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Exam 24: Schizophrenia Spectrum and Other Psychotic Disorders

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Question 1

Multiple Choice

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A college student is not attending classes,isolates self because of hearing voices,and yells accusations at fellow students.Based on this information,which should be the nurse's priority nursing diagnosis?

A) Altered thought processes R/T hearing voices AEB increased anxiety
B) Risk for other-directed violence R/T yelling accusations
C) Social isolation R/T paranoia AEB absence from classes
D) Risk for self-directed violence R/T depressed mood

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Question 2

Multiple Choice

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A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others.Which medication should the nurse expect a physician to order to address this type of symptom?

A) Haloperidol (Haldol) to address the negative symptom
B) Clonazepam (Klonopin) to address the positive symptom
C) Risperidone (Risperdal) to address the positive symptom
D) Clozapine (Clozaril) to address the negative symptom

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Question 3

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The nurse is assessing a client diagnosed with Schizophrenia.The nurse asks the client,"Do you receive special messages from certain sources,such as the television or radio?" Which potential symptom is the nurse assessing?

A client diagnosed with Schizoaffective Disorder is admitted for social skills training.Which information should be taught by the nurse?

The advance practice nurse providing therapy for the family of a client diagnosed with schizophrenia is developing a treatment plan.Which interventions should the nurse include? Select all that apply.

A newly admitted client has taken thioridazine (Mellaril) for 2 years,with good symptom control.Symptoms exhibited on admission included paranoia and hallucinations.The nurse recognizes which potential cause for the return of these symptoms?

Laboratory results reveal elevated levels of prolactin in a client diagnosed with Schizophrenia.When assessing the client,which symptoms should the nurse expect to observe? Select all that apply.

During an admission assessment,the nurse notes that a client diagnosed with Schizophrenia has allergies to penicillin,prochlorperazine (Compazine) ,and bee stings.Based on this assessment data,which antipsychotic medication is contraindicated?

The nurse is caring for a client who is experiencing a flat affect,paranoia,anhedonia,anergia,neologisms,and echolalia.Which statement correctly differentiates the client's positive and negative symptoms of schizophrenia?

Parents ask the nurse how they should reply when their child,diagnosed with Schizophrenia,tells them that voices command him to harm others.Which is the appropriate nursing reply?

A client has been recently admitted to an inpatient psychiatric unit.Which intervention should the nurse plan to use to reduce the client's focus on delusional thinking?

During an admission assessment,the nurse asks a client diagnosed with Schizophrenia,"Have you ever felt that certain objects or persons have control over your behavior?" The nurse is assessing for which type of thought disruption?

The nurse is obtaining the mental health history of a newly admitted client diagnosed with Schizophrenia.The client's family reports the client is hearing voices and cannot stay focused on the topic of a discussion.Which thought disturbance is the client demonstrating?

A client diagnosed with Schizophrenia is prescribed clozapine (Clozaril) .Which client symptoms related to the side effects of this medication should prompt the nurse to intervene immediately?

A client is diagnosed with Schizophrenia.A physician orders haloperidol (Haldol) ,50 mg bid;benztropine (Cogentin) ,1 mg prn;and zolpidem (Ambien) ,10 mg HS.Which client behavior would warrant the nurse to administer benztropine?

Which of the following components should the nurse recognize as an integral part of a rehabilitative program when planning care for clients diagnosed with Schizophrenia? Select all that apply.

A client diagnosed with psychosis asks the nurse to make the voices stop talking so he can go to sleep.Which is the most appropriate nursing intervention?

A client diagnosed with Schizophrenia tells the nurse,"The 'Shopatouliens' took my shoes out of my room last night." Which is the correct charting entry to describe this client's statement?

The mother of a 20-year-old woman recently diagnosed with Paranoid Schizophrenia asks the nurse what causes schizophrenia.The nurse recognizes which of the following are implicated in the etiology of schizophrenia? Select all that apply.

Which nursing intervention is most appropriate when caring for an acutely agitated client with paranoia?