Question 1

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.

Accepted Answer

Elevated levels of prolactin can cause galactorrhea (inappropriate lactation) and gynecomastia (enlargement of breast tissue in males). Apathy, social withdrawal, and anhedonia are common symptoms of schizophrenia but are not directly related to elevated prolactin levels.

Question 2

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?

Accepted Answer

Tangentiality is a thought disturbance where the client is unable to stay focused on the topic of a discussion, often going off on tangents or unrelated topics. This is consistent with the client who is hearing voices and unable to maintain a coherent conversation. Delusions of reference involve the belief that unrelated events, objects, or actions have a particular significance to the individual. Neologism involves creating new words or phrases that have a private meaning to the individual. Loose associations involve a disturbance in the logical connection between thoughts, making it difficult to follow the individual's train of thought.

Question 3

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.

Accepted Answer

Group therapy, medication management, supportive family therapy, and social skills training are all integral components of a rehabilitative program for clients diagnosed with Schizophrenia. Deterrent therapy is not a recognized component of this type of program.

Question 4

The mental health nurse is evaluating care of a client who is recovering from an episode of schizophrenic psychosis.Which is the most appropriate long-term goal for the client?

Accepted Answer

Defining and testing reality is a crucial long-term goal for a client recovering from schizophrenic psychosis, as it addresses the core issue of distinguishing between what is real and what is not, which is fundamental for managing schizophrenia.

Question 5

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?

Accepted Answer

Asking the client what the voices are saying helps the nurse assess the content of the hallucinations, which is important for safety and understanding the client's experience.

Question 6

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.

Accepted Answer

The answer of The mother of a 20-year-old woman recently...

Question 7

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.

Accepted Answer

The answer of The advance practice nurse providing therapy for...

Question 8

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?

Accepted Answer

The return of symptoms suggests that the client has either stopped taking the medication or is not taking the medication as prescribed. This can lead to a reemergence of symptoms. Tolerance to the medication usually develops slowly over time, and combining alcohol with the medication can increase side effects but is unlikely to cause a sudden return of symptoms. Not taking the medication with food may affect absorption but is unlikely to cause a sudden return of symptoms.

Question 9

The nurse is administering risperidone (Risperdal)to a client diagnosed with Schizophrenia.The therapeutic effect of this medication would most effectively address which of the following symptoms? Select all that apply.

Accepted Answer

The answer of The nurse is administering risperidone (Risperdal)to a...

Question 10

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?

Accepted Answer

Focusing on the emotions suggested by the delusions can help the client to explore and express their feelings in a safe and non-judgmental environment. It can also help to build a therapeutic rapport between the client and the nurse, which can promote trust and encourage the client to seek help for their delusional thinking. Presenting evidence, addressing the delusion with logical explanations, or exploring reasons why the client has the delusion may not be effective interventions in reducing the client's focus on delusional thinking.

Question 11

A client states,"I hear voices that tell me that I am evil." Which outcome related to these symptoms should the nurse expect this client to accomplish by discharge?

Accepted Answer

The most realistic and therapeutic outcome for a client experiencing auditory hallucinations is for them to identify triggers or events that increase anxiety and may lead to hallucinations. This helps in managing and reducing the occurrence of hallucinations by avoiding or coping with these triggers effectively.

Quiz 24: Schizophrenia Spectrum and Other Psychotic Disorders