Varcarolis: Chapter 12 - Schizophrenia and Schizophrenia Spectrum Di 0 ders Study online at https://quizlet.com/_ck93qx 1. A person has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today the per- son shouts, "They're all plotting to destroy me. Isn't that true?" ANS:B Select the nurse's most therapeutic response. Resist focusing on content; instead, focus on the feelings the pa a. "Everyone here is trying to help you. No one wants to harm you." of delusional beliefs. Such arguments increase patient anxiety anc the tenacity with which the patient holds to the delusion. The othe ing.' c. "That is not true. People here are trying to help you if you will PTS: 1 DIF: Cognitive Level: Apply (Application) let them." REF: Page 205-206 | Page 213-215 (Box 12-4) d. "Staff members are health care professionals who are qualified to help you.' ANS: B
A newly admitted patient diagnosed with schizophrenia is hyper- Ideas of reference are misinterpretations of the verbalizations or vigilant and constantly scans the environment. The patient states, actions of others that give special personal meanings to these "I saw two doctors talking in the hall. They were plotting to kill me." behaviors; for example, when seeing two people talking, the indi The nurse may correctly assess this behavior as: do not correspond with the scenario. a. echolalia. b. an idea of reference. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) c. a delusion of infidelity. d. an auditory hallucination. REF: Page 206 (Table 12-1) TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity ANS:B 3. A patient diagnosed with schizophrenia says, "My co-workers are out to get me. I also saw two doctors plotting to kill me." How: The patient sees the world as hostile and dangerous. This as- does this patient perceive the environment? sessment is important because the nurse can be more effective by using empathy to respond to the patient. Data are not present a. Disorganized to support any of the other options. b. Dangerous c. Supportive PTS: 1 DIF: Cognitive Level: Understand (Comprehension) d. Bizarre REF: Page 210 (Table 12-3) I Page 213 (Box 12-4)
ANS: A
midal side effects such as stiffness and gait disturbance, effects 6 months ago, haloperidol (Haldol) was prescribed. The patient the patient might describe as making him or her feel like a "robot. The side effects mentioned in the other options are usually not robot." What are common side effects the nurse should validate associated with typical antipsychotic therapy or would not have with the patient? the effect described by the patient. a. Sedation and muscle stiffness PTS: 1 DIF: Cognitive Level: Apply (Application) b. Sweating, nausea, and diarrhea c. Mild fever, sore throat, and skin rash REF: Page 215-216 (Table 12-4) TOP: Nursing Process: Assess- d. Headache, watery eyes, and runny nose ment
MSC: Client Needs: Physiological Integrity
measures? The patient says,
The correct response indicates the patient is experiencing para- noia.Paranoia often leads to fearfulness, and the pa