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What is the primary challenge for individuals experiencing psychosis?

  • Recognizing what is real and what isn't (correct)
  • Memorizing various treatment modalities
  • Completing daily tasks independently
  • Understanding medical terminologies
  • Which of the following is NOT one of the DSM-5 symptomatic domains of psychosis?

  • Disorganized thoughts/speech
  • Hallucinations
  • Delusions
  • Mood disturbances (correct)
  • What biological factor is thought to primarily contribute to positive symptoms of psychosis?

  • Reduced GABA levels
  • Dopamine involvement (correct)
  • Glutamate dysregulation
  • Low serotonin production
  • What environmental factor is associated with an increased risk of psychosis?

    <p>Experiencing racism</p> Signup and view all the answers

    Which risk factor correlates with an increased likelihood of developing psychosis?

    <p>Low premorbid IQ in the learning disability range</p> Signup and view all the answers

    How do enlarged ventricles relate to psychosis?

    <p>They are observed in individuals with schizophrenia.</p> Signup and view all the answers

    What treatment approach focuses on both pharmacological and non-pharmacological modalities for psychotic disorders?

    <p>Integrated treatment planning</p> Signup and view all the answers

    What can be inferred about the relationship between urban settings and psychosis?

    <p>They are linked to higher rates of psychosis due to population density.</p> Signup and view all the answers

    What is required for a diagnosis of schizophrenia according to the criteria?

    <p>Two or more symptoms including negative symptoms</p> Signup and view all the answers

    Which type of psychosis is a direct result of an underlying medical problem?

    <p>Secondary Psychosis</p> Signup and view all the answers

    Which symptoms must be present for at least 6 months for the diagnosis of schizophrenia?

    <p>Delusions, hallucinations, and/or disorganized speech</p> Signup and view all the answers

    What consequence is almost always associated with unresolved psychosis?

    <p>Increased risk of developing dementia</p> Signup and view all the answers

    What phase of psychosis involves subtle signs and some level of functioning maintained?

    <p>Early phase</p> Signup and view all the answers

    Which of the following disorders is NOT classified as a primary psychosis?

    <p>Bipolar I Disorder</p> Signup and view all the answers

    What is typically required when someone experiences the acute phase of psychosis?

    <p>Increased dependence on family and friends</p> Signup and view all the answers

    Which of the following is a common long-term consequence related to pharmacological treatment for psychosis?

    <p>Long-term effects on functional ability</p> Signup and view all the answers

    What is one key benefit of early intervention in psychosis?

    <p>Decreases the degree of functional impairment.</p> Signup and view all the answers

    Which of the following is NOT a component of the medical and psychiatric history assessment?

    <p>Professional history.</p> Signup and view all the answers

    What is a common type of hallucination experienced by individuals with schizophrenia?

    <p>Visual.</p> Signup and view all the answers

    Which of the following describes a negative symptom of schizophrenia?

    <p>Ambivalence.</p> Signup and view all the answers

    Disorganized thoughts in schizophrenia may present as which of the following?

    <p>Thought blocking.</p> Signup and view all the answers

    Which assessment technique is used to evaluate changes in delusion or hallucination content over time?

    <p>Documenting behaviors and signs.</p> Signup and view all the answers

    What type of assessment addresses the risk of elopement in schizophrenia patients?

    <p>Suicide and violence assessment.</p> Signup and view all the answers

    Which of the following is a required component of mental status assessment in schizophrenia?

    <p>Previous coping strategies.</p> Signup and view all the answers

    Which statement is true regarding delusions experienced in schizophrenia?

    <p>They are fixed beliefs unlikely to change.</p> Signup and view all the answers

    What is the focus of assessing for command hallucinations?

    <p>To assess potential risks of harm to self or others.</p> Signup and view all the answers

    Which nursing action should be prioritized for a paranoid client presenting with agitation, bizarre behaviors, neologisms, and thought insertion?

    <p>Observe for escalating behaviors and intervene immediately</p> Signup and view all the answers

    What is the most appropriate response from the nurse when a client with schizoaffective disorder hears voices telling him to leave the hospital?

    <p>I do not hear anything, but I can see how you may feel worried about being in the hospital right now</p> Signup and view all the answers

    Which symptom in a client diagnosed with schizophrenia would predict a less positive prognosis?

    <p>Having little or no interest in work or social activities</p> Signup and view all the answers

    When addressing concerns for a client diagnosed with schizophrenia experiencing anhedonia, which nursing priority should be considered?

    <p>Quality of life and engagement in activities</p> Signup and view all the answers

    What is a crucial use of side effect screening tools in nursing care?

    <p>To track baseline and medication history</p> Signup and view all the answers

    How can non-pharmacologic treatment modalities benefit patients with psychotic disorders?

    <p>They provide additional support alongside pharmacologic treatments</p> Signup and view all the answers

    Which of the following is a potential role of PRN medications in managing side effects?

    <p>They can help mitigate the side effects of other medications</p> Signup and view all the answers

    Which aspect of the nursing process is critical when planning care for patients with psychosis?

    <p>Incorporate both pharmacologic and non-pharmacologic treatments</p> Signup and view all the answers

    What is prioritized when a client presents with disturbed thought processes?

    <p>Safety</p> Signup and view all the answers

    Which intervention might help a client manage hallucinations effectively?

    <p>Providing grounding techniques like puzzles</p> Signup and view all the answers

    What type of therapy is considered appropriate for clients who are stable and have insight?

    <p>Cognitive Behavioral Therapy (CBT)</p> Signup and view all the answers

    Which of the following is a potential side effect of first-generation antipsychotics?

    <p>Tardive dyskinesia</p> Signup and view all the answers

    How should professionals respond to a client experiencing hallucinations?

    <p>Acknowledge the experience while presenting reality</p> Signup and view all the answers

    Which of the following interventions supports enhancing coping skills?

    <p>Individual and Family Therapy</p> Signup and view all the answers

    What should be monitored during the administration of antipsychotics?

    <p>Client’s weight and mood fluctuations</p> Signup and view all the answers

    Which cognitive technique can be taught to clients experiencing intrusive thoughts?

    <p>Thought stopping</p> Signup and view all the answers

    Which intervention is crucial during the recovery phase for individuals with altered thinking?

    <p>Connecting with community resources</p> Signup and view all the answers

    What should be assessed when a patient shows signs of neuroleptic malignant syndrome (NMS)?

    <p>Muscle breakdown enzyme levels</p> Signup and view all the answers

    Which medication class is typically known to cause extrapyramidal symptoms (EPS)?

    <p>First-generation antipsychotics</p> Signup and view all the answers

    What is an objective of psychoeducation for clients with altered thinking?

    <p>To teach coping skills</p> Signup and view all the answers

    Which therapeutic approach encourages independence through skill modeling?

    <p>Positive goal-oriented activities</p> Signup and view all the answers

    What might be a potential outcome of effective vocational therapy?

    <p>Increased employment opportunities</p> Signup and view all the answers

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