Deck 31: Schizophrenia and Other Psychoses

Question 1

To cope with the devastating effects of schizophrenia and other serious mental illnesses,family members or significant others and clients will benefit most from:

A)Regular psychoanalysis
B)Intensive short-term therapy
C)Ongoing treatment and support
D)Continued medication adjustments

Answer 1

Ongoing treatment and support

Question 2

The family of a client diagnosed with schizophrenia describes her behavior over the last few days as being very docile and non-confrontational.When asked to go and change her shoes to go shopping,she goes to change them,but a when a family member checks on her several minutes later,she appears to be lost in thought.This phase of schizophrenia is the _______________phase.

A)Residual
B)Prodromal
C)Prepsychotic
D)Acute

Answer 2

Prepsychotic

Question 3

The police bring a man to the emergency department because he is wandering the streets yelling to people.He attempted to attack the police officer because he accused him of "being a part of that plot to kill the president and me." Which category of schizophrenia is he exhibiting?

A)Paranoid
B)Catatonic
C)Disorganized
D)Residual

Answer 3

Paranoid

Question 4

The client who is taking a low-potency antipsychotic medication should be informed by the nurse that the most common side effects are (Select all that apply):

A)Dystonia
B)Akathisia
C)Dry mouth
D)Bradykinesia
E)Blurred vision
F)Urinary retention

Question 5

The client interprets the proverb "A rolling stone gathers no moss" as "As long as the rock keeps moving,it won't turn green." This is an example of:

A)Mutism
B)Flight of ideas
C)Concrete thinking
D)Loose association

Question 6

The client has become unable to recognize formerly familiar objects and people in his environment.The client is experiencing:

A)Affect
B)Agnosia
C)Apraxia
D)Anhedonia

Question 7

The signs and symptoms of schizophrenia must be present for at least ____ months before a diagnostic label is assigned.

A)3
B)6
C)12
D)18

Question 8

The client is describing her trip to town.She tells the nurse,"I cold town yellow water girl outside below ground." This speech disturbance is called:

A)Neologism
B)Word salad
C)Flight of ideas
D)Verbigeration

Question 9

Schizophrenia affects approximately __________% of the world's population.

A)1
B)5
C)9
D)13

Question 10

The nurse notes that a male client,who is taking an antipsychotic medication,is constantly moving from chair to chair during a group activity,and he complains that he feels "nervous and jittery inside." The nurse is aware that this client most likely is experiencing:

A)Akinesia
B)Dystonia
C)Dyskinesia
D)Akathisia

Question 11

The onset of schizophrenia most commonly occurs during the decade of age in the:

A)Teens
B)20s
C)30s
D)40s

Question 12

A woman who delivered a healthy infant three weeks ago is experiencing auditory hallucinations and has not changed her clothes or taken a shower in a week and expresses no interest in her infant.After a short inpatient stay,her symptoms improve and she is back to caring her herself and her infant.What disorder is this indicative of?

A)Paranoid schizophrenia
B)Dual diagnosis
C)Schizotypal
D)Brief psychotic disorder

Question 13

Theories based on study of the brain and its activities are called:

A)Social
B)Biological
C)Psychological
D)Psychobiological

Question 14

Schizophrenia in children as young as 5 years:

A)Is a myth
B)Can occur
C)Never occurs
D)Cannot occur

Question 15

The mother of a 20-year-old diagnosed with paranoid schizophrenia is upset by the fact that her child tried to attack her during her daily visit.What is the most appropriate support the nurse can give her after this incident?

A)"Your child is working through relationship issues with you and does not know how to express them."
B)"You should stop coming for a while,as your visits upset your child."
C)"Your child's illness is due to a loss of contact with reality,and not directed to you as his mother."
D)"You must make him realize that his behavior toward you is inappropriate."

Question 16

The client lives so completely in a world of his or her own that he or she is unable to recognize reality,relate to others,or cope with life's demands.This client is considered:

A)Exotic
B)Anorectic
C)Neurotic
D)Psychotic

Question 17

A female client with a psychotic disorder is experiencing olfactory hallucinations.Most likely,she would be complaining of:

A)A vision that is disturbing to her
B)A sound that is disturbing to her
C)A smell that is disturbing to her
D)A sense of touch that is disturbing to her

Question 18

Positive symptoms of schizophrenia include (Select all that apply):

A)Flat affect
B)Hallucinations
C)Poor grooming
D)Speech problems
E)Bizarre behaviors

Question 19

When people successfully adapt to their environment by using logical thought and socially appropriate ways,they are said to be functioning at the adaptive end of the ____ continuum.

A)Emotional
B)Self-protective
C)Neurobiological
D)Psychobiological

Question 20

The client in whom schizophrenia has been diagnosed usually is medicated with what class of drugs?

A)Antianxiety
B)Antipsychotic
C)Antidepressant
D)Antihypertensive

Question 21

__________ are central nervous system alterations that are characterized by abnormal,involuntary movement disorders caused by antipsychotic medications and leading to an imbalance between two major neurotransmitters (dopamine and acetylcholine)in portions of the brain.

Question 22

Neuroleptic malignant syndrome is a potentially fatal side effect of antipsychotic medications.Which of the following symptoms are indicative of NMS? (Select all that apply. )

A)Hypothermia
B)Hyperthermia
C)Rigid posturing
D)Agitation
E)Tachycardia
F)Diaphoresis
G)Slow,shallow respirations

Question 23

Schizophrenia is a complex syndrome of maladaptive thoughts and behaviors that affects human functioning in the emotional,spiritual,intellectual,and __________ areas of an individual's life.