Nursing Care for Schizophrenia and Antipsychotic Drugs Quiz
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Questions and Answers

What is schizophrenia characterized by?

  • A person’s physical health and well-being
  • A person’s social interactions only
  • A person’s financial status
  • A person’s thoughts, perceptions, emotions, movements, and behaviors (correct)

In what setting may a nurse care for a client with schizophrenia who is experiencing psychotic symptoms?

  • Acute inpatient setting (correct)
  • Outpatient clinic
  • Rehabilitation center
  • Home care setting

What is one primary intervention for managing auditory hallucinations?

  • Dismissal intervention (e.g., telling the voices to go away) (correct)
  • Engaging in conversations with the voices
  • Encouraging the client to listen to the voices
  • Ignoring the voices

How should a nurse teach a client to talk back to the voices forcefully?

<p>In private rather than publicly (C)</p> Signup and view all the answers

What may a nurse encounter in a community setting when caring for a client with schizophrenia who is not experiencing psychotic symptoms?

<p>Client lacks energy for daily tasks and has feelings of loneliness and isolation (C)</p> Signup and view all the answers

What should the nurse do if the client’s behavior is hostile or aggressive?

<p>Acknowledge these feelings and take measures to ensure his or her safety (B)</p> Signup and view all the answers

Is schizophrenia a chronic illness requiring long-term management strategies and coping skills?

<p>Yes, it requires long-term management strategies and coping skills (B)</p> Signup and view all the answers

What are the two types of signs of schizophrenia mentioned in the text?

<p>Positive (psychotic) signs and negative signs (D)</p> Signup and view all the answers

What is the primary difference in the approach and interventions of two nurses caring for clients with schizophrenia?

<p>One nurse deals with positive signs, while the other deals with negative signs (C)</p> Signup and view all the answers

What is the disease of the brain characterized by a clinical syndrome affecting a person’s thoughts, perceptions, emotions, movements, and behaviors?

<p>Schizophrenia (D)</p> Signup and view all the answers

What is the mechanism of action of first-generation antipsychotic drugs?

<p>Blockade of D2 receptors (C)</p> Signup and view all the answers

Which type of antipsychotics is considered first-choice therapy for schizophrenia due to a more favorable adverse effect profile?

<p>Second-generation antipsychotics (B)</p> Signup and view all the answers

What is the FDA's BLACK BOX WARNING ♦ for haloperidol related to?

<p>Extrapyramidal and withdrawal symptoms in newborns (D)</p> Signup and view all the answers

Which adverse effect is more common to high-potency drugs compared to low-potency drugs?

<p>Early extrapyramidal effects (acute dystonia, akathisia, parkinsonism) (D)</p> Signup and view all the answers

What is tardive dyskinesia?

<p>A late extrapyramidal effect that may occur with all antipsychotic drugs (D)</p> Signup and view all the answers

What is neuroleptic malignant syndrome characterized by?

<p>Rigidity and severe hyperthermia (D)</p> Signup and view all the answers

How are early extrapyramidal effects treated?

<p>Reducing dosage, changing to a second-generation antipsychotic, or use of anticholinergic medications (C)</p> Signup and view all the answers

What is the mechanism of action of second-generation antipsychotics?

<p>Blockade of dopamine and serotonin receptors (A)</p> Signup and view all the answers

What type of drugs are considered first-generation antipsychotics?

<p>Phenothiazine drugs (D)</p> Signup and view all the answers

What is the FDA's BLACK BOX WARNING ♦ for clozapine related to?

<p>All of the above (D)</p> Signup and view all the answers

What is the principal treatment for schizophrenia?

<p>Antipsychotic drugs (A)</p> Signup and view all the answers

What are key nursing interventions for clients with psychotic symptoms?

<p>Ensuring safety and maintaining reality for the client (A)</p> Signup and view all the answers

What should nurses avoid when interacting with clients with schizophrenia?

<p>Pretending to be unafraid (A)</p> Signup and view all the answers

What is a characteristic of schizophrenia?

<p>It is a chronic illness with potential relapses (A)</p> Signup and view all the answers

What is associated with poorer outcomes in schizophrenia treatment?

<p>Substance use (D)</p> Signup and view all the answers

What should nurses do for stabilized clients with schizophrenia?

<p>Offer support and educate about self-care (B)</p> Signup and view all the answers

What should nurses be aware of when working with clients with schizophrenia?

<p>Dealing with fear for personal safety (B)</p> Signup and view all the answers

What may families of clients with schizophrenia experience?

