Armstrong State University NURS 3535 EAQ Ch 12

1 in schizophrenic patients indicates paranoia? 2 A patient, who has been receiving antipsychotic medication for six weeks, tells the nurse that the hallucinations are nearly gone and that concentration has improved. ...

1 in schizophrenic patients indicates paranoia? 2 A patient, who has been receiving antipsychotic medication for six weeks, tells the nurse that the hallucinations are nearly gone and that concentration has improved. When the patient reports flulike symptoms, including a fever and a very sore throat, the nurse should 1 Suggest that the patient take something for his her fever and get extra rest 2 Advise the health care provider that the patient should be admitted to the hospital Correct3 Arrange for the patient to have blood drawn for a white blood cell count 4 Consider recommending a change of antipsychotic medication Antipsychotic medications may cause agranulocytosis, the first manifestation of which may be a sore throat and flulike symptoms. 78%of students nationwide answered this question correctly. View Topics 1 40567942 Confidence: Nailed it Stats Issue with this question? 3. Which symptom would NOT be assessed as a positive symptom of schizophrenia? 1 Delusion of persecution 2 Auditory hallucinations Correct3 Affective flattening4 Idea of reference Positive symptoms are those symptoms that should not be present, but are. They include hallucinations, delusions, bizarre behavior, and paranoia and are referred to as florid symptoms. Affective flattening is one of the negative symptoms that contribute to rendering the person inert and unmotivated. 75%of students nationwide answered this question correctly. View Topics 1 40157373 Confidence: Nailed it Stats Issue with this question? 4. A patient's dose of haloperidol (Haldol) was increased earlier today. The patient now is experiencing laryngeal dystonia. What is the nurse's priority action? 1 Document the finding Correct2 Maintain a patent airway 3 Offer oral fluids to the patient 4 Engage the patient in an alternative activity Laryngeal dystonia is associated with an acute dystonic reaction and may impair the integrity of the patient's airway. The nurse will document the events after they are managed. Oral fluids could be aspirated. Immediate nursing action is indicated; it would be inappropriate to try to engage the patient in an alternate activity. 93%of students nationwide answered this question correctly. View Topics 1 39248876 Confidence: Nailed it Stats Issue with this question? 5. The nurse is performing an assessment of geriatric patients in a community health care center. The nurse reports that one of the patients is schizophrenic. Which statement made by the patient while interacting with the nurse supports the nurse's assessment? 1"Every morning I enjoy the humming of birds; it relaxes me." 2 "Every day my friends wait for me in front of my gate for our morning walk." Correct3 "Every day birds sing songs for me and spread flowers on the path where I walk." 4 "Everyone feels as if I am a burden to them; I would like to put an end to their problem." Patients with schizophrenia have delusions of self-importance and state false events related to them, like birds singing songs for them and spreading flowers on their path. The statement that every morning the patient enjoys the humming of birds indicates that the patient has no impaired perception and is able to connect with reality. The statement that every morning the patient's friends wait for him or her is normal. The statement that everyone feels the patient is a burden indicates that the patient feels worthless and has suicidal intentions. It does not indicate schizophrenic symptoms. 88%of students nationwide answered this question correctly. View Topics 1 39248882 Confidence: Nailed it Stats Issue with this question? 6. What symptoms are se h a patient in the acute phase of schizophrenia. Which assessment findings increase the risk of aggression and violence? Select all that apply. 1 Hypokalemia 2 Hypocalcemia Correct3 Hyponatremia 4 Hypercalcemia In patients with schizophrenia, polydipsia is seen due to dry mouth. Patients experience excessive thirst due to antipsychotic drugs and drink a lot of water. Polydipsia is characterized by hyponatremia, confusion, and severe symptoms of schizophrenia. It is caused by the inability of the kidneys to filter excess fluids. Hypokalemia is a condition seen due to reduced levels of potassium, which can be caused by antibiotics. Hypocalcemia refers to decreased levels of calcium due to a deficiency of vitamin D or defective absorption. Itcan also happen due to impaired metabolism of vitamin D in the body. Hypercalcemia is an increase in levels of calcium seen during hyperparathyroidism. 76%of students nationwide answered this question correctly. View Topics 1 39248872 Confidence: Pretty sure Stats Issue with this question? 7. Which symptom seen in a schizophrenic patient can be categorized as a positive symptom? 1 Loss of motivation 2 Impaired judgment Correct3 Delusions 4 Dysphoria The behavioral traits not normally found in healthy patients are called positive symptoms of schizophrenia. They include delusions, hallucinations, bizarre behavior, and paranoia. The behaviors that the patient lacks compared to healthy people are negative symptoms, such as loss of motivation and alogia (poverty of thought or inability to speak). Impaired judgment and illogical thinking are the cognitive symptoms associated with schizophrenia. Dysphoria and suicidal intentions are affective symptoms of schizophrenia. Affective symptoms involve emotions and their expression. 