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Quiz NSG 322 Week 6 - Psychotic Disorders - Part 1
Behavioral Health Nursing (NSG-322)
Grand Canyon University
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NSG 322 Week 6 - Psychotic
Disorders - Part 1
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1. A patient smiles broadly at the nurse and says, "Look at my clean teeth. I bushed them with
scouing powder because the label said, "it bightens and whitens eveything." Which tem should the nurse include when documenting this encounter?
2. A patient diagnosed with schizophrenia says, "I hear the voices evey day. They always say
bad things about me." Which action by the nurse has the highest pioity?
3. Three days after beginning a new regime of halopeidol Haldol), the nurse obseves that a
hospitalized patient is drooling, has stiff and extended extremities, and skin that is damp and hot to the touch. The patient has difficulty responding verbally to the nurse. What is the nurse's corect analysis and action in this situation?
A Circumstantiality B Concrete thinking C Povety of speech D Associative looseness
A Assess the patient for suicidal thinking and plans. B Review the patient's medication regimen and adherence. C Educate the patient about symptoms associated with schizophrenia. D Suggest distracters for the patient to use when auditoy hallucinations occur.
A A seizure is occuing; place the patient in a lateral recumbent position and monitor. Serotonin syndrome has developed; place an intravenous line and rapidly infuse D5 1/2 nomal saline NS.
B
Neuroleptic malignant syndrome NMS has developed; prepare the patient for immediate transfer to a medical unit.
C
An acute dystonic reaction is occuing; promptly administer an intramuscular injection of diphenhydramine Benadyl).
D
4. A nurse begins a therapeutic relationship with a patient diagnosed with schizophrenia. The
patient has severe paranoia. Which comment by the nurse is most appropiate?
5. A patient diagnosed with schizophrenia complains to the nurse about persistent feelings of
restlessness and says, "I feel like I need to move all the time." What is the nurse's next action?
6. A client diagnosed with schizophrenia is admitted to an acute care psychiatic unit. Which
clinical findings indicate positive signs and symptoms associated with schizophrenia?
7. As a nurse enters a room and approaches a client diagnosed with schizophrenia, the client
states, "Get out of here before I hit you - go away." The nurse concludes that this aggressive behavior is probably related to the fact that the client felt
8. Duing the admission procedure, a client appears to be responding to voices. The client cies
out at intevals, "No, no, I didn't kill him. You know the tuth; tell that police officer. Please help me!" What is the nurse's most appropiate response?
A "Let's begin by talking about the goals you have for yourself." B "I understand that you have problems with fear and suspiciousness of others." C "As you get to know me better, I hope you will feel more comfotable talking to me." D "I am pat of your treatment team. Our goal is to help stabilize your symptoms."
A Add an activity group to the patient's plan of care. B Assess the patient for other extrapyramidal symptoms EPS. C Pefom a full mental status evaluation MSE of the patient. D Educate the patient about the psychomotor agitation associated with schizophrenia.
A Withdrawal, povety of speech, inattentiveness B Flat affect, decreased spontaneity, asocial behavior C Hypomania, labile mood swings, episodes of euphoia D Hyperactivity, auditoy hallucinations, loose associations
A that voices were directing the behavior. B trapped when the nurse walked into the room. C afraid of doing ham to the nurse if the nurse came closer. D that the nurse was similar to someone who was previously fightening.
A Sit quietly and not respond to the client's statement. B Listen attentively and assume a facial expression of disbelief. C Respond by saying, "I want to help you; I realize you must be vey fightened." D Say, "Do not become so upset; no one is talking to you; those voices are pat of your illness."
Quiz NSG 322 Week 6 - Psychotic Disorders - Part 1
Course: Behavioral Health Nursing (NSG-322)
University: Grand Canyon University
