MENTAL HEALTH EXAM 2 REVIEW {QUESTIONS
AND ANSWERS} RATED A+
Which are negative symptoms associated with schizophrenia? (Select all that apply)
a) Hallucinations
b) Delusions
c) ambivalence
d) avolition
e) anhedonia - c) ambivalence -unsure / indifferent feelings
d) avolition- lack of motivation
e) anhedonia - lack of feeling pleasure
Positive symptoms of schizophrenia, specifically hallucinations and delusions, are
thought to be caused by hyperactivity of which neurotransmitter?
a) Dopamine
b) Acetylcholine
c) Norepinephrine
d) Epinephrine - a) Dopamine
A client diagnosed with schizophrenia is having delusions that the client is being plotted
against by the government. This would be documented as which type of delusion?
a) nihilistic
b) somatic
c) grandiose
d) persecutory - d) persecutory
A client has been prescribed clozapine for the treatment of schizophrenia. The client
must be taught to monitor which blood component while taking this drug?
a) white blood cells
b) platelets
c) hemoglobin
d) hematocrit - a) white blood cells
Clozapine = Can cause leukocytosis
When investigating biologic theories related to schizophrenia, which neuroanatomic
findings would be consistent with this disorder?
,a) smaller third ventricle
b) larger lateral ventricle
c) larger hippocampus
d) larger brain volume - b) larger lateral ventricle
A nurse is preparing to administer prescribed antipsychotic medication to a client with
psychosis. The nurse identifies the prescribed medication as a first-generation
antipsychotic. Which drug would the nurse most likely be administering?
a) Fluphenazine
b) Aripiprazole
c) Clozapine
d) Olanzapine - a) Fluphenazine
is a first generation antipsychotic
Which are key diagnostic criteria of schizophrenia? Select all that apply.
a) Major depression occurring concurrently with active symptoms
b) One or more major areas of social or occupational functioning markedly below
previously achieved levels
c) Continuous signs for at least 6 months
d) A direct physiologic effect of a substance or medical condition
e) Delusions present for a significant portion of time during a 1-month period - b) One
or more major areas of social or occupational functioning markedly below previously
achieved levels
c) Continuous signs for at least 6 months
e) Delusions present for a significant portion of time during a 1-month period
A client diagnosed with delusional disorder who uses excessive health care resources
most likely has which type of delusions?
a) grandiose
b) somatic
c) jealous
d) erotomanic - b) somatic
Persons who have somatic delusions believe that have a physical ailment.
When assessing a person with delusional disorder, which finding would the nurse
expect to assess?
a) altered personality
b) high level of intelligence
c) changes in mental status
d) few, if any, psychological deficits - d) few, if any, psychological deficits
, Encephalopathic Syndrome has occurred in a few clients when haldol is taken with
which medicine?
a) motrin
b) ativan
c) clasix
d) clithuium c- c cd) clithium
Encephalopathic csyndrome cleads cto cirreversible cbrain cdamage
A cclient cwith cschizophrenia cis cexperiencing cdelusions. cThe cclient cstates c"There's ca chuge
capocalypse ccoming cand cthe cend cof cthe cworld cis cnear". cWhich ctype cof cdelusion cis cthis?
a) cnihilistic
b) cpersecutory
c) csomatic
d) cgrandiose c- c ca) cnihilistic
A cnihilistic cdelusion cis cone cthat cinvolves cthe cbelief cof cimpending cdoom.
When cpreparing ca cclass cpresentation cabout cschizophrenia, cwhich cwould cthe cnurse cmost
clikely cinclude?
a) cImprovement cin csymptoms ccan coccur cas ca cclient cwith ca chistory cof cschizophrenia
creaches colder cadulthood
b) cSchizophrenia cis cmore ccommonly cdiagnosed cin cchildren cthan cadults
c) cDelusions care cmore ccommonly cnoted cin cchildren
d) cVery cfew cindividuals cwith cschizophrenia creach colder cadulthood c- c ca) cImprovement cin
csymptoms ccan coccur cas ca cclient cwith ca chistory cof cschizophrenia creaches colder
cadulthood
A cnurse cis cassessing ca cclient cwith cschizophrenia. cThe cnurse cmay csuspect cthat cthe cclient
cis cexperiencing cwater cintoxication cbased con cwhich cfindings? c(select call cthat capply)
a) cirritability
b) cmuscle ctwitching
c) cenhanced cattention cspan c
d) cemotional clability
e) cincrease cin challucinations c- c ca) cirritability
b) cmuscle ctwitching
d) cemotional clability
e) cincrease cin challucinations
Which cwould ca cnurse cexpect cto cadminister cto ca cclient cwith cschizophrenia cwho cis
cexperiencing ca cdystonic creaction?
