NURS 420 Exam 3 Study Guide UPDATED
ACTUAL Questions and CORRECT
Answers
What is schizophrenia? - CORRECT ANSWER -A severe mental illness that results in impaired
abilities to function in occupational and social roles, in relationships with others, and self-care that
manifests in a variety of ways including hallucinations, delusions, and decreased emotional expression
What are psychotic disorders? - CORRECT ANSWER -A number of mental health disorders
characterized by severe impairment to perception and connection to reality
What is the schizophrenia spectrum? - CORRECT ANSWER -A range of disorders with psychotic
symptoms that includes schizophrenia, schizoaffective disorder, schizophreniform disorder, brief
psychotic disorder, delusional disorder, shared psychotic disorder, substance-induced psychotic disorder,
and late-onset schizophrenia
What is the range of disorders with psychotic symptoms? - CORRECT ANSWER -Schizophrenia,
schizoaffective disorder, schizophreniform disorder, brief psychotic disorder, delusional disorder, shared
psychotic disorder, substance-induced psychotic disorder, late-onset schizophrenia
Is there a cure for schizophrenia? - CORRECT ANSWER -No cure
- Treatment focuses on managing symptoms and maintaining or improving daily functioning
What are nursing responsibilities with schizophrenia spectrum disorders and psychosis? - CORRECT
ANSWER -- Liaison for clients, other interprofessional team members, and community
organizations
- Initiate referrals to primary care or specialized mental health services
What is psychosis? - CORRECT ANSWER -Disconnect from reality caused by disturbances in a
client's thoughts and perceptions resulting in hallucinations and/or delusions
- Clinical manifestation (not an illness or disorder)
- Common feature in bipolar disorder and schizophrenia
,- Evident in response to some medical conditions, such as withdrawal from alcohol and parkinson's
disease, infection, or prescription drugs
What are some factors that can cause psychosis? - CORRECT ANSWER -Mental health conditions
Genetics
Substance use (cannabis, amphetamines)
Trauma (death of a loved one, emotional abuse)
Physical illness or injury (stroke, Alzheimer's disease, brain tumor)
How is a diagnosis of psychosis made? - CORRECT ANSWER -- Eliminate other medically
related causes
- Gradual onset
- Family history
How is psychosis treated? - CORRECT ANSWER -Antipsychotic medications
Psychotherapy
Cognitive behavioral therapy
Support
Education for both the client and family
What are some changes to physical and mental health that clients can experience during their first episode
of psychosis? - CORRECT ANSWER -- Hallucinations
- Troubling thoughts or beliefs
- Emotional Changes
- Withdrawal
- Lack of self-care
When is schizophrenia typically diagnosed? - CORRECT ANSWER -Between 16 and 30 years old
Is schizophrenia more prevalent and appearing earlier in biologically male clients or biologically female
clients? - CORRECT ANSWER -Biologically male clients
,What is the DSM-V-TR criteria for schizophrenia? - CORRECT ANSWER -- Two or more
symptoms must be present for a period of 1 month or longer with signs of continuous disturbance for at
least 6 months (Delusions, hallucinations, disorganized speech, grossly disorganized or catatonic
behavior, negative symptoms)
- Impairment in one area of major functioning, such as self-care, work, and/or interpersonal relationships,
for an extended period
When can individuals with schizophrenia have productive lives? - CORRECT ANSWER -When
treatment and support are available
What does stigma about schizophrenia lead to? - CORRECT ANSWER -Limited health care
access, under-diagnosis, and under-treatment
How many times more likely are individuals with schizophrenia to be victims of crime or violence than
the greater population? - CORRECT ANSWER -14 times more likely
What are the 6 types of psychotic disorders? - CORRECT ANSWER -- Brief psychotic disorder
- Delusional disorder
- Psychotic disorder due to another medical condition
- Substance/medication-induced psychotic disorder
- Other specified schizophrenia spectrum and other psychotic disorder
- Unspecified schizophrenia spectrum and other psychotic disorders
How many people with a diagnosis of schizophrenia have a co-occurring mental health disorder? -
CORRECT ANSWER -One half
What can risk factors and etiologies for schizophrenia be? - CORRECT ANSWER -Genetic
Physiological
Biochemical
Environmental
, What is important to remember about genetic risk factors and etiologies for schizophrenia? - CORRECT
ANSWER -- Not one gene but several different genes
- Inherited vulnerability
What is important to remember about physiological risk factors and etiologies for schizophrenia? -
CORRECT ANSWER -- Neurodevelopment
- Associated with hypoxia
- Infections
What is important to remember about biochemical risk factors and etiologies for schizophrenia? -
CORRECT ANSWER -Chronic exposure to cortisol
What is important to remember about environmental risk factors and etiologies for schizophrenia? -
CORRECT ANSWER -Cannabis use
What are positive manifestations? - CORRECT ANSWER -Feelings, beliefs, or behaviors that are
not typically present such as hallucinations and delusions, alterations in speech, bizarre behavior (ex:
walking backward constantly)
What are some examples of positive symptoms of the clinical presentation of schizophrenia? - CORRECT
ANSWER -Hallucinations
Delusions
Disorganized speech
What are delusions? - CORRECT ANSWER -Beliefs that a person does not want to change even if
shown proof of them being wrong
- Firmly held beliefs without evidence
What are hallucinations? - CORRECT ANSWER -Vivid and clear experiences of altered
perception that occur without voluntary control or external stimuli
