Schizophrenia and Other Psychoses

Schizophrenia and Other Psychoses
MULTIPLE CHOICE
1. The client lives so completely in a world of his or her own that he or she is unable to recognize reality, relate to others, or cope
with life’s demands. This client is considered:
a. exotic.
b. anorectic.
c. neurotic.
d. psychotic.
ANS: D
Psychosis often prevents individuals from being able to perform activities of daily living. The other options do not cause loss of
touch with reality.
DIF: Cognitive Level: Comprehension REF: p. 368 OBJ: 3
TOP: Psychosis in Adolescence KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
2. Schizophrenia in children as young as 5 years:
a. is a myth.
b. can occur.
c. never occurs.
d. cannot occur.
ANS: B
Psychotic disorders can occur in children as young as 5 years of age, with causes including genetics, complications during the
pregnancy or birth, and biochemical imbalances.
DIF: Cognitive Level: Knowledge REF: p. 369 OBJ: 3
TOP: Psychoses in Childhood KEY: Nursing Process Step: N/A
MSC: Client Needs: Psychosocial Integrity
3. When people successfully adapt to their environment by using logical thought and socially appropriate ways, they are said to be
functioning at the adaptive end of the continuum.
a. emotional
b. self-protective
c. neurobiological
d. psychobiological
ANS: C
The neurobiological continuum, which is a term used in psychiatry to describe interactions based on the ability to function,
change, and adapt in society, is influenced by certain physical brain functions.
DIF: Cognitive Level: Knowledge REF: p. 368 OBJ: 1
TOP: Continuum of Neurobiological Responses
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
4. Schizophrenia affects approximately % of the world’s population.
a. 1
b. 5
c. 9
d. 13
ANS: A
This estimate means that 2.5 million people in the United States are affected, with 10% to 15% of the homeless population in the
United States being schizophrenic.
DIF: Cognitive Level: Knowledge REF: p. 372 OBJ: 4
TOP: Schizophrenia KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
5. Theories based on study of the brain and its activities are called:
a. social.
b. biological.
c. psychological.
d. psychobiological.
ANS: B
Biological theories view schizophrenia as a brain disorder. Social theories view schizophrenia to be caused by the effects of the
environment; psychological theories view the cause of the disease to be a character flaw combined with poor family relationships;
and psychobiological theories do not exist.
DIF: Cognitive Level: Knowledge REF: p. 371 OBJ: 4
TOP: Biological Theories KEY: Nursing Process Step: N/A
MSC: Client Needs: Psychosocial Integrity

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