WALDEN NURS 6630 ACTUAL EXAM 2025 |SCHIZOPHRENIA OVERVIEW |88
QUESTIONS WITH CORRECT ANSWERS
1. Schizophrenia is characterized by impairments in
social functioning, problems working, and
substance abuse cognitive skills, executive
functioning and memory issues
suicidal ideation, metabolic disturbances and muscular
difficulties
social functioning, problems working, and caring for
oneself
2. Which of the following is the most appropriate
management of acute psychosis in a patient with
schizophrenia?
Lithium (Eskalith)
Amitriptyline (Elavil)
Haloperidol
(Haldol)
Phenelzine (Nardil)
Sertraline (Zoloft)
3. Which of the following is NOT a brain abnormality often seen in
those with schizophrenia?
reductions in the total volume and thickness of the
prefrontal cortex reductions in the size of the
hippocampus and thalamus
decreased volumes of the lateral ventricles
dramatic reductions in gray matter
,4. If a 24-year-old male presents with symptoms of schizophrenia,
what
implications might his age of onset have for his treatment plan
compared to a 29-year-old female with similar symptoms?
The male may require more aggressive treatment due
to earlier onset, while the female may benefit from a
more gradual
, approach.
Both patients should receive the same treatment as age
does not affect treatment efficacy.
The female may need more intensive therapy due to her
later onset, while the male may respond better to
medication.
The male's earlier onset suggests he may have a more
severe form of the disorder, requiring immediate
hospitalization.
5. A patient with schizophrenia exhibits significant disorganized
speech and difficulty concentrating during therapy sessions.
Which cognitive symptom is most likely affecting their
treatment progress?
Impaired memory
Poor executive functioning
Inattention
Delusions
6. The best comparison of the benefits and side effects of second
generation antipsychotics (SGAs) compared to FGAs is:
SGAs are more tolerable, reduces negative sx,
reduces risk of EPS or TD, but weight gain and risk of
metabolic syndrome are fairly common
SGAs are more tolerable, reduces positive sx better,
reduces risk of TD, but weight gain and metabolic
syndrome are rare but serious side effects.
SGAs are more tolerable, less effective for both positive
and negative sx, but side effects are fewer and less
severe.
SGAs are less tolerable, clearly more effective, and always
safer
, 7. What are the common side effects associated with
elevated prolactin levels due to antipsychotic medications?
Increased appetite and weight gain
QUESTIONS WITH CORRECT ANSWERS
1. Schizophrenia is characterized by impairments in
social functioning, problems working, and
substance abuse cognitive skills, executive
functioning and memory issues
suicidal ideation, metabolic disturbances and muscular
difficulties
social functioning, problems working, and caring for
oneself
2. Which of the following is the most appropriate
management of acute psychosis in a patient with
schizophrenia?
Lithium (Eskalith)
Amitriptyline (Elavil)
Haloperidol
(Haldol)
Phenelzine (Nardil)
Sertraline (Zoloft)
3. Which of the following is NOT a brain abnormality often seen in
those with schizophrenia?
reductions in the total volume and thickness of the
prefrontal cortex reductions in the size of the
hippocampus and thalamus
decreased volumes of the lateral ventricles
dramatic reductions in gray matter
,4. If a 24-year-old male presents with symptoms of schizophrenia,
what
implications might his age of onset have for his treatment plan
compared to a 29-year-old female with similar symptoms?
The male may require more aggressive treatment due
to earlier onset, while the female may benefit from a
more gradual
, approach.
Both patients should receive the same treatment as age
does not affect treatment efficacy.
The female may need more intensive therapy due to her
later onset, while the male may respond better to
medication.
The male's earlier onset suggests he may have a more
severe form of the disorder, requiring immediate
hospitalization.
5. A patient with schizophrenia exhibits significant disorganized
speech and difficulty concentrating during therapy sessions.
Which cognitive symptom is most likely affecting their
treatment progress?
Impaired memory
Poor executive functioning
Inattention
Delusions
6. The best comparison of the benefits and side effects of second
generation antipsychotics (SGAs) compared to FGAs is:
SGAs are more tolerable, reduces negative sx,
reduces risk of EPS or TD, but weight gain and risk of
metabolic syndrome are fairly common
SGAs are more tolerable, reduces positive sx better,
reduces risk of TD, but weight gain and metabolic
syndrome are rare but serious side effects.
SGAs are more tolerable, less effective for both positive
and negative sx, but side effects are fewer and less
severe.
SGAs are less tolerable, clearly more effective, and always
safer
, 7. What are the common side effects associated with
elevated prolactin levels due to antipsychotic medications?
Increased appetite and weight gain
