Practice Question
A client diagnosed with schizophrenia is seen in the mental health clinic complaining of insects infesting arms and legs. Which intervention should the nurse implement first?
Answer Choices:
Correct Answer:
Check the body for lice
Rationale:
✅Checking the body for lice should be the first intervention to rule out a real physical condition before addressing the possibility of delusions.
✅It's important to ensure that an actual infestation isn't the cause of the client's complaint.
✅Presenting reality regarding somatic delusions comes after verifying there is no actual infestation.
✅Advise for in-patient hospitalization for psychosis should be considered if the delusions are severe, but first, you need to ensure the client is not experiencing a physical issue.
✅Explaining the origin of persecutory delusions would be important but should be done after checking for physical conditions.
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This question is from Exam 1 Mental Health Nursing which contains 50 questions.
More Questions from This Exam
A client diagnosed with schizophrenia is experiencing anhedonia. Which nursing diagnosis addresses the client's problemthat this symptom may generate?
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A client has been involuntarily committed to a psychiatric unit. During the delivery of the evening dinner trays, the client escapes from the unit and the hospital. Which nursing intervention is appropriate in this situation?
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A client is brought to the emergency department after being found wandering the streets and talking to unseen others. Which situation is further evidence of a diagnosis of schizophrenia for this client?
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Mental Health
- Answer Choices: 4