Exam 12: Schizophrenia and Schizophrenia Spectrum Disorders

A nurse observes a catatonic patient standing immobile,facing the wall with one arm extended in a salute.The patient remains immobile in this position for 15 minutes,moving only when the nurse gently lowers the arm.What is the name of this phenomenon?

Which finding constitutes a negative symptom associated with schizophrenia?

A patient diagnosed with schizophrenia demonstrates little spontaneous movement and has waxy flexibility.The patient's activities of daily living are severely compromised.An appropriate outcome would be that the patient will:

A patient diagnosed with schizophrenia and auditory hallucinations anxiously tells the nurse,"The voice is telling me to do things." Select the nurse's priority assessment question.

A patient diagnosed with schizophrenia begins a new prescription for lurasidone HCL (Latuda).The patient is 5'6" and currently weighs 204 lbs.Which topic is most important for the nurse to include in the teaching plan related to this medication?

An acutely violent patient diagnosed with schizophrenia receives several doses of haloperidol (Haldol).Two hours later the nurse notices the patient's head rotated to one side in a stiffly fixed position,the lower jaw thrust forward,and drooling.Which intervention by the nurse is indicated?

A nurse asks a patient diagnosed with schizophrenia,"What is meant by the old saying 'You can't judge a book by looking at the cover.'?" Which response by the patient indicates concrete thinking?

A patient insistently states,"I can decipher codes of DNA just by looking at someone." Which problem is evident?

A client says,"Facebook has a new tracking capacity.If I use the Internet,Homeland Security will detain me as a terrorist." Select the nurse's best initial action.

A person has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy.Today the person shouts,"They're all plotting to destroy me.Isn't that true?" Select the nurse's most therapeutic response.

A patient diagnosed with schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility.Which patient needs are of priority importance?

A patient diagnosed with schizophrenia has been stable for a year; however,the family now reports the patient is tense,sleeps 3 to 4 hours per night,and has difficulty concentrating.The patient says,"My computer is sending out infected radiation beams." The nurse can correctly assess this information as an indication of:

A patient is experiencing delusions of persecution about being poisoned.The patient has refused all hospital meals for 3 days.Which intervention is most likely to be acceptable to the patient?

A patient diagnosed with schizophrenia tells the nurse,"I eat skiller.Tend to end.Easter.It blows away.Get it?" Select the nurse's best response.

When a patient diagnosed with schizophrenia was discharged 6 months ago,haloperidol (Haldol)was prescribed.The patient now says,"I stopped taking those pills.They made me feel like a robot." What are common side effects the nurse should validate with the patient?

A patient diagnosed with schizophrenia was hospitalized after arguing with co-workers and threatening to harm them.The patient is aloof,suspicious,and says,"Two staff members I saw talking were plotting to kill me." Based on data gathered at this point,which nursing diagnoses relate? Select all that apply.

A patient diagnosed with schizophrenia says,"It's beat.Time to eat.No room for the cat." What type of verbalization is evident?

A community mental health nurse wants to establish a relationship with a very withdrawn patient diagnosed with schizophrenia.The patient lives at home with a supportive family.Select the nurse's best plan.

A patient took trifluoperazine 30 mg po daily for 3 years.The clinic nurse notes that the patient grimaces and constantly smacks both lips.The patient's neck and shoulders twist in a slow,snakelike motion.Which problem would the nurse suspect?

What assessment findings mark the prodromal stage of schizophrenia?