Mental disorders : diagnostic and statistical manual
Exam (elaborations) NURSING 105 - 67 Mental disorders : diagnostic and statistical manual, ISBN: 8939 Chapter 31: Schizophrenia and Other Psychoses
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
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Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank
Chapter 31: Schizophrenia and Other Psychoses
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
1. The client lives so completely in a world of his or her own that he or she is unable to
recognize reality, relate to others, or cope with life’s demands. This client is considered:
a. Exotic
b. Anorectic
c. Neurotic
d. Psychotic
ANS: D
Psychosis often prevents individuals from being able to perform activities of daily living. The
other options do not cause loss of touch with reality.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 366
OBJ: 3 TOP: Psychosis in Adolescence
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
2. Schizophrenia in children as young as 5 years:
a. Is a myth
b. Can occur
c. Never occurs
d. Cannot occur
ANS: B NURSINGTB.COM
Psychotic disorders can occur in children as young as 5 years of age, with causes including
genetics, complications during the pregnancy or birth, and biochemical imbalances.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 365
OBJ: 3 TOP: Psychosis in Adolescence KEY: Nursing Process Step: N/A
MSC: Client Needs: Psychosocial Integrity
3. When people successfully adapt to their environment by using logical thought and socially
appropriate ways, they are said to be functioning at the adaptive end of the ____ continuum.
a. Emotional
b. Self-protective
c. Neurobiological
d. Psychobiological
ANS: C
The neurobiological continuum, which is a term used in psychiatry to describe interactions
based on the ability to function, change, and adapt in society, is influenced by certain physical
brain functions.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 365
OBJ: 1 TOP: Continuum of Neurobiological Responses
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
4. Schizophrenia affects approximately __________% of the world’s population.
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, Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank
a. 1
b. 5
c. 9
d. 13
ANS: A
This estimate means that 2.5 million people in the United States are affected, with 10% to
15% of the homeless population in the United States being schizophrenic.
5. Theories based on study of the brain and its activities are called:
a. Social
b. Biological
c. Psychological
d. Psychobiological
ANS: B
Biological theories view schizophrenia as a brain disorder. Social theories view schizophrenia
to be caused by the effects of the environment; psychological theories view the cause of the
disease to be a character flaw combined with poor family relationships; and psychobiological
theories do not exist.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 367
OBJ: 4 TOP: Biological Theories KEY: Nursing Process Step: N/A
MSC: Client Needs: Psychosocial
N Integrity
R I G B.C M
U S N T O
6. The client has become unable to recognize formerly familiar objects and people in his
environment. The client is experiencing:
a. Affect
b. Agnosia
c. Apraxia
d. Anhedonia
ANS: B
Agnosia is an inability to recognize familiar objects or people; affect is an individual’s
expression of emotion; apraxia refers to the loss of an individual’s ability to carry out
purposeful movements, even when having the desire and physical ability to do so; and
anhedonia is the inability or decreased ability to experience pleasure in life.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 370
OBJ: 6 TOP: Signs, Symptoms, and Behaviors
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
7. The client is describing her trip to town. She tells the nurse, “I cold town yellow water girl
outside below ground.” This speech disturbance is called:
a. Neologism
b. Word salad
c. Flight of ideas
d. Verbigeration
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