REAL LIFE: SCHIZOPHRENIA ATI

Nurse Anne is teaching Ken and Emily about actions that can decrease Ken's anxiety and increase his socialization. Which of the following statements should Anne make? - Emily, you should avoid giving ken a choice about participating in a social activity - ken, you should avoid talking about your feelings when you are anxious - ken, when you feel anxious, increase the television volume and room lighting to provide a distraction - Emily, visiting and talking with Ken on a regular basis will help him maintain his social interactions

"Emily, visiting and talking with ken on a regular basis will help him maintain his social interactions." - Emily should visit and talk with ken on a regular basis o interact with him for a brief time about topics that do not cause him anxiety. She should then gradually increase the length and number of these interactions as Ken becomes more comfortable

durable power of attorney

- DPAHC can be terminated by the client

Nurse Anne is discussing group Therapy with Ken and Emily. Which of the following recommendations should Nurse Anne make? - Initiate group therapy at the time of Ken's next acute care hospitalization -select a group therapy provider that offers a confrontational approach - increase the number of group therapy session when Ken is experiencing a relapse - establish a goal for long-term commitment to attending group therapy.

- Establish a goal for long-term commitment to attending therapy - Nurse Anne should inform Emily and Ken that group therapy has the greatest effectiveness when it is attended on a long-term basis. This commitment to group therapy can provide Ken with a sense of belonging, improved social skills, and increased ability to manage schizophrenia. Nurse Anne should therefore recommended that Ken establish a goal to make a long-term commitment to attend group therapy

Nurse Anne continues to assess Ken. Which of the following assessment tools should Anne use? - the Fear questionnaire - the Simpson Neurological Rating scale - the recovery Attitude and treatment Evaluate-research (RAATE-R) - the suicidal assessment five step evaluation and triage (SAFE-T)

- SAFE-T -Anne should use the SAFE-T, which is a tool compromised of five steps that assess a client's risk for suicide. this tool identifies both risk and protective factors related to suicide risk. Ken may be at an increased risk for suicide due to psychosis or depression

Nurse Anne is preparing to administer Ken's first injection of paliperidone. which of the following statements should she make? "I will firmly massage the injection site after I administer the medication." "The medication will reach peak effectiveness in about 13 days" The first two injections will be given in the muscle of your upper arm "I need to monitor your vital signs for two hours following each injection"

- The medication will reach peak effectiveness in about 13 days.

Nurse Anne is teaching Emily about ways to decrease Ken's paranoia at home. Which of the following actions should Nurse Anne recommend?

- avoid whispering or talking quietly to others when in the same room as Ken Nurse Anne should recommend that Emily avoid whispering or talking quietly to others when in the same room as Ken. ensuring that Ken is able to overhear conversations decreases the possible belief that others are talking about him.

Nurse Anne is continuing to assess Ken. Which of the following manifestations should Anne assess for first? - decreasing appetite - command hallucinations - episodes of impaired balance - occasional difficulty when swallowing

- command hallucinations The greatest risk for a client experiencing auditory hallucination is the risk of self- or other- directed harm due to command hallucinations. Therefore this assessment is the priority. Anne should continue to assess Ken to determine exactly what the voices are commanding him to do.

Nurse Anne notice that Ken is exhibiting an alternated speech pattern. Which of the following responses by Ken should Nurse Anne identify as an example of associative looseness? - delusion of grandeur - Nihilistic delusion - somatic delusion - delusion of persecution

- delusion of persecution

The Nurse (Anne) identifies that Ken is experiencing a delusion. Which of the following types of delusions should she document in Ken's medical record? - delusion of grandeur - Nihilistic delusion - Somatic delusion - delusion of persecution

- delusion of persecution

Nurse Anne confirms that Ken is not experiencing command hallucinations. Which of the following responses should Nurse Anne make when further communicating with Ken about his auditory hallucinations?

- hearing voices must be frightening, but you are safe after nurse Anne confirms that ken is not experiencing command hallucinations, she should reassure him that he is safe and should empathy for his feelings. providing reassurance can decrease ken's anxiety, which further decreases the risk for self and other-directed harm

Nurse Anne is teaching Emily and Ken about the effects of cocaine use. Which of the following findings should Nurse Anne identify as a manifestation of cocaine intoxication? -Psychosis -Feeling of relaxation -Depression -Social Isolation

- psychosis

Nurse Anne is talking with ken about substance use and the results of this drug screen. Which of the following statements should Nurse Anne say when discussing this topic with Ke

- tell me some of your reasons for using marijuana this statement by nurse Anne uses the therapeutic communication technique of a broad opening and an open-ended question. these techniques encourages the client to openly discuss the topic so that the nurse can gain information and insight into the situation

Nurse Anne is teaching Ken and Emily about the adverse effects of paliperidone. Which of the following statements should Anne include

You should let your provider know if you experiencing abnormal body movements paliperidone can cause extrapyramidal effects, such as unusual body movements, tremors, or muscle contractions. Anne should instruct Ken to notify his provider if he experiences this adverse effect.

Nurse Anne observes that Ken is becoming increasingly anxious. Which of the following action should Nurse Anne take? a) stand directly in front of Ken within arm's reach b) stand next to Ken, gently touching his forearm with her hand c) stand off to the side of Ken, more than an arm's reach away d) stand facing ken with him between her and the door.

c) stand off to the side of Ken, more than an arm's reach away. - clients who are exhibiting anxious behaviors are at risk for violence. The nurse should stand off the side of the client, more than an arm's reach away, to avoid increasing the client's anxiety. The nurse should have a direct path to the door in case the client becomes violent and the nurse needs to leave the room immediately

Nurse Anne is teaching Ken and Emily about the positive and negative symptoms of schizophrenia. Which of the following manifestations should Nurse Anne include as positive symptoms? (Select all that apply) -DELUSION -HALLUCINATION -MOTOR AGITATION -FLAT AFFECT -ANHEDONIA -ALOGIA

delusion hallucinations motor agitation -Positive symptoms of schizophrenia are manifestations of altered mental functioning. Positive symptoms include delusions, hallucinations (visual, auditory, gustatory, olfactory), motor agitation, and alteration in speech (echolalia, clang association, associative looseness). Negative symptoms of schizophrenia are a manifestation of decreased physical and mental functioning. Negative symptoms include flat affect, anhedonia, alogia, apathy, and avolition.

Relapse in schizophrenia

group therapy can help prevent relapse learning new coping skills can help prevent relapse substance use can cause a relapse notify trusted people if there is a desire for social withdrawal