Schizophrenia symptoms
A client with schizophrenia states,
of delusion is this?
"The moon is controlling my actions.
" What type
A) Persecutory delusion.
B) Grandiose delusion.
C) Somatic delusion.
D) Delusion of being controlled.
D) Delusion of being controlled
A client taking clozapine reports sore throat and fever. What is the nurse’s best
action?
A) Encourage fluid intake.
B) Administer acetaminophen.
C) Obtain a white blood cell count.
D) Reassure the client that this is a common side effect.
C) Obtain a white blood cell count
A nurse is caring for a client with schizophrenia who is experiencing auditory
hallucinations commanding them to harm others. What is the priority nursing action?
A) Ask the client what the voices are saying.
B) Encourage the client to ignore the voices.
C) Provide the client with earplugs to block out the voices.
D) Administer PRN antipsychotic medication immediately.
A) Ask client what the voices are saying
A client with schizophrenia demonstrates echolalia. Which behavior should the
nurse expect?
A) Repeating words or phrases spoken by others.
B) Speaking in a rapid, continuous manner with unrelated topics.
C) Creating new words with personal meanings.
D) Using rhyming words without logical meaning.
A) Repeating words or phrases spoken by others
A client with schizophrenia is experiencing anhedonia. Which behavior would the
nurse expect?
A) Increased energy and hyperactivity.
B) Lack of interest in previously enjoyed activities.
C) Excessive talking about their interests.
D) Engaging in risky behaviors.
B) Lack of interest in previously enjoyed activities
A client with schizophrenia states,
is the best response?
"The nurse is trying to poison my food.
" What
A) "That is not true, we are here to help you.
"
B) "I understand that you feel that way, but your food is safe.
"
C) "Why do you think that about the nurse?"
D) "Let’s talk about something else."
B) I understand that you feel that way, but your food is safe.
A nurse is assessing a client taking haloperidol who presents with muscle rigidity,
fever, and altered mental status. What is the priority nursing action?
A) Administer acetaminophen for fever.
B) Discontinue haloperidol and notify the provider immediately.
C) Encourage the client to rest.
D) Give an antianxiety medication.
B) Discontinue haloperidol and notify the provider immediately
A client with schizophrenia refuses to take their prescribed medication, stating,
don’t need it anymore.
" What is the best nursing response?
A) "You have to take your medication to stay healthy.
"
B) "Can you tell me why you feel you don’t need it anymore?"
C) "Your provider will not be happy if you stop taking it."
D) "Skipping doses is fine as long as you feel okay."
C) Can you tell me why youn't need it anymore
A client with schizophrenia is experiencing word salad. Which of the following
statements reflects this symptom?
A) "I need to get to the moon, then the sun, to stop the clock."
B) "The fox, box, and rocks all talk."
C) "Cup, dog, road, yellow, quickly."
D) "They are all watching me, I just know it."
C) Cup,dog,road, yellow, quickly
A client with schizophrenia is prescribed olanzapine. Which side effect requires
immediate intervention?
A) Dry mouth.
B) Sedation.
C) Sudden high fever.
D) Weight gain.
C) Sudden High Fever
A client with schizophrenia is experiencing tactile hallucinations. Which statement
by the client would indicate this symptom?
A) "I hear voices telling me to run.
"
B) "I can feel bugs crawling on my skin.
"
C) "I see shadows moving in the room.
"
D) "I smell something burning all the time."
B) I can feel bugs crawling on my skin
A client with schizophrenia is prescribed haloperidol. The nurse should monitor for
which serious adverse effect?
A) Increased appetite.
B) Weight loss.
C) Neuroleptic malignant syndrome.
D) Mild tremors.
C) Neuroleptic Malignant syndrome
A client experiencing paranoid delusions refuses to take their prescribed
medication, stating,
"You’re trying to poison me.
" What is the best nursing intervention?
A) Insist that the client take the medication immediately.
B) Offer the medication in a different form, such as liquid or crushed.
