LUSL 3084 Shadow Health Focused Exam: Schizophrenia
(Nursing Praxis V) Questions and Answers
1. Patient Presentation
Q: A patient reports hearing voices that comment on their actions. What type of
symptom is this?
A: Auditory hallucination (positive symptom of schizophrenia).
2. Nursing Communication
Q: When a patient says, “The government is spying on me through the TV,” what is the
most therapeutic response?
A: “I understand that feels very real to you. I don’t see evidence of that, but I’ll stay with
you.”
(Acknowledges feelings without reinforcing delusion.)
3. Nursing Diagnosis
Q: Which nursing diagnosis is most appropriate for a patient experiencing paranoid
delusions?
A: Disturbed thought processes related to altered reality perception.
4. Safety Priority
Q: What is the nurse’s first priority when a patient with schizophrenia becomes agitated
and threatens others?
A: Ensure safety of patient and others by removing potential hazards and calling for
assistance.
5. Medication Education
Q: A patient prescribed haloperidol develops muscle rigidity, fever, and altered
consciousness. What complication should the nurse suspect?
A: Neuroleptic Malignant Syndrome (NMS).
6. Negative Symptoms
Q: Flat affect, social withdrawal, and lack of motivation are examples of what type of
schizophrenia symptoms?
A: Negative symptoms.
7. Patient-Centered Care
Q: What intervention supports medication adherence in schizophrenia?
A: Provide education about side effects and involve patient in treatment planning.
8. QSEN Competency
Q: Which QSEN competency is demonstrated when the nurse collaborates with the
patient’s family to support recovery?
A: Teamwork and collaboration.
, 9. Documentation
Q: Which statement is best for documenting a patient’s delusion?
A: “Patient states, ‘I am being followed by secret agents.’”
(Objective recording of patient’s words, not nurse’s interpretation.)
10. Reflection
Q: After completing the Shadow Health exam, what is a key area for student reflection?
A: Effectiveness of therapeutic communication and accuracy of mental status
assessment.
11. Hallucinations
Q: Patient reports seeing “shadows moving across the room.” What type of hallucination
is this?
A: Visual hallucination.
12. Delusions
Q: A patient insists, “I am the president of the world.” What type of delusion is this?
A: Grandiose delusion.
13. Risk Assessment
Q: What is the nurse’s priority when a patient expresses command hallucinations telling
them to harm others?
A: Assess risk and ensure immediate safety.
14. Medication Side Effects
Q: Which antipsychotic is most associated with agranulocytosis?
A: Clozapine.
15. EPS Symptoms
Q: Patient develops tremors, rigidity, and shuffling gait after antipsychotic use. What is
this?
A: Extrapyramidal symptoms (Parkinsonism).
16. Therapeutic Communication
Q: Best response when patient says, “The voices won’t stop yelling at me.”
A: “That sounds frightening. Let’s talk about ways to help you feel calmer.”
17. Negative Symptom Example
Q: Patient shows lack of motivation and neglects hygiene. Which symptom category?
A: Negative symptoms.
18. Nursing Diagnosis
Q: Which diagnosis fits a patient refusing to eat due to paranoid delusions?
A: Imbalanced nutrition: less than body requirements.
19. Documentation
Q: Correct documentation of delusion?
(Nursing Praxis V) Questions and Answers
1. Patient Presentation
Q: A patient reports hearing voices that comment on their actions. What type of
symptom is this?
A: Auditory hallucination (positive symptom of schizophrenia).
2. Nursing Communication
Q: When a patient says, “The government is spying on me through the TV,” what is the
most therapeutic response?
A: “I understand that feels very real to you. I don’t see evidence of that, but I’ll stay with
you.”
(Acknowledges feelings without reinforcing delusion.)
3. Nursing Diagnosis
Q: Which nursing diagnosis is most appropriate for a patient experiencing paranoid
delusions?
A: Disturbed thought processes related to altered reality perception.
4. Safety Priority
Q: What is the nurse’s first priority when a patient with schizophrenia becomes agitated
and threatens others?
A: Ensure safety of patient and others by removing potential hazards and calling for
assistance.
5. Medication Education
Q: A patient prescribed haloperidol develops muscle rigidity, fever, and altered
consciousness. What complication should the nurse suspect?
A: Neuroleptic Malignant Syndrome (NMS).
6. Negative Symptoms
Q: Flat affect, social withdrawal, and lack of motivation are examples of what type of
schizophrenia symptoms?
A: Negative symptoms.
7. Patient-Centered Care
Q: What intervention supports medication adherence in schizophrenia?
A: Provide education about side effects and involve patient in treatment planning.
8. QSEN Competency
Q: Which QSEN competency is demonstrated when the nurse collaborates with the
patient’s family to support recovery?
A: Teamwork and collaboration.
, 9. Documentation
Q: Which statement is best for documenting a patient’s delusion?
A: “Patient states, ‘I am being followed by secret agents.’”
(Objective recording of patient’s words, not nurse’s interpretation.)
10. Reflection
Q: After completing the Shadow Health exam, what is a key area for student reflection?
A: Effectiveness of therapeutic communication and accuracy of mental status
assessment.
11. Hallucinations
Q: Patient reports seeing “shadows moving across the room.” What type of hallucination
is this?
A: Visual hallucination.
12. Delusions
Q: A patient insists, “I am the president of the world.” What type of delusion is this?
A: Grandiose delusion.
13. Risk Assessment
Q: What is the nurse’s priority when a patient expresses command hallucinations telling
them to harm others?
A: Assess risk and ensure immediate safety.
14. Medication Side Effects
Q: Which antipsychotic is most associated with agranulocytosis?
A: Clozapine.
15. EPS Symptoms
Q: Patient develops tremors, rigidity, and shuffling gait after antipsychotic use. What is
this?
A: Extrapyramidal symptoms (Parkinsonism).
16. Therapeutic Communication
Q: Best response when patient says, “The voices won’t stop yelling at me.”
A: “That sounds frightening. Let’s talk about ways to help you feel calmer.”
17. Negative Symptom Example
Q: Patient shows lack of motivation and neglects hygiene. Which symptom category?
A: Negative symptoms.
18. Nursing Diagnosis
Q: Which diagnosis fits a patient refusing to eat due to paranoid delusions?
A: Imbalanced nutrition: less than body requirements.
19. Documentation
Q: Correct documentation of delusion?
