1 in schizophrenic patients indicates paranoia?
2
A patient, who has been receiving antipsychotic medication for six weeks, tells the
nurse that the
... [Show More] hallucinations are nearly gone and that concentration has improved.
When the patient reports flulike symptoms, including a fever and a very sore throat,
the nurse should
1
Suggest that the patient take something for his her fever and get extra rest
2
Advise the health care provider that the patient should be admitted to the hospital
Correct3
Arrange for the patient to have blood drawn for a white blood cell count
4
Consider recommending a change of antipsychotic medication
Antipsychotic medications may cause agranulocytosis, the first manifestation of which may
be a sore throat and flulike symptoms.
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3.
Which symptom would NOT be assessed as a positive symptom of schizophrenia?
1
Delusion of persecution
2
Auditory hallucinations
Correct3
Affective flattening4
Idea of reference
Positive symptoms are those symptoms that should not be present, but are. They include
hallucinations, delusions, bizarre behavior, and paranoia and are referred to as florid
symptoms. Affective flattening is one of the negative symptoms that contribute to rendering
the person inert and unmotivated.
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4.
A patient's dose of haloperidol (Haldol) was increased earlier today. The patient now
is experiencing laryngeal dystonia. What is the nurse's priority action?
1
Document the finding
Correct2
Maintain a patent airway
3
Offer oral fluids to the patient
4
Engage the patient in an alternative activity
Laryngeal dystonia is associated with an acute dystonic reaction and may impair the
integrity of the patient's airway. The nurse will document the events after they are managed.
Oral fluids could be aspirated. Immediate nursing action is indicated; it would be
inappropriate to try to engage the patient in an alternate activity.
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5.
The nurse is performing an assessment of geriatric patients in a community health
care center. The nurse reports that one of the patients is schizophrenic. Which
statement made by the patient while interacting with the nurse supports the nurse's
assessment?
1"Every morning I enjoy the humming of birds; it relaxes me."
2
"Every day my friends wait for me in front of my gate for our morning walk."
Correct3
"Every day birds sing songs for me and spread flowers on the path where I walk."
4
"Everyone feels as if I am a burden to them; I would like to put an end to their problem."
Patients with schizophrenia have delusions of self-importance and state false events related
to them, like birds singing songs for them and spreading flowers on their path. The
statement that every morning the patient enjoys the humming of birds indicates that the
patient has no impaired perception and is able to connect with reality. The statement that
every morning the patient's friends wait for him or her is normal. The statement that
everyone feels the patient is a burden indicates that the patient feels worthless and has
suicidal intentions. It does not indicate schizophrenic symptoms.
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6.
What symptoms are se h a patient in the acute phase of schizophrenia. Which
assessment findings increase the risk of aggression and violence? Select all that
apply.
1
Hypokalemia
2
Hypocalcemia
Correct3
Hyponatremia
4
Hypercalcemia
In patients with schizophrenia, polydipsia is seen due to dry mouth. Patients experience
excessive thirst due to antipsychotic drugs and drink a lot of water. Polydipsia is
characterized by hyponatremia, confusion, and severe symptoms of schizophrenia. It is
caused by the inability of the kidneys to filter excess fluids. Hypokalemia is a condition seen
due to reduced levels of potassium, which can be caused by antibiotics. Hypocalcemia refers
to decreased levels of calcium due to a deficiency of vitamin D or defective absorption. Itcan also happen due to impaired metabolism of vitamin D in the body. Hypercalcemia is an
increase in levels of calcium seen during hyperparathyroidism.
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7.
Which symptom seen in a schizophrenic patient can be categorized as a positive
symptom?
1
Loss of motivation
2
Impaired judgment
Correct3
Delusions
4
Dysphoria
The behavioral traits not normally found in healthy patients are called positive symptoms of
schizophrenia. They include delusions, hallucinations, bizarre behavior, and paranoia. The
behaviors that the patient lacks compared to healthy people are negative symptoms, such
as loss of motivation and alogia (poverty of thought or inability to speak). Impaired judgment
and illogical thinking are the cognitive symptoms associated with schizophrenia. Dysphoria
and suicidal intentions are affective symptoms of schizophrenia. Affective symptoms involve
emotions and their expression.
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8.
A patient diagnosed with schizophrenia states "My, oh my. My mother is brother.
Anytime now it can happen to my mother." How will the nurse respond to the
patient's statement? [Show Less]