The Exam 2 for Mental Health. Exam 2.
Questions and Answers 2023
Which are negative symptoms associated with schizophrenia? (Select all that apply)
a) Hallucinations
b) Delusions
c) ambivalence
d) avolition
e) anhedonia - Correct Answers c) ambivalence -unsure / indifferent feelings
d) avolition- lack of motivation
e) anhedonia - lack of feeling pleasure
Positive symptoms of schizophrenia, specifically hallucinations and delusions, are
thought to be caused by hyperactivity of which neurotransmitter?
a) Dopamine
b) Acetylcholine
c) Norepinephrine
d) Epinephrine - Correct Answers a) Dopamine
A client diagnosed with schizophrenia is having delusions that the client is being plotted
against by the government. This would be documented as which type of delusion?
a) nihilistic
b) somatic
c) grandiose
d) persecutory - Correct Answers d) persecutory
A client has been prescribed clozapine for the treatment of schizophrenia. The client
must be taught to monitor which blood component while taking this drug?
a) white blood cells
b) platelets
c) hemoglobin
d) hematocrit - Correct Answers a) white blood cells
Clozapine = Can cause leukocytosis
When investigating biologic theories related to schizophrenia, which neuroanatomic
findings would be consistent with this disorder?
a) smaller third ventricle
,b) larger lateral ventricle
c) larger hippocampus
d) larger brain volume - Correct Answers b) larger lateral ventricle
A nurse is preparing to administer prescribed antipsychotic medication to a client with
psychosis. The nurse identifies the prescribed medication as a first-generation
antipsychotic. Which drug would the nurse most likely be administering?
a) Fluphenazine
b) Aripiprazole
c) Clozapine
d) Olanzapine - Correct Answers a) Fluphenazine
is a first generation antipsychotic
Which are key diagnostic criteria of schizophrenia? Select all that apply.
a) Major depression occurring concurrently with active symptoms
b) One or more major areas of social or occupational functioning markedly below
previously achieved levels
c) Continuous signs for at least 6 months
d) A direct physiologic effect of a substance or medical condition
e) Delusions present for a significant portion of time during a 1-month period - Correct
Answers b) One or more major areas of social or occupational functioning markedly
below previously achieved levels
c) Continuous signs for at least 6 months
e) Delusions present for a significant portion of time during a 1-month period
A client diagnosed with delusional disorder who uses excessive health care resources
most likely has which type of delusions?
a) grandiose
b) somatic
c) jealous
d) erotomanic - Correct Answers b) somatic
Persons who have somatic delusions believe that have a physical ailment.
When assessing a person with delusional disorder, which finding would the nurse
expect to assess?
a) altered personality
b) high level of intelligence
c) changes in mental status
d) few, if any, psychological deficits - Correct Answers d) few, if any, psychological
deficits
, Encephalopathic Syndrome has occurred in a few clients when haldol is taken with
which medicine?
a) motrin
b) ativan
c) lasix
d) lithuium - Correct Answers d) lithium
Encephalopathic syndrome leads to irreversible brain damage
A client with schizophrenia is experiencing delusions. The client states "There's a huge
apocalypse coming and the end of the world is near". Which type of delusion is this?
a) nihilistic
b) persecutory
c) somatic
d) grandiose - Correct Answers a) nihilistic
A nihilistic delusion is one that involves the belief of impending doom.
When preparing a class presentation about schizophrenia, which would the nurse most
likely include?
a) Improvement in symptoms can occur as a client with a history of schizophrenia
reaches older adulthood
b) Schizophrenia is more commonly diagnosed in children than adults
c) Delusions are more commonly noted in children
d) Very few individuals with schizophrenia reach older adulthood - Correct Answers a)
Improvement in symptoms can occur as a client with a history of schizophrenia reaches
older adulthood
A nurse is assessing a client with schizophrenia. The nurse may suspect that the client
is experiencing water intoxication based on which findings? (select all that apply)
a) irritability
b) muscle twitching
c) enhanced attention span
d) emotional lability
e) increase in hallucinations - Correct Answers a) irritability
b) muscle twitching
d) emotional lability
e) increase in hallucinations
Which would a nurse expect to administer to a client with schizophrenia who is
experiencing a dystonic reaction?
