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Chapter 23- Schizoaffective, Delusional, and Other Psychotic Disorders

Psychiatric Nursing Contemporary Practice 5th Edition By Boyd

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Chapter 23- Schizoaffective, Delusional, and Other Psychotic Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. A client who has a major depressive episode tells the nurse that for the past 2 weeks, he has been hearing voices and at times thinks that someone is following him. History reveals that he had these alternating symptoms before along with times when he has experienced neither of these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which of the following?
  A) Paranoid schizophrenia
  B) Undifferentiated schizophrenia
  C) Brief psychotic disorder
  D) Schizoaffective disorder

 

 

2. A nursing instructor is developing a class lecture that compares and contrasts schizoaffective disorder with schizophrenia. When describing one of the differences between these two diagnoses, which of the following would the instructor include as reflecting schizoaffective disorder?
  A) It is episodic in nature.
  B) It involves difficulties with self-care.
  C) It has less severe hallucinations.
  D) It is associated with a lower suicide risk.

 

 

3. The nurse is caring for a client who was diagnosed with schizoaffective disorder. Based on the nurse’s understanding of this disorder, the nurse develops a plan of care to address which issue as the top priority?
  A) Suicide
  B) Aggression
  C) Substance abuse
  D) Eating disorder

 

 

4. A family member of a client diagnosed with schizoaffective disorder asks a nurse what causes the disorder. Which response by the nurse would be most appropriate?
  A) “Dysfunctional family dynamics has been identified as a strong link.”
  B) “Research has suggested that the cause is predominately genetic.”
  C) “Dopamine, a substance in the brain, appears to be underactive.”
  D) “Studies have indicated that birth order is strongly associated with this disorder.”

 

 

5. The nurse is caring for a client who was just admitted with a diagnosis of schizoaffective disorder with depression. Which agent would the nurse anticipate as being prescribed for this client?
  A) Lithium
  B) Haloperidol
  C) Chlorpromazine
  D) Clozapine

Answer Key

 

1. D
2. A
3. A
4. B
5. D

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