Schizophrenia Spectrum and Other Psychotic Disorders

When one fraternal twin has been diagnosed with schizophrenia, the other twin has approximately a _______% chance of developing this disease.

15%

A client prescribed risperidone 4 mg bid. After the client is caught "cheeking" medications, liquid medication is prescribed. The label reads 0.5 mg/mL. How many milliliters would be administered daily? _____ mL

16 mL

A client is prescribed clozapine 12.5 mg am daily and 50 mg qhs. Clozapine is available in 25-mg tablets. How many tablets would be administered daily? ______ tablets

2.5 tablets

When one identical twin has been diagnosed with schizophrenia, the other twin has approximately a _____% chance of developing the disease.

50%

A client has been prescribed ziprasidone 40 mg bid. Which of the following interventions are important related to this medication? Select all that apply. a. Obtain a baseline electrocardiogram (EKG) initially and periodically throughout treatment. b. Teach the client to take the medication with meals. c. Monitor the client's pulse because of the possibility of palpitations. d. Institute seizure precautions and monitor closely. e. Watch for signs and symptoms of a manic episode.

ANS: A, B, C

A client is prescribed olanzapine (Zyprexa Relprevv). Which of the following client statements indicate that teaching regarding this medication has been effective? Select all that apply. a. "I must stay in the facility and be monitored for 3 hours after receiving the injection." b. "I cannot drive for the remainder of the day." c. "I must register paperwork with the drug company." d. "I need to notify staff if I get overly tired or confused." e. "After my first three injections, the risk of adverse reaction deceases."

ANS: A, B, C, D

The nurse is teaching a client diagnosed with schizophreniform disorder about what may affect a good prognosis. Which of the following features should the nurse include? Select all that apply. a. Confusion and perplexity at the height of the psychotic episode b. Good premorbid social and occupational functioning c. Absence of blunted or flat affect d. Predominance of negative symptoms e. Onset of psychotic symptoms within 4 weeks of noticeable behavioral change

ANS: A, B, C, E

A student nurse is assessing a 20-year-old client who is experiencing auditory hallucinations. The student states, "I believe the client has schizophrenia." Which of the following instructor responses is the most appropriate? Select all that apply. a. "How long has the client experienced these symptoms?" b. "Has the client taken any drug or medication that could cause these symptoms?" c. "It is not within your scope of practice to assess for a medical diagnosis." d. "Does this client have any mood problems?" e. "What kind of relationships has this client established?"

ANS: A, B, D, E

Schizophrenia is identified in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), as a spectrum disorder based on the severity of symptoms. Which of the following accurately describes this diagnostic category? Select all that apply. a. Degree of severity of the schizophrenia spectrum is determined by the number of psychotic symptoms. b. Schizotypal personality disorder initiates the schizophrenia spectrum. c. Symptoms within the schizophrenia spectrum are directly attributable to toxins. d. Degree of severity of the schizophrenia spectrum is determined by the duration of psychotic symptoms. e. Schizophrenia spectrum disorders can carry the additional specification of with catatonic features.

ANS: A, B, D, E

The nurse is assessing a client diagnosed with schizophrenia with catatonic features. Which of the following symptoms should the nurse expect the client to exhibit? Select all that apply. a. Catalepsy b. Waxy flexibility c. Pressured speech d. Posturing e. Stereotypy

ANS: A, B, D, E

An instructor is teaching students about psychiatric medications. Which of the following antipsychotic medications need to be given with food? Select all that apply. a. Ziprasidone b. Vilazodone c. Lurasidone d. Aripiprazole e. Asenapine

ANS: A, C

Which of the following clients have the greatest chances of positive prognoses after being diagnosed with schizophrenia? Select all that apply. a. A client diagnosed at age 35. b. A male client experiencing a gradual onset of signs and symptoms. c. A female client whose signs and symptoms began after a rape. d. A client who has a family history of schizophrenia. e. A client who has a family history of a mood disorder diagnosis.

