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

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

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

    What is tardive dyskinesia?

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

    What is neuroleptic malignant syndrome characterized by?

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

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

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

    What type of drugs are considered first-generation antipsychotics?

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

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

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

    What is the principal treatment for schizophrenia?

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

    What should nurses avoid when interacting with clients with schizophrenia?

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

    What is a characteristic of schizophrenia?

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

    What is associated with poorer outcomes in schizophrenia treatment?

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

    What should nurses do for stabilized clients with schizophrenia?

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

    What may families of clients with schizophrenia experience?

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

    What varies widely for clients with schizophrenia?

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

    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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    Related Documents

    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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