Mental
Health/Psych
Nursing Boyd
Exam 2 - Chaps
18-27 Questions
David Mungai [Date] [Course title]
,CH 22 SCHIZOPHRENIA AND PSYCHOSIS - Correct Answer
What are the negative symptoms associated with schizophrenia? Select all that
apply
A. Anhedonia
B. Hallucinations
C. Ambivalence
D. Delusions
E. Avolition - Correct AnswerA,C,E
A. Anhedonia
C. Ambivalence
E. Avolition
Positive s/sx would be delusions and hallucinations.
CH 22
The nurse is caring for a client in an inpatient mental health setting. The nurse
notices that when the client is conversing with other clients, he repeats what they
are saying word for word. The nurse interprets this finding and documents it as
which of the following?
A) Echopraxia
B) Neologisms
C) Tangentiality
,D) Echolalia - Correct AnswerD) Echolalia
CH 22
Positive symptoms, specifically hallucination and delusions, are thought to be
caused by hyperactivity of which neurotransmitter?
A. Dopamine
B. Norepinephrine
C. Epinephrine
D. Acetylcholine - Correct AnswerA. Dopamine
Positive symptoms of schizophrenia, such as delusions and hallucinations, are
thought to be caused by dopamine hyperactivity in the mesolimbic tract at the D2
receptor site in the striatal area, where memory and emotion are regulated.
Hyperactivity of acetylcholine, norepinephrine, and epinephrine are not
associated with schizophrenia.
CH 22
Schizoaffective disorder has symptoms typical of both schizophrenia and which
type of disorder?
A. Mood disorder
B. Anxiety disorder
C. Eating disorder
, D.Substance use disorder - Correct AnswerA. Mood disorder
CH 22
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. Grandiose
B. Somatic
C. Nihilistic
D. Persecutory - Correct AnswerD. Persecutory
A persecutory delusion is a belief that one is being watched, ridiculed, harmed, or
plotted against. The belief that one has exceptional powers, wealth, skill,
influence, or destiny is a grandiose delusion. A nihilistic delusion is the belief that
one is dead or a calamity is impending. A somatic delusion is a belief about
abnormalities in bodily functions or structures.
CH 22
When assessing a person with delusional disorder, which finding would the nurse
expect to assess?
A. few, if any, psychological deficits
B. High level of intelligence