ANS: A, C, E

Which of the following medications would be given to a client, in an outpatient setting, diagnosed with schizophrenia experiencing non-adherence? Select all that apply. a. Olanzapine IM (Zyprexa Relprevv) b. Ziprasidone IM (Geodon IM) c. Haloperidol Lactate (Haldol Lactate) d. Aripiprazole IM (Abilify Maintena) e. Paliperidone IM (Invega Trinza)

ANS: A, D, E

Which of the following oral antipsychotic medications could be administerd on an inpatient psychiatric unit to prevent a client from "cheeking," or hiding medication in the mouth? Select all that apply. a. Mirtazapine (Remeron SolTab) b. Olanzapine (Zyprexa Zydis) c. Paliperidone (Invega Sustenna) d. Aripiprazole (Abilify Discmelt) e. Asenapine (Saphris)

ANS: B, D, E

After taking antipsychotic medications for several months, a client begins to experience uncontrolled facial and body movements. Which of the following medications, approved by the Food and Drug Administration (FDA), would the nurse anticipate the physician to prescribe? Select all that apply. a. Benztropine b. Diphenhydramine c. Trihexyphenidyl d. Valbenazine e. Deutetrabenazine

ANS: D, E

A client diagnosed with schizophrenia, is experiencing social withdrawal, flat affect, and impaired role functioning.. To distinguish whether this client is in the prodromal or residual phase of schizophrenia, what question would the nurse ask the family? a. "Have these symptoms followed an active period of schizophrenia behaviors?" b. "How long have these symptoms been occurring?" c. "Has the client had a change in mood?" d. "Has the client been diagnosed with any developmental disorders?"

a. "Have these symptoms followed an active period of schizophrenia behaviors?"

The nurse is assessing a client diagnosed with schizophrenia. The client states, "We wanted to take the bus, but the airport took all the traffic." which charting entry accurately documents this symptom? a. "The client is experiencing associative looseness." b. "The client is attempting to communicate by the use of word salad." c. "The client is experiencing delusion thinking." d. "The client is experiencing an illusion involving planes."

a. "The client is experiencing associative looseness."

Which client is most likely to benefit from group therapy? a. A client diagnosed with schizophrenia being followed up in an outpatient clinic. b. A client diagnosed with schizophrenia newly admitted to an inpatient unit for stabilization. c. A client experiencing an exacerbation of the signs and symptoms of schizophrenia. d. A client diagnosed with schizophrenia who is not adherent with antipsychotic medications.

a. A client diagnosed with schizophrenia being followed up in an outpatient clinic.

A client is in the active phase of schizophrenia and is experiencing paranoid thinking. Which nursing intervention would aid in facilitating other interventions? a. Assign consistent staff members b. Convey acceptance of the client's delusional belief c. Help the client understand that anxiety causes paranoid thinking d. Encourage participation in group activities.

a. Assign consistent staff members

A homeless client, diagnosed with schizophrenia, is seen in the mental health clinical complaining of insects infesting arms and legs. Which intervention should the nurse implement first? a. Check the client for body lice b. Present reality regarding somatic delusions c. Explain the origin of persecutory delusions d. Refer for inpatient hospitalization because of substance-induced psychosis

a. Check the client for body lice

A client diagnosed with a thought disorder is experiencing clang associations. Which nursing diagnosis reflects this client's problem? a. Impaired verbal communication b. Risk for violence c. Ineffective health maintenance d. Disturbed sensory perception

a. Impaired verbal communication

A client newly admitted to an inpatient psychiatric unit is scanning the environment continuously. Which nursing intervention is most appropriate to address this client's behavior? a. Offer self to build a therapeutic relationship with the client b. Assist the client in formulating a plan of action for discharge c. Involve the family in discussions about dealing with the client's behaviors d. Reinforce the need for medication adherence on discharge

