NSG 2320 EIII Review

A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?

• Paranoia

• Confusion

• Lack of emotions

• Distorted beliefs

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

• Were you avoiding your friend so that you could hear the voices more clearly?

• That is very interesting. We are not sure why people start to isolate themselves.

• Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning.

• Do you think of yourself as more of an introvert? That makes a difference with how you socialize.

Which of the following are findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia?

• Affective flattening, alogia, avolition

• Hallucinations, delusions, disorganized speech

• Grandiosity, pressured speech, flight of ideas

• Euphoria, hyperactivity, impulsivity

A nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information?

• I feel like someone is watching me.

• I need to catch the bird that is flying in my room.

• I have a difficult time remembering things.

A nurse is assisting with an in-service to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

• Preschooler

• School-age

• Young adulthood

• Older adulthood

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?

• Cancer

• Osteoarthritis

• Diabetes mellitus

A nurse is assisting in teaching a client at a prenatal clinic. The client shares that they have family members diagnosed with schizophrenia and wants to know how they can reduce their baby's risk of developing schizophrenia. Which of the following information should the nurse include?

• Avoid contracting a viral infection

• Abstain from getting pregnant until later in life.

• Restrict calories to maintain weight.

• Limit iron intake.

A nurse is assisting in teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?

• Co-occurring mental health illnesses are rarely diagnosed.

• Life expectancy is greater than the general population.

• Diagnosis typically occurs after 40 years of age.

• The need for resources increases as the disease progresses into adulthood.

A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?

• Biologically female clients are likely to be diagnosed earlier than biologically born males.

• Biologically male clients are typically diagnosed earlier than biologically female clients.

• People diagnosed with schizophrenia are more violent than others.

• Diagnosis commonly occurs in individuals under the age of 12.

A nurse is reviewing the medical record of a client who recently has been diagnosed with schizophrenia. Which of the following finding is a genetic risk factor associated with the development of schizophrenia?

• Biologic uncle with Rett syndrome

• Biologic parent with schizophrenia

• Biologic grandparent with fragile x syndrome

• Biologic sibling with Down syndrome.