NUR 213 Psychosis Schizophrenia

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NUR 213 Psychosis & Schizophrenia

• The client talks to you about "buzzing" and voices that tell her she is evil. Your best

response is

• "You know that these are only symptoms of your illness and will go away when you take

your medicine"

• "You look frightened and angry when you tell me about these noises you hear. Is this how

you are feeling?"

• "It must be frightening to hear someone tell you that you're bad. I will help you feel better."
• "Those voices aren't real. You and I are together and I don't hear them."

Answer

• "You look frightened and angry when you tell me about these noises you hear. Is this how

you are feeling?"

• Pervasive lack of trust apparent in this client with paranoid schizophrenia's most

demonstrated by

• Noncompliance with medications
• Disheveled appearance
• Auditory hallucinations
• Refusal to eat for fear of being poisoned

Answer

• Refusal to eat for fear of being poisoned
• You are caring for a client diagnosed with paranoid schizophrenia. Upon admission she

said, "You're all killers. You killed my mother. She died before I was born." Your most therapeutic response would be

• "You're having frightening thoughts right now."
• "As far as I know your mother is fine."
• "Tell me more about your concern for your mother."
• "We'll put you in a private room until you feel more in control."
• "If your mother died before you were born, you wouldn't be here."

Answer

• "You're having frightening thoughts right now."
• A client looks frightened and states, "The unit is wired up to the FBI, and they're taking my

thoughts away." Which of the following responses by the nurse would be most therapeutic?

• "These thoughts aren't real; they're part of your illness."

• "I don't believe this is so, but you seem scared." 1 / 2

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• "How long have you been thinking about this?"
• "Let me show you that the unit is not wired."

Answer

• "I don't believe this is so, but you seem scared."
• A male client tells the nurse that the FBI is monitoring and recording his every movement

and that microphones have been planted in the unit walls. Which of the following actions would be the most therapeutic response?

• Confront the delusional material directly by telling the client that this simply is not so
• Tell the client that this must seem frightening to him but that you believe he is safe here
• Tell the client to wait and talk about these beliefs in his one-on-one coun- seling sessions
• Isolate the client when he begins to talk about these beliefs

Answer

• Tell the client that this must seem frightening to him but that you believe he is safe here
• In planning care for a client with schizophrenia who has negative symptoms, the nurse would

anticipate a problem with

• Auditory hallucinations
• Bizarre behaviors
• Ideas of reference
• Motivation for activities

Answer

• Motivation for activities
• A client who displayed withdrawn, suspicious behavior at admission be- lieved the CIA

wished to kill him. After 5 days of hospitalization with psy- chotropic medication, the client is interacting appropriately with other clients and staff and states he formerly/previously felt afraid and thought the CIA had targeted him. Now he states, "I know that thinking was pretty sick." The evaluation the nurse can make is

• The client is telling staff what they wish to hear to gain discharge
• The client is experiencing continuing negative responses to stress
• Recent behavior and statements are signs of returning mental health
• Signs of mental disorder are increasing in frequency and intensity

Answer

• Recent behavior and statements are signs of returning mental health
• The family of a client with schizophrenia asks the nurse if there is a genetic cause of this

disorder. To answer the family, which of the following facts would the nurse cite?

• Conclusive evidence indicates a specific gene transmits the disorder
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