Nursing 126 Ch. 17 – Schizophrenia questions with
verified answers
2 groups of antipsychotics Ans✓✓✓ Standard- traditional dopamine
antagonists
Atypical- serotonin-dopamine antagonists
Treatment of choice is individualized based on the adverse side effects
A client has been receiving antipsychotic medication for 6 weeks. At her
clinic appointment she tells the nurse that her hallucinations are nearly
gone and that she can concentrate fairly well. She states her only
problem is "the flu" that she's had for 2 days. She mentions having a
fever and a very sore throat. The nurse should
A. suggest that the client take something for her fever and get extra
rest.
B. advise the physician that the client should be admitted to the
hospital.
C. arrange for the client to have blood drawn for a white blood cell
count.
D. consider recommending a change of antipsychotic medication.
Ans✓✓✓ arrange for the client to have blood drawn for a white blood
cell count.
A client has reached the stable plateau phase of schizophrenia. An
appropriate clinical focus for planning would be
A. safety and crisis intervention.
,B. acute symptom stabilization.
C. stress and vulnerability assessment.
D. social, vocational, and self-care skills. Ans✓✓✓ social, vocational,
and self-care skills
A client with disorganized schizophrenia would have greatest difficulty
with the nurse
A. interacting with a neutral attitude.
B. using concrete language.
C. giving multistep directions.
D. providing nutritional supplements Ans✓✓✓ giving multistep
directions.
A client with paranoid schizophrenia refuses food. He states the voices
are telling him the food is contaminated and will change him from a
male to a female. A therapeutic response for the nurse would be
A. "You are safe here in the hospital, nothing bad will happen to you."
B. "The voices are wrong about the hospital food. It is not
contaminated."
C. "I understand that the voices are very real to you, but I do not hear
them."
D. "Other people are eating the food and nothing is happening to
them." Ans✓✓✓ "I understand that the voices are very real to you, but
I do not hear them."
, A client with paranoid schizophrenia tells the nurse "I have to get away.
The volmers are coming to execute me." The term "volmers" can be
assessed as
A. a neologism.
B. clang association.
C. blocking.
D. a delusion. Ans✓✓✓ a neologism
A client with residual schizophrenia is uninterested in community
activities. He lacks initiative, demonstrates both poverty of content of
speech and poverty of speech, and seems unable to follow the schedule
for taking his antipsychotic medication. The case manager continues to
direct his care with the knowledge that his behavior is most likely
prompted by
A. chronic uncooperativeness.
B. personality conflict.
C. neural dysfunction.
D. dependency needs. Ans✓✓✓ neural dysfunction.
A descriptor for a subtype of schizophrenia is
A. delusional.
B. dissociated.
C. disorganized.
D. developmental. Ans✓✓✓ disorganized.
verified answers
2 groups of antipsychotics Ans✓✓✓ Standard- traditional dopamine
antagonists
Atypical- serotonin-dopamine antagonists
Treatment of choice is individualized based on the adverse side effects
A client has been receiving antipsychotic medication for 6 weeks. At her
clinic appointment she tells the nurse that her hallucinations are nearly
gone and that she can concentrate fairly well. She states her only
problem is "the flu" that she's had for 2 days. She mentions having a
fever and a very sore throat. The nurse should
A. suggest that the client take something for her fever and get extra
rest.
B. advise the physician that the client should be admitted to the
hospital.
C. arrange for the client to have blood drawn for a white blood cell
count.
D. consider recommending a change of antipsychotic medication.
Ans✓✓✓ arrange for the client to have blood drawn for a white blood
cell count.
A client has reached the stable plateau phase of schizophrenia. An
appropriate clinical focus for planning would be
A. safety and crisis intervention.
,B. acute symptom stabilization.
C. stress and vulnerability assessment.
D. social, vocational, and self-care skills. Ans✓✓✓ social, vocational,
and self-care skills
A client with disorganized schizophrenia would have greatest difficulty
with the nurse
A. interacting with a neutral attitude.
B. using concrete language.
C. giving multistep directions.
D. providing nutritional supplements Ans✓✓✓ giving multistep
directions.
A client with paranoid schizophrenia refuses food. He states the voices
are telling him the food is contaminated and will change him from a
male to a female. A therapeutic response for the nurse would be
A. "You are safe here in the hospital, nothing bad will happen to you."
B. "The voices are wrong about the hospital food. It is not
contaminated."
C. "I understand that the voices are very real to you, but I do not hear
them."
D. "Other people are eating the food and nothing is happening to
them." Ans✓✓✓ "I understand that the voices are very real to you, but
I do not hear them."
, A client with paranoid schizophrenia tells the nurse "I have to get away.
The volmers are coming to execute me." The term "volmers" can be
assessed as
A. a neologism.
B. clang association.
C. blocking.
D. a delusion. Ans✓✓✓ a neologism
A client with residual schizophrenia is uninterested in community
activities. He lacks initiative, demonstrates both poverty of content of
speech and poverty of speech, and seems unable to follow the schedule
for taking his antipsychotic medication. The case manager continues to
direct his care with the knowledge that his behavior is most likely
prompted by
A. chronic uncooperativeness.
B. personality conflict.
C. neural dysfunction.
D. dependency needs. Ans✓✓✓ neural dysfunction.
A descriptor for a subtype of schizophrenia is
A. delusional.
B. dissociated.
C. disorganized.
D. developmental. Ans✓✓✓ disorganized.
