Unit 1 - Schizophrenia Practice Questions
When the client describes fear of leaving his apartment as well as the desire to get out and meet others, it is called a. ambivalence b. anhedonia c. alogia d. avoidance
Answer: A
A teaching plan for the client taking an antipsychotic medication will include which of the following? (Select all that apply) a. Apply sunblock before going outdoors b. Drink sugar free beverages for dry mouth c. Have serum blood levels drawn once a month d. Rise slowly from a sitting position e. Skip any dose that is not taken on time f. Take medication with food to avoid nausea
Answer: A, B, D
The client who hesitates 30 seconds before responding to any question is described as having a. blunted affect b. latency of response c. paranoid delusions d. poverty of speech
Answer: B
The nurse is planning discharge teaching for a client taking clozapine (Clozaril). Which of the following is essential to include? a. Caution the client not to be outdoors int he sunshine without protective clothing b. Remind the client to go to the lab to have blood drawn for a WBC count c. Instruct the client about dietary restrictions d. Give the client a chart to record a daily pulse rate
Answer: B
Which of the following are considered to be positive signs of schizophrenia? (Select all that apply) a. Anhedonia b. Delusions c. Hallucinations d. Disorganized thinking e. Illusions f. Social withdrawal
Answer: B, C, D
Which of the following statements would indicate that family teaching about schizophrenia had been effective? a. "If our son takes his medications properly, he won't have another psychotic episode." b. "I guess we'll have to face the fact that our daughter will eventually be institutionalized." c. "It's a relief to find out that we did not cause our son's schizophrenia." d. "It's a shame our daughter will never be able to have children."
Answer: C
Nurse is caring for a client who has been taking fluphenazine (Prolixin) for 2 days. The client suddenly cries out, his neck twists to one side, and his eyes appear to roll back in the sockets. The nurse finds the following PRN medication for the client. Which one should the nurse administer? a. Benztropine (Cogentin), 2mg PO, bid, PRN b. Fluphenazine (Prolixin), 2mg, PO, tid, PRN c. Haloperidol (Haldol), 5mg IM, PRN extreme agitation d. Diphenhydramine (Benadryl), 25mg IM, PRN
Answer: D
The family of a client with schizophrenia asks the nurse about the difference between conventional and atypical antipsychotic medications. The nurse's answer is based on which of the following? a. Atypical antipsychotics are newer medications but act in the same ways as conventional antipsychotics. b. Conventional antipsychotics are dopamine antagonists; atypical antipsychotics inhibit the reuptake of serotonin c. Conventional antipsychotics have serious side effects; atypical antipsychotics have virtually no side effects d. Atypical antipsychotics are dopamine and serotonin antagonists; conventional antipsychotics are only dopamine antagonists
Answer: D
The overall goal of psychiatric rehabilitation is for the client to gain a. control of symptoms b. freedom from hospitalization c. management of anxiety d. recovery from illness
Answer: D
