CMAN 272 EXAM 2 MODULE 9 – SCHIZOPHRENIA
QUESTIONS
The nurse is assessing a client diagnosed with schizophrenia with catatonic features.
Which of the following symptoms should the nurse expect the client to exhibit?
Select all that apply.
1. Catalepsy.
2. Waxy flexibility.
3. Pressured speech.
4. Posturing.
5. Stereotypy. - Answer -1. Catalepsy.
2. Waxy flexibility
4. Posturing.
5. Stereotypy.
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?"
3. "It is not within your scope of practice to assess for a medical diagnosis."
4. "Does this client have any mood problems?"
5. "What kind of relationships has this client established?" - Answer -1. "How long has
the client experienced these symptoms?"
2. "Has the client taken any drug or medication that could cause these symptoms?"
4. "Does this client have any mood problems?"
5. "What kind of relationships has this client established?"
The nurse is assessing a client diagnosed with schizophrenia. The client states, "We
wanted to take the bus, but the airport took all the traffic." Which charting entry
accurately documents this symptom?
1. "The client is experiencing associative looseness."
2. "The client is attempting to communicate by the use of word salad."
3. "The client is experiencing delusional thinking."
4. "The client is experiencing an illusion involving planes." - Answer -1. "The client is
experiencing associative looseness."
Associative looseness is thinking characterized by speech in which ideas shift from one
unrelated subject to another. The client is unaware that the topics are unconnected. The
client statement is an example of associative looseness.
The nurse states, "It's time for lunch." A client diagnosed with schizophrenia responds,
"It's time for lunch, lunch, lunch." Which type of communication process is the client
using, and what is the underlying reason for its use?
1. Echopraxia, which is an attempt to identify with the person speaking.
, 2. Echolalia, which is an attempt to acquire a sense of self and identity.
3. Unconscious identification to reinforce weak ego boundaries.
4. Depersonalization to stabilize self-identity. - Answer -2. Echolalia, which is an
attempt to acquire a sense of self and identity.
When clients diagnosed with schizophrenia repeat words that they hear, they are
exhibiting echolalia.
The nurse documents that a client diagnosed with schizophrenia is expressing a flat
affect. What is an example of this symptom?
1. The client laughs when told of the death of his or her mother.
2. The client sits alone and does not interact with others.
3. The client exhibits no emotional expression.
4. The client experiences no emotional feelings. - Answer -3. The client exhibits no
emotional expression.
The nurse documents that a client diagnosed with schizophrenia is experiencing
anticholinergic side effects from long-term use of thioridazine (Mellaril). Which
symptoms has the nurse noted?
1. Akinesia, dystonia, and pseudoparkinsonism.
2. Muscle rigidity, hyperpyrexia, and tachycardia.
3. Hyperglycemia and diabetes.
4. Dry mouth, constipation, and urinary retention. - Answer -4. Dry mouth, constipation,
and urinary retention.
A client has a history of schizophrenia, controlled by haloperidol (Haldol). During an
assessment, the nurse notes continuous restlessness. Which medication would the
nurse expect the physician to prescribe for this client?
1. Haloperidol (Haldol).
2. Fluphenazine decanoate (Prolixin Decanoate).
3. Clozapine (Clozaril).
4. Benztropine mesylate (Cogentin). - Answer -4. Benztropine mesylate (Cogentin)
Benztropine mesylate (Cogentin) is an anticholinergic medication used for the treatment
of extrapyramidal symptoms such as akathisia.
A client on an in-patient psychiatric unit refuses to take medications because "The pill
has a special code written on it that will make it poisonous." What kind of delusion is
this client experiencing?
1. An erotomanic delusion.
2. A grandiose delusion.
3. A persecutory delusion.
4. A somatic delusion. - Answer -3. A persecutory delusion.
The nurse is interviewing a client who states, "The dentist put a filling in my tooth; I now
receive transmissions that control what I think and do." The nurse accurately
documents this symptom with which charting entry?
