A client with schizoaffective disorder has been admitted to the inpatient mental health center of the hospital. The client tells the nurse that he hears voices telling him to leave the hospital. Which response from the nurse is best?

The nurse is working in the emergency department and receives an 18 year old client with a headache. While assessing the client, the nurse learns that this client’s headache worsens when the client hear voices. When asked what the voices are saying, the client replies, “To kill everyone with a knife.” Which of the following is the nurse’s first priority?

The nurse is caring for a schizophrenic client who is talking to someone who is not there. The client states, “I am talking to Cheryl. She’s right here.” No one is there. What is the most appropriate response for the nurse?

A 25-year-old client with mental illness is having delusions of grandeur. Which tasks would the nurse utilize when orienting this client to reality? Select all that apply.

A client with catatonic schizophrenia is in the hospital on the mental health unit. The client has not moved for three days. Which of the following nursing interventions best demonstrates that the nurse is upholding the client’s safety in this situation?

A client with schizoaffective disorder is having hallucinations of hearing screaming voices. Which action by the nurse should be done to provide a diversion for this client?

A nurse is working with a client who is experiencing hallucinations of water running down the walls. Which of the following intervention would be most helpful for the client?

A 50-year-old client with schizophrenia is being seen by the mental health nurse. The client is demonstrating signs of altered thought processes. Which communication pattern would most be associated with schizophrenia or psychosis? Select all that apply.

A nurse is providing reality orientation to a client who has been experiencing auditory hallucinations. Which of the following elements should the nurse consider when orienting this client to reality? Select all that apply.

A 45-year-old client with schizophrenia has been brought to the hospital after trying to commit suicide. The client tells the nurse that the voices he hears told him to do it. He is extremely anxious and upset. Which assessment question would most likely help the nurse to assess the client’s perception of this event?

A 23-year-old client is being seen for treatment after purposely cutting the skin on her arm. The client has impulsive behavior, is angry, and has been losing friends because of intense and needy behavior. Which type of personality disorder does this best describe?

Which of the following is an example of a statement of making an observation that may be used with therapeutic communication?

A client has been diagnosed with antisocial personality disorder and becomes very angry with the nurse and is starting to become aggressive. Which principle of management would most likely be implemented in this situation?

A client with schizoaffective disorder has been admitted to the inpatient mental health center of the hospital. The client tells the nurse that he hears voices telling him to leave the hospital. Which response from the nurse is best?

Which of the following are ways nurses create barriers to therapeutic communication? Select all that apply.

The nurse is planning care for a client with schizophrenia. Which of the following is an appropriate goal for this client?

Which of the following are common findings in a client with schizophrenia? Select all that apply.

A client with a history of aggression requires medical management to control his behavior. The nurse performs an intake assessment of this client upon admission to the hospital. Which information is the priority to include in the initial assessment?

A client has been brought into the emergency department under the influence of illicit drugs. The client is experiencing paranoia and yells at the nurse, “You can’t hurt me! I am more powerful than you!” Which tactics would the nurse use that would help to orient this client to reality? Select all that apply.

A nurse is working with a client who has paranoid thinking. The client believes that a secret chip has been implanted under the client’s skin by the government. Which is the most appropriate first approach from the nurse?