ANPS 8005 MIDTERM 2 QUESTIONS WITH
COMPLETE SOLUTIONS
A patient has been admitted with disorganized type
schizophrenia. The nurse observes blunted affect and social
isolation. He occasionally curses or calls another extra per year?
patient a jerk without provocation. The nurse asks the patient
how he is feeling, and he responds, Everybody picks on me.
They frobitz me. The patients communication exhibits:
A neologism
A newly coined word having meaning only for the patient is
called a neologism (meaning, new word). It is associated with
autistic thinking. The patients speech does not show associative
looseness or circumstantiality. The use of a neologism is not
delusional in and of itself, but it suggests delusional thinking
may be present.
Who do you mean when you say everybody?
Which patient behavior would support the diagnosis of residual
schizophrenia with negative symptoms?
Shows no emotion when telling the story of a sisters recent
death
,By discharge, which outcome is appropriate for a patient who
hears voices telling him he is evil?
Identify events that increase anxiety and promote hallucinations.
Which response by the nurse would best assist a patient in de-
escalating aggressive behavior?
Tell me what's going on
A 34-year-old male admitted with catatonic schizophrenia has
been mute and motionless for several days while at home prior
to admission. He still appears stuporous in the hospital. Which
nursing intervention would be an initial priority?
Assessing the patient for physical problems
Which response is appropriate when a patients mother expresses
guilt over causing my child to be schizophrenic?
New findings suggest this disorder is biological in nature.
Which response demonstrates both empathy and understanding
of the relationship genetics has to the development of
schizophrenia in twins?
In fraternal twins, the chance of the other twin developing the
disorder is quite small.
, The wife of a patient diagnosed with paranoid schizophrenia
asks, Ive been told that my husbands illness is probably related
to imbalanced brain chemicals. Can you be more specific? The
response based on the dopamine hypothesis is:
An increase in the brain chemical dopamine explains the
presence of delusions and hallucinations.
What is the basis for the reduction in disturbed thought
processes when a patient is administered haloperidol (Haldol)?
Dopamine receptors are blocked, making dopamine less
available
During a treatment team meeting, the point is made that a patient
with schizophrenia has recovered from the acute psychosis but
continues to demonstrate apathy, avolition, and blunted affect.
The nurse who relates these symptoms to serotonin (5HT2)
excess will suggest that the patient receive:
Olanzapine (Zyprexa)
What response would be anticipated when a patient who
received chlorpromazine (Thorazine) for 15 years to treat
schizophrenia is switched to Seroquel (quetiapine)?
Improvement in tardive dyskinesia
COMPLETE SOLUTIONS
A patient has been admitted with disorganized type
schizophrenia. The nurse observes blunted affect and social
isolation. He occasionally curses or calls another extra per year?
patient a jerk without provocation. The nurse asks the patient
how he is feeling, and he responds, Everybody picks on me.
They frobitz me. The patients communication exhibits:
A neologism
A newly coined word having meaning only for the patient is
called a neologism (meaning, new word). It is associated with
autistic thinking. The patients speech does not show associative
looseness or circumstantiality. The use of a neologism is not
delusional in and of itself, but it suggests delusional thinking
may be present.
Who do you mean when you say everybody?
Which patient behavior would support the diagnosis of residual
schizophrenia with negative symptoms?
Shows no emotion when telling the story of a sisters recent
death
,By discharge, which outcome is appropriate for a patient who
hears voices telling him he is evil?
Identify events that increase anxiety and promote hallucinations.
Which response by the nurse would best assist a patient in de-
escalating aggressive behavior?
Tell me what's going on
A 34-year-old male admitted with catatonic schizophrenia has
been mute and motionless for several days while at home prior
to admission. He still appears stuporous in the hospital. Which
nursing intervention would be an initial priority?
Assessing the patient for physical problems
Which response is appropriate when a patients mother expresses
guilt over causing my child to be schizophrenic?
New findings suggest this disorder is biological in nature.
Which response demonstrates both empathy and understanding
of the relationship genetics has to the development of
schizophrenia in twins?
In fraternal twins, the chance of the other twin developing the
disorder is quite small.
, The wife of a patient diagnosed with paranoid schizophrenia
asks, Ive been told that my husbands illness is probably related
to imbalanced brain chemicals. Can you be more specific? The
response based on the dopamine hypothesis is:
An increase in the brain chemical dopamine explains the
presence of delusions and hallucinations.
What is the basis for the reduction in disturbed thought
processes when a patient is administered haloperidol (Haldol)?
Dopamine receptors are blocked, making dopamine less
available
During a treatment team meeting, the point is made that a patient
with schizophrenia has recovered from the acute psychosis but
continues to demonstrate apathy, avolition, and blunted affect.
The nurse who relates these symptoms to serotonin (5HT2)
excess will suggest that the patient receive:
Olanzapine (Zyprexa)
What response would be anticipated when a patient who
received chlorpromazine (Thorazine) for 15 years to treat
schizophrenia is switched to Seroquel (quetiapine)?
Improvement in tardive dyskinesia
