor inherent to the child's characteristics affecting the diagnostic process.