1) A client with schizophrenia reads the advice column in the newspaper daily. When asked why the client is so interested in the advice column, the client replies, "This person is my guide and tells me what I must do every day." The nurse would best describe this type of thinking as what? a) Referential delusion b) Grandiose delusion c) Thought insertion d) Personalization 2) All are nursing diagnoses identified for a client with schizophrenia. The student nurse correctly anticipates that which diagnosis will resolve when the client's negative symptoms improve? a) Impaired verbal communication b) Risk for other-directed violence c) Disturbed thought processes d) Social isolation 3) All are included in the plan of care for a client with schizophrenia. Which nursing intervention should the nurse perform first when caring for this client? a) Observe for signs of fear or agitation. b) Maintain reality through frequent contact. c) Encourage client to participate in the treatment milieu. d) Assess community support systems. 4) A client with schizophrenia is seen sitting alone and talking out loud. Suddenly, the client stops and turns as if listening to someone. The nurse approaches and sits down beside the client. Which is the best response by the nurse? a) "You must be pretty bored to be sitting here talking to an invisible person." b) "I don't hear or see anyone else; what are you hearing and seeing?" c) "I can tell you are hearing voices, but they are not real." d) "How long have you known the person you are talking to?" 5) A client states, "I am dead. I have come back from the dead." What is the most appropriate response by the nurse? a) "What is it like to feel dead?" b) "No you didn't. People don't come back from the dead." c) "Show me what you did in art therapy this morning." d) "I'll get your medicine and you'll feel better." 6) The client with schizophrenia tells the nurse that rats have started to eat the client's brain. Which would be the best response by the nurse? a) “Have you discussed this with your health care provider?" b) "How could that be possible?" c) "You cannot have rats in your brain." d) "You look OK to me."

Schizophrenia

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