Administer diphenhydramine 50 mg IM from the prn med administration record.

A PTs care plan includes monitoring for auditoryhallucinations What assesment finding suggest the PT may behallucinating

Darting eyes, tilted head, mumbling to self

demonstrate improved social skills.

“I’ll stay with you. Focus on what we are talking about, not the voices.

Neuroleptic malignant syndrome; notify health care provider stat.

“The table of contents tells what a book is about.”

maintain a normal social interaction distance from the patient.

Tell the client, “You are in a safe place where you will be helped.”

What assessment findings mark the prodromal stage of schizophrenia?

Withdrawal misinterpreting poor concentration & preoccupation with religion

“Taking this medication regularly will reduce the severity of my symptoms.”

perform self-care activities with coaching by the end of day 3.

“I am having difficulty understanding what you are saying.”

Which hallucination necessitates the nurse to implement safety measures? The patient says,

“The voices say everyone is trying to kill me.”

“You’re laughing. Tell me what’s happening.”

Invite each to come up w solution getting incorrect change for a purchase

“What is the voice telling you to do?”

“Feeling that people want to destroy you must be very frightening.”

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MH TEST 2 SCHIZO

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Questions 38

Answers

1
.
Administer atropine sulfate 2 mg subcut from the prn MAR
Reassure the PT that symptoms will subside Practice relaxation exercises
Administer diphenhydramine 50 mg IM from the prn med administration record.
Give trihexyphenidyl 5 mg orally at the next regularly scheduled med time
2
.
Constipation
Visual changes
Photosensitivity
Gynecomastia
3
.
Olanzapine
Aripiprazole
Ziprasidone
Clozapine
4
A PTs care plan includes monitoring for auditoryhallucinations What assesment finding suggest the PT may behallucinating
Foot tapping and repeatedly writing the same phrase
Darting eyes, tilted head, mumbling to self
Detachment and overconfidence
Euphoric mood, hyperactivity, distractibility
5
.
Tourette’s syndrome
Agranulocytosis
Anticholinergic effects
Tardive dyskinesia
6
.
a neologism.
an idea of reference.
thought insertion.
concrete thinking.
7
.
Concrete thinking
Poverty of content
Neologisms
Paranoia
8
.
learn to manage delusional thinking.
demonstrate improved social skills.
explore situations that trigger hostility and anger.
gain insight into unconscious factors that contribute to their illness.
9
.
“Forget the voices and ask some other patients to play cards with you.”
“Do you have a plan for getting away from the voices?”
“Do you hear the voices often?”
“I’ll stay with you. Focus on what we are talking about, not the voices.
10
.
Cholestatic jaundice; begin a high-protein, high-cholesterol diet.
Tardive dyskinesia; withhold the next dose of medication.
Neuroleptic malignant syndrome; notify health care provider stat.
Agranulocytosis; institute reverse isolation.
11
.
“You can’t judge a book by looking at the cover.”
“Why are you asking me about books?”
“The table of contents tells what a book is about.”
“Things are not always as they first appear.”
12
.
Neologism
Word salad
Echolalia
Anhedonia
13
.
sit close to the patient.
place an arm protectively around the patient’s shoulders.
maintain a normal social interaction distance from the patient.
place a hand on the patient’s arm and exert light pressure.
14
A patient insistently states, “I can decipher codes of DNA just by looking at someone.” Which problem is evident?
Idea of reference
Thought insertion
Magical thinking
Visual hallucinations
15
Which finding constitutes a negative symptom associated with schizophrenia?
Auditory hallucinations
Poverty of thought
Hostility
Bizarre behavior
16
.
Tell the client, “You don’t need to worry about that.”
Administer a prn dose of an antipsychotic medication.
Tell them FB isa safe website You dont need to worry about HomelandSecurity
Tell the client, “You are in a safe place where you will be helped.”
17
.
Scheduling a colonoscopy
Weight management strategies
Skin care techniques
Teaching to limit caffeine intake
18
What assessment findings mark the prodromal stage of schizophrenia?
Loose associations, concrete thinking, and echolalia neologisms
Withdrawal misinterpreting poor concentration & preoccupation with religion
Stereotyped behavior, echopraxia, echolalia, and waxy flexibility
Auditory hallucinations ideas of reference thought insertion &broadcasting
19
The nurse asseses a PTdiagnosed w schizophrenia. What assesment finding would the RNregard as negative symptom of schizo
Auditory hallucinations
Psychomotor agitation
Delusions of grandeur
Poor personal hygiene
20
.
If I run out or stop taking my meds, I will experience withdrawal symptoms
I need to store my meds in a cool dark place, such as the refrigerator
“I will need higher and higher doses of my medication as time goes on.”
“Taking this medication regularly will reduce the severity of my symptoms.”
21
.
accept tube feeding without objection by day 2.
demonstrate increased interest in the environment by the end of week 1.
gradually take the initiative for self-care by the end of week 2.
perform self-care activities with coaching by the end of day 3.
22
.
Akathisia
An acute dystonic reaction
Waxy flexibility
Tardive dyskinesia
23
.
Psychosocial
Self-esteem
Physiological
Self-actualization
24
.
Diphenhydramine
Chlorpromazine
Haloperidol
Olanzapine
25
.
“I am having difficulty understanding what you are saying.”
“Your thoughts are very disconnected.”
“Nothing you are saying is clear.”
“Try to organize your thoughts and then tell me again.”
26
Which hallucination necessitates the nurse to implement safety measures? The patient says,
“The voices say everyone is trying to kill me.”
“The voices talk only at night when I’m trying to sleep.”
“My dead father tells me I am a good person.”
“I hear angels playing harps.”
27
.
“Why are you laughing?”
“Please share the joke with me.”
“You’re laughing. Tell me what’s happening.”
“I don’t think I said anything funny.”
28
.
medication nonadherence.
the need for psychoeducation.
relapse.
chronic deterioration.
29
.
Neuroleptic malignant syndrome
Pseudoparkinsonism
Akathisia
Hepatocellular effects
30
.
Suggest analogies that might apply to a common daily problem.
Invite each to come up w solution getting incorrect change for a purchase
Assign each one a problem to solve independently &present to the group
Ask each PT to read aloud a short segment from a book about problem solving
31
.
Echolalia
Waxy flexibility
Thought withdrawal
Depersonalization
32
.
“Do you recognize the voice speaking to you?’
“How long has the voice been directing your behavior?”
“Does what the voice tell you to do frighten you?”
“What is the voice telling you to do?”
33
.
Disorganized
Supportive
Bizarre
Dangerous
34
.
a delusion of infidelity.
echolalia.
an idea of reference.
an auditory hallucination.
35
.
Sedation and muscle stiffness
Headache, watery eyes, and runny nose
Sweating, nausea, and diarrhea
Mild fever, sore throat, and skin rash
36
A PTdiagnosed with schizo says, “It’s beat. Time to eat. No room for the cat.” What type of verbalization is evident?
Thought broadcasting
Neologism
Associative looseness
Idea of reference
37
.
Psychoeducational
Family
Psychoanalytic
Transactional
38
.
“Feeling that people want to destroy you must be very frightening.”
“Everyone here is trying to help you. No one wants to harm you.”
“Staff members are health care professionals who are qualified to help you.
“That is not true. People here are trying to help you if you will let them.

MH TEST 2 SCHIZO Flashcards | StudBud