ch. 23 Prep U

c

Which would a nurse expect to administer to a client with schizophrenia who is experiencing a dystonic reaction? a. Risperidone b. Aripiprazole c. Benztropine d. Trihexyphenidyl

a

A client diagnosed with schizophrenia has been prescribed clozapine. Which is a potentially fatal side effect of this medication? a. Agranulocytosis b. Neuroleptic malignant syndrome c. Tardive dyskinesia d. Dystonia

c

A client diagnosed with schizophrenia is laughing and talking while sitting alone. Which is the best response by the nurse? a. State, "Can you share your joke with me?" b. To sit with the client quietly until the client is ready to talk. c. State, "Tell me what's happening." d. State, "You look lonely here. Let's join the others in the day room."

c

A client diagnosed with schizophreniform disorder must have symptoms present for at least 1 month but with a duration of less than: a. 2 weeks. b. 4 weeks. c. 6 months. d. 12 months.

a

A client is diagnosed with schizoaffective disorder. The interdisciplinary plan of care includes key family members. The nurse understands that a major reason for doing so involves which of the following? a. Strengthening the client's recovery b. Keeping the client's behavior on track c. Preventing a relapse d. Maintaining the client's boundaries

d

A client with a delusional disorder has been undergoing individual psychotherapy. The therapy would be deemed ultimately successful when the client meets which outcome? a. The client will identify alternatives to present coping patterns. b. The client will describe problems relating to others. c. The client will identify situations that evoke anxiety. d. The client will differentiate between reality and fantasy.

a

A client with schizophrenia is exhibiting hallucinations and delusions. The mental health nurse knows that these symptoms are associated with hyperactivity of which neurotransmitter? a. Dopamine b. Serotonin c. Gamma-aminobutyric acid (GABA) d. Norepinephrine

c

A client with schizophrenia is exhibiting positive and negative symptoms. The nurse anticipates that the client would be prescribed what? a. Stimulant b. Antidepressant c. Second generation antipsychotic d. First generation antipsychotic

c

A client with schizophrenia is prescribed a second-generation antipsychotic. The client's mother asks, "About how long will it take until we see any changes in his symptoms?" Which response by the nurse would be most appropriate? a. "You should see improvement in about 36 to 48 hours. b. "It will take about 6 to 12 weeks until the drug is effective." c. "Generally, it takes about 1 to 2 weeks to be effective in changing symptoms." d. "His symptoms should subside almost immediately."

d

A client with schizophrenia is prescribed clozapine. The nurse would monitor the client closely for specific signs of: a. hypotension. b. nausea. c. weight loss. d. infection.

d

A client with schizophrenia is receiving antipsychotic therapy. The nurse understands that which is a medical emergency should it develop in the client? a. Tardive dyskinesia b. Parkinsonism c. Akathisia d. Neuroleptic malignant syndrome

a

A client with schizophrenia states that the client is God's messenger and the client's mission is to become president. The nurse documents these comments as evidence of what? a. Delusional thinking b. Hallucinatory experiences c. Bizarre behavior d. Formal thought disorder

c

A client diagnosed with schizophrenia states, "I want to go home, go home, go home." This is an example of which of the following speech patterns? a. Clang association b. Neologisms c. Verbigeration d. Word salad

d

Despite taking an atpyical antipsychotic medication for several years, a client with a diagnosis of schizophrenia has experienced a recent increase in the frequency and severity of command hallucinations that has resulted in a suicide attempt. The nurse should anticipate that this client may benefit from which of the following? a. An SSRI b. Lithium c. Naltrexone (ReVia) d. Clozapine (Clozaril)

a

Which medication is used to control the extrapyramidal effects associated with antipsychotic medications? a. Benztropine b. Chlorpromazine c. Haloperidol d. Thioridazine

d

The client with schizophrenia makes the following statement, "I just don't know how to count. The sky turned to fire. I have a ball in my head." What term does the nurse use to document this statement? a. Word salad b. Ideas of reference c. Delusional thinking d. Associative looseness

b

The nurse enters the room of a client with schizophrenia the day after he has been admitted to an inpatient setting and says, "I would like to spend some time talking with you." The client stares straight ahead and remains silent. The best response by the nurse would be ... a. "I can see you want to be alone. I'll come back another time." b. "You don't need to talk right now. I'll just sit here for a few minutes." c. "I've got some other things I can do now. I hope you'll feel like talking later." d. "You would feel better if you would tell me what you're thinking."

c

The nurse is preparing a client with schizophrenia for discharge. The nurse asks the client, "How are you going to care for yourself at home?" The purpose of the nurse's question is to assess which area about the client? a. self concept. b. judgment. c. insight. d. social support system.

a

What is an anticholinergic side effect associated with some antipsychotic medications? a. Photophobia b. Salivation c. Increased tearing d. Diarrhea

b

When describing the difference between schizoaffective disorder (SAD) and schizophrenia, the nurse would address which as associated with SAD? a. lower level of functioning b. increased mood responses c. decreased risk for suicide d. delusions but no hallucinations

c

When developing the plan of care for a client with schizophrenia who is in the acute phase of illness, the nurse understands that the client is at high risk for what? a. Depression b. Mania c. Suicide d. Water intoxication

a

Which extrapyramidal side effect is noted by a client who has bradykinesia and a shuffling gait? a. Pseudoparkinsonism b. Akathisia c. Acute dystonia d. Tardive dyskinesia

c

Which of the following terms describes an inability to recognize or name objects despite intact sensory abilities? a. Apraxia b. Aphasia c. Agnosia d. Executive functioning disturbance