A client with schizophrenia is experiencing disorg

Extract:

Question 1 of 5

A client with schizophrenia is experiencing disorganized speech and thought processes. Which of the following nursing actions is most appropriate?

A. Ask the client complex questions to stimulate thinking. B. Provide clear, simple instructions for daily activities. C. Encourage the client to write down their thoughts. D. Interrupt the client frequently to redirect conversation.

Correct Answer: B

Rationale: Clear, simple instructions accommodate disorganized thinking, promoting understanding and cooperation.

Question 2 of 5

A young client diagnosed with paranoid schizophrenia is talking with the nurse. 'You know, when I thought everyone was out to get me, I was staying in my apartment all the time. Now, I'd like to get out and do things again.' What is the best initial response by the nurse?

A. With whom do you want to do things?' B. What kind of transportation do you use?' C. What activities do you enjoy?' D. How much money can you spend?'

Correct Answer: C

Rationale: Focusing on the client's interests encourages engagement and supports their desire to reintegrate socially, aligning with their expressed goal of wanting to 'do things again.'

Question 3 of 5

While conducting a home visit for a client diagnosed with paranoid schizophrenia discharged 1 week ago, the client's mother tearfully states, 'I can hardly sleep because I'm so worried about my daughter. I'm afraid to leave her alone in the house. What if something should happen while I'm gone?' Which of the following problems related to the caregiver would be the most inclusive one for the nurse to incorporate into the client's plan of care?

A. Caregiver role strain. B. Anxiety. C. Fear. D. Disturbed sleep pattern.

Correct Answer: A

Rationale: Caregiver role strain encompasses the mother's anxiety, fear, and sleep disturbances, as it reflects the overall burden of caregiving, making it the most inclusive problem to address.

Question 4 of 5

A client reports that men in blue clothes keep looking in her window and talking about her. Which of the following responses by the nurse is most uncommitted?

A. Those men are groundskeepers. They're talking about their work, not you.' B. Don't take things so personally. Not everyone who is talking is talking about you.' C. Let's not pay attention to the men. Let's play cards instead.' D. I'll close the drapes so you can't see the men.'

Correct Answer: C

Rationale: Suggesting a distraction like playing cards is a neutral, non-confrontational response that avoids challenging or reinforcing the delusion, making it the most uncommitted approach.

Question 5 of 5

When a client who exhibits feelings of inferiority is asked to attend group activities, she gets more anxious. Within 10 minutes, she begins ridiculing others in the group and receives negative attention. Which of the following statements best reflects the nurse's interpretation of the client's behavior? Select all that apply.

A. Increased anxiety levels can cause defensive coping. B. Negative attention reinforces acting-out behaviors. C. Negative attention is better than no attention at all. D. Increased anxiety is a reason to exclude the client from groups. E. The client needs medication to control her anxiety.

Correct Answer: A,B,C

Rationale: Increased anxiety can lead to defensive behaviors like ridiculing others (
A). Negative attention can reinforce such behaviors (
B), and for some clients, any attention is preferable to none (
C). Excluding the client (
D) or assuming medication is needed (E) does not address the underlying behavior dynamics.

Nurselytic

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NCLEX RN Mental Health Questions Questions

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