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Psychiatric Mental (NSG323) Chapter 17 Practice Exam Questions

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John Marsh
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Chapter 17 practice exam questions

Grand Canyon University

Psychiatric Mental Health Nursing (NSG323)

1. A person diagnosed with schizophrenia has had difficulty keeping a job
because of arguing with co-workers and accusing them of conspiracy. Today the person
shouts, “They’re all plotting to destroy me.” Select the nurse’s most therapeutic response.
a. “Everyone here is trying to help you. No
one wants to harm you.”
b. “Feeling that people want to destroy you
must be very frightening.”
c. “That is not true. People here are trying to
help if you will let them.”
d. “Staff members are health care
professionals who are qualified to help
you.”

2. A newly admitted patient diagnosed with schizophrenia is hypervigilant
and constantly scans the environment. The patient states, “I saw two doctors talking in
the hall. They were plotting to kill me.” The nurse may correctly assess this behavior as:
a. echolalia.
b. an idea of reference.
c. a delusion of infidelity.
d. an auditory hallucination.

3. A patient diagnosed with schizophrenia says, “My co-workers are out to
get me. I also saw two doctors plotting to overdose me.” How does this patient perceive
the environment?
a. Disorganized
b. Unpredictable
c. Dangerous
d. Bizarre

4. When a patient diagnosed with schizophrenia was discharged 6 months
ago, haloperidol (Haldol) was prescribed. The patient now says, “I stopped taking those
pills. They made me feel like a robot.” What common side effects should the nurse
validate with the patient?
a. Sedation and muscle stiffness
b. Sweating, nausea, and diarrhea
c. Mild fever, sore throat, and skin rash
d. Headache, watery eyes, and runny nose

5. A nurse works with a patient diagnosed with schizophrenia regarding the
importance of medication management. The patient repeatedly says, “I don’t like taking
pills.” Which treatment strategy should the nurse discuss with the health care provider?
a. Use of a long-acting antipsychotic
injections
b. Addition of a benzodiazepine, such as
lorazepam (Ativan)
c. Adjunctive use of an antidepressant, such
as amitriptyline (Elavil)
d. Inpatient hospitalization because of the
high risk for exacerbation of symptoms

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Psychiatric Mental (NSG323) Chapter 17 Practice Exam Questions

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