Chapter 15 Schizophrenia Spectrum and Other Psychotic Disorders

Chapter 15  Schizophrenia Spectrum and Other Psychotic Disorders

Complete Chapter Questions And Answers
 

Sample Questions

____ 1. A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which nursing action should be prioritized to maintain this client’s safety?
1.
Assess for medication nonadherence.
2.
Note escalating behaviors and intervene immediately.
3.
Interpret attempts at communication.
4.
Assess triggers for bizarre, inappropriate behaviors.

____ 2. A client diagnosed with schizoaffective disorder is admitted for social skills training. Which information should be included in the nurse’s teaching?
1.
The side effects of medications
2.
Deep breathing techniques to decrease stress
3.
How to make eye contact when communicating
4.
How to be a leader

____ 3. A 16-year-old client diagnosed with schizophrenia spectrum disorder experiences command hallucinations to harm others. The client’s parents ask a nurse, “Where do the voices come from?” Which is the appropriate nursing response?
1.
“Your child has a chemical imbalance of the brain, which leads to altered perceptions.”
2.
“Your child’s hallucinations are caused by medication interactions.”
3.
“Your child has too little serotonin in the brain, causing delusions and hallucinations.”
4.
“Your child’s abnormal hormonal changes have precipitated auditory hallucinations.”

____ 4. Parents ask a nurse how they should reply when their child, diagnosed with schizophrenia spectrum disorder, tells them that voices command him to harm others. Which is the appropriate nursing response?
1.
“Tell him to stop discussing the voices.”
2.
“Ignore what he is saying, while attempting to discover the underlying cause.”
3.
“Focus on the feelings generated by the hallucinations and present reality.”
4.
“Present objective evidence that the voices are not real.”

Answer Section

MULTIPLE CHOICE

1. ANS: 2
Chapter: Chapter 15, Schizophrenia Spectrum and Other Psychotic Disorders
Objective: Identify symptomatology associated with these disorders and use this information in client assessment.
Page: 350–351
Heading: Application of the Nursing Process > Positive Symptoms
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
Assessing for medication nonadherence does not indicate that the client’s safety may be at risk.
2
The nurse should note escalating behaviors and intervene immediately, to maintain this client’s safety. Early intervention may prevent an aggressive response and keep the client and others safe.
3
Interpreting attempts at communication does not indicate that the client’s safety may be at risk.
4
Assessing triggers for bizarre, inappropriate behaviors does not indicate that the client’s safety may be at risk.

PTS: 1 CON: Cognition

2. ANS: 3
Chapter: Chapter 15, Schizophrenia Spectrum and Other Psychotic Disorders
Objective: Discuss various modalities relevant to treatment of schizophrenia and other psychotic disorders.
Page: 365
Heading: Treatment Modalities for Schizophrenia and Other Psychotic Disorders > Social Skills Training
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
Teaching the side effects of medication does not help the client obtain better social skills.
2
Teaching deep breathing exercises does not help the client obtain better social skills.
3
The nurse should plan to teach the client how to make eye contact when communicating. Social skills, such as making eye contact, can assist clients to communicate needs and to establish relationships.
4
Teaching leadership skills do not help the client obtain better social skills.

PTS: 1 CON: Cognition

3. ANS: 1
Chapter: Chapter 15, Schizophrenia Spectrum and Other Psychotic Disorders
Objective: Discuss the concepts of schizophrenia and other psychotic disorders.
Page: 342–343
Heading: Nature of the Disorder > Phase III: Schizophrenia
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
The nurse should explain that a chemical imbalance of the brain leads to altered perceptions.
2
The client hearing voices is experiencing an auditory hallucination, which is not caused by medication.
3
Serotonin excess is thought to cause hallucinations.
4
Abnormal hormonal changes have not precipitated auditory hallucinations.

PTS: 1 CON: Cognition

4. ANS: 3
Chapter: Chapter 15, Schizophrenia Spectrum and Other Psychotic Disorders
Objective: Discuss the concepts of schizophrenia and other psychotic disorders.
Page: 342–343
Heading: Nature of the Disorder > Phase III: Schizophrenia
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate

Feedback
1
This option could cause the client to shut down.
2
The client should not be ignored, but should be encouraged to discuss what is occurring.
3
The most appropriate response by the nurse is to instruct the parents to focus on the feelings generated by the hallucinations and present reality. The parents should accept that their child is experiencing the hallucination but should not reinforce this unreal sensory perception.
4
This option would not be appropriate in the care of the schizophrenic client.

PTS: 1 CON: Cognition