Exam (elaborations)
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders
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Chapter 24. Schizophrenia Spectrum and Other Psychotic DisordersMULTIPLE CHOICE
1. A client exhibits paranoia, bizarre behaviors, neologisms, and delusions of
persecution. While eating breakfast in the dayroom, the client
staarbtisrby.ceomll/itnesgt at others. Which is the nurse’s first action?
1. Ensure client is swallowing each dose of medication.
2. Ask other clients to step out of the dayroom.
3. Call the provider for an order to place the client in restraints.
4. Escort the client to a less-stimulating environment.
ANS: 2
Chapter: Chapter 24, Schizophrenia Spectrum and Other Psychotic Disorders
Objective: Describe appropriate nursing interventions for behaviors associated with
these disorders.
Page: 455
Heading: Planning/Implementation > Risk for Violence: Self-Directed or Other-Directed
Integrated Processes: Nursing Process: Implementation
Client Need: Physiological Integrity>Reduction of Risk Potentiaal birb.com/test
Cognitive Level: Analysis [Analyzing]
Concept: Safety
Difficulty: Moderate
Feedback
1. This is incorrect. Safety is always the nurse’s priority. The nurse should move the
other clients away from the client to protect them from
harambi.rbT.chome/tneustrse should
check the client’s mouth to ensure the client is swallowing each dose of medication;
however, this should not be the first action. Medications must be ingested to achieve
a therapeutic
2. This effect.
is correct. Safety is always the nurse’s priority. The nurse should move the
other clients away from the client to protect them from harm.
3. This is incorrect. Safety is always the nurse’s priority. The nurse should move the
other clients away from the client to protect them from harambi.rbT.chome/tleaswt
requires the nurse to use less-restrictive interventions before utilizing restraints.
4. This is incorrect. Safety is always the nurse’s priority. The nurse should move the
other clients away from the client to protect them from harambi,rbt.hcoemn/temstove
the client to a less-stimulating environment.
CON: Safety
,2. A client diagnosed with schizoaffective disorder is admitted for social skills training.
Which information should the nurse teach the client?
1. Side effects of medications
2. Deep breathing techniques
3. Ways to make eye contact when communicating
4. Techniques to improve memory and attention
ANS: 3
Chapter: Chapter 24, Schizophrenia Spectrum and Other Psychotic Disorders
Objective: Discuss modalities relevant to treatment of schizophrenia and other
psychotic disorders.
Page: 466
Heading: Social Treatments > Social Skills Training
Integrated Processes: Teaching/Learning
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Easy
_F
ee
db
ac
k_
1. This is incorrect. The nurse should teach the client how to make eye contact when
communicating. Social skills, such as making eye
contact, acbairnb.caosms/itesstt clients to communicate needs and maintain
connectedness with others. Medications will address symptoms that interfere
with social
2. This skills.The nurse should teach the client how to
is incorrect.
a bi rb .c ome/yteestcontact when communicating. Social skills, such as making
m a k e
eye contact, can assist clients to communicate needs and maintain connectedness
with others. Deep breathing techniques are used to promote relaxation and
3. decrease The nurse should teach the client how to maabkireb.ceoyme/tecsotntact
anxiety.
This is correct.
when
communicating. Social skills, such as making eye contact, can assist clients to
communicate
4. This needs
is incorrect. Theand maintain
nurse shouldconnectedness with
teach the client howothers.
to
ambiarbk.ceome/yteestcontact when communicating. Social skills, such as making
eye contact, can assist clients to
communicate needs and maintain connectedness with others. Medications can be
prescribed to address memory and attention deficits.
CON: Cognition
,3. A 16-year-old client diagnosed with schizophrenia is experiencing auditory command
hallucinations. The client reports the voices are telling him to harm others. The client’s
parents ask the nurse, “Where do the voices come from?” Which is the nurse’s most
appropriate reply?
1. “Auditory hallucinations are caused by increased dopamine levels in the brain.”
2. “Hallucinations can be caused by medication interactions.”
