RN Hesi Case Study Psychosis

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RN Hesi Case Study – Psychosis Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Which symptom is most characteristic of psychosis?

• Anxiety
• Mood swings

✔✔C. Hallucinations

• Fatigue

Which type of hallucination is most common in schizophrenia?

• Visual
• Olfactory

✔✔C. Auditory

• Tactile

Which of the following is considered a positive symptom of psychosis?✔✔A. Delusions

• Flat affect 1 / 4

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• Social withdrawal
• Lack of motivation

Which is an example of a negative symptom of psychosis?

• Paranoia
• Flight of ideas

✔✔C. Blunted affect

• Hallucinations

What is the nurse’s priority intervention when a patient is experiencing command hallucinations?

• Distract with activities

✔✔B. Ensure safety and assess intent

• Encourage group participation
• Provide extra fluids

Which neurotransmitter imbalance is most associated with psychosis?

• Serotonin deficiency

✔✔B. Dopamine excess 2 / 4

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• GABA reduction
• Acetylcholine increase

Which medication class is first-line treatment for psychosis?

• SSRIs

✔✔B. Antipsychotics

• Benzodiazepines
• Mood stabilizers

Which side effect of antipsychotics is considered life-threatening?

• Weight gain

✔✔B. Neuroleptic malignant syndrome

• Dry mouth
• Constipation

Which symptom best represents a persecutory delusion?

• “I have no thoughts.”

✔✔B. “They are watching me through cameras.” 3 / 4

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• “I can smell colors.”
• “I feel nothing.”

Which statement indicates a grandiose delusion?

• “My neighbor controls my mind.”

✔✔B. “I am the president of the world.”

• “Voices are whispering my name.”
• “I don’t have any feelings.”

Which extrapyramidal symptom involves involuntary muscle contractions?

• Akathisia

✔✔B. Dystonia

• Tardive dyskinesia
• Hypotonia

Which extrapyramidal symptom is most common early in antipsychotic therapy?

• Tardive dyskinesia

✔✔B. Akathisia

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