Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who has schizophrenia.
Which of the following findings should the nurse identify as a comorbidity to this condition?.
A. Cancer
A rationale: While anyone can get cancer, it’s not specifically linked to schizophrenia.
B. Osteoarthritis.
B rationale: Osteoarthritis is a degenerative joint disease. It’s not a common comorbidity with schizophrenia.
C. Alzheimer's disease.
C rationale: Alzheimer’s disease is a type of dementia. It’s not typically associated with schizophrenia.
D. Diabetes mellitus.
D rationale: Diabetes mellitus is a common comorbidity with schizophrenia. Antipsychotic medications can increase the risk of developing type 2 diabetes.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
While anyone can get cancer, it’s not specifically linked to schizophrenia.
Choice B rationale:
Osteoarthritis is a degenerative joint disease. It’s not a common comorbidity with schizophrenia.
Choice C rationale:
Alzheimer’s disease is a type of dementia. It’s not typically associated with schizophrenia.
Choice D rationale:
Diabetes mellitus is a common comorbidity with schizophrenia. Antipsychotic medications can increase the risk of developing type 2 diabetes.
Similar Questions
A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech.
Which of the following medications should the nurse anticipate the provider to prescribe?.
A. Mood stabilizer
A rationale: Mood stabilizers are used for bipolar disorder, not for symptoms like delusions and hallucinations.
B. Benzodiazepine.
B rationale: Benzodiazepines are used for anxiety and panic disorders. They don’t treat psychotic symptoms.
C. Dopamine antagonist.
C rationale: Dopamine antagonists, or antipsychotics, are the primary treatment for schizophrenia. They can reduce delusions and hallucinations.
D. Selective serotonin reuptake inhibitor.
D rationale: SSRIs are used for depression and some anxiety disorders. They don’t treat psychotic symptoms.
Full Explanation
Choice A rationale:
Mood stabilizers are used for bipolar disorder, not for symptoms like delusions and hallucinations.
Choice B rationale:
Benzodiazepines are used for anxiety and panic disorders. They don’t treat psychotic symptoms.
Choice C rationale:
Dopamine antagonists, or antipsychotics, are the primary treatment for schizophrenia. They can reduce delusions and hallucinations.
Choice D rationale:
SSRIs are used for depression and some anxiety disorders. They don’t treat psychotic symptoms.
A nurse is caring for a client who has been diagnosed with schizophrenia.
The client has been wearing the same clothes for the past week and appears unkept and unbathed.
Which of the following statements should the nurse make to the client?
A. "I'm going to ignore your lack of self-care because it is an aspect of the disorder.”.
A rationale: Ignoring the client’s lack of self-care is not therapeutic. It’s important to address hygiene issues with clients who have schizophrenia.
B. "This is it! You are getting a bath! There are three of us here to bathe you!".
B rationale: This approach is confrontational and does not respect the client’s autonomy or dignity.
C. "It is now time for you to bathe.
C rationale: This is the best choice because it respects the client’s autonomy and provides them with a choice, which can help motivate them to participate in self-care activities.
D. "Do you really think it is ok not to bathe? What is going on with you?".
D rationale: This statement is judgmental and confrontational, which is not therapeutic.
Full Explanation
Choice A rationale:
Ignoring the client’s lack of self-care is not therapeutic. It’s important to address hygiene issues with clients who have schizophrenia.
Choice B rationale:
This approach is confrontational and does not respect the client’s autonomy or dignity.
Choice C rationale:
This is the best choice because it respects the client’s autonomy and provides them with a choice, which can help motivate them to participate in self-care activities.
Choice D rationale:
This statement is judgmental and confrontational, which is not therapeutic.
A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances and is unable to control their sense of worry.
The nurse should identify that these manifestations indicate which of the following?.
A. "I can understand your concerns.
A rationale: Separation anxiety disorder is characterized by excessive fear or anxiety about separation from those to whom the individual is attached.
B. Agoraphobia.
B rationale: Agoraphobia involves marked fear or anxiety about two or more of the following: using public transportation, being in open spaces, being in enclosed places, standing in line or being in a crowd, or being outside of the home alone.
C. Panic disorder.
C rationale: Panic disorder is characterized by recurrent unexpected panic attacks, which are abrupt surges of intense fear or discomfort that reach a peak within minutes.
D. Generalized anxiety disorder.
D rationale: Generalized anxiety disorder is characterized by excessive anxiety and worry about a number of events or activities. The individual finds it difficult to control the worry.
Full Explanation
Choice A rationale:
Separation anxiety disorder is characterized by excessive fear or anxiety about separation from those to whom the individual is attached.
Choice B rationale:
Agoraphobia involves marked fear or anxiety about two or more of the following: using public transportation, being in open spaces, being in enclosed places, standing in line or being in a crowd, or being outside of the home alone.
Choice C rationale:
Panic disorder is characterized by recurrent unexpected panic attacks, which are abrupt surges of intense fear or discomfort that reach a peak within minutes.
Choice D rationale:
Generalized anxiety disorder is characterized by excessive anxiety and worry about a number of events or activities. The individual finds it difficult to control the worry.