Exam 24: Schizophrenia Spectrum and Other Psychotic Disorders

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A patient diagnosed with schizophrenia expresses fear of being pursued by hostile forces. The patient carries a tablet and writes notes in a code. The patient says, "I'm the only one who understands this code." Select a realistic and desirable outcome for this patient. The patient will:

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Which type of perceptual alteration is most commonly displayed by patients with schizophrenia?

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A

A patient diagnosed with schizophrenia expresses fear of being pursued by hostile forces. The patient carries a tablet and writes notes in a code. The patient says, "I'm the only one who understands this code." What is the priority nursing diagnosis?

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A nurse at the mental health clinic plans a series of psychoeducational groups for persons with schizophrenia. Which topics would take priority?

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A highly suspicious patient tells the nurse, "When I sit in the dayroom I can see other people whispering about me and laughing. It makes me want to punch them." The direction that the nurse should give staff is:

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A patient tells the nurse, "Air Force jets flying overhead are looking for me. They want to capture me." The patient has not previously verbalized this information. The nurse's initial interventions should:

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A newly admitted patient is mute, immobile, and holds a fixed body position for long periods. The nurse caring for this patient should:

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Genetic evidence regarding twins and the risk for schizophrenia supports which fact?

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A therapist believes that persons diagnosed with schizophrenia have ego disintegration. This concept is based on which model?

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A patient displays disorganized speech and behavior as well as a flat affect. The patient prefers to sit alone and often appears to be listening and responding to unseen stimuli. To begin a therapeutic relationship, the nurse should:

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A patient laughs while saying, "My dog died yesterday." The nurse documents this behavior using what terminology?

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A patient diagnosed with schizophrenia expresses fear of being pursued by hostile forces. The patient carries a tablet and writes notes in a code. The patient says, "I'm the only one who understands this code." How should the nurse document these findings?

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Research on neurostructural theories of schizophrenia indicates that pathoanatomic findings often include:

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An initial short-term outcome for a withdrawn, socially isolated patient diagnosed with schizophrenia is that the patient will:

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The nurse should focus assessment for a patient with type I schizophrenia primarily on gathering data about:

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Which therapeutic activity would be most important in helping a patient diagnosed with schizophrenia remain in the work force?

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Parents of a 17-year-old patient diagnosed with schizophrenia ask the nurse what the future will be like for their child. The nurse's solve should be based on knowledge that the usual course of illness is:

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How long must the symptoms of schizophrenia be present before a diagnosis can be made?

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When a patient experiencing a first episode of type I schizophrenia is hospitalized, the nurse can expect to administer:

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The family of a patient with type I schizophrenia asks, "Did this illness occur because of all the chaos in our family?" Select the nurse's best response.

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