Varcarolis: Chapter 12 - Schizophrenia and Schizophrenia Spectrum Disor-
ders
Study online at https://quizlet.com/_j58b0d
1. 1. A person has had difficulty ANS: B
keeping a job because of argu-
ing with co-workers and accus- Resist focusing on content; instead, focus on the feelings the
ing them of conspiracy. Today patient is expressing. This strategy prevents arguing about the
the person shouts, "They're all reality of delusional beliefs. Such arguments increase patient
plotting to destroy me. Isn't anxiety and the tenacity with which the patient holds to the
that true?" Select the nurse's delusion. The other options focus on content and provide
most therapeutic response. opportunity for argument.
a. "Everyone here is trying to PTS: 1 DIF: Cognitive Level: Apply (Application)
help you. No one wants to
REF: Page 205-206 | Page 213-215 (Box 12-4)
harm you."
b. "Feeling that people want
to destroy you must be very
frightening."
c. "That is not true. People here
are trying to help you if you will
let them."
d. "Staff members are health
care professionals who are
qualified to help you."
2. A newly admitted patient di- ANS: B
agnosed with schizophrenia is
hypervigilant and constantly Ideas of reference are misinterpretations of the verbalizations
scans the environment. The or actions of others that give special personal meanings to
patient states, "I saw two doc- these behaviors; for example, when seeing two people talking,
tors talking in the hall. They the individual assumes they are talking about him or her. The
other terms do not correspond with the scenario.
, Varcarolis: Chapter 12 - Schizophrenia and Schizophrenia Spectrum Disor-
ders
Study online at https://quizlet.com/_j58b0d
were plotting to kill me." The
nurse may correctly assess this PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
behavior as:
REF: Page 206 (Table 12-1) TOP: Nursing Process: Assessment
a. echolalia.
MSC: Client Needs: Psychosocial Integrity
b. an idea of reference.
c. a delusion of infidelity.
d. an auditory hallucination.
3. 3. A patient diagnosed ANS: B
with schizophrenia says, "My
co-workers are out to get me. The patient sees the world as hostile and dangerous. This
I also saw two doctors plot- assessment is important because the nurse can be more ef-
ting to kill me." How does this fective by using empathy to respond to the patient. Data are
patient perceive the environ- not present to support any of the other options.
ment?
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
a. Disorganized
REF: Page 210 (Table 12-3) | Page 213 (Box 12-4)
b. Dangerous
c. Supportive
d. Bizarre
4. 4. When a patient diag- ANS: A
nosed with schizophrenia was
discharged 6 months ago, Typical antipsychotic drugs often produce sedation and ex-
haloperidol (Haldol) was pre- trapyramidal side effects such as stiffness and gait distur-
scribed. The patient now says, bance, effects the patient might describe as making him or
"I stopped taking those pills. her feel like a "robot." The side effects mentioned in the other
They made me feel like a ro- options are usually not associated with typical antipsychotic
bot." What are common side therapy or would not have the effect described by the patient.
effects the nurse should vali-
PTS: 1 DIF: Cognitive Level: Apply (Application)
date with the patient?
, Varcarolis: Chapter 12 - Schizophrenia and Schizophrenia Spectrum Disor-
ders
Study online at https://quizlet.com/_j58b0d
a. Sedation and muscle stiff- REF: Page 215-216 (Table 12-4) TOP: Nursing Process: Assess-
ness ment
b. Sweating, nausea, and diar-
rhea MSC: Client Needs: Physiological Integrity
c. Mild fever, sore throat, and
skin rash
d. Headache, watery eyes, and
runny nose
5. 5. Which hallucination necessi- ANS: B
tates the nurse to implement
safety measures? The patient The correct response indicates the patient is experiencing
says, paranoia. Paranoia often leads to fearfulness, and the pa-
tient may attempt to strike out at others to protect self. The
a. "I hear angels playing distracters are comforting hallucinations or do not indicate
harps." paranoia.
b. "The voices say everyone is PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
trying to kill me."
REF: Page 207 | Page 212-213 TOP: Nursing Process: Plan-
c. "My dead father tells me I am ning
a good person."
