1)A charge nurse is developing an educational program aboutschizophrenia. Which ofthe following manifestationsshould the nurse include as a negative symptom of

schizophrenia?

-Concrete thinking

Concrete thinking is a positive symptom of schizophrenia. It describes an inability of the client to think in abstract terms.

-Thought blocking

Thought blocking is a negative symptom ofschizophrenia. This manifestation is a sudden interruption in a client'sthought processes, usually due to an internal

stimulus. The client may abruptly stop talking midsentence.

-Echolalia

Echolalia is a positive symptom of schizophrenia. It occurs when the client repeats another person's words. It is often seen in a client who has catatonia.

-Posturing

Posturing is a positive symptom ofschizophrenia. It occurs when a client assumes an unusual orillogical position orfacial expression. Grimacing is commonly exhibited

when a client is posturing.

2) A nurse is preparing to administer DIAZEPAM 7.5 mg IV bolusto a client for alcohol withdrawal. Available is DIAZEPAM injection 5 mg/ML. How manymL should the

nurse administer? Round to nearest 10th

The nurse should administer diazepam 1.5 mL IV bolus.

3)A nurse in a clinic is assessing a client whose partner died four months ago. Which ofthe following statementsindicatesthat the client is atrisk for complicated

grief?

- "I wish I had been nicer and more generous with my wife before she died."

The client is expressing guilt, which is expected during bereavement.

-"I told my wife to go to the doctor, but she wouldn't listen to me."

The client is expressing anger, which is expected during bereavement.

-"Ithink aboutmy wife all the time when I go on outings with my family."

The client is expressing preoccupation with the image of the deceased, which is expected during bereavement.

-"I feelso empty without my wife thatit's hard to get up every morning."

When a client has difficulty carrying on normal activitiesfollowing a loss, thisis an indication thatthere is a risk for complicated grief.

4)A nurse in a mental health unit is admitting a client who is anxious because he often hears voicestelling him what to do. Which of the following actionsshould the

nurse take?

-Tellthe clientthatthe voices do notreally exist.

The nurse should avoid negating the client's hallucination.

-Touch the client to help reduce his anxiety.

Touching the client violates his personal space and may increase, rather than decrease, his anxiety.

-Instruct the client to go to a quietroom when he hears voices.

The nurse should instructthe clientto listen tomusic or use other auditory distractions when he hears voices.

-Ask the client whatthe voices are saying.

Itisimportant forthe nurse to ask the client directly about the hallucinationsto determine ifthe client or others are atrisk forinjury.

5)A nurse in a community health center is counseling a family oftwo parents and two children which of the following statements by a familymemberindicates

manipulative behavior?

-"If you do my homework for me, I won't bother you forthe rest of the day."

Thisis an example of manipulative behavior. It is an example of manipulation when the familymember uses a behaviorto get what they desire ratherthan directly

asking for what they want.

-"Momis always upset."

This is an example of generalizing. Instead of dealing with areas of conflict, family members use terms like "always" and "never" to avoid addressing specific problems.