Deck 72: Caring for Clients With Dementia Andthought Disorders

Question 1

Why is it important for the nurse to redirect a schizophrenic client's focus to what is real in the "here and now" when a client dwells on delusions?

A) To share the client's hallucination
B) To validate the client's delusional thinking
C) To interrupt the client's delusional thinking
D) To administer antipsychotic drugs as prescribed

Answer 1

To interrupt the client's delusional thinking

Question 2

A client is taking a traditional antipsychotic medication. He is exhibiting grimacing and lip smacking. This side effect would be documented as which of the following?

A) Akinesia
B) Akathisia
C) Tardive dyskinesia
D) Dystonia

Answer 2

Tardive dyskinesia

Question 3

Which of the following would be considered a positive symptom of schizophrenia?

A) Posturing
B) Hallucinations
C) Catatonia
D) Autism

Answer 3

Hallucinations

Question 4

Which of the following is consistent with the diagnosis of Alzheimer's disease?

A) Genetics plays no role in the development.
B) Acetylcholine excess in the brain
C) CT scans show shrinking of the cerebral cortex.
D) EEGs show faster than normal brain waves.

Question 5

Which antipsychotic medication has the potential adverse effect of dangerously depressing bone marrow function?

A) Clozapine (Clozaril)
B) Olanzapine (Zyprexa)
C) Benztropine (Cogentin)
D) Carbamazepine (Tegretol)

Question 6

Which of the following helps the nurse to provide positive reinforcement in a client with schizophrenia?

A) Explain the importance of hygiene.
B) Direct the client to care for himself or herself.
C) Encourage exercise.
D) Appreciate any worthy accomplishments.

Question 7

Excess of which of the following neurotransmitters is believed to be the major cause of symptoms in schizophrenia?

A) Dopamine
B) Norepinephrine
C) Serotonin
D) GABA

Question 8

Which of the following factors should the nurse consider when assessing clients with schizophrenia?

A) Disturbances in behavior
B) Memory loss
C) Positive and negative symptoms
D) Depression

Question 9

Which of the following is a symptom of neuroleptic malignant syndrome that the nurse needs to report to a physician?

A) Tachycardia
B) Weight loss
C) Hallucination
D) Alterations in smell and taste

Question 10

Which medication classification is given to counteract extrapyramidal side effects (EPS)?

A) Antidepressants
B) Antianxiety
C) Anticholinergics
D) Anticonvulsants

Question 11

Which of the following is a nurse's role in providing nutritional support to clients in their final stages of Alzheimer's?

A) Administering vitamin supplements as prescribed.
B) Providing gastrostomy tube feedings.
C) Administering IV infusions.
D) Providing tube feedings through a Dobbhoff in the nose.

Question 12

The nurse is caring for a client diagnosed with delirium. The nurse understands that delirium:

A) Is incurable.
B) Has an unstable course.
C) Has a gradual onset.
D) Is considered permanent.

Question 13

Which of the following is the leading cause of return of disease symptoms and the need for short-term hospitalization in clients diagnosed with schizophrenia?

A) Cost of drug therapy
B) Availability of drug therapy
C) Noncompliance
D) Stigma associated with disease

Question 14

Which of the following are the classic symptoms of schizophrenia?

A) Personality changes
B) Memory loss
C) Inexplicable sensory experiences
D) Inability to accomplish activities of daily living (ADLs)

Question 15

Why should a nurse not touch a client with schizophrenia without warning?

A) It frightens the client.
B) It generates a violent response.
C) It disorients the client.
D) It generates anxiety in the client.

Question 16

Which of the following techniques can the nurse use to explore the client's perception of a group interaction?

A) Avoid asking questions.
B) Avoid complex statements.
C) Use close-ended questions.
D) Use open-ended questions.

Question 17

The client is having difficulty completing ADLs. This would be documented as which of the following?

A) Apraxia
B) Agnosia
C) Ataxia
D) Agraphia

Question 18

Why should a nurse monitor food and fluid intake and toilet patterns of clients with mental disabilities?

A) Regular checkup
B) Data collection facilitates problem identification
C) To determine common symptoms
D) Physician's record

Question 19

Which of the following is an outcome of the drug Memantine (Namenda) in clients with advanced stages of Alzheimer's disease?

A) Less depression
B) Increased brain excitability
C) Less deterioration
D) Decreased brain excitability

Question 20

Which of the following is the result of progressive deterioration of the brain?

A) Delirium
B) Alzheimer's disease
C) Meningitis
D) Encephalitis

Question 21

Which of the following is considered a negative symptom of schizophrenia?

A) Loose associations
B) Inappropriate affect
C) Concrete thinking
D) Delusions

Question 22

Which of the following is a cholinesterase inhibitor used in the treatment of Alzheimer's disease?

A) Haloperidol (Haldol)
B) Fluphenazine (Prolixin)
C) Tacrine (Cognex)
D) Valproic Acid (Depakote)

Question 23

A client with schizophrenia is having hallucinations. It would be important for the nurse to implement which of the following interventions?

A) Allow the client to be alone.
B) Tell the client that you share the content of the hallucination.
C) Personify the voices to make the client more comfortable.
D) Avoid touching the client with our warning.

Question 24

A client diagnosed with schizophrenia is constantly repeating what others say. These symptoms would be documented as which of the following?

A) Loose associations
B) Delusions
C) Echolalia
D) Neologisms