A client begins clozapine (Clozaril) therapy after several other antipsychotic agents fail to relieve her psychotic symptoms. The nurse instructs her to return for weekly white blood cell (WBC) counts to assess for which adverse reaction? A. Hepatitis B. Infection C. Granulocytopenia D. Systemic dermatitis Correct Answer:… Read More »
Which non-antipsychotic medication is used to treat some clients with schizoaffective disorder?A. phenelzine (Nardil) A. phenelzine (Nardil) B. chlordiazepoxide (Librium) C. lithium carbonate (Lithane) D. imipramine (Tofranil) Correct Answer: C. lithium carbonate (Lithane) Lithium carbonate, an antimanic drug, is used to treat clients with cyclical schizoaffective disorder,… Read More »
A client diagnosed with schizoaffective disorder is suffering from schizophrenia with elements of which of the following disorders? A. Personality disorder B. Mood disorder C. Thought disorder D. Amnestic disorder Correct Answer: B. Mood disorder According to the DSM-IV, schizoaffective disorder refers to clients suffering from schizophrenia… Read More »
When teaching the family of a client with schizophrenia, the nurse should provide which information? A. Relapse can be prevented if the client takes the medication. B. Support is available to help family members meet their own needs. C. Improvement should occur if the client has a stimulating environment. D. Stressful… Read More »
A client is admitted to the psychiatric unit with active psychosis. The physician diagnoses schizophrenia after ruling out several other conditions. Schizophrenia is characterized by: A. Loss of identity and self-esteem. B. Multiple personalities and decreased self-esteem. C. Disturbances in affect, perception, and thought content and form. D. Persistent memory impairment… Read More »
Cersei is diagnosed as having disorganized schizophrenia. Which behaviors would Nurse Sansa most likely assess in the client? A. Absence of acute symptoms impaired role function. B. Extreme social withdrawal, odd mannerisms, and behavior. C. Psychomotor immobility; presence of waxy flexibility. D. Suspiciousness toward others increased hostility. Correct Answer:… Read More »
The nurse is providing care to a client with a catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should: A. Ask the client which activity he would prefer to do first. B. Negotiate a time when the client will perform activities. C.… Read More »
The nurse is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as: A. Delusions B. Hallucinations C. Loose associations D. Neologisms Correct Answer: B. Hallucinations Hallucinations are visual, auditory, gustatory, tactile, or olfactory perceptions that have no… Read More »
The nurse is aware that antipsychotic medications may cause which of the following adverse effects? A. Increased production of insulin B. Lower seizure threshold C. Increased coagulation time D. Increased risk of heart failure Correct Answer: B. Lower seizure threshold Antipsychotic medications exert an effect on brain… Read More »
A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that one is: A. Highly important or famous B. Being persecuted C. Connected to events unrelated to oneself D. Responsible for the evil in the world Correct Answer: A. Highly important… Read More »