Schizophrenia NCLEX Questions

Schizophrenia NCLEX Questions Leave the first rating Students also studied Terms in this set (10) Social SciencesPsychology Clinical Psychology Save FINAL - Chapter 24 - Personality Dis...34 terms jhess214Preview

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25 terms nelvehjemPreview Ch. 25 Depressive Disorders Review...10 terms NursingOhanaPreview Schizop 41 terms Alix Which of the following client statements demonstrates the major symptoms of schizophrenia?A "I had too much to drink last night, started feeling all- powerful, and stupidly drove my truck into a tree." B "I've been depressed ever since our house was destroyed by fire." C "'A stitch in time saves nine' means that prevention is easier than fixing a real problem." D "You can read my mind. This light of mine will shine, fine; blinding world will end at nine." D A family member asks you, "As both of my siblings have schizophrenia, why are my brother's symptoms so different from my sister's? He withdraws when there's a change in his environment or routine. She starts cursing and yelling about the Mafia and the CIA when I do something that's less than perfect." Based on your

knowledge, your response should address:

A The many differences in the presentation of schizophrenia.B The significance of paranoid content in the differential diagnosis of paranoid schizophrenia.C The typical progression of symptoms within an individual over time.D The effect of gender on clinical presentation in schizophrenia.A

Which family member statements demonstrate recognition of the effects of social pressures associated with schizophrenia? (Select all that apply.) A "If my family member would just move in with me, it would be a lot easier for me to maintain my household and care for my children." B "It would be great if my family member could identify somebody to trust and believe when that person says, 'Your symptoms are worse. Let's go to the psychiatrist.'" C "I'll attend a support group, but I'm afraid my family member will not go...s/he would rather try to 'pass' as not mentally ill." D "I'm going to help my family member figure out what to tell other family members, friends, and business associates about why he's been on medical leave." E "I used to protect my family member from a lot of the interpersonal conflicts in the family, but we need to express our emotions more openly."

B, C, D

Which client statements demonstrate acknowledgment of the effects of psychological pressures associated with schizophrenia? (Select all that apply.) A "I just want to get back to what I was doing and put this whole episode behind me." B "If I can't stand the side effects, how will I ask my prescriber to change my medication?" C "I'm going to look for a job where I can use my college degree but have less day-to-day stress." D "Next month, my sister and I are going to write a grant proposal for a psychiatric day treatment/social center." E "I have designed a weekly schedule so that I can get tasks done and have planned time to relax." B,C,E You have presented your client with written aftercare

medication directions: "Take one capsule three times per

day." Your client informs you that she has reviewed the material. Which response specifically addresses your concerns about adherence?A "If you forget one dose, you can double the next one." B "Do you understand everything?" C "This medication really works best if you take one capsule three times per day." D "What might get in the way of your taking your medications?" D

The client with schizophrenia is preparing for discharge.To minimize relapse, what is the most important feature of planning the client's aftercare?A Identification of two new ways to bolster self-esteem B Ensuring that the client lists three potential sources of social support C An accurate description of the medication regimen with a specific plan for obtaining refills D Identification of three new methods of spending leisure time C While you are employed as a charge nurse on an inpatient psychiatric unit, you recognize that you are choosing to spend less time interacting with the clients

with schizophrenia. Your first action is:

A Discussing your observation with your clinical supervisor.B Requesting a transfer to another unit.C Forcing yourself to interact with the clients with schizophrenia.D Reflecting on your behavior.D A peer approaches you and shares her frustration with her older brother, who has had multiple hospitalizations with schizophrenia. "He used to show interest in me, but since his discharge 5 days ago, he just stares into space. I cannot get a reaction out of him." Which of the following statements impart accurate information? (Select all that apply.) A "Have you confronted him with this?" B "He may be demonstrating flattening of affect and anhedonia." C "He may have sedation or masked facial expressions from his medications." D "Maybe he's depressed about having a chronic illness." E "It's sad when a loved one does not have any feelings."

B,C, D

A nurse is designing a relapse-prevention inpatient group for clients with schizophrenia. Which statement addresses a main category of nursing activities?A "We're going to discuss current events." B "Let's go around the room and have each person say something positive about our group." C "If you can increase your self-assessment skills, you'll be able to tell when you're getting more stressed." D "We will go around the room and each person will state a personal goal for today." C

You overhear a family member discussing medication adherence with your client. Which of the following statements do you want to encourage the family member to reiterate?A "Your children are getting tired of watching you get sick every time you stop your meds." B "If you stop taking your medication, I'll take custody of your children." C "You should let these health care providers get you well. Why do you fight that?" D "Your support group encourages you to make healthy choices. Taking your meds is a healthy thing you can do every day, just like brushing your teeth." D