Review Questions
1
.
What is a positive symptom of schizophrenia?
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delusion
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anhedonia
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apathy
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mutism
2
.
What is a type of hallucination?
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erotomanic
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referential
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gustatory
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tangential
3
.
What neurotransmitter is implicated in the neurobiology of schizophrenia?
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GABA
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glutamate
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norepinephrine
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acetylcholine
4
.
The nurse is assessing a client who is taking paliperidone. What is true regarding this medication?
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It is likely to cause neutropenia.
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The medication is only in oral form.
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It is a first-generation antipsychotic.
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It is less likely to cause dystonia.
5
.
A nurse is getting ready to transfer a client diagnosed with schizophrenia to a partial hospital program. What is the next best step before that client is discharged?
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Send the records to the client and then discharge them.
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Give the client’s family a copy of the records and then discharge them.
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Call the partial program, review the client’s history with the staff, then transfer the records to the program.
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Transfer the records to the program, provide a copy to the client, then discharge them.
6
.
A client diagnosed with schizophrenia and treated with risperdal arrives in the emergency department. They walk in with their mouth open and they are having trouble talking. They display muscle rigidity in their neck and mouth. What is the recommended treatment for this client?
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benzodiazepine
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Cogentin
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propranolol
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valbenazine
7
.
A nurse is assessing a client who is presenting with symptoms of hallucinations and delusions. They have had these symptoms for a week. The client does not have a history of a mood disorder; they do not have any medical conditions or history of substance misuse. What is the client’s most likely diagnosis?
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schizophrenia
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schizoaffective disorder
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brief psychotic disorder
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catatonia
8
.
A client is mimicking every movement that the provider is making. What behavior are they displaying?
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echolalia
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echopraxia
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stereotypy
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posturing
9
.
A client presents with psychotic symptoms: hallucinations, delusions, disorganized speech and behavior. They do not have medical comorbidities and do not use any substances. The signs have been present for five months. What diagnosis is suspected?
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delusional disorder
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brief psychotic disorder
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schizophreniform disorder
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schizophrenia
10
.
A client presents with the belief that they are going to marry Prince Harry. What delusion are they experiencing?
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erotomaniac
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grandiose
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somatic
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persecutory
11
.
A client believes that their partner is having an internet affair. They are spending most of their time stalking their partner on the internet, hacking into their email and social media accounts looking for evidence. What delusion are they experiencing?
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erotomaniac
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grandiose
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persecutory
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jealous
12
.
A client believes that their uterus was removed when they had a gynecological examination. Despite evidence on ultrasound that it is still intact, they hold firm to the belief. What delusion is the client experiencing?
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grandiose
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jealous
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persecutory
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somatic