<p>Fear and embarrassment (B)</p> Signup and view all the answers

What is the risk of mortality in older adult patients with dementia-related psychosis treated with antipsychotic drugs?

<p>Significant increase in risk (B)</p> Signup and view all the answers

What varies widely for clients with schizophrenia?

<p>Prognosis and outcomes (C)</p> Signup and view all the answers

Flashcards

Schizophrenia characteristics

Affects thoughts, perceptions, emotions, movements, and behaviors.

Schizophrenia treatment setting (psychotic symptoms)

Usually an acute inpatient setting.

Auditory hallucination intervention

Dismissal intervention—telling the voices to go away.

Talking back to voices

Do it privately, not publicly.

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Nurse's role (non-psychotic client)

Addressing issues like lack of energy, loneliness, and isolation.

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Hostile/aggressive client care

Acknowledge feelings, prioritize safety.

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Schizophrenia as a chronic illness?

Yes; needs long-term management and coping skills.

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Schizophrenia types of signs

Positive (psychotic) and negative signs.

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Nursing approach difference (Schizophrenia)

One nurse addresses positive signs, the other negative signs.

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Brain disease (Schizophrenia)

Clinical syndrome affecting thoughts, perceptions, etc.

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First-gen antipsychotic action

Dopamine D2 receptor blockade.

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Preferred antipsychotic type

Second-generation antipsychotics.

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Haloperidol BLACK BOX WARNING

Extrapyramidal and withdrawal newborn symptoms.

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High-potency vs. low-potency side effects

High-potency more common for early extrapyramidal effects

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Tardive dyskinesia

Late extrapyramidal effect, possible with any antipsychotic.

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Neuroleptic malignant syndrome

Characterized by rigidity and high fever.

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Early extrapyramidal treatment

Reduce dosage, switch to second-generation drugs, anticholinergics.

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Second-gen antipsychotic mechanism

Dopamine and serotonin receptor blockade.

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First-gen antipsychotic drugs

Phenothiazines.

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Clozapine BLACK BOX WARNING

Multiple risks, including serious side effects.

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Schizophrenia primary treatment

Antipsychotic drugs, but more needed.

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Psychotic symptom nursing intervention

Prioritize safety and reality maintenance.

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Client interaction avoidance

Avoid pretending to be unafraid.

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Schizophrenia characteristic

Chronic illness with potential relapses.

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Poorer schizophrenia outcomes

Substance use is linked to worse outcomes.

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Stabilized client nursing care

Support and self-care education.

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Nurse awareness (Schizophrenia)

Recognize clients' fear for safety.

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Family experience (Schizophrenia)

Fear and embarrassment may result.

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Antipsychotic risk in older adults

Increased mortality risk with dementia-related psychosis.

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Schizophrenia variability

Widely varied prognosis and outcomes.

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Study Notes

Nursing Care for Clients with Schizophrenia and Antipsychotic Drugs

  • Nurses should create a secure environment for clients with schizophrenia, avoiding isolation and maintaining an open dialogue
  • Nurses should not pretend to be unafraid as clients may sense fear, leading to decreased security and personal control
  • Schizophrenia is a chronic illness with potential relapses and hospital admissions
  • Nurses should not take personal responsibility for the success or failure of treatment efforts
  • Schizophrenia affects all aspects of a client's life, including social interactions, emotional health, and ability to work and function in the community
  • The clinical picture, prognosis, and outcomes for clients with schizophrenia vary widely
  • Families of clients with schizophrenia may experience fear, embarrassment, and guilt and must be educated about the disorder
  • Noncompliance with treatment and medication regimen, and substance use, are associated with poorer outcomes in schizophrenia treatment
  • Key nursing interventions for clients with psychotic symptoms include ensuring safety, dealing with socially inappropriate behaviors, and maintaining reality for the client
  • Key nursing interventions for stabilized clients include offering support, clarifying feelings and statements, developing social skills, and educating about self-care
  • Self-awareness issues for nurses working with clients with schizophrenia include dealing with psychotic symptoms, fear for personal safety, and frustration
  • Antipsychotic drugs are the principal treatment for schizophrenia, with first-generation and second-generation categories, both of which increase the risk of mortality in older adult patients with dementia-related psychosis

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Schizophrenia Management PDF

Description

Test your knowledge of nursing care for clients with schizophrenia and antipsychotic drugs with this quiz. Learn about key nursing interventions, self-awareness issues for nurses, the impact on clients' lives, and the use of antipsychotic drugs in treatment.

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