a. Offer self to build a therapeutic relationship with the client

A nurse is assessing a client with a long history of being a loner and having few social relationships. The client's father has been diagnosed with schizophrenia. The nurse would suspect that this client is in what phase of the development of schizophrenia? a. Phase I - premorbid phase b. Phase II - prodromal phase c. Phase III - schizophrenia d. Phase IV - residual phase

a. Phase I - premorbid phase

Which outcome should the nurse expect from a client diagnosed with schizophrenia who is hearing and seeing things others do not hear and see? a. The client will recognize distortions of reality by discharge. b. The client will demonstrate the ability to trust by day two. c. The client will recognize delusional thinking by day three. d. The client will experience no auditory hallucinations by discharge.

a. The client will recognize distortions of reality by discharge.

The nurse reports that a client diagnosed with schizophrenia is experiencing religiosity. Which client statement would confirm this finding? a. "I see Jesus in my bathroom." b. "I read the Bible every hour so that I will know what to do next." c. "I have no heart. I'm dead and in heaven today." d. "I can't read my Bible because the CIA has poisoned the pages."

b. "I read the Bible every hour so that I will know what to do next."

The nurse is educating the family members of a client diagnosed with schizophrenia about the effects of psychotherapy. Which statement should be included in the teaching plan? a. "Psychotherapy is a short-term intervention that is usually successful." b. "Much patience is required during psychotherapy because clients often relapse." c. "Major changes in client symptoms can be attributed to immediate psychotherapy." d. "Independent functioning can be gained by immediate psychotherapy."

b. "Much patience is required during psychotherapy because clients often relapse."

The nurse is educating the family of a client diagnosed with schizophrenia about the importance of medication adherence. Which statement indicates that learning has occurred? a. "After stabilization, the relapse rate is high, even if antipsychotic medications are taken regularly." b. "My brother will have only about a 30% chance of relapse if he takes his medication consistently." c. "Because the disease is multifaceted, taking antipsychotic medications has little effect on relapse rates." d. "Because schizophrenia is a chronic disease, taking antipsychotic medications has little effect on relapse rates."

b. "My brother will have only about a 30% chance of relapse if he takes his medication consistently."

A client diagnosed with schizoid personality disorder asks the nurse in the mental health clinic, "Does this mean I will get schizophrenia?" What nursing response would be most appropriate? a. "Does that possibility upset you?" b. "Not all clients diagnosed with schizoid personality disorders progress to schizophrenia." c. "Few clients diagnosed with schizophrenia show evidence of early personality changes." d. "What do you know about schizophrenia?"

b. "Not all clients diagnosed with schizoid personality disorders progress to schizophrenia."

Although symptoms of schizophrenia occur at various times in the life span, what client would more likely be diagnosed? a. A 10-year-old girl b. A 20-year-old man c. A 50-year-old woman d. A 65-year-old man

b. A 20-year-old man

From a biochemical influence perspective, which accurately describes the etiology of schizophrenia? a. Adopted children with non-schizophrenic parents, raised by parents diagnosed with schizophrenia, have a higher incidence of the disease. b. An excess of dopamine-dependent neuronal activity occurs in the brain. c. A higher incidence of schizophrenia occurs after there is prenatal exposure of the mother to influenza. d. Poor parent-child interaction and dysfunctional family systems occur.

b. An excess of dopamine-dependent neuronal activity occurs in the brain.

A client with a nursing diagnosis of disturbed thought processes has an expected outcome of recognizing delusional thinking. Which intervention would the nurse first implement to address this problem? a. Reinforce and focus on reality. b. Appreciate that the client has experienced disturbing delusional thinking. c. Indicate that the nurse does not share the belief. d. Present logical information to refute the delusional thinking.

b. Appreciate that the client has experienced disturbing delusional thinking.

Which intervention used for clients diagnosed with schizophrenia is a behavioral therapy approach? a. Offer opportunities for learning about psychotropic medications. b. Attach consequences to adaptive and maladaptive behaviors. c. Establish trust within a relationship. d. Encourage discussions of feelings related to delusions.

b. Attach consequences to adaptive and maladaptive behaviors.

