Exam 13: Schizophrenia and Other Psychotic Disorders

What is the priority nursing diagnosis for a catatonic patient?

A patient with schizophrenia is medication compliant and has well-controlled symptoms.He has,however,never been successful in holding a job because of poor social skills and lack of understanding of basic job skills.The nurse case manager should consider referring the patient:

Prior to discharge,the nurse plans to teach the patient and family about relapse.Which items will the nurse include in the teaching?

A patient experiences intrusive,insulting auditory hallucinations.Which independent behavioral technique can the nurse teach the patient to employ when the voices are troublesome?

The wife of a patient diagnosed with paranoid schizophrenia asks,"I've been told that my husband's illness is probably related to imbalanced brain chemicals.Can you be more specific?" The response based on the dopamine hypothesis is:

A patient is exhibiting auditory hallucinations in addition to being forgetful and easily confused.Which diagnosis does the nurse base this patient's interventions on?

A patient tried to gouge out his eye in response to auditory hallucinations commanding,"If thine eye offends thee,pluck it out." The nurse would analyze this behavior as indicating:

An appropriate intervention for a patient with an identified nursing diagnosis of situational low self-esteem would be:

A patient has been admitted with disorganized type schizophrenia.The nurse observes blunted affect and social isolation.He occasionally curses or calls another patient a "jerk" without provocation.The nurse asks the patient how he is feeling,and he responds,"Everybody picks on me.They frobitz me." The patient's communication exhibits:

What response would be anticipated when a patient who received chlorpromazine (Thorazine)for 15 years to treat schizophrenia is switched to Seroquel (quetiapine)?

Which assessment observation supports a patient's diagnosis of disorganized schizophrenia?

Which interventions will the nurse implement to assure effective staff crises management skills? Select all that apply.

A 19-year-old patient is admitted for the second time in 9 months and is acutely psychotic with a diagnosis of undifferentiated schizophrenia.The patient sits alone rubbing her arms and smiling.She tells the nurse her thoughts cause earthquakes and that the world is burning.The nurse assesses the primary deficit associated with the patient's condition as:

A patient prescribed an antipsychotic medication develops a high fever,unstable blood pressure,and muscle rigidity.Her next dose of medication is due.The nurse should:

Which nursing diagnosis is appropriate for a patient who insists being called "Your Highness" and demonstrates loosely associated thoughts?

During a treatment team meeting,the point is made that a patient with schizophrenia has recovered from the acute psychosis but continues to demonstrate apathy,avolition,and blunted affect.The nurse who relates these symptoms to serotonin (5HT?)excess will suggest that the patient receive:

Which response demonstrates both empathy and understanding of the relationship genetics has to the development of schizophrenia in twins?

Because of the cognitive disturbances associated with schizophrenia,which technique will be useful as the nurse teaches a patient about self-management?

In planning aftercare for a patient with schizophrenia and whose insurance benefits have been exhausted,the nurse who is concerned about overcoming negative symptoms will make provisions for the patient to have stimulation,structure,socialization,and support.Which option would best incorporate these factors?

A patient has been admitted with disorganized type schizophrenia.The nurse asks the patient how he is feeling,and he responds,"Everybody picks on me.They frobitz me." The best response for the nurse to make would be: