Exam 17: Schizophrenia Spectrum Disorders

Withdrawn patients with schizophrenia:

An acutely violent patient 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 is thrust forward,and the patient is drooling.Which intervention by the nurse is indicated?

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

When a patient with paranoid 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 common side effects should the nurse validate with the patient?

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

A patient 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:

A nurse works with a patient with paranoid schizophrenia regarding the importance of medication management.The patient repeatedly says,"I don't like taking pills." Family members say they feel helpless to foster compliance.Which treatment strategy should the nurse discuss with the health care provider?

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

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

A nurse observes a patient who is in a catatonic state and 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?

A patient 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 expects a change to which medication?

A patient with schizophrenia has auditory hallucinations,delusions of grandeur,poor personal hygiene,and motor agitation.Which assessment finding would the nurse regard as a negative symptom of schizophrenia?

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.

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

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

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