Recent research on the RAISE approach to the treatment of schizophrenia incorporates which of
the following elements as important to improving outcomes? (Select all that apply.)
a. Early intervention at the first episode of psychosis
b. Support for employment or educational pursuits
c. Rapid high-dose loading with antipsychotic medication
d. Court-ordered sanctions for treatment
e. Recovery-focused psychotherapy correct answers A,B,E
Which of the following is the primary goal in working with an actively psychotic, suspicious
client?
a. Promote interaction with others.
b. Decrease his anxiety and increase trust.
c. Improve his relationship with his parents.
d. Encourage participation in therapy activities. correct answers B
A client with schizophrenia has physician's orders for haloperidol (Haldol) 5 mg IM STAT and
then 3 mg PO tid; 2 mg benztropine PO bid prn. Why is benztropine ordered?
a. To treat extrapyramidal symptoms
b. To prevent neuroleptic malignant syndrome
c. To decrease psychotic symptoms
d. To induce sleep correct answers A
A client on the psychiatric unit tells the nurse that the CIA is looking for him and will kill him if
they find him. The client's false belief is an example of a:
a. Delusion of persecution.
b. Delusion of reference.
, c. Delusion of control or influence.
d. Delusion of grandeur. correct answers A
The primary focus of family therapy for clients with schizophrenia and their families is:
a. To discuss problem-solving and adaptive behaviors for coping with stress.
b. To introduce the family to others with the same problem.
c. To keep the client and family in touch with the health-care systeterm-4m.
d. To promote family interaction and increase understanding of the illness. correct answers D
A client recently admitted to the hospital reports to the nurse, "I don't understand why I was
brought here. I was simply hanging out in my apartment and the police said I had to come with
them." This is an example of what symptom of schizophrenia?
a. Delusions of reference
b. Loose association
c. Anosognosia
d. Auditory hallucinations correct answers C
Which of the following assessments by the nurse would convey a need for prn benztropine?
a. Increased level of agitation
b. Complaints of a sore throat
c. A yellowish cast to the skin
d. Muscle spasms correct answers D
A client on the psychiatric unit has been diagnosed with schizophrenia. He tells the nurse that the
CIA is looking for him and will kill him if they find him. The most appropriate response by the
nurse is:
a. "That's ridiculous. No one is going to hurt you."
b. "The CIA isn't interested in people like you."