QUESTIONS
The nurse is assessing a client diagnosed with schizophrenia with catatonic features.
Which of the following symptoms should the nurse expect the client to exhibit?
Select all that apply.
1. Catalepsy.
2. Waxy flexibility.
3. Pressured speech.
4. Posturing.
5. Stereotypy. - Answer -1. Catalepsy.
2. Waxy flexibility
4. Posturing.
5. Stereotypy.
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?"
3. "It is not within your scope of practice to assess for a medical diagnosis."
4. "Does this client have any mood problems?"
5. "What kind of relationships has this client established?" - Answer -1. "How long has
the client experienced these symptoms?"
2. "Has the client taken any drug or medication that could cause these symptoms?"
4. "Does this client have any mood problems?"
5. "What kind of relationships has this client established?"
The nurse is assessing a client diagnosed with schizophrenia. The client states, "We
wanted to take the bus, but the airport took all the traffic." Which charting entry
accurately documents this symptom?
1. "The client is experiencing associative looseness."
2. "The client is attempting to communicate by the use of word salad."
3. "The client is experiencing delusional thinking."
4. "The client is experiencing an illusion involving planes." - Answer -1. "The client is
experiencing associative looseness."
Associative looseness is thinking characterized by speech in which ideas shift from one
unrelated subject to another. The client is unaware that the topics are unconnected. The
client statement is an example of associative looseness.
The nurse states, "It's time for lunch." A client diagnosed with schizophrenia responds,
"It's time for lunch, lunch, lunch." Which type of communication process is the client
using, and what is the underlying reason for its use?
1. Echopraxia, which is an attempt to identify with the person speaking.
, 2. Echolalia, which is an attempt to acquire a sense of self and identity.
3. Unconscious identification to reinforce weak ego boundaries.
4. Depersonalization to stabilize self-identity. - Answer -2. Echolalia, which is an
attempt to acquire a sense of self and identity.
When clients diagnosed with schizophrenia repeat words that they hear, they are
exhibiting echolalia.
The nurse documents that a client diagnosed with schizophrenia is expressing a flat
affect. What is an example of this symptom?
1. The client laughs when told of the death of his or her mother.
2. The client sits alone and does not interact with others.
3. The client exhibits no emotional expression.
4. The client experiences no emotional feelings. - Answer -3. The client exhibits no
emotional expression.
The nurse documents that a client diagnosed with schizophrenia is experiencing
anticholinergic side effects from long-term use of thioridazine (Mellaril). Which
symptoms has the nurse noted?
1. Akinesia, dystonia, and pseudoparkinsonism.
2. Muscle rigidity, hyperpyrexia, and tachycardia.
3. Hyperglycemia and diabetes.
4. Dry mouth, constipation, and urinary retention. - Answer -4. Dry mouth, constipation,
and urinary retention.
A client has a history of schizophrenia, controlled by haloperidol (Haldol). During an
assessment, the nurse notes continuous restlessness. Which medication would the
nurse expect the physician to prescribe for this client?
1. Haloperidol (Haldol).
2. Fluphenazine decanoate (Prolixin Decanoate).
3. Clozapine (Clozaril).
4. Benztropine mesylate (Cogentin). - Answer -4. Benztropine mesylate (Cogentin)
Benztropine mesylate (Cogentin) is an anticholinergic medication used for the treatment
of extrapyramidal symptoms such as akathisia.
A client on an in-patient psychiatric unit refuses to take medications because "The pill
has a special code written on it that will make it poisonous." What kind of delusion is
this client experiencing?
1. An erotomanic delusion.
2. A grandiose delusion.
3. A persecutory delusion.
4. A somatic delusion. - Answer -3. A persecutory delusion.
The nurse is interviewing a client who states, "The dentist put a filling in my tooth; I now
receive transmissions that control what I think and do." The nurse accurately
documents this symptom with which charting entry?