What is required for effective treatment of schizophrenia? a. Concentration on pharmacotherapy alone to alter imbalances in affected neurotransmitters. b. Comprehensive efforts, which include pharmacotherapy and psychosocial care. c. Emphasis on social and living skills training to help the client fit into society. d. Group and family therapy to increase socialization skills.

b. Comprehensive efforts, which include pharmacotherapy and psychosocial care.

The nurse is performing an admission assessment on a client diagnosed with schizophrenia who is experiencing paranoid thinking. To receive the most accurate assessment information, which would the nurse consider? a. This client will be able to make a significant contribution to history data collection. b. Data will need to be gained by reviewing old records and, with permission, talking with the family. c. This client's assessment will be easy because of the consistent nature of the symptoms. d. The nurse should use a very friendly approach to show empathy and to put the client at ease.

b. Data will need to be gained by reviewing old records and, with permission, talking with the family.

The nurse states, "It's time for lunch." A client diagnosed with schizophrenia responds, "It's time for lunch, lunch, lunch." Which type of communication process is the client using, and what is the underlying reason for its use? a. Echopraxia, which is an attempt to identify with the person speaking. b. Echolalia, which is an attempt to acquire a sense of self and identity. c. Unconscious identification to reinforce weak ego boundaries. d. Depersonalization to stabilize self-identity.

b. Echolalia, which is an attempt to acquire a sense of self and identity.

A client recently prescribed fluphenazine complains to the nurse of severe muscle spasms. On examination, heart rate is 110, blood pressure is 160/92 mm Hg, and temperature is 101.5 degrees F. Which nursing intervention takes priority? a. Check the chart for a prn order of benztropine mesylate because of increased extrapyramidal symptoms. b. Hold the next dose of fluphenazine and call the physician immediately to report the findings. c. Schedule an examination with the client's physician to evaluate cardiovascular function. d. Ask the client about my recreational drug use and ask the physician to order a drug screen.

b. Hold the next dose of fluphenazine and call the physician immediately to report the findings.

A client's family is having a difficult time accepting the client's diagnosis of schizophrenia, and this has led to family conflict. Which nursing diagnosis reflects this problem? a. Impaired home maintenance b. Interrupted family processes c. Social isolation d. Disturbed thought processes

b. Interrupted family processes

A nurse is working with a client diagnosed with schizoid personality disorder. What symptoms of this diagnosis should the nurse expect to assess, and at what risk is this client for acquiring schizophrenia? a. Delusions and hallucinations - high risk b. Limited range of emotional experience and expression - high risk c. Indifferent to social relationships - low risk d. Loner who appears cold and aloof - low risk

b. Limited range of emotional experience and expression - high risk

A client prescribed quetiapine 50 mg bid has a nursing diagnosis of risk for injury R/T sedation. Which nursing intervention appropriately addresses this client's problem? a. Assess for homicidal and suicidal ideations b. Remove clutter from the environment to prevent injury c. Monitor orthostatic changes in pulse or blood pressure d. Evaluate for auditory and visual hallucinations

b. Remove clutter from the environment to prevent injury

A client is newly prescribed hydroxyzine 50 mg qhs and clozapine 25 mg bid. Which is an appropriate nursing diagnosis for this client? a. Risk for injury R/T serotonin syndrome b. Risk for injury R/T possible seizure c. Risk for injury R/T clozapine toxicity d. Risk for injury R/T depressed mood

b. Risk for injury R/T possible seizure

A client diagnosed with schizophrenia who is experiencing paranoid thinking tells the nurse about three previous suicide attempts. Which nursing diagnosis would take priority and reflect this client's problem? a. Disturbed thought processes b. Risk for suicide c. Violence: directed toward others d. Risk for altered sensory perception

b. Risk for suicide

A client admitted to an inpatient setting has not been adherent with antipsychotic medications prescribed for schizophrenia. Which outcome related to this client's problem should the nurse expect to achieve? a. The client will maintain anxiety at a reasonable level by day two. b. The client will take antipsychotic medications by discharge. c. The client will communicate to staff any paranoid thoughts by day three. d. The client will take responsibility for self-care by day four.

b. The client will take antipsychotic medications by discharge.

