Deck 15: Schizophrenia Spectrum and Other Psychotic Disorders

Question 1

Which of the following are valid nursing interventions in treating schizophrenic patients (select all that apply)?
1)Do not reinforce hallucinations, delusions, or illusions.
2)Provide a stimulating environment for the patient to provide distraction.
3)Keep communication simple.
4)Whisper when the patient is around.
5)Emphasize behavior that is appropriate to the situation.

Answer 1

1, 3, 5

Question 2

Your hospitalized schizophrenic patient has been taking clozapine (Clozaril) for several months. You recognize this medication is effective by which of the following patient reports?
1)He no longer has a memory of past psychotic behavior.
2)He is drowsier, so less bothered by the hallucinations.
3)He no longer hears voices.
4)He is more uncomfortable around others.

Answer 2

3

Question 3

Which of the following is a positive sign of schizophrenia?
1)Hallucinations
2)Avolition
3)Blunted affect
4)Social withdrawal

Answer 3

1

Question 4

Your patient with schizophrenia who is English-speaking says "no acu moona" to you. What is this called?
1)Neologism
2)Echolalia
3)Echopraxia
4)Concretism

Question 5

Max says, "Nurse, see that man on the television? He is the reason why I am sick. He told them to make me this way." The nurse documents this as an episode of:
1)Hallucination.
2)Delusion.
3)Illusion.
4)Loose associations.

Question 6

Your patient describes feeling spiders crawling on his skin rather than seeing spiders. This is an example of a(n) ____________________ hallucination.

Question 7

The nurse tells the schizophrenic patient "it's time to go to bed." The patient responds with "it's time for bed, it's time for bed, it's time for bed." The patient's response is an example of ____________________.

Question 8

You are helping with breakfast service in the dining room. A resident begins screaming and hitting her food stating, "There are bugs on my eggs. Bugs! Get them off." You approach her to see that someone sprinkled pepper on her eggs. An appropriate response is:
1)"No, those aren't bugs! That is just pepper."
2)"Don't eat them then if you believe those are bugs. Eat the toast instead. There are no bugs on the toast."
3)"I see no bugs; only pepper. I will get you a new plate of food."
4)"There are no bugs! Nobody else sees bugs!"

Question 9

Your new patient is admitted with a diagnosis of schizophrenia. Which of the following is the patient most likely to demonstrate?
1)Concrete thinking
2)Effective ego boundaries
3)Inflated self-image
4)Fatigue and loss of appetite

Question 10

A schizophrenic patient has been taking fluphenazine (Prolixin) for 6 months. She now is experiencing extrapyramidal symptoms (EPS). Which medication is most likely to be added?
1)Acetaminophen (Tylenol)
2)Alprazolam (Xanax)
3)Benztropine (Cogentin)
4)Amitriptyline (Elavil)

Question 11

You find your schizophrenic patient sitting in a wet bed and singing nursery rhymes. What should you do?
1)Ask why the patient did not call for help.
2)Help the patient clean up in a calm manner.
3)Show the patient again where the bathroom is.
4)Tell the patient his privileges will be withdrawn if this happens again.

Question 12

Which of the following are true about atypical antipsychotics (select all that apply)?
1)Weak dopamine receptor antagonists
2)Strong dopamine receptor antagonists
3)Higher risk of extrapyramidal symptoms
4)Used to treat negative and positive symptoms of schizophrenia
5)Only available in oral form

Question 13

When discharging a schizophrenic patient who is taking haloperidol (Haldol), it is important for the nurse to advise the patient to:
1)Keep track of how much salt and water he or she consumes.
2)Avoid strenuous exercise.
3)Report any symptoms of tremors right away.
4)Stop taking the medication if dry mouth develops, and call the doctor immediately.

Question 14

Which of the following is the most appropriate nursing intervention for a patient with schizophrenia?
1)Teach the patient about the illness.
2)Maintain consistency with the patient's plan of care.
3)Insist that the patient participate in all activities provided on the unit.
4)Allow the patient time to listen to the radio alone in his or her room.