Schizophrenia Review Questions
A public health nurse is preparing a suicide prevention program for patrons of the local library. The nurse should inform the attendees that suicide is the second leading cause of death in which of the following age groups? A - 10-34 B - 35-44 C - 45-54 D - Over 65 years
A - 10-34 Second leading cause of death for people in this age group
A nurse is creating a presentation about depression for a community health fair. The nurse should plan to report that depression is more prevalent among which of the following demographics? A - Adult females B - Adult males C - Children 10-14 years old D - Adolescents between the ages of 15 and 17
A - Adult females Adult females experience depression more often, they also have a higher risk of suicidal ideation, males are higher risk of attempting suicide
A nurse is assessing a client who has a diagnosis of mania related to bipolar disorder. Which of the following behaviors should the nurse expect the client to exhibit? A - Demonstration of risky behavior B - Feelings of worthlessness C - Client starts to give away possessions D - Sleeping excessively
A - Demonstration of risky behavior Client may also become hypersexual, make abrupt financial decisions. Giving away possessions is a sign of suicidal tendencies, excessive sleep and feeling worthless is depression.
A nurse on an inpatient mental health unit is evaluating a client who was admitted for suicidal ideation for readiness for discharge. Which of the following statements by the client indicates they may be ready for discharge? A - I am going to make a will as soon as I get home B - I plan to go hunting when I get home C - When I get home, I will reach out to my friends if I start to feel down D - When I get home, I will get even with my boss for firing me from my job
C - When I get home, I will reach out to my friends if I start to feel down Client has been educated on the importance of relapse, when to identify their symptoms, utilize support systems
A nurse is caring for a child who is exhibiting tantrums, dysfunction in school, trouble with peers, and suicidal ideation. Which of the following should the nurse identify as being consistent with the client's feelings? A - Dysthymia B - BP1 C - BP2 D - Disruptive mood dysregulation disorder DMDD
D - Disruptive mood dysregulation disorder DMDD Will have extreme irritability, tantrums, and trouble in school. BP 1 client experiences mania and depression. BP 2 client experiences hypomania and depression. BP 1 is more severe
A nurse in an outpatient clinic is caring for a client who has major depressive disorder and has reported suicidal thoughts. Which of the following is the first information the nurse should try to obtain from the patient? A - Does the client have access to committing self-harm B - How lethal are the client's thought of self-harm C - Does the client have someone to call when they are feeling suicidal D - Does the client have a suicide plan
D - Does the client have a suicide plan You then need to find out the lethality of the plan, know if the client has the means for a suicide attempt
A nurse is providing teaching to a client who is to undergo ECT for depression. Which of the following information should the nurse provide? A - It is not necessary to fast before the procedure B - You will be awake during the procedure C - Electrical current will flow through electrodes placed on your torso D - Your provider will likely schedule you for several treatments over a period of weeks
D - Your provider will likely schedule you for several treatments over a period of weeks Electrodes are placed on both sides of the forehead, ECT requires several treatments, must be NPO before procedure, the client will not be awake during the procedure, general anesthesia
A nurse is caring for a client who was admitted with suicidal ideation. The client tells the nurse they have several guns in their home. Which of the following types of interventions is the priority for the nurse to initiate? A - Create a protective environment B - Promote Connectedness C - Teach coping and problem-solving skills D - Strengthen access to and delivery of suicide care
A - Create a protective environment Safety is important. Utilize the safety/risk reduction framework. Client cannot have access to any belongings or tools that can be utilized in self-harm. Use of interprofessional teams and also educated families
A nurse is caring for a client who is scheduled for transcranial magnetic stimulation. When preparing the client for the procedure, which of the following statements should the nurse make? A - The treatments will take about 6 months B - This procedure is effective when combined with psychotherapy C - This procedure will last about 1 hour D - During the procedure, you may notice slight relaxation of the jaw
B - The procedure is effective when combined with psychotherapy Transcranial magnetic stimulation has been proven to be very effective in treatment of depression when coupled psychotherapy
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? A - Males who have a serious mental illness are more likely to be victimized than women B - The stigma over serious mental illness has improved dramatically in recent years in the US C - Having a job is positively associated with recovery from a serious mental illness D - Once housing is secured, clients who have serious mental illness generally do not have issues with housing
C - Having a job is positively associated with recovery from a serious mental illness There is now a decrease in stigma, anyone can be a victim of serious mental illness, stable housing is an ongoing issue for clients with serious mental illness, having a job contributes to the ability to have financial security which helps with med compliance, treatment, stable housing
A nurse is discussing findings of depression with a group of clients. Which of the following client statements indicates an understanding of the information? A - Staying awake for days can be a finding of depression B - Hyperactivity is a finding associated with depression C - Thyroid problems can cause depression D - Impulsiveness is a finding that is commonly associated with depression
C - Thyroid problems can cause depression Must rule out hypothyroidism before diagnosing a client with depression, staying awake for days is mania as well as hyperactivity and impulsiveness
A nurse is providing information about hallucinations to a client who has schizophrenia. Which of the following statements should the nurse make? A - It is belief that something is real when in reality, it is not B - It is when you see or hear things that others are not experiencing C - It is when behaviors that you typically display are abnormally absent D - It is when you see or hear things that others are not experiencing
D - It is when you see or hear things that others are not experiencing Delusions is when there is a belief that something is real when in reality, it is not. It is when behaviors that you typically display are abnormally absent. These are negative symptoms of schizophrenia. i.e. are lack of emotion, lack of expression. Symptoms that affect ones memory is cognitive symptoms.