Schizophrenia Spectrum Disorders Quiz

Which two topics take priority for persons newly diagnosed with schizophrenia? (Select all that apply)

Which nursing diagnoses relate to a client diagnosed with schizophrenia who feels threatened by staff members? (Select all that apply)

What is Echolalia?

Word salad is a coherent and structured use of language.

A client has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today this client shouts, 'They're all plotting to destroy me. Isn't that true?' What is the nurse's most therapeutic response?

A newly admitted client diagnosed with schizophrenia is hypervigilant and constantly scans the environment. The client states, 'I saw two doctors talking in the hall. They were plotting to kill me.' The nurse may correctly assess this behavior using which term?

A client diagnosed with schizophrenia says, 'My co-workers are out to get me. I also saw two doctors plotting to kill me.' How does this client perceive the environment?

When a client diagnosed with schizophrenia was discharged 6 months ago, haloperidol was prescribed. The client now says, 'I stopped taking those pills. They made me feel like a robot.' What are common side effects the nurse should validate with the client?

Which hallucination expressed by a client necessitates the nurse to implement safety measures?

A client's care plan includes monitoring for auditory hallucinations. Which assessment findings suggest the client may be hallucinating?

A health care provider considers which antipsychotic medication to prescribe for a client diagnosed with schizophrenia who has auditory hallucinations and poor social function. The client is also overweight and hypertensive. Which drug should the nurse advocate?

A client diagnosed with schizophrenia tells the nurse, 'I eat skiller. Tend to end. Easter. It blows away. Get it?' What is the nurse's most therapeutic response?

A client diagnosed with schizophrenia exhibits little spontaneous movement and demonstrates catatonia. Which client needs are of priority importance?

A client diagnosed with schizophrenia demonstrates little spontaneous movement and has catatonia. The client's activities of daily living are severely compromised. What will be an appropriate outcome for this client?

A nurse observes a catatonic client standing immobile, facing the wall with one arm extended in a salute. The client remains immobile in this position for 15 minutes. What is the name of this phenomenon?

A nurse leads a psychoeducational group about first-generation antipsychotic medications with six adult men diagnosed with schizophrenia. The nurse will monitor for concerns regarding body image with respect to which potential side effect of these medications?

A nurse leads a psychoeducational group about problem solving with six adults diagnosed with schizophrenia. Which teaching strategy is likely to be most effective?

A nurse educates a client about the antipsychotic medication regime. Afterward, which comment by the client indicates the teaching was effective?

A newly admitted client diagnosed with schizophrenia says, 'The voices are bothering me. They yell and tell me I am bad. I have got to get away from them.' Select the nurse's most helpful reply.

A client diagnosed with schizophrenia has taken fluphenazine 5 mg po bid for 3 weeks. The nurse now observes a shuffling propulsive gait, a mask-like face, and drooling. Which term applies to these symptoms?

A client diagnosed with schizophrenia is very disturbed and violent. After several doses of haloperidol, the client is calm. Two hours later the nurse sees the client's head rotated to one side in a stiff position, the lower jaw thrust forward, and drooling. Which problem is most likely?

Which medication should be administered to treat dystonias when oral medication is not an option?

What condition is indicated by grimacing and lip-smacking after receiving fluphenazine decanoate?

What should the nurse say as a therapeutic response when a client laughs uncontrollably?

Which assessment finding would be regarded as a negative symptom of schizophrenia?

What assessment findings mark the prodromal stage of schizophrenia?

What does the client’s statement about 'contagious bacteria' indicate?

Which intervention has the highest priority for a client starting ziprasidone?

What type of verbalization is evident when a client with schizophrenia says, 'It's beat. Time to eat. No room for the cat.'?

A client with schizophrenia continues to show symptoms of apathy and poverty of thought despite treatment. Which medication change would be expected?

What type of therapy should the nurse recommend for a family unfamiliar with schizophrenia?

What assessment indicates a potential relapse in a client with schizophrenia?

How should a nurse document the client's use of the term 'macnabs'?

What does the client’s statement about seeing their body merging with the wall suggest?

What is the nurse's priority assessment question when a client hears a voice directing their actions?

What condition is indicated by severe muscle stiffness, difficulty swallowing, and elevated vital signs after taking risperidone?

What response indicates concrete thinking when asked about the saying 'You can't judge a book by its cover'?

What is the best goal for a psychoeducational group for clients diagnosed with schizophrenia?

What is the nurse's best initial action regarding the client's fear of international authorities due to Facebook's tracking capacity?

Which finding constitutes a negative symptom associated with schizophrenia?

What does the client's ability to 'decipher codes of DNA just by looking at someone' suggest?

What term should the nurse use to document a client's disorganized speech, such as, 'Red chair out town board'?