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NURS 6635 NRNP 6635 FINAL EXAM NEWEST 300 QUESTIONS AND VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR WALDEN UNIVERSITY

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NURS 6635 NRNP 6635 FINAL EXAM
NEWEST 300 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
WALDEN UNIVERSITY


QUESTION: 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




1

, Page 2 of 53


QUESTION: Select the most distinguishing feature in the course and prognosis of schizophrenia

- ANSWER-worsening after each relapse




QUESTION: 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




QUESTION: 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




QUESTION: 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.




QUESTION: 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




2

, Page 3 of 53


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




QUESTION: 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%




QUESTION: The most common type of hallucination in schizophrenia - ANSWER-Auditory




QUESTION: 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




QUESTION: leading cause of premature death in schizphrenia? - ANSWER-Suicide




QUESTION: Positive and negative syndrome scale (PANNS)


Brief psychiatric rating scale (BPRS)



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EPS symptoms - Simpson angus scale (SAS), Abnormal involuntary movement scale (AIMS),

Barnes akathisia rating scale (BARS) - ANSWER-diagnostic and rating scales for schizophrenia




QUESTION: What percentage of schizophrenia patients have substance use disorder throughout

lifetime? - ANSWER-74%




QUESTION: neurotransmitters involved in schziophrenia - ANSWER-excessive dopamine =

positive symptoms


increased glutamate = overexcites brain


decreased gaba = reduces neuron excitability


decreased muscarinic and nicotinic receptors = dec cognition




Select the development time of symptoms in neuroleptic malignant syndrome.




A. 12-24 hours


B. 24-72 hours




4

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