Although symptoms of schizophrenia occur at various times in the life span, what
client would be at highest risk for the diagnosis?
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
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
What is required for effective treatment of schizophrenia?
1. Concentration on pharmacotherapy alone to alter imbalances in affected
neurotransmitters.
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
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 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. correct answers 2
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
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?
1. Phase I—schizoid personality.
2. Phase II—prodromal phase.
3. Phase III—schizophrenia.
4. Phase IV—residual phase. correct answers 1
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?
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
The nurse is assessing a client diagnosed with disorganized schizophrenia. Which
symptoms should the nurse expect the client to exhibit?
1. Markedly regressive, primitive behavior, and extremely poor contact with reality.
Affect is flat or grossly inappropriate. Personal appearance is neglected, and social
impairment is extreme.
2. Marked abnormalities in motor behavior manifested in extreme psychomotor
retardation with pronounced decreases in spontaneous movements and activity.
Waxy flexibility is exhibited.
3. The client is exhibiting delusions of persecution or grandeur. Auditory hallucinations
related to a persecutory theme are present. The client is tense, suspicious, and
guarded and may be argumentative, hostile, and aggressive.
4. The client has a history of active psychotic symptoms, such as delusions or
auditory and visual hallucinations, but these prominent psychotic symptoms are
not exhibited currently. correct answers 1
On an in-patient unit, the nurse is caring for a client who is assuming bizarre posi-
tions for long periods of time. To which diagnostic category of schizophrenia would
this client most likely be assigned?
1. Disorganized schizophrenia.
2. Catatonic schizophrenia.
3. Paranoid schizophrenia.
4. Undifferentiated schizophrenia. correct answers 2
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.
1. "How long has the client experienced these symptoms?"
2. "Has the client taken any drug or medication that could cause these symptoms?"