A client in the mental health unit is being evaluated for schizophrenia. In addition to the client's having hallucinations, the nurse identifies which observation that would support the diagnosis?

1. The client is convinced he is Elvis Presley.
2. The client has frequent outbursts of yelling and shouting.
3. The client has had symptoms for over 30 days.
4. The client refuses to eat or come out of his room.


Answer: 1

1. Delusions are a symptom characteristic of schizophrenia.
2. Outbursts of anger could be associated with many other mental health illnesses or a coping mechanism.
3. Symptoms must be present for more than 6 months to support the diagnosis.
4. Refusal to come out of his room could be associated with many other mental health illnesses or a coping mechanism.

Nursing

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1. Obtaining an order for locked seclusion until client is no longer suicidal. 2. Conducting 15-minute checks to ensure safety. 3. Placing the client on one-to-one observation while continuing to monitor suicidal ideations. 4. Encouraging client to express feelings related to suicide.

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