Deck 32: Psychosis

Question 1

Clients who are psychotic because of underlying psychiatric illness are treated with antipsychotic medications.Typical antipsychotic medications can improve positive symptoms in clients with schizophrenia.Positive symptoms include which of the following? (Select all that apply.)

A) Hallucinations
B) Disorganized speech and behavior
C) Anhedonia
D) Delusions
E) Agitation

Answer 1

Hallucinations
Delusions
Agitation

Question 2

A client with schizophrenia has relapsed and has been identified as being in stage four of relapse.Behavior which is most consistent with this stage of relapse would include

A) expressing feelings of anxiety.
B) expressing feelings of being overwhelmed.
C) bizarre behaviors and speech.
D) presence of hallucinations.

Answer 2

presence of hallucinations.

Question 3

A 23-year-old male veteran of the war in Iraq is admitted with a diagnosis of posttraumatic stress disorder (PTSD)following his arrest for destroying his girlfriend's apartment.This is not his first angry outburst resulting in destruction of property.Which interventions by the nurse will be most helpful to this patient? (Select all that apply.)

A) Allow opportunities for him to express his anger.
B) Provide patient and family teaching regarding PTSD.
C) Tell the patient that hurting himself will solve nothing.
D) Report him to the authorities.
E) Exhibit a nonjudgmental attitude.
F) Reassure him that everything will be all right.

Answer 3

Allow opportunities for him to express his anger.
Provide patient and family teaching regarding PTSD.
Exhibit a nonjudgmental attitude.

Question 4

The nurse is caring for a 32-year-old woman diagnosed with schizophrenia.The woman tells the nurse,"The news on TV last night was all about me." This is an example of what kind of thought content?

A) Thought insertion
B) Thought broadcasting
C) Magical thinking
D) Ideas of reference

Question 5

In discussing disease prevention with a 15-year-old boy and his mother,the nurse identifies which of the following as risk factors for psychosis? (Select all that apply.)

A) Father diagnosed with paranoid schizophrenia
B) Rural residence
C) Recent immigration from Ecuador
D) Occasional cannabis use
E) January birth date
F) Physical abuse by the father

Question 6

The nurse is planning discharge teaching for a patient taking clozapine (Clozaril).Which of the following is essential to include?

A) Caution about sunlight exposure
B) Reminder to call the clinic if fever, sore throat, or malaise develops
C) Instructions regarding dietary restrictions
D) A chart to record patient weight

Question 7

A client previously diagnosed as psychotic expresses to the nurse that he is seeing spiders climbing up the walls in his room and he is concerned that they will get into his bed.The nurse's best response to this behavior is to

A) ignore his remarks.
B) express doubt that there are spiders on the wall.
C) ask the client if he also sees spiders in the day room.
D) tell the client there are no spiders and he should stop worrying about it.