Exam 17: Schizophrenia Spectrum Disorders

A patient has taken trifluoperazine (Stelazine)30 mg/day orally 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?

A patient 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,"Volmers are hiding in the house." The nurse can correctly assess this information as an indication of:

A patient with schizophrenia has taken fluphenazine (Prolixin)5 mg orally twice daily for 3 weeks.The nurse now assesses a shuffling propulsive gait,a masklike face,and drooling.Which term applies to these symptoms?

The family members of a patient newly diagnosed with paranoid schizophrenia state that they do not understand what has caused the illness.The nurse's response should be based on which models? Select all that apply.

What assessment findings mark the prodromal stage of schizophrenia?

A patient with paranoid schizophrenia is hospitalized after arguing with co-workers and threatening to harm them.The patient is aloof and 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 with schizophrenia begins a new prescription for lurasidone HCl (Latuda).The patient is 5',6" tall and currently weighs 204 pounds.Which topic is most important for the nurse to include in the teaching plan related to this medication?

Which symptoms are expected for a patient with disorganized schizophrenia?

A patient receiving risperidone (Risperdal)reports severe muscle stiffness at 10:30 AM.By noon,the patient has difficulty swallowing and is drooling.By 4:00 PM,vital signs are body temperature,102.8° F;pulse,110 beats per minute;respirations,26 breaths per minute;and blood pressure,150/90 mm Hg.The patient is diaphoretic.Select the nurse's best analysis and action.

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

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

A patient diagnosed with paranoid schizophrenia angrily tells a nurse,"You act like a homosexual.No one trusts you or wants to be around you." Select the most likely analysis.The patient:

A patient diagnosed with paranoid 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?

Which patient with schizophrenia would be expected to have the lowest score in global assessment of functioning?

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

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

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

A patient with schizophrenia is acutely 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 is thrust forward,and the patient is drooling.Which problem is most likely?