C) Acknowledge the client’s fear and offer an explanation of the medication’s benefits.
D) Leave the medication at the bedside for the client to take when ready.
C) Acknowledge the client's fear and offer explanation of the mediction's benefits.
A client with schizophrenia exhibits clang associations. Which statement by the
client reflects this symptom?
A) "The train brain rain stain.
"
B) "I need to go to the moon and stop the stars.
"
C) "People are after me, and I know it’s true.
"
D) "I can feel electricity in my veins.
"
A) The train brain is rain strain
A client with schizophrenia refuses to eat, stating,
the best nursing response?
"The food is poisoned.
" What is
A) "Your food is not poisoned. You need to eat to stay healthy.
"
B) "Would you like to have something else to eat instead?"
C) "Let’s talk about why you think your food is poisoned.
"
D) "I understand that you feel that way, but I assure you the food is safe.
"
D) I understand that you feel a way but I Assure you the food is safe.
A client diagnosed with schizophrenia believes that the government is controlling
their thoughts through radio waves. What is the nurse’s best response?
A) "The government does not have the ability to control thoughts.
"
B) "That sounds frightening. Let’s talk about how you are feeling.
"
C) "You should ignore these thoughts because they are not real"
D) "Have you told anyone else about this belief?"
B) That sounds frightening. Let's talk about how you are feeling
A client with schizophrenia is prescribed risperidone. Which side effect should the
nurse monitor for?
A) Hyperactivity.
B) Weight gain.
C) Increased hallucinations.
D) Insomnia.
B) Weight Gain
A nurse is caring for a client with schizophrenia who is experiencing severe
avolition. What is the best intervention?
A) Encourage the client to engage in short, structured activities.
B) Allow the client to remain in bed until they feel ready to participate.
C) Provide long-term projects to give the client something to focus on.
D) Give the client complete independence in decision-making.
A) Encourage the client to engage in short, structured activities.
A nurse is caring for a client who has delusions of persecution. What is the most
appropriate nursing intervention?
A) Challenge the client’s beliefs directly.
B) Encourage the client to discuss evidence supporting their delusion.
C) Focus on the client’s feelings and provide reality-based reassurance.
D) Ignore the delusional statements.
C) Focus on the client's feelings and provide personal-based reassurance.
A nurse is teaching a client with schizophrenia about self-care. What is the best
strategy?
A) Give simple, step-by-step instructions.
B) Allow the client to complete tasks independently.
C) Encourage the client to develop their own routine.
D) Provide written instructions only.
A) Give simple, step by step instructions
A client with schizophrenia is experiencing thought broadcasting. Which
statement by the client indicates this symptom?
A) "I can hear voices telling me secrets"
B) "I know everyone can hear my thoughts"
C) "The TV is sending me messages."
D) "My hands are controlling the weather"
B) I know everyone can hear my thoughts.
A client with schizophrenia is prescribed ziprasidone. What is the most important
teaching point?
A) "Take this medication with food.'
B) "Avoid drinking milk with this medication.'
C) "You may experience weight gain with this medication.'
D) "This medication may cause excessive thirst.'
A) take this medication with food
A client with schizophrenia is pacing and appears agitated. What is the nurse’s
best action?
A) Encourage the client to sit and talk about their feelings.
B) Allow the client to pace in a safe environment.
C) Restrain the client to prevent harm.
D) Provide the client with a PRN sedative immediately.
B) Allow the client to pace in a safe environment.
A client with schizophrenia is experiencing severe alogia. What intervention is
most appropriate?
A) Encourage the client to write down their thoughts.
B) Ask open-ended questions to promote conversation.
C) Provide simple choices and allow extra time for responses.
D) Encourage participation in group discussions.
C) Provide simple choices and allow for extra time for responses.
A client with schizophrenia is prescribed clozapine. What laboratory test is
essential for monitoring?
A) Liver function tests.
B) White blood cell count.
C) Serum creatinine.
D) Blood glucose levels.
B) White blood cell count