NCLEX Q's: Schizophrenia Spectrum and Other Psychotic
Disorders 71Questions and Answers (Latest 2024)
Although symptoms of schizophrenia occur at various times in the life span, what
client would more likely be diagnosed?
1. A 10 year-old girl.
2. A 20 year-old man.
3. A 50 year-old woman.
4. A 65 year-old man. - CORRECT ANSWERS 2 ( symptoms appear in late
adolescence and early adulthood)
---
1 (children not typically dx)
3 (can occur in middle or late adulthood, but not typical)
4 (can occur in middle or late adulthood, but not typical)
A nursing instructor is teaching about the etiology of schizophrenia. What statement
by the nursing student indicates an understanding of the content presented?
1. "Schizophrenia is a disorder of the brain that can be cured with the correct
treatment."
2. "A person inherits schizophrenia from a parent."
3. "Problems in the structure of the brain cause schizophrenia."
4. "There are many potential causes for this disease, and its etiology is
controversial." - CORRECT ANSWERS 4 (etiology is unclear)
---
1 (no cure for schizo)
2 (5-10% higher risk if parent has it but no biological marker found)
3 (may be a result of not cause of schizo)
What is required for effective treatment of schizophrenia?
1. Concentration on pharmacotherapy alone to alter imbalances in affected
neurotransmitters.
,NCLEX Q's: Schizophrenia Spectrum and Other Psychotic
Disorders 71Questions and Answers (Latest 2024)
2. Multidisciplinary, comprehensive efforts, which include pharmacotherapy and
psychosocial care.
3. Emphasis on social and living skills training to help the client fit into society.
4. Group and family therapy to increase socialization skills. - CORRECT ANSWERS
2 (social & living skills, rehab, family tx)
---
1 (no single tx)
3 (one aspect of tx)
4 (one aspect of tx)
When one fraternal twin has been diagnosed with schizophrenia, the other twin has
approximately a _____ % chance of developing the disease. - CORRECT ANSWERS
15%
When one identical twin has been diagnosed with schizophrenia, the other twin has
approximately a _____ % chance of developing the disease. - CORRECT ANSWERS
50%
From a biochemical influence perspective, which accurately describes the etiology
of schizophrenia?
1. Adopted children with nonschizophrenic parents, raised by parents diagnosed
with schizophrenia, have a higher incidence of this disease.
2. An excess of dopamine-dependent neuronal activity occurs in the brain.
3. A higher incidence of schizophrenia occurs after there is prenatal exposure of the
mother to influenza.
4. Poor parent-child interaction and dysfunctional family systems occur. - CORRECT
ANSWERS 2 (dopamine hypothesis)
---
1 (no research shows they suffer more often than general population)
3 (physiological not biological influence)
4 (may precipitate symptoms but doesn't cause)
,NCLEX Q's: Schizophrenia Spectrum and Other Psychotic
Disorders 71Questions and Answers (Latest 2024)
A nurse is working with a client diagnosed with schizoid personality disorder. What
symptom of this diagnosis should the nurse expect to assess, and at what risk is this
client for acquiring schizophrenia?
1. Delusions and hallucinations—high risk.
2. Limited range of emotional experience and expression—high risk.
3. Indifferent to social relationships—low risk.
4. Loner who appears cold and aloof—low risk. - CORRECT ANSWERS 2
(indifferent to social relationships; don't enjoy close relationships, appear cold/aloof;
not all w/ schizoid progress to schizophrenia)
---
1 (don't typically have hallucinations)
2 (puts them at high not low risk)
3 (puts them at high not low risk)
A nurse is assessing a client with a long history of being a loner and having few
social relationships. This 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 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?
, NCLEX Q's: Schizophrenia Spectrum and Other Psychotic
Disorders 71Questions and Answers (Latest 2024)
1. "Have these symptoms followed an active period of schizophrenic behaviors?"
2. "How long have these symptoms been occurring?"
3. "Has the client had a change in mood?"
4. "Has the client been diagnosed with any developmental disorders?" - CORRECT
ANSWERS 1 (residual follows prodromal)
---
2 (duration is helpful but doesn't help distinguish)
3 (important but doesn't help distinguish)
4 (but be made before diagnosis and doesn't help distinguish)
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.
1. Catalepsy.
2. Waxy flexibility.
3. Pressured speech.
4. Posturing.
5. Stereotypye - CORRECT ANSWERS 1 (passive induction of a posture held
against gravity)
2 (passively yields all movable parts of body to any efforts made at placing them in
certain positions)
4 (spontaneous and active of a posture against gravity)
5 (repetitive, abnormally frequent, non-goal directed movement)
---
3 (mutism not pressured speech)
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.
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