Questions and Answers 2023
Which are negative symptoms associated with schizophrenia? (Select all that apply)
a) Hallucinations
b) Delusions
c) ambivalence
d) avolition
e) anhedonia - Correct Answers c) ambivalence -unsure / indifferent feelings
d) avolition- lack of motivation
e) anhedonia - lack of feeling pleasure
Positive symptoms of schizophrenia, specifically hallucinations and delusions, are
thought to be caused by hyperactivity of which neurotransmitter?
a) Dopamine
b) Acetylcholine
c) Norepinephrine
d) Epinephrine - Correct Answers a) Dopamine
A client diagnosed with schizophrenia is having delusions that the client is being plotted
against by the government. This would be documented as which type of delusion?
a) nihilistic
b) somatic
c) grandiose
d) persecutory - Correct Answers d) persecutory
A client has been prescribed clozapine for the treatment of schizophrenia. The client
must be taught to monitor which blood component while taking this drug?
a) white blood cells
b) platelets
c) hemoglobin
d) hematocrit - Correct Answers a) white blood cells
Clozapine = Can cause leukocytosis
When investigating biologic theories related to schizophrenia, which neuroanatomic
findings would be consistent with this disorder?
a) smaller third ventricle
,b) larger lateral ventricle
c) larger hippocampus
d) larger brain volume - Correct Answers b) larger lateral ventricle
A nurse is preparing to administer prescribed antipsychotic medication to a client with
psychosis. The nurse identifies the prescribed medication as a first-generation
antipsychotic. Which drug would the nurse most likely be administering?
a) Fluphenazine
b) Aripiprazole
c) Clozapine
d) Olanzapine - Correct Answers a) Fluphenazine
is a first generation antipsychotic
Which are key diagnostic criteria of schizophrenia? Select all that apply.
a) Major depression occurring concurrently with active symptoms
b) One or more major areas of social or occupational functioning markedly below
previously achieved levels
c) Continuous signs for at least 6 months
d) A direct physiologic effect of a substance or medical condition
e) Delusions present for a significant portion of time during a 1-month period - Correct
Answers b) One or more major areas of social or occupational functioning markedly
below previously achieved levels
c) Continuous signs for at least 6 months
e) Delusions present for a significant portion of time during a 1-month period
A client diagnosed with delusional disorder who uses excessive health care resources
most likely has which type of delusions?
a) grandiose
b) somatic
c) jealous
d) erotomanic - Correct Answers b) somatic
Persons who have somatic delusions believe that have a physical ailment.
When assessing a person with delusional disorder, which finding would the nurse
expect to assess?
a) altered personality
b) high level of intelligence
c) changes in mental status
d) few, if any, psychological deficits - Correct Answers d) few, if any, psychological
deficits
, Encephalopathic Syndrome has occurred in a few clients when haldol is taken with
which medicine?
a) motrin
b) ativan
c) lasix
d) lithuium - Correct Answers d) lithium
Encephalopathic syndrome leads to irreversible brain damage
A client with schizophrenia is experiencing delusions. The client states "There's a huge
apocalypse coming and the end of the world is near". Which type of delusion is this?
a) nihilistic
b) persecutory
c) somatic
d) grandiose - Correct Answers a) nihilistic
A nihilistic delusion is one that involves the belief of impending doom.
When preparing a class presentation about schizophrenia, which would the nurse most
likely include?
a) Improvement in symptoms can occur as a client with a history of schizophrenia
reaches older adulthood
b) Schizophrenia is more commonly diagnosed in children than adults
c) Delusions are more commonly noted in children
d) Very few individuals with schizophrenia reach older adulthood - Correct Answers a)
Improvement in symptoms can occur as a client with a history of schizophrenia reaches
older adulthood
A nurse is assessing a client with schizophrenia. The nurse may suspect that the client
is experiencing water intoxication based on which findings? (select all that apply)
a) irritability
b) muscle twitching
c) enhanced attention span
d) emotional lability
e) increase in hallucinations - Correct Answers a) irritability
b) muscle twitching
d) emotional lability
e) increase in hallucinations
Which would a nurse expect to administer to a client with schizophrenia who is
experiencing a dystonic reaction?
