Exam 2 Schziophrenia, Bipolar Disorder, Neurocognitive Disorders Questions and Correct Answers
Which of the following client statements demonstrates
... [Show More] the major symptoms of schizophrenia?
A "I had too much to drink last night, started feeling all-powerful, and stupidly drove my truck into a tree."
B "I've been depressed ever since our house was destroyed by fire."
C "'A stitch in time saves nine' means that prevention is easier than fixing a real problem."
D "You can read my mind. This light of mine will shine, fine; blinding world will end at nine." - Correct Answer: D
A family member asks you, "As both of my siblings have schizophrenia, why are my brother's symptoms so different from my sister's? He withdraws when there's a change in his environment or routine. She starts cursing and yelling about the Mafia and the CIA when I do something that's less than perfect." Based on your knowledge, your response should address:
A The many differences in the presentation of schizophrenia.
B The significance of paranoid content in the differential diagnosis of paranoid schizophrenia.
C The typical progression of symptoms within an individual over time.
D The effect of gender on clinical presentation in schizophrenia. - Correct Answer: A
Which family member statements demonstrate recognition of the effects of social pressures associated with schizophrenia? (Select all that apply.)
A "If my family member would just move in with me, it would be a lot easier for me to maintain my household and care for my children."
B "It would be great if my family member could identify somebody to trust and believe when that person says, 'Your symptoms are worse. Let's go to the psychiatrist.'"
C "I'll attend a support group, but I'm afraid my family member will not go...s/he would rather try to 'pass' as not mentally ill."
D "I'm going to help my family member figure out what to tell other family members, friends, and business associates about why he's been on medical leave."
E "I used to protect my family member from a lot of the interpersonal conflicts in the family, but we need to express our emotions more openly." - Correct Answer: BCD
Which client statements demonstrate acknowledgment of the effects of psychological pressures associated with schizophrenia? (Select all that apply.)
A "I just want to get back to what I was doing and put this whole episode behind me."
B "If I can't stand the side effects, how will I ask my prescriber to change my medication?"
C "I'm going to look for a job where I can use my college degree but have less day-to-day stress."
D "Next month, my sister and I are going to write a grant proposal for a psychiatric day treatment/social center."
E "I have designed a weekly schedule so that I can get tasks done and have planned time to relax." - Correct Answer: BCE
You have presented your client with written aftercare medication directions: "Take one capsule three times per day." Your client informs you that she has reviewed the material. Which response specifically addresses your concerns about adherence?
A "If you forget one dose, you can double the next one."
B "Do you understand everything?"
C "This medication really works best if you take one capsule three times per day."
D "What might get in the way of your taking your medications?" - Correct Answer: D
The client with schizophrenia is preparing for discharge. To minimize relapse, what is the most important feature of planning the client's aftercare?
A Identification of two new ways to bolster self-esteem
B Ensuring that the client lists three potential sources of social support
C An accurate description of the medication regimen with a specific plan for obtaining refills
D Identification of three new methods of spending leisure time - Correct Answer: C [Show Less]