Podcast
Questions and Answers
A client with schizophrenia is experiencing auditory hallucinations and believes that the television is sending them secret messages. Which of the following nursing interventions is most appropriate initially?
A client with schizophrenia is experiencing auditory hallucinations and believes that the television is sending them secret messages. Which of the following nursing interventions is most appropriate initially?
- Administer an as-needed (PRN) dose of an antipsychotic medication immediately.
- Reassure the client that the television is not sending messages and ignore their statements.
- Encourage the client to watch more television to test the reality of the messages.
- Assess the content of the hallucinations and the client’s reality testing abilities. (correct)
A client diagnosed with schizophrenia is prescribed a first-generation antipsychotic. Which of the following potential side effects should the nurse prioritize when providing education to the client and their family?
A client diagnosed with schizophrenia is prescribed a first-generation antipsychotic. Which of the following potential side effects should the nurse prioritize when providing education to the client and their family?
- Tardive dyskinesia and other extrapyramidal symptoms (EPS) (correct)
- Increased risk of suicidal ideation
- Weight gain and metabolic syndrome
- Agranulocytosis and risk for infection
Which of the following nursing interventions is most effective in promoting medication adherence in a client with schizophrenia who lives in the community?
Which of the following nursing interventions is most effective in promoting medication adherence in a client with schizophrenia who lives in the community?
- Scheduling regular appointments for the client and administering long-acting injectable antipsychotics without client input.
- Involving the client in decisions about their medication regimen and providing education about the medication's effects. (correct)
- Monitoring the client closely for any side effects and immediately discontinuing the medication if side effects occur.
- Emphasizing the negative consequences of not taking medication.
A client with schizophrenia is participating in a social skills training group. Which of the following goals is most important to address initially?
A client with schizophrenia is participating in a social skills training group. Which of the following goals is most important to address initially?
During a mental status examination, a nurse observes that a client with schizophrenia is experiencing a flat affect. Which of the following best describes this symptom?
During a mental status examination, a nurse observes that a client with schizophrenia is experiencing a flat affect. Which of the following best describes this symptom?
Flashcards
Symptoms of Schizophrenia
Symptoms of Schizophrenia
Positive symptoms include hallucinations and delusions; negative symptoms include lack of emotion and withdrawal.
Etiology of Schizophrenia
Etiology of Schizophrenia
Theories include genetic, neurobiological, and environmental factors contributing to schizophrenia's onset.
Antipsychotic Medications
Antipsychotic Medications
Medications used to reduce symptoms of schizophrenia and stabilize mood; effectiveness varies by individual.
Functional Assessment
Functional Assessment
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Supportive Needs of Clients
Supportive Needs of Clients
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Study Notes
Learning Objectives for Chapter
- Describe positive and negative symptoms of schizophrenia
- Discuss various theories explaining the causes of schizophrenia
- Assess the effectiveness of antipsychotic medications for people with schizophrenia
- Create a plan of care for clients with schizophrenia
- Describe a functional and mental status assessment for a client with schizophrenia
- Provide education to clients, families, caregivers, and community members about schizophrenia
- Describe the support and rehabilitation needs of community-dwelling individuals with schizophrenia
- Evaluate personal feelings, beliefs, and attitudes toward clients with schizophrenia
Nursing Concepts Related to Schizophrenia
- Cognition
- Mood and Affect
- Psychosis
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Description
Explore schizophrenia, its positive and negative symptoms, and various theories explaining its causes. Assess antipsychotic medication effectiveness and create care plans. Learn about functional/mental status assessments and support for individuals with schizophrenia.
