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NURS 6635 Final Study Guide Graded A

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NURS 6635 Final Study Guide Graded A+ 1. Select the development time of symptoms in neuroleptic malignant syndrome. A. 12-24 hours B. 24-72 hours C. 4-7 days D.10-14 days Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. A. Hippocampus B. Amygdala C. Prefrontal cortex D. Basal ganglia Select the mental function that is most affected in mild cognitive impairment. A. General cognition B. Activities of daily living C. Geographic orientation D. Recent memory Select the time frame for symptoms of schizophreniform disorder. A. 2 to 6 weeks B. 1 to 5 months C. 6 to 8 months D. 1 year Select two comorbid factors common in schizophrenic patients Select the medical condition that occurs less frequently in schizophrenic patients than in the general population Select the percentage of remission that results from correct antipsychotic drug therapy of schizophrenic patients A. 15 B. 30 C. 45 D. 70 Select the most distinguishing feature in the course and prognosis of schizophrenia Select the two behaviors of schizophrenic patients that occur more frequently than in the general population. Select the characteristic that is greater in childhood than adult onset schizophrenia Select the most reliable method to make a diagnosis of schizophrenia Select the dysfunction that is common to 50% to 85% of schizophrenic patients. Select two of the "Four A's" symptoms of schizophrenia described by Bleuler A. autism B. ambivalence C. anhedonia D. abstract Select the age range for 90% of patients treated for schizophrenia The most common type of hallucination in schizophrenia Cognition of patient's with schizophrenia leading cause of premature death in schizphrenia? Positive and negative syndrome scale (PANNS) Brief psychiatric rating scale (BPRS) EPS symptoms - Simpson angus scale (SAS), Abnormal involuntary movement scale (AIMS), Barnes akathisia rating scale (BARS) What percentage of schizophrenia patients have substance use disorder throughout lifetime? neurotransmitters involved in schziophrenia Select the negative symptom of schizophrenia Positive symptoms of schizophrenia Select the disorder that is often comorbid with brief psychotic disorder By definition, patients with delusional disorders do not have what? Select the diagnostic criterion for catatonia resulting from a medical condition. Select the two factors that are not applicable to diagnosing schizoaffective disorder Select the lifetime prevalence of schizophrenia in the United States Select the subtype of schizophrenia in which auditory hallucinations are frequent Select the percentage range of schizophrenic patients that remain significantly impaired throughout their lives. Select the youngest age by which early-onset schizophrenia occurs.

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NURS 6635 Final Study Guide Graded A+

1). 1. select the development time of symptoms in neuroleptic malignant syndrome.

a. 12-24 hours
b. 24-72 hours
c. 4-7 days
d.10-14 days

 Ans: B. 24-72 hours

If untreated syndrome lasts 10 to 14 days
Treat with dantrolene or bromocriptine


2). Select the brain region that shows the greatest anatomical abnormalities in
schizophrenic patients.
a. hippocampus
b. amygdala
c. prefrontal cortex
d. basal ganglia

 Ans: C. Prefrontal cortex has anatomical abnormalities
hippocampus and amygdala have size decrease
basal ganglia theoretical due to odd movements
D. per some answers


3). Select the mental function that is most affected in mild cognitive impairment.
a. general cognition
b. activities of daily living
c. geographic orientation
d. recent memory

 Ans: D. Recent memory


4). Select the time frame for symptoms of schizophreniform disorder.
a. 2 to 6 weeks
b. 1 to 5 months
c. 6 to 8 months
d. 1 year




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,  Ans: Symptoms are short term lasting at least 1 month but less than 6 months. p. 342


5). Select two comorbid factors common in schizophrenic patients

 Ans: obesity, DM, substance use disorders, complex partial epilepsy, cardiovascular
disease, HIV, COPD


6). Select the medical condition that occurs less frequently in schizophrenic patients than in
the general population

 Ans: rheumatoid arthritis


7). Select the percentage of remission that results from correct antipsychotic drug therapy of
schizophrenic patients
a. 15
b. 30
c. 45
d. 70

 Ans: p. 354 Approximately 60% will improve to the extent that they will achieve
remission or only mild symptoms


8). Select the most distinguishing feature in the course and prognosis of schizophrenia

 Ans: worsening after each relapse


9). Select the two behaviors of schizophrenic patients that occur more frequently than in the
general population.

 Ans: p.339 little impulse control, decreased social sensitivity, impulsive behavior,
suicide, violent behavior


10). Select the characteristic that is greater in childhood than adult onset schizophrenia

 Ans: Social withdrawal p. 349 typically quiet introverted, no close friends, may have
sudden onset of ocd


11). Select the most reliable method to make a diagnosis of schizophrenia




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,  Ans: a patient's history is essential for the diagnosis of schizophrenia; clinicians
cannot diagnose schizophrenia simply by results of a mental status examination, which
may vary.


12). Select the dysfunction that is common to 50% to 85% of schizophrenic patients.

 Ans: Various studies have reported abnormal eye movements in 50 to 85 percent of
patients with schizophrenia compared with about 25 percent in psychiatric patients
without schizophrenia and fewer than 10 percent in nonpsychiatrically ill control
participant. p. 359


13). Select two of the "four a's" symptoms of schizophrenia described by bleuler
a.
autism
b.
ambivalence
c.
anhedonia
d.
abstract

 Ans: the four As: associations, affect, autism, and ambivalence


14). Select the age range for 90% of patients treated for schizophrenia

 Ans: p. 358 90% of patients in treatment for schizophrenia are between 15 and 55
years old. (peak age of onset women - 25 to 35, men 10-25). Late onset refers to over 45.
cannabis raises risk by 40%


15). The most common type of hallucination in schizophrenia

 Ans: Auditory


16). Cognition of patient's with schizophrenia

 Ans: Usually oriented to person, time, and place. they do have cognitive deficiencies in
attention, executive function, working memory, and episodic memory




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