A woman is prescribed risperidone 1 mg bid. At her 3-month follow-up, the client states, "I knew it was a possible side effect, but I can't believe I am not getting my period anymore." Which is a priority teaching need? a. "Sometimes amenorrhea is a temporary side effect of medications and should resolve itself." b. "I am sure this was very scary for you. How long has it been since your last menstrual cycle?" c. "Although your menstrual cycles have stopped, there is still a potential for you to become pregnant." d. "Maybe the amenorrhea is not due to your medication. Have your menstrual cycles been regular in the past?"

c. "Although your menstrual cycles have stopped, there is still a potential for you to become pregnant."

A client diagnosed with schizophrenia takes clozapine 200 mg daily. Laboratory results reveal RBC 4.7 million/mcL, ANC 800 mcL, and TSH 1.3 mIU/L. Which of the following would the nurse expect the physician to order? a. "Levothyroxine sodium 150 mcg daily" b. "Ferrous sulfate 100 mg tid" c. "Discontinue clozapine" d. "Discontinue clozapine and start levothyroxine sodium 150 mcg daily."

c. "Discontinue clozapine" A normal adult value of absolute neutrophil count (ANC) is >1,500/mcL. This client's ANC is 800/mcL, which is a potentially fatal blood disorder. There is a significant risk for neutropenia with clozapine therapy. The nurse would expect the physician to discontinue clozapine.

A client states to the nurse, "I see headless people walking down the hall at night." Which nursing response is appropriate? a. "What makes you think there are headless people here?" b. "Let's think about this. A headless person would not be able to walk down the hall." c. "It must be frightening. I realize this is real to you, but I see no headless people." d. "I don't see those people you are talking about."

c. "It must be frightening. I realize this is real to you, but I see no headless people."

Lithium carbonate is to "mania" as clozapine is to: a. "anxiety" b. "depression" c. "psychosis" d. "akathisia"

c. "psychosis"

A client on an inpatient psychiatric unit refuses to take medications because "The pill has a special code written on it that will make it poisonous." What kind of delusion is this client experiencing? a. An erotomanic delusion b. A grandiose delusion c. A persecutory delusion d. A somatic delusion

c. A persecutory delusion

The nurse is discussing the side effects experienced by a female client taking antipsychotic medications. The client states, "I haven't had a period in 4 months." Which client teaching should the nurse include in the plan of care? a. Antipsychotic medications can cause a decreased libido. b. Antipsychotic medications can interfere with the effectiveness of birth control. c. Antipsychotic medications can cause amenorrhea, but ovulation still occurs. d. Antipsychotic medications can decrease red blood cells, leading to amenorrhea.

c. Antipsychotic medications can cause amenorrhea, but ovulation still occurs.

A client is exhibiting sedation, auditory hallucinations, dystonia, and grandiosity. The client is prescribed haloperidol 5 mg tid and trihexylphenidyl 4 mg bid. Which statement about these medications is accurate? a. Trihexylphenidyl would assist the client with sedation b. Trihexylphenidyl would assist the client with auditory hallucinations c. Haloperidol would assist the client in decreasing grandiosity d. Haloperidol would assist the client with dystonia

c. Haloperidol would assist the client in decreasing grandiosity

The children's saying "Step on a crack and you break your mother's back" is an example of which type of thinking? a. Concrete thinking b. Thinking using neologisms c. Magical thinking d. Thinking using clang associations

c. Magical thinking

A client is prescribed aripiprazole 10 mg am daily. The client complains of sedation and dizziness. Vital signs reveal BP 100/60 mm Hg, pulse 80, respiration rate 20, and temperature 97.4 degrees F. Which nursing diagnosis takes priority? a. Risk for non-adherence R/T irritating side effects b. Knowledge deficit R/T new medication prescribed c. Risk for injury R/T orthostatic hypotension d. Activity intolerance R/T dizziness and drowsiness.