3. “Hallucinations occur when there is not enough serotonin in thaebirbbr.caoimn/.t”est
4. “Auditory hallucinations are mainly due to abnormal hormonal changes.”
ANS: 1
Chapter: Chapter 24, Schizophrenia Spectrum and Other Psychotic Disorders
Objective: Identify predisposing factors in the development of these disorders.
Page: 445
Heading: Predisposing Factors > Biological Factors > BiochemicaablirbF.caocmt/otersst
Integrated Processes: Teaching/Learning
Client Need: Nursing Process: Implementation
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate
_F
ee
db
ac
k_
1. This is correct. Hallucinations are false sensory perceptions not associated with real
external stimuli and may involve any of the five senses. Hallucinations are positive
symptoms of schizophrenia related to increased productionaboirrb.rceolme/atesset of
dopamine at nerve terminals. Antipsychotic medications reduce psychotic
symptoms by lowering brain levels of dopamine.
2. This is incorrect. The nurse’s most appropriate reply is
“Auabdiribt.ocormy /theastllucinations are caused by increased dopamine levels in the
brain.” Hallucinations are false sensory perceptions not associated with real external
stimuli and may involve any of the five senses. Hallucinations are positive
symptoms of schizophrenia related to increased production or release of dopamine
at nerve terminals. Antiapbsirybc.chomot/tiecstmedications are used to treat symptoms
3. This is incorrect. The nurse’s most appropriate nursing reply is “Auditory
hallucinations are caused by increased dopamine levels in athbierb.bcorami/nte.s”t
Hallucinations are false sensory perceptions not associated with real external
stimuli and may involve any of the five senses. Hallucinations are positive
symptoms of schizophrenia related to increased production or release of dopamine
at nerve terminals. Excess serotonin levels are hypothesized to
causaebirbbo.ctohm/pteosst itive and negative symptoms of schizophrenia as well as
4. This is incorrect. The nurse’s most appropriate nursing reply is “Auditory
hallucinations are caused by increased dopamine levels in athbierb.bcorami/nte.s”t
Hallucinations are false sensory perceptions not associated with real external
stimuli and may
, involve any of the five senses. Hallucinations are positive symptoms of
schizophrenia related to increased production or release of dopamine at nerve
terminals, not abnormal hormone changes.
CON: Cognition
4. The nurse is educating the parents of a child diagnosed with schizophrenia on how to
reply when their child experiences auditory hallucinations. Whicahbiirb.ctohme/tnesut rse’s
best
reply?
1. “Tell him to stop talking about the voices.”
2. “Ask him what the voices are saying to him.”
3. “Tell him you know the voices are real to him.”
4. “Encourage him not to worry about the voices.”
ANS: 2
Chapter: Chapter 24, Schizophrenia Spectrum and Other Psychotic Disorders
Objective: Identify topics for client and family teaching relevant to schizophrenia
and other psychotic disorders.
Page: 455
Heading: Planning/Implementation > Disturbed Sensory Perception: Auditory/Visual >
Interventions
Integrated Processes: Teaching/Learning
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Safety
Difficulty: Difficult
Fe
ed
ba
ck
1. This is incorrect. This statement does not demonstrate
empaabtirhb.coamn/tdesitgnores the child’s feelings. The voices are real to the client;
therefore, the nurse should encourage the parents to acknowledge the voices are
real to the child, but let the child know they do not share the perception. Use of
the woarbdirb“.cvoomi/cteesst ” helps avoid reinforcing the hallucination.
2. This is correct. Safety is always the nurse’s priority. The parents should ask what the
voices are saying to identify whether the child is hearing commands to harm self or
others. The nurse should encourage the parents to acknowlaebdirgb.ecotmh/etesvt oices
are real to the child, but let the child know they do not share the perception. Use of
the word “voices” helps avoid reinforcing the hallucination.
3. This is incorrect. Safety is always the nurse’s priority. Theanbiurbr.scoems/theostuld
first assess whether the child is having command hallucinations and then encourage
the parents
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