Chapter 29, Thought Disorders Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

Which of the following strategies would the nurse instruct the client to do as a measure to prevent relapse?
a. Take additional medication on days when she is "feeling bad."
b. Take stress management classes.
c. Block hallucinations during daily activities.
d. Report changes in sleeping, eating, and mood.

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Problem 2

Which of the following would the nurse interpret as negative symptoms? Select all that apply.
a. Poverty of speech
b. Hallucinations
c. Delusions
d. Affective blunting
e. Avolition
f. Tangentiality

Dennis Howard

Numerade Educator

Problem 3

A client in a locked unit has been staring at a staff member, pacing and muttering under his breath. The nurse interprets this behavior to mean that the client
a. wants to speak with the staff member, but his thinking is too disorganized to accomplish this.
b. is having auditory hallucinations.
c. feels threatened by the staff member and may become violent.
d. is having visual hallucinations.

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Problem 4

An 18-year-old client who has just begun taking Haldol comes to the nurse complaining of severe muscle spasms. The nurse assesses the client and notes that his heart rate is 104 beats per minute, his blood pressure is $160 / 90 \mathrm{~mm} \mathrm{Hg}$, and his temperature is $101^{\circ} \mathrm{F}$. Based on these data, which of the following actions would the nurse do next?
a. Check the chart for an "as-needed" order for an anticholinergic agent and administer it, recording the client's symptoms and the intervention.
b. Immediately call the physician and report the findings because the client may be developing neuroleptic malignant syndrome.
c. Ask the client if he has been exposed to flu or cold viruses and administer acetaminophen for his elevated temperature.
d. Schedule an examination for later in the week with the physician, who will evaluate the client's cardiovascular status.

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Problem 5

A client with schizophrenia has been in outpatient care through the mental health clinic. Which of the following observations best suggests that the plan of care has been effective?
a. The client has been compliant with taking her medications and attending therapy sessions.
b. The client reports that she no longer has hallucinations.
c. The client has resumed employment and attended community center social functions.
d. The client no longer believes that she has special powers.

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