NURS 6635 Final Exam Questions and Answers 100% Pass

NURS 6635 Final Exam Questions and Answers 100% Pass 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 - Answer- B. 24-72 hours If untreated syndrome lasts 10 to 14 days Treat with dantrolene or bromocriptine Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients. A. Hippocampus B. Amygdala C. Prefrontal cortex D. Basal ganglia - Answer- C. Prefrontal cortex has anatomical abnormalities hippocampus and amygdala have size decrease basal ganglia theoretical due to odd movements D. per some answers 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 - Answer- 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 - Answer- Symptoms are short term lasting at least 1 month but less than 6 months. p. 342 Select two comorbid factors common in schizophrenic patients - Answer- obesity, DM, substance use disorders, complex partial epilepsy, cardiovascular disease, HIV, COPD Select the medical condition that occurs less frequently in schizophrenic patients than in the general population - Answer- rheumatoid arthritis Select the percentage of remission that results from correct antipsychotic drug therapy of schizophrenic patients A. 15 B. 30 C. 45 D. 70 - Answer- p. 354 Approximately 60% will improve to the extent that they will achieve remission or only mild symptoms Select the most distinguishing feature in the course and prognosis of schizophrenia - Answer- worsening after each relapse Select the two behaviors of schizophrenic patients that occur more frequently than in the general population. - Answer- p.339 little impulse control, decreased social sensitivity, impulsive behavior, suicide, violent behavior Select the characteristic that is greater in childhood than adult onset schizophrenia - Answer- Social withdrawal p. 349 typically quiet introverted, no close friends, may have sudden onset of ocd Select the most reliable method to make a diagnosis of schizophrenia - Answer- 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. Select the dysfunction that is common to 50% to 85% of schizophrenic patients. - Answer- 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 Select two of the "Four A's" symptoms of schizophrenia described by Bleuler A. autism B. ambivalence C. anhedonia D. abstract - Answer- the four As: associations, affect, autism, and ambivalence Select the age range for 90% of patients treated for schizophrenia - Answer- 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% The most common type of hallucination in schizophrenia - Answer- Auditory Cognition of patient's with schizophrenia - Answer- Usually oriented to person, time, and place. they do have cognitive deficiencies in attention, executive function, working memory, and episodic memory leading cause of premature death in schizphrenia? - Answer- Suicide 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) - Answer- diagnostic and rating scales for schizophrenia What percentage of schizophrenia patients have substance use disorder throughout lifetime? - Answer- 74% neurotransmitters involved in schziophrenia - Answer- excessive dopamine = positive symptoms increased glutamate = overexcites brain decreased gaba = reduces neuron excitability decreased muscarinic and nicotinic receptors = dec cognition Select the negative symptom of schizophrenia - Answer- Affective flattening or blunting Alogia (poverty of speech, blocking) avolition (apathy) anhedonia Attention (inattentiveness) Positive symptoms of schizophrenia - Answer- hallucinations and delusions, bizarre behavior, formal thought disorder Select the disorder that is often comorbid with brief psychotic disord