1.

A nurse is caring for a client who is receiving chlorpromazine and is given a pass to attend a
family outing on a sunny day. Which of the following is the most important for the nurse to
include in the client's teaching about the side effects of chlorpromazine?
a) "Wear a hat and a long-sleeved shirt."
b) "Suck on hard candies."
c) "Drink plenty of fluids."
d) "Limit alcoholic beverages to one beer only."
2. A nurse is caring for a client who has a psychiatric disorder and is prescribed chlorpromazine.
The client pretended to swallow the medication so it could be spit out later and hoarded. The
nurse decides to change from the tablet to a formulation that will discourage this from
happening. Which of the following dosage forms should the nurse determine to be an appropriate
choice?
a) Suppository
b) Time-release capsule
c) Intramuscular injection
d) Liquid concentrate
3. A nurse is developing a plan of care for a client who has schizophrenia. Which of the
following interventions is appropriate to include in the plan of care?
a) Place the client in seclusion if visual hallucinations are present.
b) Limit the number of questions asked during assessments.
c) Provide diversion with consistent, stimulating activities.
d) Directly tell the client that delusions are not real.
4. A nurse overhears a client who has schizophrenia talking to herself. The client keeps stating,
The mazukas are coming. The mazukas are coming. The nurse correctly recognizes the clients
use of the word mazuka as an example of which of the following alterations in speech?
a) Echolalia
b) Clang association
c) Neologism
d) Word salad
5. A nurse is reading the history and physical on a client who has schizophrenia. The provider
indicates that the client exhibits depersonalization. Which of the following is the appropriate
interpretation of this finding?
a) The client discontinues all of his personal relationships.
b) The client personalizes all threats and uses projection to protect himself.
c) The client has separated himself from his identity.

d) The client believes that his environment has changed and is unfamiliar.
6. A nurse is planning care for a client who has paranoid schizophrenia. Which of the following
interventions is appropriate to include in the plan of care?
a) Rotate staff assignments for this client.
b) Use touch to calm the client during periods of anxiety.
c) Remove medication from sealed packages at the clients bedside.
d) Assign an assistive personnel to feed the client at mealtimes.
7. A nurse is reviewing the history and physical for a client who has schizophrenia. Reported
findings include jerky choreiform movements, lip smacking, and neck and back tonic
contractions. These findings are chronic despite the discontinuation of chlorpromazine. The
nurse should suspect that the client has developed which of the following adverse effects?
a) Tardive dyskinesia
b) Pseudoparkinsonism
c) Dystonia
d) Akathisia
8. A nurse is caring for a client who has a prescription for clozapine. Which of the following is
an expected response to this medication?
a) Development of orthostatic hypotension.
b) Control of seizure activity.
c) Decreased auditory hallucinations.
d) Increased energy level and involvement in activities.
9. A young adult client who has acute schizophrenic disorder says to a nurse, Yester noon the
sun moon went over the rover to see the lawnmower. Which of the following manifestations is
the client displaying?
a) Delusional disorder
b) Associative looseness
c) Hallucination
d) Anhedonia
10. A nurse is caring for a client who has schizophrenia. Which of the following statements
indicates a client understanding for a relapse prevention plan?
a) I can remember when my hallucinations first began.
b) I know which of my hallucinations trigger a relapse.
c) I record the number of hallucinations I have each day.
d) I will read as much information as I can about schizophrenia.
11 A nurse is caring for a client who has schizophrenia. Which of the following client statements
indicates concrete thinking?
a) I am aware that each problem has only one solution.

b) "I am a prophet of God."

c) The voices tell me that I must avoid large crowds.
d) I know that you are trying to poison me and you can't convince me otherwise.
12.A nurse is assisting a client who has schizophrenia to develop a Safety Plan to prevent
relapse. Which of the following statements by the nurse is appropriate?
a) You should be aware that excessive sleeping is an early sign of relapse.
b) Relapse is an indication that you are not taking your medications properly.
c) You should keep your providers and therapists number with you.
d) Taking an additional dose of medication is appropriate as soon as signs of relapse appear.
13. A community health nurse is assigned to a client who has schizophrenia. The client is to
receive an IM medication for the control of hallucinations. The clients prior nurse reports that
the client will let the nurse in her house only if the nurse carries a public health-issued blue bag
and wears black pants. The nurse is scheduled to visit this client tomorrow. Which of the
following is an appropriate action by the nurse?
a) Telephone the client and tell her that the new nurse will be wearing white pants.
b) Arrive as scheduled carrying only a stethoscope, vial, alcohol wipe, and medication syringe.
c) Arrive as scheduled with a police officer.
d) Arrive carrying a blue bag and wearing black pants.
14. A nurse is teaching a client about a new prescription for perphenazine. Which of the
following statements is appropriate for the nurse to include in the teaching?
a) Your provider will discontinue the medication if you experience any psychotic episodes.
b) You should increase your dietary intake of potassium while taking this medication.
c) You can expect to experience unusual movements of your tongue while taking this
medication.
d) Your provider will monitor your blood pressure closely while you are taking this
medication.
15. A nurse is providing care to a client who has schizophrenia. Which of the following
behaviors should the nurse anticipate?
a) Periods of elation with unusual talkativeness
b) Preoccupied with folding clothes
c) Invents words that have no meaning
d) Recurrent thoughts of past trauma
16.A client who has schizophrenia receives a monthly injection of haloperidol decanoate (Haldol
LA). Which of the following symptoms are expected to improve?
a) Meaningless imitation of movement
b) Inability to experience pleasure
c) Diminished facial expression

d) Extremities remain in fixed position

17. A community mental health nurse is assessing a client who has schizophrenia. Which of the
following findings indicates the client is meeting her needs for instrumental activities of daily
living?
a) The client sleeps 6 to 8 hr each night.
b) The client has adequate peripheral circulation.
c) The client cooks her own meals.
d) The clients home is free of weapons.
18. A nurse is caring for a client who receives a new prescription for chlorpromazine
hydrochloride. The client states, I was embarrassed to tell you earlier when you asked, but I am
a pretty heavy smoker. Based on this new information the nurse should expect which of the
following from the provider?
a) A change from chlorpromazine hydrochloride to clozapine.
*b) An increase in the prescribed dosage of the medication.
c) A discontinuation of antipsychotic medications until the client stops smoking.
d) An additional prescription for an antihypertensive medication.
19. A nurse is caring for a client who has schizophrenia and is receiving treatment with
haloperidol. The nurse identifies movement disorders as an adverse effect of the medication and
should document the findings as which of the following?
a) Extrapyramidal symptoms
b) Autonomic dysreflexia
c) Reflex sympathetic dystrophy
d) Muscular dystrophy
1. a
2. d
3. b
4. c
5. c
6. c
7. a
8. c
9. b

Answer Key
10. b
11. a
12.c
13. d
14. d
15. c
16. a
17. c
18. b
19. a