AND ANSWERS} RATED A+
Which are negative symptoms associated with schizophrenia? (Select all that apply)
a) Hallucinations
b) Delusions
c) ambivalence
d) avolition
e) anhedonia - c) ambivalence -unsure / indifferent feelings
d) avolition- lack of motivation
e) anhedonia - lack of feeling pleasure
Positive symptoms of schizophrenia, specifically hallucinations and delusions, are
thought to be caused by hyperactivity of which neurotransmitter?
a) Dopamine
b) Acetylcholine
c) Norepinephrine
d) Epinephrine - a) Dopamine
A client diagnosed with schizophrenia is having delusions that the client is being plotted
against by the government. This would be documented as which type of delusion?
a) nihilistic
b) somatic
c) grandiose
d) persecutory - d) persecutory
A client has been prescribed clozapine for the treatment of schizophrenia. The client
must be taught to monitor which blood component while taking this drug?
a) white blood cells
b) platelets
c) hemoglobin
d) hematocrit - a) white blood cells
Clozapine = Can cause leukocytosis
When investigating biologic theories related to schizophrenia, which neuroanatomic
findings would be consistent with this disorder?
,a) smaller third ventricle
b) larger lateral ventricle
c) larger hippocampus
d) larger brain volume - b) larger lateral ventricle
A nurse is preparing to administer prescribed antipsychotic medication to a client with
psychosis. The nurse identifies the prescribed medication as a first-generation
antipsychotic. Which drug would the nurse most likely be administering?
a) Fluphenazine
b) Aripiprazole
c) Clozapine
d) Olanzapine - a) Fluphenazine
is a first generation antipsychotic
Which are key diagnostic criteria of schizophrenia? Select all that apply.
a) Major depression occurring concurrently with active symptoms
b) One or more major areas of social or occupational functioning markedly below
previously achieved levels
c) Continuous signs for at least 6 months
d) A direct physiologic effect of a substance or medical condition
e) Delusions present for a significant portion of time during a 1-month period - b) One
or more major areas of social or occupational functioning markedly below previously
achieved levels
c) Continuous signs for at least 6 months
e) Delusions present for a significant portion of time during a 1-month period
A client diagnosed with delusional disorder who uses excessive health care resources
most likely has which type of delusions?
a) grandiose
b) somatic
c) jealous
d) erotomanic - b) somatic
Persons who have somatic delusions believe that have a physical ailment.
When assessing a person with delusional disorder, which finding would the nurse
expect to assess?
a) altered personality
b) high level of intelligence
c) changes in mental status
d) few, if any, psychological deficits - d) few, if any, psychological deficits
, Encephalopathic Syndrome has occurred in a few clients when haldol is taken with
which medicine?
a) motrin
b) ativan
c) clasix
d) clithuium c- c cd) clithium
Encephalopathic csyndrome cleads cto cirreversible cbrain cdamage
A cclient cwith cschizophrenia cis cexperiencing cdelusions. cThe cclient cstates c"There's ca chuge
capocalypse ccoming cand cthe cend cof cthe cworld cis cnear". cWhich ctype cof cdelusion cis cthis?
a) cnihilistic
b) cpersecutory
c) csomatic
d) cgrandiose c- c ca) cnihilistic
A cnihilistic cdelusion cis cone cthat cinvolves cthe cbelief cof cimpending cdoom.
When cpreparing ca cclass cpresentation cabout cschizophrenia, cwhich cwould cthe cnurse cmost
clikely cinclude?
a) cImprovement cin csymptoms ccan coccur cas ca cclient cwith ca chistory cof cschizophrenia
creaches colder cadulthood
b) cSchizophrenia cis cmore ccommonly cdiagnosed cin cchildren cthan cadults
c) cDelusions care cmore ccommonly cnoted cin cchildren
d) cVery cfew cindividuals cwith cschizophrenia creach colder cadulthood c- c ca) cImprovement cin
csymptoms ccan coccur cas ca cclient cwith ca chistory cof cschizophrenia creaches colder
cadulthood
A cnurse cis cassessing ca cclient cwith cschizophrenia. cThe cnurse cmay csuspect cthat cthe cclient
cis cexperiencing cwater cintoxication cbased con cwhich cfindings? c(select call cthat capply)
a) cirritability
b) cmuscle ctwitching
c) cenhanced cattention cspan c
d) cemotional clability
e) cincrease cin challucinations c- c ca) cirritability
b) cmuscle ctwitching
d) cemotional clability
e) cincrease cin challucinations
Which cwould ca cnurse cexpect cto cadminister cto ca cclient cwith cschizophrenia cwho cis
cexperiencing ca cdystonic creaction?