MSC: Client Needs: Psychosocial Integrity
d."The voices talk only at night
when I'm trying to sleep."
6. 6. A patient's care plan in- ANS: B
cludes monitoring for auditory
hallucinations. Which assess- Clues to hallucinations include eyes looking around the room
ment findings suggest the pa- as though to find the speaker, tilting the head to one side as
tient may be hallucinating? though listening intently, and grimacing, mumbling, or talking
, Varcarolis: Chapter 12 - Schizophrenia and Schizophrenia Spectrum Disor-
ders
Study online at https://quizlet.com/_j58b0d
aloud as though responding conversationally to someone.
a. Detachment and overconfi-
dence PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
b. Darting eyes, tilted head, REF: Page 206-207 | Page 212-213 TOP: Nursing Process:
mumbling to self Assessment
c. Euphoric mood, hyperactivi- MSC: Client Needs: Psychosocial Integrity
ty, distractibility
d. Foot tapping and repeatedly
writing the same phrase
7. 7. A health care provider ANS: D
considers which antipsychotic
medication to prescribe for a Aripiprazole is a third-generation atypical antipsychotic effec-
patient diagnosed with schiz- tive against both positive and negative symptoms of schizo-
ophrenia who has auditory phrenia. It causes little or no weight gain and no increase
hallucinations and poor social in glucose, high- or low-density lipoprotein cholesterol, or
function. The patient is also triglycerides, making it a reasonable choice for a patient with
overweight and hypertensive. obesity or heart disease. Clozapine may produce agranulocy-
Which drug should the nurse tosis, making it a poor choice as a first-line agent. Ziprasidone
advocate? may prolong the QT interval, making it a poor choice for a
patient with cardiac disease. Olanzapine fosters weight gain.
a. Clozapine (Clozaril)
b. Ziprasidone (Geodon) PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
c. Olanzapine (Zyprexa)
REF: Page 215-219 (Table 12-5) TOP: Nursing Process: Plan-
d. Aripiprazole (Abilify)
ning
8. 8. A patient diagnosed with ANS: D
schizophrenia tells the nurse,
"I eat skiller. Tend to end. East- When a patient's speech is loosely associated, confused, and
ders
Study online at https://quizlet.com/_j58b0d
1. 1. A person has had difficulty ANS: B
keeping a job because of argu-
ing with co-workers and accus- Resist focusing on content; instead, focus on the feelings the
ing them of conspiracy. Today patient is expressing. This strategy prevents arguing about the
the person shouts, "They're all reality of delusional beliefs. Such arguments increase patient
plotting to destroy me. Isn't anxiety and the tenacity with which the patient holds to the
that true?" Select the nurse's delusion. The other options focus on content and provide
most therapeutic response. opportunity for argument.
a. "Everyone here is trying to PTS: 1 DIF: Cognitive Level: Apply (Application)
help you. No one wants to
REF: Page 205-206 | Page 213-215 (Box 12-4)
harm you."
b. "Feeling that people want
to destroy you must be very
frightening."
c. "That is not true. People here
are trying to help you if you will
let them."
d. "Staff members are health
care professionals who are
qualified to help you."
2. A newly admitted patient di- ANS: B
agnosed with schizophrenia is
hypervigilant and constantly Ideas of reference are misinterpretations of the verbalizations
scans the environment. The or actions of others that give special personal meanings to
patient states, "I saw two doc- these behaviors; for example, when seeing two people talking,
tors talking in the hall. They the individual assumes they are talking about him or her. The
other terms do not correspond with the scenario.
, Varcarolis: Chapter 12 - Schizophrenia and Schizophrenia Spectrum Disor-
ders
Study online at https://quizlet.com/_j58b0d
were plotting to kill me." The
nurse may correctly assess this PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
behavior as:
REF: Page 206 (Table 12-1) TOP: Nursing Process: Assessment
a. echolalia.
MSC: Client Needs: Psychosocial Integrity
b. an idea of reference.
c. a delusion of infidelity.
d. an auditory hallucination.
3. 3. A patient diagnosed ANS: B
with schizophrenia says, "My
co-workers are out to get me. The patient sees the world as hostile and dangerous. This
I also saw two doctors plot- assessment is important because the nurse can be more ef-
ting to kill me." How does this fective by using empathy to respond to the patient. Data are
patient perceive the environ- not present to support any of the other options.
ment?
