Chapter 31 Schizophrenia and Other Psychoses

Chapter 31: Schizophrenia and Other Psychoses MULTIPLE CHOICE 1. The client lives so completely in a world of his or her own that he or she is unable to recognize reality, relate to others, or cope with life’s demands. This client is considered: a. Exotic b. Anorectic c. Neurotic d. Psychotic ANS: D Psychosis often prevents individuals from being able to perform activities of daily living. The other options do not cause loss of touch with reality. PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 366 OBJ: 3 TOP: Psychosis in Adolescence KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 2. Schizophrenia in children as young as 5 years: a. Is a myth b. Can occur c. Never occurs d. Cannot occur ANS: B Psychotic disorders can occur in children as young as 5 years of age, with causes including genetics, complications during the pregnancy or birth, and biochemical imbalances. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 365 OBJ: 3 TOP: Psychosis in Adolescence KEY: Nursing Process Step: N/A MSC: Client Needs: Psychosocial Integrity 3. When people successfully adapt to their environment by using logical thought and socially appropriate ways, they are said to be functioning at the adaptive end of the _ continuum. a. Emotional b. Self-protective c. Neurobiological d. Psychobiological ANS: C The neurobiological continuum, which is a term used in psychiatry to describe interactions based on the ability to function, change, and adapt in society, is influenced by certain physical brain functions. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 365 OBJ: 1 TOP: Continuum of Neurobiological Responses KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 4. Schizophrenia affects approximately % of the world’s population. a. 1 b. 5 c. 9 d. 13 ANS: A This estimate means that 2.5 million people in the United States are affected, with 10% to 15% of the homeless population in the United States being schizophrenic. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 368 OBJ: 4 TOP: Schizophrenia KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 5. Theories based on study of the brain and its activities are called: a. Social b. Biological c. Psychological d. Psychobiological ANS: B Biological theories view schizophrenia as a brain disorder. Social theories view schizophrenia to be caused by the effects of the environment; psychological theories view the cause of the disease to be a character flaw combined with poor family relationships; and psychobiological theories do not exist. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 367 OBJ: 4 TOP: Biological Theories KEY: Nursing Process Step: N/A