Difficulty: Medium
Average Score: 65%
Simulated
Passage / Scenario
The following scenario applies to the next 1 itemsThe behavioral health nurse is caring for a 28-year-old client
Item 1 of 1
Progress Notes
0914 ÔÇô Nursing reports that the client required a PRN dose of diazepam after pacing the halls and shouting at the television despite failed redirect attempts.
Mental Status Exam ÔÇô Alert and disoriented to person, place, and situation; fair eye contact; unkempt appearance. Thought process was disorganized and illogical. The client denied A/V hallucinations and suicidal ideations. + delusions; thoughts of persecution stating, ÔÇÿsomeone is out to get meÔÇÖ while pointing to a television. Speech was disorganized, with a normal volume and a slightly increased rate. Insight and judgment are severely impaired.
Based on the physician's progress note, the client is in which phase of schizophrenia?
Correct answer
B
Rationale
Disorganized thoughts, delusions, and severe impairment indicate the acute phase of schizophrenia.