Schizophrenia Disorders NCLEX

Schizophrenia Disorders NCLEX 5.0 (1 review) Students also studied Terms in this set (66) Save Arrhythmia NCLEX-style questions 26 terms Alix_VanderWiele Preview Schizophrenia NCLEX questions 20 terms bunnyfeeeeeetz Preview Personality Disorders NCLEX TYPE ...80 terms Nicole_Zeimet Preview

SCHIZO

50 terms Ale Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia?

• Always afraid another student will steal her belongings
• An unusual interest in numbers and specific topics
• Demonstrates no interest in athletics or organized

sports

• Appears more comfortable among males

A Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?

• Screening a group of males between the ages of 15-25

for early symptoms

• Forming a support group for females aged 25-35 who

are diagnosed with substance use issues

• Providing a group for pt between the ages of 45-55

with information on coping skills that have proven to be effective

• Educating the parents of a group of developmentally

delayed 5-6 yr olds on the importance of early intervention A To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? Select all that apply.

• Alcohol use disorder
• Major depressive disorder
• Stomach cancer
• Polydipsia
• Metabolic syndrome

a, b, d, e

A female pt diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication.What information should the nurse provide to the pt regarding her signs and symptoms?

• Her memory problems will likely decrease
• Depressive episodes should be less severe
• She will probably enjoy social interactions more
• She should experience a reduction in hallucinations

D Which characteristics presents the greatest risk for injury to others by the pt diagnosed with schizophrenia?

• Depersonalization
• Pressured speech
• Negative symptoms
• Paranoia

D Gilbert, age 19, is described by his parents as a "moody child" with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially.Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert's early and slow onset of what is now recognized as

schizophrenia, his prognosis is considered:

• Favorable with medication
• In the relapse stage
• Improvable with psychosocial interventions
• To have a less positive outcome

D Which therapeutic communication statement might a psychiatric-mental health registered nurse use when a patient's nursing diagnosis is altered thought processes?

• "I know you say you hear voices, but I cannot hear

them"

• "Stop listening to the voices, they are NOT real"
• "You say you hear voices, what are they telling you?"
• "Please tell the voices to leave you alone for now"

C When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing

that:

• Medications provided are ineffective.
• Nurses are trying to control their minds.
• The medications will make them sick.
• They are not actually ill.

D

Kyle, a pt w/ schizophrenia, began to take the 1st gen antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems

unable to respond verbally. His vital signs are: BP 170/100,

HR 110, Temp 104.2F. What is the priority nursing priority?

(SATA)

• Hold his meds and contact prescriber
• Wipe him with a washcloth wet w/ cold water or

alcohol C. Administer a med such as benztropine IM to correct dystonic rx

• Reassure him that although there is no tx for his tardive

dyskinesia, it will pass

• Hold his meds for now and consult his prescriber when

he comes to the unit later today A, B Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's nurse recognizes that self- medicating with excessive alcohol is common in this

disease and can co-occur along with:

• Generally good health despite the mental illness.
• An aversion to drinking fluids.
• Anxiety and depression.
• The ability to express his needs.

C Currently what is understood to be the causation of schizophrenia?

• A combination of inherited and nongenetic factors
• Deficient amounts of the neurotransmitter dopamine
• Excessive amounts of the neurotransmitter serotonin
• Stress related and ineffective stress management skills

A Causation is a complicated matter. Schizophrenia most likely occurs as a result of a combination of inherited genetic factors and extreme nongenetic factors (e.g., viral infection, birth injuries, nutritional factors) that can affect the genes governing the brain or directly injure the brain.Affective blunting (negative symptom)Lack of facial expression Anergia (negative symptom)Lack of energy Anhedonia (negative symptoms)Inability to experience happiness Avolition or Apathy (negative symptom)Lack of motivation Which of the following would be assessed as a negative symptom of schizophrenia?

• Anhedonia
• Hostility
• Agitation
• Hallucinations

A Negative symptoms refer to deficits that characterize schizophrenia. They include the crippling symptoms of affective blunting (lack of facial expression), anergia (lack of energy), anhedonia (inability to experience happiness), avolition (lack of motivation), poverty of content of speech, poverty of speech, and thought blocking.

Schizophrenia is best characterized as presenting which personality trait?

• Split
• Multiple
• Ambivalent
• Deteriorating

D The course of schizophrenia is marked by recurrent acute exacerbations. With each relapse of psychosis, an increase in residual dysfunction and deterioration occurs.Which side effect of antipsychotic medication is generally nonreversible?

• Anticholinergic effects
• Pseudoparkinsonism
• Dystonic reaction
• Tardive dyskinesia

D Tardive dyskinesia is not always reversible with discontinuation of the medication and has no proven cure. The other side effects often appear early in therapy and can be minimized with treatment.The most common course of schizophrenia is an initial episode followed by what course of events?

• Recurrent acute exacerbations and deterioration
• Recurrent acute exacerbations
• Continuous deterioration
• Complete recovery

A Schizophrenia is usually a disorder marked by an initial episode followed by recurrent acute exacerbations. With each relapse of psychosis, an increase in residual dysfunction and deterioration occurs.A client diagnosed with paranoid schizophrenia tells the nurse, "I have to get away. The volmers are coming to execute me." The term "volmers" can be assessed as

• a neologism
• clang association
• blocking
• a delusion

A A neologism is a newly coined word that has meaning only for the client. None of the other options fit this description.A client diagnosed with paranoid schizophrenia refuses food, stating the voices are saying the food is contaminated and deadly. Which response should the nurse provide to this client statement?

• "You are safe here in the hospital; nothing bad will

happen to you."

• "The voices are wrong about the hospital food. It is not

contaminated."

• "I understand that the voices are very real to you, but I

do not hear them."

• "Other people are eating the food, and nothing is

happening to them." C This reply acknowledges the client's reality but offers the nurse's perception that he or she is not experiencing the same thing. This is the only option that provides such support.