Exam 24: Schizophrenia Spectrum and Other Psychotic Disorders

Which of the following components should a nurse recognize as an integral part of a rehabilitative program when planning care for clients diagnosed with schizophrenia? Select all that apply.

An elderly client diagnosed with schizophrenia takes an antipsychotic and a beta-adrenergic blocking agent (propranolol)for hypertension.Understanding the combined side effects of these drugs,the nurse would most appropriately make which statement?

A client diagnosed with brief psychotic disorder tells a nurse about voices telling him to kill the president.Which nursing diagnosis should the nurse prioritize for this client?

A client has been recently admitted to an inpatient psychiatric unit.Which intervention should the nurse plan to use to reduce the client's focus on delusional thinking?

During an admission assessment,a nurse notes that a client diagnosed with schizophrenia has allergies to penicillin,prochlorperazine (Compazine),and bee stings.On the basis of this assessment data,which antipsychotic medication would be contraindicated?

A nurse is caring for a client who is experiencing a flat affect,paranoia,anhedonia,anergia,neologisms,and echolalia.Which statement correctly differentiates the client's positive and negative symptoms of schizophrenia?

A paranoid client presents with bizarre behaviors,neologisms,and thought insertion.Which nursing action should be prioritized to maintain this client's safety?

A nurse is administering risperidone (Risperdal)to a client diagnosed with schizophrenia.The therapeutic effect of this medication would most effectively address which of the following symptoms? Select all that apply.

Which nursing intervention would be most appropriate when caring for an acutely agitated client with paranoia?

Which statement should indicate to a nurse that an individual is experiencing a delusion?

A newly admitted client has taken thioridazine (Mellaril)for 2 years,with good symptom control.Symptoms exhibited on admission included paranoia and hallucinations.The nurse should recognize which potential cause for the return of these symptoms?

A client who is admitted to the inpatient psychiatric unit and is taking Thorazine presents to the nurse with severe muscle rigidity,tachycardia,and a temperature of 105°F (40.5°C).The nurse identifies these symptoms as which of the following conditions?

A college student has quit attending classes,isolates self because of hearing voices,and yells accusations at fellow students.Based on this information,which nursing diagnosis should the nurse prioritize?

A client diagnosed with schizophrenia,who has been taking antipsychotic medication for the last 5 months,presents in an emergency department (ED)with uncontrollable tongue movements,stiff neck,and difficulty swallowing.The nurse would expect the physician to recognize which condition and implement which treatment?

A client diagnosed with schizophrenia tells a nurse,"The 'Shopatouliens' took my shoes out of my room last night." Which is an appropriate charting entry to describe this client's statement?

A nurse is assessing a client diagnosed with schizophrenia.The nurse asks the client,"Do you receive special messages from certain sources,such as the television or radio?" Which potential symptom of this disorder is the nurse assessing?

Parents ask a nurse how they should reply when their child,diagnosed with schizophrenia,tells them that voices command him to harm others.Which is the appropriate nursing reply?

A client is diagnosed with schizophrenia.A physician orders haloperidol (Haldol),50 mg bid; benztropine (Cogentin),1 mg prn; and zolpidem (Ambien),10 mg HS.Which client behavior would warrant the nurse to administer benztropine?

During an admission assessment,a nurse asks a client diagnosed with schizophrenia,"Have you ever felt that certain objects or persons have control over your behavior?" The nurse is assessing for which type of thought disruption?

Which nursing behavior will enhance the establishment of a trusting relationship with a client diagnosed with schizophrenia?