Author Question: A mental health nurse is caring for a client who has been diagnosed with catatonic schizophrenia. ... (Read 59 times)

nevelica · **on:** Jul 19, 2018

A mental health nurse is caring for a client who has been diagnosed with catatonic schizophrenia. Based on the diagnosis, the nurse may expect which of the following clinical manifestations?

A) Uninhibited behavior
B) Flat affect
C) Echolalia
D) Auditory hallucinations

Question 2

A client who is delusional and paranoid refuses to take his antipsychotic medication as prescribed. The most therapeutic response by the nurse to his refusal is what?

A) You must take your medicine.
B) If you refuse your medicine, we'll have to give you a shot.
C) What is it about the medicine that you don't like?
D) I can see that you're uncomfortable right now; I'll wait until tomorrow.

underwood14 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
Echolalia and echopraxia are features associated with schizophrenia. Uninhibited behavior and flat affect are associated with the disorganized type of schizophrenia. Frequent auditory hallucinations are noted in paranoid schizophrenia.

Answer to Question 2

Ans: C
Exploring why the client does not like the medication may assist the nurse to increase his sense of safety. The nurse's behaving in a demanding manner will cause the client to become more distrustful and suspicious. It is not appropriate to wait until the next day to administer the needed medication.