88%of students nationwide answered this question correctly. View Topics 1 36533767 Confidence: Nailed it Stats Issue with this question? 8. A patient diagnosed with schizophrenia states "My, oh my. My mother is brother. Anytime now it can happen to my mother." How will the nurse respond to the patient's statement? 1 "You are having problems with your speech. You need to try harder to be clear." 2"You are confused. I will take you to your room to rest awhile." 3 "I will get you an as-needed medication for agitation." Correct4 "I'm sorry, I didn't understand that. Do you want to talk more about your mother as we did yesterday?" The guidelines that are useful in communicating with a patient with disorganized or bizarre speech are to place the difficulty in understanding on the nurse, not the patient, and look for themes that may be helpful in interpreting what the patient wants to say. Telling the patient to try harder to be clearer is unrealistic because the patient would be unable do this. Taking the patient to his or her room or getting the patient medication are not useful options in communicating with this patient and attempting to find common themes. 94%of students nationwide answered this question correctly. View Topics 1 39248802 Confidence: Nailed it Stats Issue with this question? 9. A nurse is educating a patient's family about schizophrenia. What is the most appropriate advice the nurse can give to the patient's family? Select all that apply. Correct1 The nurse should advise them to keep in touch with support groups. 2 The nurse should avoid mentioning the side effects of the drugs prescribed. 3 The nurse should advise them to keep the patient in an isolated room. Correct4 The nurse should advise them to adhere to the treatment plan. 5 The nurse should advise them to immediately stop the medication if the patient's symptoms are relieved. The nurse should advise the family of the patient to join support groups such as National Alliance on Mental Illness and other local support groups. These groups would help to provide optimal patient care as well as support to the family. Adherence to the treatmentplan would result in positive outcomes for the patient. The patient's family must be educated about the possible side effects of the prescribed drugs. This would help in effective monitoring and reducing panic in the patient and family members. The patient should be encouraged to interact with others. Keeping the patient isolated can make the patient either aggressive or withdrawn. The medications should not be stopped immediately after the symptoms are relieved as it could cause relapse of the schizophrenic symptoms. Gradually decreasing the dosage of the drug would be useful to prevent a relapse. 89%of students nationwide answered this question correctly. View Topics 1 40551729 Confidence: Nailed it Stats Issue with this question? 10. A patient diagnosed with disorganized schizophrenia would have greatest difficulty when the nurse 1 Interacts with a neutral attitude 2 Uses concrete language Correct3 Gives multistep directions 4 Provides nutritional supplements The thought processes of the patient with disorganized schizophrenia are severely disordered, and severe perceptual problems are present, making it extremely difficult for the patient to understand what others are saying. All communication should be simple and concrete and may need to be repeated several times. Which side effect of antipsychotic medication is generally nonreversible? 1 Anticholinergic effects Incorrect2 Pseudoparkinsonism 3 Dystonic reaction Correct4 Tardive dyskinesiaTardive dyskinesia is not always reversible with discontinuation of the medication and has no proven cure. The side effects in anticholinergic effects, pseudoparkinsonism, and dystonic reaction often appear early in therapy and can be minimized with treatment. 1 A patient diagnosed with schizophrenia and experiencing command hallucinations had a brief stay on an inpatient unit. Afterward, the patient was transferred to a partial hospitalization program. Which outcome is most appropriate to achieve by the end of the first week of partial hospitalization? The patient will: 1 Express self clearly and in organized sentences. 2 Clearly describe the content and source of the hallucinations. 3 Ask the nurse for medication when experiencing hallucinations. Correct4 Verbalize an understanding that hallucinations are a sign of the illness. Anosognosia refers to an inability to realize an illness exists. This problem occurs in many persons diagnosed with schizophrenia. If the patient recognizes that hallucinations are an aspect of the illness, he or she has made initial progress in management of the illness. It will take longer than one week for the patient to communicate clearly and in organized sentences. The patient does not know the source of hallucinations and it is not productive to explore their content in detail. The patient should take medication daily, not just when experiencing hallucinations. 64%of students nationwide answered this question correctly. View Topics 1 40551742 Confidence: Nailed it Stats Issue with this question? 2. A patient has reached the stable plateau phase of schizophrenia. An appropriate clinical focus for planning would be