1) Schizophrenia is best characterized as presenting which personality trait? a) Multiple b) Deteriorating c) Split d) Ambivalent 2) Which of the following would be assessed as a negative symptom of schizophrenia? a) Anhedonia b) Hostility c) Agitation d) Hallucinations 3) The most common course of schizophrenia is an initial episode followed by what course of events? a) Recurrent acute exacerbations and deterioration b) Continuous deterioration c) Recurrent acute exacerbations d) Complete recovery 4) Currently what is understood to be the causation of schizophrenia? a) A combination of inherited and nongenetic factors b) Deficient amounts of the neurotransmitter dopamine c) Excessive amounts of the neurotransmitter serotonin d) Stress related and ineffective stress management skills 5) Which side effect of antipsychotic medication is generally nonreversible? a) Pseudoparkinsonism b) Tardive dyskinesia c) Dystonic reaction d) Anticholinergic effects 6) A client diagnosed with paranoid schizophrenia tells the nurse, “I have to get away. The volmers are coming to execute me.” The term “volmers” can be assessed as what? a) blocking b) a delusion c) a neologism d) clang association 7) A client diagnosed with paranoid schizophrenia refuses food, stating the voices are saying the food is contaminated and deadly. Which response should the nurse provide to this client statement? a) “You are safe here in the hospital; nothing bad will happen to you.” b) “The voices are wrong about the hospital food. It is not contaminated.” c) “I understand that the voices are very real to you, but I do not hear them.” d) “Other people are eating the food, and nothing is happening to them.” 8) A client diagnosed with disorganized schizophrenia would have greatest difficulty with the nursing intervention? a) Providing nutritional supplements b) Giving multistep directions c) Using concrete language d) Interacting with a neutral attitude 9) Which nursing intervention is designed to help a schizophrenic client minimize the occurrence of a relapse? a) Schedule the client to attend group therapy that includes those who have relapsed. b) Teach the client and family about behaviors associated with relapse. c) Remind the client of the need to return for periodic blood draws to minimize the risk for Relapse. d) Help the client and family adapt to the stigma of chronic mental illness and periodic relapses. 10) When a client diagnosed with paranoid schizophrenia tells the nurse, “I have to get away. The volmers are coming to execute me,” what would be an appropriate response for the nurse to make? a) “I do not believe I understand the word volmers. Tell me more about them.” b) “Why do you think someone, or something is going to harm you?” c) “You are safe here. This is a locked unit, and no one can get in.” d) “It must be frightening to think something is going to harm you.” 11) A client has reached the maintenance phase of schizophrenia. What is the appropriate clinical planning focus for this client? a) Safety and crisis intervention b) Acute symptom stabilization c) Social, vocational, and self-care skills d) Stress and vulnerability assessment 12) A client, who has been prescribed clozapine 6 weeks ago, reports flulike symptoms including a fever and a very sore throat, the nurse should initiate which nursing intervention? a) Arrange for the client to have blood drawn for a white blood cell count. b) Advise the physician that the client should be admitted to the hospital. c) Suggest that the client take something for the fever and get extra rest. d) Consider recommending a change of antipsychotic medication. 13) The purpose of the Abnormal Involuntary Movement Scale (AIMS) assessment on a persistently mentally ill client who has been diagnosed with schizophrenia is early detection of a) cholestatic jaundice. b) acute dystonia. c) pseudoparkinsonism. d) tardive dyskinesia. 14) Which of the following symptoms would alert a healthcare provider to a possible diagnosis of schizophrenia in a 22-year-old male client? a) Withdrawal from college because of failing grades b) Chaotic and dysfunctional relationships with his family and peers c) Hearing voices telling him to hurt his roommate d) Excessive sleeping with disturbing dreams 15) Tara and Aaron are twins who are both diagnosed with schizophrenia. Aaron was diagnosed at 23 years old and Tara at 31 years old. Based on your knowledge of early and late onset of schizophrenia, which of the following is true? a) Tara will experience more positive signs of schizophrenia such as hallucinations. b) Tara and Aaron have the same expectation of a poor long-term prognosis. c) Tara has a better chance for positive outcomes because of later onset. d) Aaron will be more likely to hold a job and live a productive life. 16) The nurse is planning long-term goals for a 17-year-old male client recently diagnosed with schizophrenia. Which statement should serve as the basis for the goal-setting process? a) If treated quickly following diagnosis, schizophrenia can be cured. b) Schizophrenia can be managed by receiving treatment only at the time of acute exacerbations. c) Patients with schizophrenia often do not fully respond to treatment and have residual symptoms and varying degrees of disability. d) If patients with schizophrenia stay on their drug regimen, they usually lead fully productive lives with no further symptoms. 17) A client diagnosed with schizophrenia states to the nurse, “My, oh my. My mother is brother. Anytime now it can happen to my mother.” What is the nurse’s best response? a) “I will get you a prn medication for agitation.” b) “I’m sorry, I didn’t understand that. Do you want to talk more about your mother as we did yesterday?” c) “You are having problems with your speech. You need to try harder to be clear.” d) “You are confused. I will take you to your room to rest a while.” 18) A teenaged client is being discharged from the psychiatric unit with a prescription for risperidone. The nurse providing medication teaching to the client’s mother should provide which response when asked about the risk her child faces for extrapyramidal side effects (EPSs)? a) All antipsychotic medications have an equal chance of producing EPSs. b) Advise the mother to ask the provider to change the medication to clozapine instead of risperidone. c) Newer antipsychotic medications have a higher risk for EPSs. d) Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics.

MH: Schizophrenia Practice Questions

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