RN Schizophrenia Spectrum Disorders and Psychosis Assessment
A nurse is caring for a client who is experiencing psychosis. Which of the following manifestations should the nurse identify as a positive symptom of schizophrenia?
hearing voices
A nurse is caring for a client who has a SMI and has been recently released from prison. Which of the following factors related to being released from a prison increases the client's risk of relapsing?
inability to find housing
A nurse is caring for a client in a Veterans' Administration facility. The nurse should first address the client's XXX due to XXX
living situation; physiological needs
A nurse is caring for a client who has schizophrenia. The client states, "My health care provider indicated that I likely got schizophrenia due to complications experienced in utero." Which of the following risk factors is this complications linked to?
physiological
A client who has schizophrenia shares with their nurse that they are feeling lonely and isolated. Which of the following actions is the nurse's priority?
share information about support groups for people who have serious mental illness (SMI).
A nurse is caring for a client with schizophrenia. Select the 3 findings that require immediate follow up by the nurse
temperature, stupor-like state, and muscle rigidity
A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a cognitive symptom?
unable to concentrate
A nurse is caring for a client who is at risk for developing schizophrenia. Which of the following findings should the nurse identify as an environmental risk factor?
using cannabis
A nurse is providing discharge instructions for a client who is prescribed clozapine. Which of the following information should the nurse include?
weekly blood draws will need to be done while taking this medication
A nurse is instructing a client who is experiencing hallucinations about medication use. Which of the following statements should the nurse make?
"Both prescription and over-the-counter medications can sometimes cause hallucinations in some people."
A nurse is caring for a client who has been diagnosed with schizophrenia. The client is exhibiting delusional behavior stating that a new nurse is from the FBI and is stealing their thoughts and ideas. Which of the following statements should the nurse make?
"I can see you are very concerned. The new nurse is not from the FBI and will not harm you."
A nurse at a community treatment center asks a client about their use of a prescribed anti-psychotic medication that should be taken daily. Which of the following client statements should suggest to the nurse that the client is not adhering to their medication treatment plan?
"I sometimes go a few days without taking my medication."
A nurse is providing information about hallucinations to a client who has schizophrenia. Which of the following statements should the nurse make?
"It is when you see or hear things that others are not experiencing."
A nurse is talking with a client about mental health care and services. The client asks, "What is the difference between psychosis and schizophrenia?" Which of the following responses should the nurse make?
"Psychosis describes conditions where a person loses contact with what is real. Schizophrenia is a mental health illness where the person can show manifestations of psychosis."
A nurse is caring for a client who has schizophrenia. Which of the following questions should the nurse ask during the exploitation phase of the nurse-client relationship?
"Which stress reduction techniques are you finding helpful alongside your medication?"
A nurse is talking with the family of a 28 year old client who has been diagnosed with schizophrenia. The client's parents ask, "Will my child ever be able to have a good quality of life?" Which of the following responses should the nurse make?
"With treatment and support your child will be able to live a productive and rewarding life."
A nurse is evaluating a client for schizophrenia and asks the client about their work, social, and home life. For which of the following reasons should the nurse ask about these topics?
To gather insight into the client's background in order to guide care
A nurse is caring for a client who has schizophrenia. Which of the following should the nurse identify as a social determinant of health for the client?
access to healthy food
A nurse is caring for a client who has schizophrenia and is unaware of their own mental health. Which of the following is the client experiencing?
anasognosia
A nurse is caring for a young adult client who experienced a traumatic event and appears to be hallucinating. The client has no history of or evidence of risk factors for schizophrenia spectrum disorders and the client's toxicology screen is negative. Which of the following diagnoses provides the best explanation of this client's clinical manifestations?
brief psychotic disorder
A nurse is reviewing assessment findings for a 22 year old client who was found wandering in the street. Which of the following manifestations suggests the client is experiencing positive symptoms of psychosis?
clanging speech
A nurse is caring for a client who is being evaluated for schizophrenia spectrum disorder. Which of the following is used to determine a diagnosis for schizophrenia?
clinical observation
A nurse is caring for a client who has been diagnosed with schizophrenia. Which of the following findings indicates that they client is in the residual phase of the disorder?
decline in symptoms of psychosis
A nurse is caring for a client who has schizophrenia. Which of the following describes the physiological changes caused by exposure to risk factors for this disorder?
decreased grey matter volume in the brain
A nurse is caring for a client who is experiencing psychosis and states that they are the president of the US. The nurse should identify that they client is experiencing which of the following?
delusions
A nurse is working in a community health center is providing an in-service to a group of residents about schizophrenia. Which of the following should the nurse include as an environmental risk factor for this condition?
experiencing poverty
A nurse is caring for a client who has been diagnosed with schizophrenia. Which of the following should the nurse identify as a positive symptom?
hallucination
A nurse is caring for a client who has a major depressive disorder. Which of the following findings should indicate to the nurse the client is experiencing psychosis?
hallucinations
A nurse is speaking with a client about the potential impact of living with a serious mental illness. Which of the following pieces of information should the nurse share?
having a job is positively associated with recovery from serious mental illness (SMI)
A nurse is providing education to a group of staff members about risk factors for schizophrenia. Which of the following risk factors should the nurse include?
having a twin sibling who has the disorder
