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TEST BANK Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care Questions and Answers (Latest update 2024/2025) Verified Ans
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TEST BANK Chapter 17: Schizophrenia Spectrum Disorders and Other Psychotic Disorders Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care Questions and Answers (Latest update 2024/2025) Verified Answers
TEST BANK Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders Varcarolis: Essentials of Psychiatric Mental Health
Nursing: A Communication Approach to Evidence-Based Care Questions and
Answers (Latest update 2024/2025) Verified Answers
A person diagnosed with schizophrenia has had difficulty keeping a job because of
severe
paranoia. Today the person shouts, "They're all plotting to destroy me." Select the
nurse's
most therapeutic response.
a. "Everyone here is trying to help you. No one wants to harm you."
b. "Feeling that people want to destroy you must be very frightening."
c. "That is not true. People here are trying to help if you will let them."
d. "Staff members are health care professionals who are qualified to help you." -
CORRECT ANSWERS b. "Feeling that people want to destroy you must be
very frightening."
A newly admitted patient diagnosed with schizophrenia is hypervigilant and
constantly scans
the environment. The patient states, "I saw two doctors talking in the hall. They
were plotting
to kill me." The nurse may correctly assess this as what classic behavior?
a. Echolalia
b. An idea of reference
c. A delusion of infidelity
d. An auditory hallucination - CORRECT ANSWERS b. An idea of reference
A patient diagnosed with schizophrenia says, "My coworkers are out to get me. I
also saw two
doctors plotting to overdose me." What term identifies how this patient is perceiving
the
environment?
a. Disorganized
b. Unpredictable
c. Dangerous
d. Bizarre - CORRECT ANSWERS c. Dangerous
,TEST BANK Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders Varcarolis: Essentials of Psychiatric Mental Health
Nursing: A Communication Approach to Evidence-Based Care Questions and
Answers (Latest update 2024/2025) Verified Answers
When a patient diagnosed with schizophrenia was discharged 6 months ago,
haloperidol was
prescribed. The patient now says, "I stopped taking those pills. I didn't like how it
made me
feel." What likely side effects did the patient experience?
a. Sedation and muscle stiffness
b. Sweating, nausea, and diarrhea
c. Mild fever, sore throat, and skin rash
d. Headache, watery eyes, and runny nose - CORRECT ANSWERS a. Sedation
and muscle stiffness
A nurse works with a patient diagnosed with schizophrenia regarding the
importance of
medication management. The patient repeatedly says, "I don't like taking pills."
Which treatment strategy should the nurse discuss with the patient and health care
provider?
a. Use of long-acting antipsychotic injections
b. Addition of a benzodiazepine, such as lorazepam
c. Adjunctive use of an antidepressant, such as amitriptyline
d. Inpatient hospitalization because of the high risk for exacerbation of symptoms -
CORRECT ANSWERS a. Use of long-acting antipsychotic injections
patient's care plan includes monitoring for auditory hallucinations. Which
assessment
findings suggest the patient may be hallucinating?
a. Aloofness, haughtiness, suspicion
b. Darting eyes, tilted head, mumbling to self
c. Elevated mood, hyperactivity, distractibility
d. Performing rituals, avoiding open places - CORRECT ANSWERS b. Darting
eyes, tilted head, mumbling to self
, TEST BANK Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders Varcarolis: Essentials of Psychiatric Mental Health
Nursing: A Communication Approach to Evidence-Based Care Questions and
Answers (Latest update 2024/2025) Verified Answers
A health care provider considers which antipsychotic medication to prescribe for a
patient
diagnosed with schizophrenia who has auditory hallucinations and poor social
functioning. The patient is also overweight. Which drug should the nurse advocate?
a. Clozapine
b. Ziprasidone
c. Olanzapine
d. Aripiprazole - CORRECT ANSWERS d. Aripiprazole
Aripiprazole is an atypical antipsychotic medication that is effective against both
positive and
negative symptoms of schizophrenia. It causes little or no weight gain and no
increase in
glucose, high- or low-density lipoprotein cholesterol levels, or triglycerides, making
it a reasonable choice for a patient with obesity or heart disease. Clozapine may
produce
agranulocytosis, making it a poor choice as a first-line agent. Ziprasidone may
prolong the QT
interval, making it a poor choice for a patient with cardiac disease. Olanzapine
fosters weight
gain.
A patient diagnosed with schizophrenia is demonstration catatonia. The patient has
little
spontaneous movement and waxy flexibility. Which patient needs are of priority
importance?
a. Psychosocial
b. Physiological
c. Self-actualization
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