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PSYCH 1a -NURSING 5 SCHIZOPHRENIA NCLEX QUESTIONS
PSYCH 1a -NURSING 5 SCHIZOPHRENIA NCLEX QUESTIONS
Positive symptoms of schizophrenia, specifically hallucinations and delusions, are thought to be caused by hyperactivity of which neurotransmitter?
1. Dopamine
2. Norepinephrine
3. Acetylcholine
4. Epinephrine
- Dopamine
Positive symptoms of schizophrenia, such as delusions and hallucinations, are thought to be caused by dopamine hyperactivity in the mesolimbic tract at the D2 receptor site in the striatal area, where memory and emotion are regulated. Hyperactivity of acetylcholine, norepinephrine, and epinephrine are not associated with schizophrenia
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Which of the following are key diagnostic criteria of schizophrenia? SATA
1. One or more major areas of social or occupational functioning markedly below previously achieved levels
2. Continuous signs for at least six months
3. Delusions present for a significant portion of time during a one-month period
4. Major depression occurring concurrently with active symptoms
5. A direct physiologic effect of a substance or medical condition
After teaching a group of nursing students about neurotransmitters associated with schizophrenia, the nursing instructor determines that the education was successful when the students verify which of the following as playing a role in the positive symptoms of schizophrenia?
1. Glutamate
2. Serotonin
3. Dopamine
4. Gamma-aminobutyric acid (GABA)
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Clients diagnosed with schizophrenia may experience disordered water balance that may lead to water intoxication. Which of the following may occur as a result of water intoxication?
1. Oliguria
2. Hypernatremia
3. Hyponatremia
4. Weight loss
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When preparing a class presentation about schizophrenia, which of the following would the nurse most likely include?
1. Delusions are more commonly noted in younger children with schizophrenia
2. Schizophrenia is more commonly diagnosed in children than in adolescents
3. Very few individuals with schizophrenia reach older adulthood
4. Improvement in symptoms can occur as a client with a history of schizophrenia reaches older adulthood
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A client with schizophrenia is prescribed second-generations antipsychotic. The client’s mother asks, “About how long will it take until we see any changes in his symptoms?” Which response by the nurse would be most appropriate?
1. “Generally, it takes about one to two weeks to be effective in changing symptoms”
2. “You should see improvement in about 36 to 48 hours”
3. “His symptoms should subside almost immediately”
4. “It will take about 6 to 12 weeks until the drug is effective”
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A client has been prescribed clozapine (Clozaril) for treatment of schizophrenia. The patient must be taught to monitor which blood levels weekly while taking this drug?
1. Platelets
2. Hemoglobin
3. WBC
4. Hematocrit
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Which of the following is considered a first-generation antipsychotic drug used to treat psychosis in the United States?
1. fluphenazine (Proxlixin)
2. clozapine (Clozaril)
3. olanzapine (Zyprexa)
4. aripiprazole (Abilify)
PSYCH 1a -NURSING 5 SCHIZOPHRENIA NCLEX QUESTIONS
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A client diagnosed with schizophrenia is in anticholinergic crisis. The nurse would expect which finding to be noted upon assessment?
1. Bradycardia
2. Facial flushing
3. Incontinence
4. Hypothermia
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Which of the following is an anticholinergic side effect associated with some antipsychotic medications?
1. Increased tearing
2. Salivation
3. Photophobia
4. Diarrhea
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A client with schizophrenia is experiencing delusions. The client states, “There’s a huge apocalypse coming and an end of the world is near.” The nurse interprets this statement as which type of delusion?
1. Somatic
2. Grandiose
3. Nihilistic
4. Persecutory
- Nihilistic
A nihilistic delusion involves the belief that one is dead or a calamity is impending.
A grandiose delusion involves the belief that one has exceptional powers, wealth, skill, influence, or destiny. A persecutory delusion involves the belief that one is being watched, ridiculed, harmed or plotted against. A somatic delusion involves the belief about abnormalities in bodily structure or functions
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A nurse is assessing a client diagnosed with schizophrenia. The nurse suspects that the client may be experiencing water intoxication based on which finding? SATA
1. Emotional lability
2. Enhanced attention span
3. Muscle twitching
4. Increase in hallucinations
4. Irritability
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Which of the following extrapyramidal side effects is noted by the client having bradykinesia and a shuffling gait?
1. Tardive dyskinesia
2. Akathisia
3. Acute dystonia
4. Pseudoparkinsonism
PSYCH 1a -NURSING 5 SCHIZOPHRENIA NCLEX QUESTIONS
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Which of the following would the nurse expect to administer to a client with schizophrenia who is experiencing a dystonic reaction?
1. Risperidone (Risperdal)
2. Trihexyphenidyl (Artane)
3. Benztropine (Cogentin)
4. Aripiprazole (Abilify)
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A client with schizophrenia is prescribed clozapine (Clozaril). The nurse would monitor the client closely for specific signs of which of the following?
1. Infection
2. Hypotension
3. Nausea
4. Weight loss
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A client diagnosed with schizophrenia is having delusions that he is being plotted against by the government. This would be documented as which of the following types of delusion?
1. Somatic
2. Grandiose
3. Persecutory
4. Nihilistic
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When investigating biologic theories related to schizophrenia, which of the following neuroanatomic findings would be consistent with this mental health disorder?
1. Enlarged hippocampus
2. Enlarged lateral ventricle
3. Smaller third ventricle
4. Enlarged brain volume