Chapter 15: Schizophrenia Spectrum and Other Psychotic Disorders

Chapter 15: Schizophrenia Spectrum and Other Psychotic Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which nursing action should be prioritized to maintain this client’s safety?

1.	Assess for medication nonadherence.
2.	Note escalating behaviors and intervene immediately.
3.	Interpret attempts at communication.
4.	Assess triggers for bizarre, inappropriate behaviors.

 

 

____     2.   A client diagnosed with schizoaffective disorder is admitted for social skills training. Which information should be included in the nurse’s teaching?

1.	The side effects of medications
2.	Deep breathing techniques to decrease stress
3.	How to make eye contact when communicating
4.	How to be a leader

 

 

____     3.   A 16-year-old client diagnosed with schizophrenia spectrum disorder experiences command hallucinations to harm others. The client’s parents ask a nurse, “Where do the voices come from?” Which is the appropriate nursing response?

1.	“Your child has a chemical imbalance of the brain, which leads to altered perceptions.”
2.	“Your child’s hallucinations are caused by medication interactions.”
3.	“Your child has too little serotonin in the brain, causing delusions and hallucinations.”
4.	“Your child’s abnormal hormonal changes have precipitated auditory hallucinations.”

 

 

____     4.   Parents ask a nurse how they should reply when their child, diagnosed with schizophrenia spectrum disorder, tells them that voices command him to harm others. Which is the appropriate nursing response?

1.	“Tell him to stop discussing the voices.”
2.	“Ignore what he is saying, while attempting to discover the underlying cause.”
3.	“Focus on the feelings generated by the hallucinations and present reality.”
4.	“Present objective evidence that the voices are not real.”

 

 

____     5.   A nurse is assessing a client diagnosed with schizophrenia spectrum disorder. The nurse asks the client, “Do you receive special messages from certain sources, such as the television or radio?” The nurse is assessing which potential symptom of this disorder?

1.	Thought insertion
2.	Paranoid delusions
3.	Magical thinking
4.	Delusions of reference

 

MULTIPLE CHOICE

 

1. ANS:  2

Chapter: Chapter 15, Schizophrenia Spectrum and Other Psychotic Disorders

Objective: Identify symptomatology associated with these disorders and use this information in client assessment.

Page: 350–351

Heading: Application of the Nursing Process > Positive Symptoms

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Cognition

Difficulty: Moderate

 

	Feedback
1	Assessing for medication nonadherence does not indicate that the client’s safety may be at risk.
2	The nurse should note escalating behaviors and intervene immediately, to maintain this client’s safety. Early intervention may prevent an aggressive response and keep the client and others safe.
3	Interpreting attempts at communication does not indicate that the client’s safety may be at risk.
4	Assessing triggers for bizarre, inappropriate behaviors does not indicate that the client’s safety may be at risk.

 

 

PTS:   1                    CON:  Cognition

 

2. ANS:  3

Chapter: Chapter 15, Schizophrenia Spectrum and Other Psychotic Disorders

Objective: Discuss various modalities relevant to treatment of schizophrenia and other psychotic disorders.

Page: 365

Heading: Treatment Modalities for Schizophrenia and Other Psychotic Disorders > Social Skills Training

Integrated Processes: Teaching and Learning

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Cognition

Difficulty: Moderate

 

	Feedback
1	Teaching the side effects of medication does not help the client obtain better social skills.
2	Teaching deep breathing exercises does not help the client obtain better social skills.
3	The nurse should plan to teach the client how to make eye contact when communicating. Social skills, such as making eye contact, can assist clients to communicate needs and to establish relationships.
4	Teaching leadership skills do not help the client obtain better social skills.

 

 

PTS:   1                    CON:  Cognition

 

3. ANS:  1

Chapter: Chapter 15, Schizophrenia Spectrum and Other Psychotic Disorders

Objective: Discuss the concepts of schizophrenia and other psychotic disorders.

Page: 342–343

Heading: Nature of the Disorder > Phase III: Schizophrenia

Integrated Processes: Teaching and Learning

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Cognition

Difficulty: Moderate

 

	Feedback
1	The nurse should explain that a chemical imbalance of the brain leads to altered perceptions.
2	The client hearing voices is experiencing an auditory hallucination, which is not caused by medication.
3	Serotonin excess is thought to cause hallucinations.
4	Abnormal hormonal changes have not precipitated auditory hallucinations.

 

 

PTS:   1                    CON:  Cognition

 

4. ANS:  3

Chapter: Chapter 15, Schizophrenia Spectrum and Other Psychotic Disorders

Objective: Discuss the concepts of schizophrenia and other psychotic disorders.

Page: 342–343

Heading: Nature of the Disorder > Phase III: Schizophrenia

Integrated Processes: Teaching and Learning

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Cognition

Difficulty: Moderate

 

	Feedback
1	This option could cause the client to shut down.
2	The client should not be ignored, but should be encouraged to discuss what is occurring.
3	The most appropriate response by the nurse is to instruct the parents to focus on the feelings generated by the hallucinations and present reality. The parents should accept that their child is experiencing the hallucination but should not reinforce this unreal sensory perception.
4	This option would not be appropriate in the care of the schizophrenic client.

 

 

PTS:   1                    CON:  Cognition

 

5. ANS:  4

Chapter: Chapter 15, Schizophrenia Spectrum and Other Psychotic Disorders

Objective: Discuss the concepts of schizophrenia and other psychotic disorders.

Page: 350–351

Heading: Application of the Nursing Process > Positive Symptoms

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Cognition

Difficulty: Moderate

 

	Feedback
1	Thought insertion is not a potential symptom of schizophrenia.
2	The client with paranoid delusions is very suspicious of others and their intentions.
3	The client with magical thinking believes that thoughts have power over others.
4	The nurse is assessing for the potential symptom of delusions of reference. A client that believes he or she receives messages through the radio is experiencing delusions of reference. These delusions involve the client interpreting events within the environment as being directed toward himself or herself. Clients with delusions of reference believe that others are trying to send them messages in various ways, or they must break a code to receive a message.

 

 

PTS:   1                    CON:  Cognition