NUR 311 EXAM 1: PSYCH NURSING CHAPTER 24
– SCHIZOPHRENIA QUESTIONS WITH
COMPLETE EXPLAINED SOLUTIONS || 100%
GUARANTEED PASS!! <RECENT VERSION>
1. Question:
Which of the following is a positive symptom of schizophrenia?
A. Anhedonia
B. Avolition
C. Delusions
D. Flat affect
Answer: C. Delusions
Explanation: Positive symptoms of schizophrenia are those that add abnormal behaviors,
such as hallucinations, delusions, and disorganized thinking. Delusions are fixed false beliefs
and are a hallmark positive symptom. The other options are negative symptoms.
2. Question:
A patient with schizophrenia says, “The sky is crying because I’m sad.” This is an
example of:
,A. Loose associations
B. Concrete thinking
C. Magical thinking
D. Referential thinking
Answer: D. Referential thinking
Explanation: Referential thinking involves the belief that environmental events are directly
related to oneself. The patient believes the sky reflects their emotions, a common psychotic
symptom in schizophrenia.
3. Question:
Which neurotransmitter is most implicated in the pathophysiology of schizophrenia?
A. Acetylcholine
B. Dopamine
C. Serotonin
D. GABA
Answer: B. Dopamine
Explanation: The dopamine hypothesis suggests that excess dopamine activity in certain
brain pathways is a major contributor to schizophrenia symptoms, particularly the positive
ones.
4. Question:
,Which antipsychotic medication is most associated with agranulocytosis and requires
regular CBC monitoring?
A. Risperidone
B. Haloperidol
C. Clozapine
D. Olanzapine
Answer: C. Clozapine
Explanation: Clozapine is effective in treatment-resistant schizophrenia but carries a risk of
agranulocytosis, a potentially fatal drop in white blood cells, requiring frequent monitoring.
5. Question:
A patient on antipsychotic medication presents with muscle rigidity, high fever, and
altered mental status. What is the most appropriate nursing action?
A. Reassure the patient
B. Administer benzodiazepine
C. Notify the provider immediately
D. Continue medication and monitor
Answer: C. Notify the provider immediately
Explanation: These are signs of neuroleptic malignant syndrome (NMS), a life-threatening
reaction to antipsychotics. Immediate discontinuation and emergency medical care are
needed.
, 6. Question:
Which nursing diagnosis is most appropriate for a patient experiencing command
hallucinations?
A. Social isolation
B. Risk for violence: directed at others
C. Disturbed thought processes
D. Risk for self-directed violence
Answer: D. Risk for self-directed violence
Explanation: Command hallucinations may instruct the patient to harm themselves or
others. Safety is a priority, so assessing for self-directed violence is crucial.
7. Question:
Which therapeutic communication technique is most appropriate when a patient says,
“I hear voices telling me I’m worthless”?
A. “Why do you think that is?”
B. “You are not worthless.”
C. “I don’t hear the voices, but I understand they are real to you.”
D. “That’s not true.”
Answer: C. “I don’t hear the voices, but I understand they are real to you.”
Explanation: This response validates the patient’s experience without reinforcing the
hallucination and maintains therapeutic rapport.
– SCHIZOPHRENIA QUESTIONS WITH
COMPLETE EXPLAINED SOLUTIONS || 100%
GUARANTEED PASS!! <RECENT VERSION>
1. Question:
Which of the following is a positive symptom of schizophrenia?
A. Anhedonia
B. Avolition
C. Delusions
D. Flat affect
Answer: C. Delusions
Explanation: Positive symptoms of schizophrenia are those that add abnormal behaviors,
such as hallucinations, delusions, and disorganized thinking. Delusions are fixed false beliefs
and are a hallmark positive symptom. The other options are negative symptoms.
2. Question:
A patient with schizophrenia says, “The sky is crying because I’m sad.” This is an
example of:
,A. Loose associations
B. Concrete thinking
C. Magical thinking
D. Referential thinking
Answer: D. Referential thinking
Explanation: Referential thinking involves the belief that environmental events are directly
related to oneself. The patient believes the sky reflects their emotions, a common psychotic
symptom in schizophrenia.
3. Question:
Which neurotransmitter is most implicated in the pathophysiology of schizophrenia?
A. Acetylcholine
B. Dopamine
C. Serotonin
D. GABA
Answer: B. Dopamine
Explanation: The dopamine hypothesis suggests that excess dopamine activity in certain
brain pathways is a major contributor to schizophrenia symptoms, particularly the positive
ones.
4. Question:
,Which antipsychotic medication is most associated with agranulocytosis and requires
regular CBC monitoring?
A. Risperidone
B. Haloperidol
C. Clozapine
D. Olanzapine
Answer: C. Clozapine
Explanation: Clozapine is effective in treatment-resistant schizophrenia but carries a risk of
agranulocytosis, a potentially fatal drop in white blood cells, requiring frequent monitoring.
5. Question:
A patient on antipsychotic medication presents with muscle rigidity, high fever, and
altered mental status. What is the most appropriate nursing action?
A. Reassure the patient
B. Administer benzodiazepine
C. Notify the provider immediately
D. Continue medication and monitor
Answer: C. Notify the provider immediately
Explanation: These are signs of neuroleptic malignant syndrome (NMS), a life-threatening
reaction to antipsychotics. Immediate discontinuation and emergency medical care are
needed.
, 6. Question:
Which nursing diagnosis is most appropriate for a patient experiencing command
hallucinations?
A. Social isolation
B. Risk for violence: directed at others
C. Disturbed thought processes
D. Risk for self-directed violence
Answer: D. Risk for self-directed violence
Explanation: Command hallucinations may instruct the patient to harm themselves or
others. Safety is a priority, so assessing for self-directed violence is crucial.
7. Question:
Which therapeutic communication technique is most appropriate when a patient says,
“I hear voices telling me I’m worthless”?
A. “Why do you think that is?”
B. “You are not worthless.”
C. “I don’t hear the voices, but I understand they are real to you.”
D. “That’s not true.”
Answer: C. “I don’t hear the voices, but I understand they are real to you.”
Explanation: This response validates the patient’s experience without reinforcing the
hallucination and maintains therapeutic rapport.