c. Risk for injury R/T orthostatic hypotension

A client diagnosed with schizophrenia is experiencing anhedonia. Which nursing diagnosis addresses the client's problem that this symptom may generate? a. Disturbed thought processes b. Disturbed sensory perception c. Risk for suicide d. Impaired verbal communication

c. Risk for suicide

The nurse documents that a client diagnosed with schizophrenia is expressing a flat affect. What is an example of this symptom? a. The client laughs when told of the death of his or her mother. b. The client sits alone and does not interact with others. c. The client exhibits no emotional expression. d. The client experiences no emotional feelings.

c. The client exhibits no emotional expression.

A client has the nursing diagnosis of impaired home maintenance R/T regression. Which behavior confirms this diagnosis? a. The client fails to take antipsychotic medications. b. The client states, "I haven't bathed in a week." c. The client lives in an unsafe and unclean environment. d. The client states, "You can't draw my blood without crayons."

c. The client lives in an unsafe and unclean environment.

Which outcome should the nurse expect from a client with a nursing diagnosis of social isolation? a. The client will recognize distortions of reality by day four. b. The client will use appropriate verbal communications when interacting by day three. c. The client will actively participate in unit activities by discharge. d. The client will rate anxiety as 5/10 by discharge.

c. The client will actively participate in unit activities by discharge.

A client taking olanzapine has a nursing diagnosis of altered sensory perception R/T command hallucinations. Which outcome would be appropriate for this client's problem? a. The client will verbalize feelings related to depression and suicidal ideations. b. The client will limit caloric intake because of the side effect of weight gain. c. The client will notify staff members of bothersome hallucinations. d. The client will tell staff members if experiencing thoughts of self-harm.

c. The client will notify staff members of bothersome hallucinations.

A client has an order for "ziprasidone 20 mg IM q4h prn for agitation with a maximum daily dose of 40 mg/day." Administration times are documented in the medication record Which times indicate safe medication administration? a. "0800 and 1100" b. "1200, 1700, and 2100" c. "0900, 1200, 2100" d. "1300 and 1700"

d. "1300 and 1700"

The nurse is interviewing a client who states, "The dentist put a filling in my tooth; I now receive transmissions that control what I think and do." The nurse accurately documents this symptom with which charting entry? a. "Client is experiencing a delusion of persecution." b. "Client is experiencing a delusion of grandeur." c. "Client is experiencing a somatic delusion." d. "Client is experiencing a delusion of influence."

d. "Client is experiencing a delusion of influence."

A nursing instructor is teaching about the etiology of schizophrenia. What statement by the nursing student indicates an understanding of the content presented? a. "Schizophrenia is a disorder of the brain that can be cured with the correct treatment." b. "A person inherits schizophrenia from a parent." c. "problems in the structure of the brain cause schizophrenia." d. "There are many potential causes for this disease, and its etiology is controversial."

d. "There are many potential causes for this disease, and its etiology is controversial."

A client has a history of schizophrenia, controlled by haloperidol. During an assessment, the nurse notes continuous restlessness. Which medication would the nurse expect the physician to prescribe for this client? a. Haloperidol b. Fluphenazine decanoate c. Clozapine d. Benztropine mesylate

d. Benztropine mesylate

Which atypical antipsychotic medication has the highest potential for a client to experience serious side effects? a. Haloperidol b. Chlorpromazine c. Risperidone d. Clozapine

d. Clozapine

The nurse documents that a client diagnosed with schizophrenia is experiencing anticholinergic side effects from long-term use of thioridazine. Which symptoms has the nurse noted? a. Akinesia, dystonia, and pseudoparkinsonism b. Muscle rigidity, hyperpyrexia, and tachycardia c. Hyperglycemia and diabetes d. Dry mouth, constipation, and urinary retention

d. Dry mouth, constipation, and urinary retention

Which intervention used for clients diagnosed with schizophrenia is a milieu therapy approach? a. Assist family in dealing with life stressors caused by interactions with the client. b. Engage in one-on-one interactions to discuss family dynamics. c. Role-play to enhance motor and interpersonal skills. d. Emphasize the rules and expectations of social interactions mediated by peer pressure.

d. Emphasize the rules and expectations of social interactions mediated by peer pressure.

