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Schizophrenia
Schizophrenia
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Mental Health CH 11
Flashcards
29 cards
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Practice quiz
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Questions
29
Answers
1
Schizophrenia is a major psychotic disorder characterized by disturbances in:
Behavior, reality testing, and apathy
Thought processes, feeling, and amnesia
Perception, attention, and motivation
Changes in personality
2
What is type II schizophrenia?
"Negative"; deficiency of dopamine
"Positive"; excessive dopamine
3
Which of the following is an
early
warning sign of schizophrenia?
Poor abstract thinking
Deterioration in personal hygiene
Blunted affect
Excessive writing with meaning
4
According to the DSM-5, how long must a client exhibit symptoms in order to be diagnosed with schizophrenia?
one to six months
at least one year
at least 6 months
no more than one month
5
Type I schizophrenia includes signs and symptoms of:
Illusions, agitation, and social withdrawal
Insomnia, anergia, and abnormal thoughts
Bizarre behavior, grandiosity, and suspiciousness
Hallucinations, delusions, and avolition
6
Which of the following describes Anergia?
Lack of desire for social interactions
Normal emotional response to the perception of frustration of desires
Absence of emotion
Absence of energy caused by changes in brain chemistry, anatomy, or both
7
Schizophreniform disorder lasts 1-6 months and is a cautious approach to avoid a lifelong diagnosis of schizophrenia.
True
False
8
Which of the following is an example of extrapyramidal side effects (EPS)?
Tardive dyskinesia
Hallucinations
Alogia
Inappropriate affect
9
Which of the following describes loose associations?
Lack of pleasure
Patterns of speech in which a person's ideas are unrealated
Lack of motivation
Pattern of mental views accumulated through past experiences
10
Type II schizophrenia includes signs and symptoms of:
Avolition, poor abstract thinking, and anergia
Blunted affect, asocial behavior, and suspiciousness
Hallucinations, delusions, and illusions
Excitement, attention deficits, and communication difficulties
11
What is type I schizophrenia?
"Positive"; excessive dopamine
"Negative"; deficiency of dopamine
12
A client has been prescribed an antipsychotic medication to treat schizophrenia. The client is at risk for:
Delusions of reference
Hallucinations
Extrapyramidal side effects (EPS)
Diarrha
13
Which of the following describes hallucinations?
Feeling of unreality or strangeness to one's self
False sensory perceptions not associated with real external stimuli
Misinterpretation of a sensory input
Fixed, false belief that is unamendable to reason
14
Which of the following medications are used to treat type II schizophrenia?
Typical antipsychotics (haldoperidol)
Atypical antipsychotics (risperidone)
Opioid antagonists
Benzodiazepines
15
Type I schizophrenia has an exaggeration of normal cognition and perception.
False
True
16
Which of the following medications are used to treat type I schizophrenia?
Typical antipsychotics (Haldol)
Atypical antipsychotics (risperidone)
17
Which of the following is an example of objective symptom(s) of schizophrenia?
Poor hygiene, echopraxia, and loose associations
Psychomotor retardation, stereotypy, and labile affect
Catatonic rigidity, hostility, and withdrawal
Hallucinations, inappropriate affect, and psychomotor agitation
18
Which of the following describes delusions?
Feeling of unreality or strangeness to one's self
Misinterpretation of a sensory input
Fixed, false belief that is unamendable to reason
False sensory perceptions not associated with real external stimuli
19
Which of the following is true about a brief psychotic episode?
It is related to a mood disorder
It is considered a substance-induced disorder
Hallucinations and delusions must be present
It lasts less than one month
20
When using mileu management for hallucinations, which of the following is appropriate?
Discuss the hallucinations in depth with the client
Encourage the client to act on command hallucinations
Use distraction techniques
Demand the client to avoid discussing hallucinations with anyone
21
Neuroleptic malignant syndrome is a life-threatening reaction to an antipsychotic medication.
False
True
22
Type II schizophrenia has an absence of normal cognition and perception.
True
False
23
Which of the following describes Akathisia?
Bewildered, perplexed, or unclear
Lack of feeling, interest, or emotion; indifference
Motor restlessness or the inability to sit still
Nonspecific, unpleasant feeling of discomfort
24
The nurse knows which of the following is true about schizoaffective disorder?
characterized by both schizophrenic symptoms and changes in personality
characterized by both mood disorder and schizophrenic symptoms
characterized by hallucinations and delusions
characterized by both personality disorder and schizophrenic symptoms
25
Which of the following should be performed during a psychotherapeutic nurse-patient relationship?
It is counterproductive to reorient the client
Avoid reinforcing or challenging hallucinations and delusions
Punish negative behaviors firmly
Do not make promises to the client
26
Which of the following describes illusions?
False sensory perceptions not associated with real external stimuli
Misinterpretation of a sensory input
Fixed, false belief that is unamendable to reason
Feeling of unreality or strangeness to one's self
27
Schizophrenia's course of illness is characterized by:
Acute and stable phases
Substance use disorders
Rapid deterioration
Phases of labile moods and self harm
28
Which of the following statement defines anhedonia?
Lack of motivation
Motor restlessness or the inability to sit still
Loss of pleasure in activities or interests
Absence of energy
29
Which of the following describes Avolition?
Lack of desire for social interactions
Lack of motivation
A state of depressed feelings or emotion
Lack of feeling, interest, or emotion; indifference