NCLEX Q's: Schizophrenia Spectrum and Other Psychotic Disorders

NCLEX Q's: Schizophrenia Spectrum and Other

Psychotic Disorders 5.0 (1 review) Terms in this set (71) Social SciencesPsychology Clinical Psychology Save Although symptoms of schizophrenia occur at various times in the life span, what client would more likely be diagnosed?

• A 10 year-old girl.
• A 20 year-old man.
• A 50 year-old woman.
• A 65 year-old man.
• ( symptoms appear in late adolescence and early

adulthood) ---

• (children not typically dx)
• (can occur in middle or late adulthood, but not

typical)

• (can occur in middle or late adulthood, but not

typical)

A nursing instructor is teaching about the etiology of schizophrenia. What statement by the nursing student indicates an understanding of the content presented?

• "Schizophrenia is a disorder of the

brain that can be cured with the correct treatment."

• "A person inherits schizophrenia

from a parent."

• "Problems in the structure of the

brain cause schizophrenia."

• "There are many potential causes

for this disease, and its etiology is controversial."

• (etiology is unclear)

---

• (no cure for schizo)
• (5-10% higher risk if parent has it but no biological

marker found)

• (may be a result of not cause of schizo)

What is required for effective treatment of schizophrenia?

• Concentration on

pharmacotherapy alone to alter imbalances in affected neurotransmitters.

• Multidisciplinary, comprehensive

efforts, which include pharmacotherapy and psychosocial care.

• Emphasis on social and living skills

training to help the client fit into society.

• Group and family therapy to

increase socialization skills.

• (social & living skills, rehab, family tx)

---

• (no single tx)
• (one aspect of tx)
• (one aspect of tx)

When one fraternal twin has been diagnosed with schizophrenia, the other twin has approximately a _____ % chance of developing the disease.15% When one identical twin has been diagnosed with schizophrenia, the other twin has approximately a _____ % chance of developing the disease.50% From a biochemical influence perspective, which accurately describes the etiology of schizophrenia?

• Adopted children with

nonschizophrenic parents, raised by parents diagnosed with schizophrenia, have a higher incidence of this disease.

• An excess of dopamine-

dependent neuronal activity occurs in the brain.

• A higher incidence of

schizophrenia occurs after there is prenatal exposure of the mother to influenza.

• Poor parent-child interaction and

dysfunctional family systems occur.

• (dopamine hypothesis)

---

• (no research shows they suffer more often than

general population)

• (physiological not biological influence)
• (may precipitate symptoms but doesn't cause)

A nurse is working with a client diagnosed with schizoid personality disorder. What symptom of this diagnosis should the nurse expect to assess, and at what risk is this client for acquiring schizophrenia?

• Delusions and hallucinations—high

risk.

• Limited range of emotional

experience and expression—high risk.

• Indifferent to social relationships—

low risk.

• Loner who appears cold and aloof

—low risk.

• (indifferent to social relationships; don't enjoy

close relationships, appear cold/aloof; not all w/ schizoid progress to schizophrenia) ---

• (don't typically have hallucinations)
• (puts them at high not low risk)
• (puts them at high not low risk)

A nurse is assessing a client with a long history of being a loner and having few social relationships. This client's father has been diagnosed with schizophrenia. The nurse would suspect that this client is in what phase of the development of schizophrenia?

• Phase I—premorbid phase.
• Phase II—prodromal phase.
• Phase III—schizophrenia.
• Phase IV—residual phase.
• (social maladjustment, withdrawal, irritability)

---

• (social withdrawal, impairment, eccentric

behaviors, neglect, lack of energy)

• (psychotic symptoms present)
• (symptoms of residual similar to prodromal)