Which symptoms experienced by a client diagnosed with schizophrenia would predict a less positive prognosis? a. Hearing hostile voices b. Thinking the TV is controlling his or her behavior c. Continuously repeating what has been said d. Having little or no interest in work or social activities

d. Having little or no interest in work or social activities

For the past year, a client has received haloperidol (Haldol). The nurse administering the client's next dose notes a twitch on the right side of the client's face and tongue movements. Which nursing intervention takes priority? a. Administer haloperidol (Haldol) along with benztropine (Cogentin) 1 mg IM PRN per order. b. Assess for other signs of hyperglycemia resulting from the use of the haloperidol (Haldol). c. Check the client's temperature, and assess mental status. d. Hold the haloperidol (Haldol), and call the physician.

d. Hold the haloperidol (Haldol), and call the physician.

A client who is hearing and seeing things others do not is brought to the emergency department. Laboratory values indicate a sodium level of 160 mEq/L. Which nursing diagnosis would take priority? a. Altered thought process R/T low blood sodium levels b. Altered communication processes R/T altered thought processes c. Risk for impaired tissue integrity R/T dry oral mucous membranes d. Imbalanced fluid volume R/T increased serum sodium levels

d. Imbalanced fluid volume R/T increased serum sodium levels

In the United States, which diagnosis has the lowest percentage of occurrence? a. Major depressive disorder b. Generalized anxiety disorder c. Obsessive-compulsive disorder d. Schizophrenia

d. Schizophrenia

A disheveled client diagnosed with schizophrenia has body odor and halitosis. Which nursing diagnosis reflects this client's current problem? a. Social isolation b. Impaired home maintenance c. Interrupted family processes d. Self-care deficit

d. Self-care deficit

Clients diagnosed with schizophrenia may have difficulty knowing where their ego boundaries end and others' begin. Which client behavior reflect this deficit? a. The client only eats prepackaged food. b. The client believes that family members are adding poison to food. c. The client looks for actual animals when others state, "It's raining cats and dogs." d. The client imitates other people's physical movements.

d. The client imitates other people's physical movements.

A 21-year-old client, being treated for asthma with a steroid medication, has been experiencing delusions of persecution and disorganized thinking for the past 6 months. Which factor may rule out a diagnosis of schizophrenia? a. The client has experienced signs and symptoms for only 6 months. b. The client must hear voices to be diagnosed with schizophrenia. c. The client's age is not typical for this diagnosis. d. The client is receiving medication that could lead to thought disturbances.

d. The client is receiving medication that could lead to thought disturbances.

A client is brought to the emergency department after being found wandering the streets and talking to unseen others. Which situation is further evidence of a diagnosis of schizophrenia for this client? a. The client exhibits a developmental disorder, such as autism spectrum disorder. b. The client has a medical condition that could contribute to the symptoms. c. The client experiences manic or depressive signs and symptoms. d. The client's signs and symptoms last for 6 months.

d. The client's signs and symptoms last for 6 months.

Which interaction is most reflective of an appropriate psychotherapeutic approach when interacting with a client diagnosed with schizophrenia? a. The nurse should exhibit exaggerated warmth to counteract client loneliness. b. The nurse should profess friendship to decrease social isolation. c. The nurse should attempt closeness with the client to decrease suspiciousness. d. The nurse should establish a relationship by respecting the client's dignity.

d. The nurse should establish a relationship by respecting the client's dignity.