NURS 6635 Final Exam Questions
and Complete Detailed Answers
1. Select the development time of symptoms in neuroleptic malignant syndrome.
A. 12-24 hours
B. 24-72 hours
C. 4-7 days
D.10-14 days - Answer: B. 24-72 hours
If untreated syndrome lasts 10 to 14 days
Treat with dantrolene or bromocriptine
Select the brain region that shows the greatest anatomical abnormalities in
schizophrenic patients.
A. Hippocampus
B. Amygdala
C. Prefrontal cortex
D. Basal ganglia - Answer: C. Prefrontal cortex has anatomical abnormalities
hippocampus and amygdala have size decrease
basal ganglia theoretical due to odd movements
D. per some answers
Select the mental function that is most affected in mild cognitive impairment.
A. General cognition
B. Activities of daily living
C. Geographic orientation
D. Recent memory - Answer: D. Recent memory
Select the time frame for symptoms of schizophreniform disorder.
,A. 2 to 6 weeks
B. 1 to 5 months
C. 6 to 8 months
D. 1 year - Answer: Symptoms are short term lasting at least 1 month but less than 6 months. p. 342
Select two comorbid factors common in schizophrenic patients - Answer: obesity, DM, substance
use disorders, complex partial epilepsy, cardiovascular disease, HIV, COPD
Select the medical condition that occurs less frequently in schizophrenic patients than in the general
population - Answer: rheumatoid arthritis
Select the percentage of remission that results from correct antipsychotic drug therapy of
schizophrenic patients
A. 15
B. 30
C. 45
D. 70 - Answer: p. 354 Approximately 60% will improve to the extent that they will achieve
remission or only mild symptoms
Select the most distinguishing feature in the course and prognosis of schizophrenia - Answer:
worsening after each relapse
Select the two behaviors of schizophrenic patients that occur more frequently than in the general
population. - Answer: p.339 little impulse control, decreased social sensitivity, impulsive behavior,
suicide, violent behavior
Select the characteristic that is greater in childhood than adult onset schizophrenia - Answer: Social
withdrawal p. 349 typically quiet introverted, no close friends, may have sudden onset of ocd
Select the most reliable method to make a diagnosis of schizophrenia - Answer: a patient's history is
essential for the diagnosis of schizophrenia; clinicians cannot diagnose schizophrenia simply by
results of a mental status examination, which may vary.
Select the dysfunction that is common to 50% to 85% of schizophrenic patients. - Answer: Various
studies have reported abnormal eye movements in 50 to 85 percent of patients with schizophrenia
, compared with about 25 percent in psychiatric patients without schizophrenia and fewer than 10
percent in nonpsychiatrically ill control participant. p. 359
Select two of the "Four A's" symptoms of schizophrenia described by Bleuler
A.
autism
B.
ambivalence
C.
anhedonia
D.
abstract - Answer: the four As: associations, affect, autism, and ambivalence
Select the age range for 90% of patients treated for schizophrenia - Answer: p. 358 90% of patients
in treatment for schizophrenia are between 15 and 55 years old. (peak age of onset women - 25 to
35, men 10-25). Late onset refers to over 45. cannabis raises risk by 40%
The most common type of hallucination in schizophrenia - Answer: Auditory
Cognition of patient's with schizophrenia - Answer: Usually oriented to person, time, and place. they
do have cognitive deficiencies in attention, executive function, working memory, and episodic
memory
leading cause of premature death in schizphrenia? - Answer: Suicide
Positive and negative syndrome scale (PANNS)
Brief psychiatric rating scale (BPRS)
EPS symptoms - Simpson angus scale (SAS), Abnormal involuntary movement scale (AIMS), Barnes
akathisia rating scale (BARS) - Answer: diagnostic and rating scales for schizophrenia
What percentage of schizophrenia patients have substance use disorder throughout lifetime? -
Answer: 74%
and Complete Detailed Answers
1. Select the development time of symptoms in neuroleptic malignant syndrome.
A. 12-24 hours
B. 24-72 hours
C. 4-7 days
D.10-14 days - Answer: B. 24-72 hours
If untreated syndrome lasts 10 to 14 days
Treat with dantrolene or bromocriptine
Select the brain region that shows the greatest anatomical abnormalities in
schizophrenic patients.
A. Hippocampus
B. Amygdala
C. Prefrontal cortex
D. Basal ganglia - Answer: C. Prefrontal cortex has anatomical abnormalities
hippocampus and amygdala have size decrease
basal ganglia theoretical due to odd movements
D. per some answers
Select the mental function that is most affected in mild cognitive impairment.
A. General cognition
B. Activities of daily living
C. Geographic orientation
D. Recent memory - Answer: D. Recent memory
Select the time frame for symptoms of schizophreniform disorder.
,A. 2 to 6 weeks
B. 1 to 5 months
C. 6 to 8 months
D. 1 year - Answer: Symptoms are short term lasting at least 1 month but less than 6 months. p. 342
Select two comorbid factors common in schizophrenic patients - Answer: obesity, DM, substance
use disorders, complex partial epilepsy, cardiovascular disease, HIV, COPD
Select the medical condition that occurs less frequently in schizophrenic patients than in the general
population - Answer: rheumatoid arthritis
Select the percentage of remission that results from correct antipsychotic drug therapy of
schizophrenic patients
A. 15
B. 30
C. 45
D. 70 - Answer: p. 354 Approximately 60% will improve to the extent that they will achieve
remission or only mild symptoms
Select the most distinguishing feature in the course and prognosis of schizophrenia - Answer:
worsening after each relapse
Select the two behaviors of schizophrenic patients that occur more frequently than in the general
population. - Answer: p.339 little impulse control, decreased social sensitivity, impulsive behavior,
suicide, violent behavior
Select the characteristic that is greater in childhood than adult onset schizophrenia - Answer: Social
withdrawal p. 349 typically quiet introverted, no close friends, may have sudden onset of ocd
Select the most reliable method to make a diagnosis of schizophrenia - Answer: a patient's history is
essential for the diagnosis of schizophrenia; clinicians cannot diagnose schizophrenia simply by
results of a mental status examination, which may vary.
Select the dysfunction that is common to 50% to 85% of schizophrenic patients. - Answer: Various
studies have reported abnormal eye movements in 50 to 85 percent of patients with schizophrenia
, compared with about 25 percent in psychiatric patients without schizophrenia and fewer than 10
percent in nonpsychiatrically ill control participant. p. 359
Select two of the "Four A's" symptoms of schizophrenia described by Bleuler
A.
autism
B.
ambivalence
C.
anhedonia
D.
abstract - Answer: the four As: associations, affect, autism, and ambivalence
Select the age range for 90% of patients treated for schizophrenia - Answer: p. 358 90% of patients
in treatment for schizophrenia are between 15 and 55 years old. (peak age of onset women - 25 to
35, men 10-25). Late onset refers to over 45. cannabis raises risk by 40%
The most common type of hallucination in schizophrenia - Answer: Auditory
Cognition of patient's with schizophrenia - Answer: Usually oriented to person, time, and place. they
do have cognitive deficiencies in attention, executive function, working memory, and episodic
memory
leading cause of premature death in schizphrenia? - Answer: Suicide
Positive and negative syndrome scale (PANNS)
Brief psychiatric rating scale (BPRS)
EPS symptoms - Simpson angus scale (SAS), Abnormal involuntary movement scale (AIMS), Barnes
akathisia rating scale (BARS) - Answer: diagnostic and rating scales for schizophrenia
What percentage of schizophrenia patients have substance use disorder throughout lifetime? -
Answer: 74%
