Exam 12: Schizophrenia and Schizophrenia Spectrum Disorders

A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function.The patient is also overweight and hypertensive.Which drug should the nurse advocate?

A patient diagnosed with schizophrenia begins to talks about "macnabs" hiding in the warehouse at work.The term "macnabs" should be documented as:

A nurse sits with a patient diagnosed with schizophrenia.The patient starts to laugh uncontrollably,although the nurse has not said anything funny.Select the nurse's best response.

A newly admitted patient diagnosed with schizophrenia says,"The voices are bothering me.They yell and tell me I am bad.I have got to get away from them." Select the nurse's most helpful reply.

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

A newly hospitalized patient experiencing psychosis says,"Red chair out town board." Which term should the nurse use to document this finding?

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

A patient diagnosed with schizophrenia says,"My co-workers are out to get me.I also saw two doctors plotting to kill me." How does this patient perceive the environment?

A newly admitted patient diagnosed with schizophrenia is hypervigilant and constantly scans the environment.The patient states,"I saw two doctors talking in the hall.They were plotting to kill me." The nurse may correctly assess this behavior as:

A patient diagnosed with schizophrenia is very disturbed and violent.After several doses of haloperidol (Haldol),the patient is calm.Two hours later the nurse sees the patient's head rotated to one side in a stiff position,the lower jaw thrust forward,and drooling.Which problem is most likely?

A patient diagnosed with schizophrenia has taken fluphenazine (Prolixin)5 mg po bid for 3 weeks.The nurse now observes a shuffling propulsive gait,a mask-like face,and drooling.Which term applies to these symptoms?

The nurse assesses a patient diagnosed with schizophrenia.Which assessment finding would the nurse regard as a negative symptom of schizophrenia?

The family of a patient diagnosed with schizophrenia is unfamiliar with the illness and family's role in recovery.Which type of therapy should the nurse recommend?

Withdrawn patients diagnosed with schizophrenia:

A patient diagnosed with schizophrenia has taken a conventional antipsychotic medication for a year.Hallucinations are less intrusive,but the patient continues to have apathy,poverty of thought,and social isolation.The nurse would expect a change to which medication?

The nurse is developing a plan for psychoeducational sessions for several adults diagnosed with schizophrenia.Which goal is best for this group? Members will:

A patient receiving risperidone (Risperdal)reports severe muscle stiffness at 1030.By 1200,the patient has difficulty swallowing and is drooling.By 1600,vital signs are 102.8° F; pulse 110; respirations 26; 150/90.The patient is diaphoretic.Select the nurse's best analysis and action.

A patient's care plan includes monitoring for auditory hallucinations.Which assessment findings suggest the patient may be hallucinating?

A patient diagnosed with schizophrenia says,"Contagious bacteria are everywhere.When they get in your body,you will be locked up with other infected people." Which problem is evident?

A patient diagnosed with schizophrenia anxiously says,"I can see the left side of my body merging with the wall,then my face appears and disappears in the mirror." While listening,the nurse should: