NURSING 211 EXAMINATION 4 (NUR 211) EXAM QUESTIONS
AND ANSWERS
Positive Symptoms of Schizophrenia - ANSWER>>- Hallucinations (Can be any of
the 5 senses)
- Delusions (False beliefs)
- Illusions (Misinterpreted Stimuli)
- Catatonia (Unresponsivness)
- Disorganized thinking
Types of Delusions - ANSWER>>- Reference
- Nihilistic
- Religious
- Grandiose
- Persecutory
Reference Delusions - ANSWER>>Incorporates the belief that events occur for
their benefit.
Nihilistic Delusions - ANSWER>>Encompass beliefs that they are non-
existent/dead
Religious Delusions - ANSWER>>Belief that they are a religious figure (God)
Grandiose Delusions - ANSWER>>Belief that they have a special power or
significance
Persecutory Delusions - ANSWER>>Belief that others want to hurt them.
,Catatonia Presentations - ANSWER>>- Mutism
- Echopraxia
- Echolalia
- Waxy Flexibility
- Autonomic Obedience
Mutism - ANSWER>>Lack of speech
Echopraxia - ANSWER>>Repeating movements of others
Echolalia - ANSWER>>Repeating others words
Waxy Flexibility - ANSWER>>Maintaining whatever position they are placed in.
Autonomic Obedience - ANSWER>>Automatic, robotic cooperation w/requests
Negative Symptoms of Schizophrenia - ANSWER>>o Tends to persist in all phases,
are difficult to treat, and account for some of the most disabling manifestations.
- Alogia
- Anhedonia
- Avolition
Alogia - ANSWER>>Decrease in thought and speech (Considered a form of
dysphagia)
Anhedonia - ANSWER>>Inability to experience pleasure in otherwise pleasurable
activities
Avolition - ANSWER>>Lack of motivation or initiative
Cognitive symptoms of Schizophrenia - ANSWER>>Deficits in:
- Memory
- Attention
, - Language
- Visual/Spatial awareness
- Social/emotional perception
- Intellectual & Executive function
Phases of Schizophrenia - ANSWER>>- Premorbid
- Prodromal
- Acute
- Residual
Premorbid Phase - ANSWER>>Phase before manifestations start showing
Prodromal Phase - ANSWER>>Symptomatic period that signals a definite shift
from premorbid functioning and continues until psychotic symptoms emerge.
Acute Phase - ANSWER>>Marked by the onset of psychotic/POSITIVE symptoms.
- Generally follows prodromal but sometimes occurs suddenly
Residual Phase - ANSWER>>A.K.A. Stabilization phase (6-18 months after
resolution of the acute phase.
- Immediate period of recovery
- Symptoms are under control but the individual is struggling to overcome
exhaustion and cope with the impact of the illness.
What is the cause of mental illness? - ANSWER>>Definitely not substance abuse
Priority Interventions for people with schizophrenia/other mental illness -
ANSWER>>- SAFETY IS # 1
- Assess for risk of self-harm/harming others
Priority Nursing POC - ANSWER>>- Prevent injury
- Treat manifestations
- Educate patients and family
AND ANSWERS
Positive Symptoms of Schizophrenia - ANSWER>>- Hallucinations (Can be any of
the 5 senses)
- Delusions (False beliefs)
- Illusions (Misinterpreted Stimuli)
- Catatonia (Unresponsivness)
- Disorganized thinking
Types of Delusions - ANSWER>>- Reference
- Nihilistic
- Religious
- Grandiose
- Persecutory
Reference Delusions - ANSWER>>Incorporates the belief that events occur for
their benefit.
Nihilistic Delusions - ANSWER>>Encompass beliefs that they are non-
existent/dead
Religious Delusions - ANSWER>>Belief that they are a religious figure (God)
Grandiose Delusions - ANSWER>>Belief that they have a special power or
significance
Persecutory Delusions - ANSWER>>Belief that others want to hurt them.
,Catatonia Presentations - ANSWER>>- Mutism
- Echopraxia
- Echolalia
- Waxy Flexibility
- Autonomic Obedience
Mutism - ANSWER>>Lack of speech
Echopraxia - ANSWER>>Repeating movements of others
Echolalia - ANSWER>>Repeating others words
Waxy Flexibility - ANSWER>>Maintaining whatever position they are placed in.
Autonomic Obedience - ANSWER>>Automatic, robotic cooperation w/requests
Negative Symptoms of Schizophrenia - ANSWER>>o Tends to persist in all phases,
are difficult to treat, and account for some of the most disabling manifestations.
- Alogia
- Anhedonia
- Avolition
Alogia - ANSWER>>Decrease in thought and speech (Considered a form of
dysphagia)
Anhedonia - ANSWER>>Inability to experience pleasure in otherwise pleasurable
activities
Avolition - ANSWER>>Lack of motivation or initiative
Cognitive symptoms of Schizophrenia - ANSWER>>Deficits in:
- Memory
- Attention
, - Language
- Visual/Spatial awareness
- Social/emotional perception
- Intellectual & Executive function
Phases of Schizophrenia - ANSWER>>- Premorbid
- Prodromal
- Acute
- Residual
Premorbid Phase - ANSWER>>Phase before manifestations start showing
Prodromal Phase - ANSWER>>Symptomatic period that signals a definite shift
from premorbid functioning and continues until psychotic symptoms emerge.
Acute Phase - ANSWER>>Marked by the onset of psychotic/POSITIVE symptoms.
- Generally follows prodromal but sometimes occurs suddenly
Residual Phase - ANSWER>>A.K.A. Stabilization phase (6-18 months after
resolution of the acute phase.
- Immediate period of recovery
- Symptoms are under control but the individual is struggling to overcome
exhaustion and cope with the impact of the illness.
What is the cause of mental illness? - ANSWER>>Definitely not substance abuse
Priority Interventions for people with schizophrenia/other mental illness -
ANSWER>>- SAFETY IS # 1
- Assess for risk of self-harm/harming others
Priority Nursing POC - ANSWER>>- Prevent injury
- Treat manifestations
- Educate patients and family
