NursingNursing PracticeConcepts for Nursing PracticePractice Set 8Psychosis
Questions Bank
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A client previously diagnosed as psychotic expresses to the nurse that he is seeing spiders climbing up the walls in his room and he is concerned that they will get into his bed. What is the nurse's best response?
Ignore his remarks and remain silent when providing care.
Express doubt that there are spiders on the wall.
Ask the client if he also sees spiders in the day room.
Tell the client there are no spiders and he should stop worrying about it.
A client with schizophrenia has relapsed and has been identified as being in stage four of relapse. The nurse expects to observe which behavior that most consistent with this stage of relapse?
Expressing feelings of anxiety
Expressing feelings of being overwhelmed
Bizarre behaviors and speech
Presence of hallucinations
The nurse is planning discharge teaching for a patient taking clozapine. Which information is essential to include in the teaching plan?
Caution about sunlight exposure
Reminder to call the clinic if fever, sore throat, or malaise develops
Instructions regarding dietary restrictions
A chart to record patient weight
Which side effect is highest priority for the nurse to assess for when diphenhydramine is administered to a patient also taking antipsychotic medication?
Increased pychosis
Cognitive impairment
Respiratory depression
Impaired memory
A 23-year-old male veteran of the war in Iraq is admitted with a diagnosis of posttraumatic stress disorder (PTSD) following his arrest for destroying his girlfriend's apartment. This is not his first angry outburst resulting in destruction of property. Which interventions by the nurse will be most helpful to this patient? (Select all that apply.)
Allow opportunities for him to express his anger.
Provide patient and family teaching regarding PTSD.
Tell the patient that hurting himself will solve nothing.
Report him to the authorities.
Exhibit a nonjudgmental attitude.
Reassure him that everything will be all right.