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
a. Disorganized
REF: Page 210 (Table 12-3) | Page 213 (Box 12-4)
b. Dangerous
c. Supportive
d. Bizarre
4. 4. When a patient diag- ANS: A
nosed with schizophrenia was
discharged 6 months ago, Typical antipsychotic drugs often produce sedation and ex-
haloperidol (Haldol) was pre- trapyramidal side effects such as stiffness and gait distur-
scribed. The patient now says, bance, effects the patient might describe as making him or
"I stopped taking those pills. her feel like a "robot." The side effects mentioned in the other
They made me feel like a ro- options are usually not associated with typical antipsychotic
bot." What are common side therapy or would not have the effect described by the patient.
effects the nurse should vali-
PTS: 1 DIF: Cognitive Level: Apply (Application)
date with the patient?
, Varcarolis: Chapter 12 - Schizophrenia and Schizophrenia Spectrum Disor-
ders
Study online at https://quizlet.com/_j58b0d
a. Sedation and muscle stiff- REF: Page 215-216 (Table 12-4) TOP: Nursing Process: Assess-
ness ment
b. Sweating, nausea, and diar-
rhea MSC: Client Needs: Physiological Integrity
c. Mild fever, sore throat, and
skin rash
d. Headache, watery eyes, and
runny nose
5. 5. Which hallucination necessi- ANS: B
tates the nurse to implement
safety measures? The patient The correct response indicates the patient is experiencing
says, paranoia. Paranoia often leads to fearfulness, and the pa-
tient may attempt to strike out at others to protect self. The
a. "I hear angels playing distracters are comforting hallucinations or do not indicate
harps." paranoia.
b. "The voices say everyone is PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
trying to kill me."
REF: Page 207 | Page 212-213 TOP: Nursing Process: Plan-
c. "My dead father tells me I am ning
a good person."
MSC: Client Needs: Psychosocial Integrity
d."The voices talk only at night
when I'm trying to sleep."
6. 6. A patient's care plan in- ANS: B
cludes monitoring for auditory
hallucinations. Which assess- Clues to hallucinations include eyes looking around the room
ment findings suggest the pa- as though to find the speaker, tilting the head to one side as
tient may be hallucinating? though listening intently, and grimacing, mumbling, or talking
, Varcarolis: Chapter 12 - Schizophrenia and Schizophrenia Spectrum Disor-
ders
Study online at https://quizlet.com/_j58b0d
aloud as though responding conversationally to someone.
a. Detachment and overconfi-
dence PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
b. Darting eyes, tilted head, REF: Page 206-207 | Page 212-213 TOP: Nursing Process:
mumbling to self Assessment
c. Euphoric mood, hyperactivi- MSC: Client Needs: Psychosocial Integrity
ty, distractibility
d. Foot tapping and repeatedly
writing the same phrase
7. 7. A health care provider ANS: D
considers which antipsychotic
medication to prescribe for a Aripiprazole is a third-generation atypical antipsychotic effec-
patient diagnosed with schiz- tive against both positive and negative symptoms of schizo-
ophrenia who has auditory phrenia. It causes little or no weight gain and no increase
hallucinations and poor social in glucose, high- or low-density lipoprotein cholesterol, or
function. The patient is also triglycerides, making it a reasonable choice for a patient with
overweight and hypertensive. obesity or heart disease. Clozapine may produce agranulocy-
Which drug should the nurse tosis, making it a poor choice as a first-line agent. Ziprasidone
advocate? may prolong the QT interval, making it a poor choice for a
patient with cardiac disease. Olanzapine fosters weight gain.
a. Clozapine (Clozaril)
b. Ziprasidone (Geodon) PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
c. Olanzapine (Zyprexa)
REF: Page 215-219 (Table 12-5) TOP: Nursing Process: Plan-
d. Aripiprazole (Abilify)
ning
8. 8. A patient diagnosed with ANS: D
schizophrenia tells the nurse,
"I eat skiller. Tend to end. East- When a patient's speech is loosely associated, confused, and
