FIRST PUBLISH OCTOBER 2024
NUR422 Exam 3 Practice Questions and Answers
What combination of factors probably cause schizophrenia? - Ans:✔✔-genetics
viral infection/anatomical abnormalities (physiological)
poverty, stressful life events, cannabinoid use (sociocultural/environmental)
Positive symptoms of schizophrenia - Ans:✔✔-hallucinations and delusions; disorganized thoughts,
speech or behavior/catatonic behavior
*psychotic symptoms*
Negative symptoms of schizophrenia - Ans:✔✔-blunted emotion (flat affect), lack of motivation
(avolition), alogia (poverty of speech), or difficulty experiencing pleasure (anhedonia)
Cognitive symptoms of schizophrenia - Ans:✔✔-deficits in attention, memory or concentration
What is a major safety concern with schizophrenia? - Ans:✔✔-Risk for suicide
Schizoid personality disorder - Ans:✔✔-no interest in relationships, seclusive to self, "loner", works night
jobs
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schizotypal personality disorder - Ans:✔✔-eccentric/magical thinking, odd beliefs, aloof/dress weirdly,
malignant personality (highest likelihood of transitioning into a psychotic disorder like schizophrenia)
Schizophrenia vs. Schizophreniform vs. Brief psychotic disorder - Ans:✔✔-Brief psychotic disorder: 1
month or less of symptoms
Schizophreniform: 1-6 months of symptoms
Schizophrenia: 6 months or more of symptoms
schizoaffective disorder - Ans:✔✔-Psychotic disorder featuring symptoms of both schizophrenia and
major mood disorder (either MDD or bipolar)
*schizophrenia is the primary diagnosis (only presenting illness for at least 2 weeks without other
symptoms)
delusions of control - Ans:✔✔-belief that outside forces are controlling one's body or actions
delusions of reference - Ans:✔✔-the belief that common elements in the environment are directed
toward the individual
Prodromal phase of schizophrenia - Ans:✔✔-Lasts from a few weeks to a few years
Deterioration in role functioning
Cognitive impairment
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Obsessive-compulsive behavior
social withdrawal
Significant deterioration in function
Sleep disturbance, anxiety, irritability
50 percent have depressive symptoms
Depressed mood, poor concentration, fatigue
Perceptual abnormalities, ideas of reference, and suspiciousness herald onset of psychosis
Residual phase of schizophrenia - Ans:✔✔-return to prodromal levels, mild symptoms, impairment of
functioning, no delusions or hallucinations, impairment of cognitive functioning
Active phase of schizophrenia - Ans:✔✔-Delusions
Hallucinations
Disorganized speech and behavior
Decreased level of functioning in work, personal relationships, or self-care
premorbid phase of schizophrenia - Ans:✔✔-occurs before there is clear evidence of illness
Social maladjustment
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FIRST PUBLISH OCTOBER 2024
Antagonistic thoughts and behavior
Shy and withdrawn
Poor peer relationships
Doing poorly in school
Antisocial behavior
What nursing intervention would you focus on during the active phase of schizophrenia? - Ans:✔✔-first
empathize with the client by focusing on
feelings generated by the hallucination, present objective
reality, and then distract or redirect the client to reality-based activities.
T/F: Schizophrenia is characterized by a splitting personality. - Ans:✔✔-False (characterized by a
deteriorating personality)
T/F: Dysfunctional family dynamics has been identified as a strong link to the cause of schizophrenia. -
Ans:✔✔-True
echolalia - Ans:✔✔-automatic and immediate repetition of what others say
circumstantiality - Ans:✔✔-Speech that is delayed in reaching the point and contains excessive or
irrelevant details
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