ACTUAL Questions and CORRECT
Answers
What is schizophrenia? - CORRECT ANSWER -A severe mental illness that results in impaired
abilities to function in occupational and social roles, in relationships with others, and self-care that
manifests in a variety of ways including hallucinations, delusions, and decreased emotional expression
What are psychotic disorders? - CORRECT ANSWER -A number of mental health disorders
characterized by severe impairment to perception and connection to reality
What is the schizophrenia spectrum? - CORRECT ANSWER -A range of disorders with psychotic
symptoms that includes schizophrenia, schizoaffective disorder, schizophreniform disorder, brief
psychotic disorder, delusional disorder, shared psychotic disorder, substance-induced psychotic disorder,
and late-onset schizophrenia
What is the range of disorders with psychotic symptoms? - CORRECT ANSWER -Schizophrenia,
schizoaffective disorder, schizophreniform disorder, brief psychotic disorder, delusional disorder, shared
psychotic disorder, substance-induced psychotic disorder, late-onset schizophrenia
Is there a cure for schizophrenia? - CORRECT ANSWER -No cure
- Treatment focuses on managing symptoms and maintaining or improving daily functioning
What are nursing responsibilities with schizophrenia spectrum disorders and psychosis? - CORRECT
ANSWER -- Liaison for clients, other interprofessional team members, and community
organizations
- Initiate referrals to primary care or specialized mental health services
What is psychosis? - CORRECT ANSWER -Disconnect from reality caused by disturbances in a
client's thoughts and perceptions resulting in hallucinations and/or delusions
- Clinical manifestation (not an illness or disorder)
- Common feature in bipolar disorder and schizophrenia
,- Evident in response to some medical conditions, such as withdrawal from alcohol and parkinson's
disease, infection, or prescription drugs
What are some factors that can cause psychosis? - CORRECT ANSWER -Mental health conditions
Genetics
Substance use (cannabis, amphetamines)
Trauma (death of a loved one, emotional abuse)
Physical illness or injury (stroke, Alzheimer's disease, brain tumor)
How is a diagnosis of psychosis made? - CORRECT ANSWER -- Eliminate other medically
related causes
- Gradual onset
- Family history
How is psychosis treated? - CORRECT ANSWER -Antipsychotic medications
Psychotherapy
Cognitive behavioral therapy
Support
Education for both the client and family
What are some changes to physical and mental health that clients can experience during their first episode
of psychosis? - CORRECT ANSWER -- Hallucinations
- Troubling thoughts or beliefs
- Emotional Changes
- Withdrawal
- Lack of self-care
When is schizophrenia typically diagnosed? - CORRECT ANSWER -Between 16 and 30 years old
Is schizophrenia more prevalent and appearing earlier in biologically male clients or biologically female
clients? - CORRECT ANSWER -Biologically male clients
,What is the DSM-V-TR criteria for schizophrenia? - CORRECT ANSWER -- Two or more
symptoms must be present for a period of 1 month or longer with signs of continuous disturbance for at
least 6 months (Delusions, hallucinations, disorganized speech, grossly disorganized or catatonic
behavior, negative symptoms)
- Impairment in one area of major functioning, such as self-care, work, and/or interpersonal relationships,
for an extended period
When can individuals with schizophrenia have productive lives? - CORRECT ANSWER -When
treatment and support are available
What does stigma about schizophrenia lead to? - CORRECT ANSWER -Limited health care
access, under-diagnosis, and under-treatment
How many times more likely are individuals with schizophrenia to be victims of crime or violence than
the greater population? - CORRECT ANSWER -14 times more likely
What are the 6 types of psychotic disorders? - CORRECT ANSWER -- Brief psychotic disorder
- Delusional disorder
- Psychotic disorder due to another medical condition
- Substance/medication-induced psychotic disorder
- Other specified schizophrenia spectrum and other psychotic disorder
- Unspecified schizophrenia spectrum and other psychotic disorders
How many people with a diagnosis of schizophrenia have a co-occurring mental health disorder? -
CORRECT ANSWER -One half
What can risk factors and etiologies for schizophrenia be? - CORRECT ANSWER -Genetic
Physiological
Biochemical
Environmental
, What is important to remember about genetic risk factors and etiologies for schizophrenia? - CORRECT
ANSWER -- Not one gene but several different genes
- Inherited vulnerability
What is important to remember about physiological risk factors and etiologies for schizophrenia? -
CORRECT ANSWER -- Neurodevelopment
- Associated with hypoxia
- Infections
What is important to remember about biochemical risk factors and etiologies for schizophrenia? -
CORRECT ANSWER -Chronic exposure to cortisol
What is important to remember about environmental risk factors and etiologies for schizophrenia? -
CORRECT ANSWER -Cannabis use
What are positive manifestations? - CORRECT ANSWER -Feelings, beliefs, or behaviors that are
not typically present such as hallucinations and delusions, alterations in speech, bizarre behavior (ex:
walking backward constantly)
What are some examples of positive symptoms of the clinical presentation of schizophrenia? - CORRECT
ANSWER -Hallucinations
Delusions
Disorganized speech
What are delusions? - CORRECT ANSWER -Beliefs that a person does not want to change even if
shown proof of them being wrong
- Firmly held beliefs without evidence
What are hallucinations? - CORRECT ANSWER -Vivid and clear experiences of altered
perception that occur without voluntary control or external stimuli
