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NUR422 Exam 3 Practice Questions and Answers

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NUR422 Exam 3 Practice Questions and Answers What combination of factors probably cause schizophrenia? - Ans:-genetics viral infection/anatomical abnormalities (physiological) poverty, stressful life events, cannabinoid use (sociocultural/environmental) Positive symptoms of schizophrenia - Ans:-hallucinations and delusions; disorganized thoughts, speech or behavior/catatonic behavior *psychotic symptoms* Negative symptoms of schizophrenia - Ans:-blunted emotion (flat affect), lack of motivation (avolition), alogia (poverty of speech), or difficulty experiencing pleasure (anhedonia) Cognitive symptoms of schizophrenia - Ans:-deficits in attention, memory or concentration What is a major safety concern with schizophrenia? - Ans:-Risk for suicide Schizoid personality disorder - Ans:-no interest in relationships, seclusive to self, "loner", works night jobs ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/53 schizotypal personality disorder - Ans:-eccentric/magical thinking, odd beliefs, aloof/dress weirdly, malignant personality (highest likelihood of transitioning into a psychotic disorder like schizophrenia) Schizophrenia vs. Schizophreniform vs. Brief psychotic disorder - Ans:-Brief psychotic disorder: 1 month or less of symptoms Schizophreniform: 1-6 months of symptoms Schizophrenia: 6 months or more of symptoms schizoaffective disorder - Ans:-Psychotic disorder featuring symptoms of both schizophrenia and major mood disorder (either MDD or bipolar) *schizophrenia is the primary diagnosis (only presenting illness for at least 2 weeks without other symptoms) delusions of control - Ans:-belief that outside forces are controlling one's body or actions delusions of reference - Ans:-the belief that common elements in the environment are directed toward the individual Prodromal phase of schizophrenia - Ans:-Lasts from a few weeks to a few years Deterioration in role functioning Cognitive impairment ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/53 Obsessive-compulsive behavior social withdrawal Significant deterioration in function Sleep disturbance, anxiety, irritability 50 percent have depressive symptoms Depressed mood, poor concentration, fatigue Perceptual abnormalities, ideas of reference, and suspiciousness herald onset of psychosis Residual phase of schizophrenia - Ans:-return to prodromal levels, mild symptoms, impairment of functioning, no delusions or hallucinations, impairment of cognitive functioning Active phase of schizophrenia - Ans:-Delusions Hallucinations Disorganized speech and behavior Decreased level of functioning in work, personal relationships, or self-care premorbid phase of schizophrenia - Ans:-occurs before there is clear evidence of illness Social maladjustment ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/53 Antagonistic thoughts and behavior Shy and withdrawn Poor peer relationships Doing poorly in school Antisocial behavior What nursing intervention would you focus on during the active phase of schizophrenia? - Ans:-first empathize with the client by focusing on feelings generated by the hallucination, present objective reality, and then distract or redirect the client to reality-based activities. T/F: Schizophrenia is characterized by a splitting personality. - Ans:-False (characterized by a deteriorating personality) T/F: Dysfunctional family dynamics has been identified as a strong link

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




NUR422 Exam 3 Practice Questions and Answers


What combination of factors probably cause schizophrenia? - Ans:✔✔-genetics


viral infection/anatomical abnormalities (physiological)


poverty, stressful life events, cannabinoid use (sociocultural/environmental)


Positive symptoms of schizophrenia - Ans:✔✔-hallucinations and delusions; disorganized thoughts,

speech or behavior/catatonic behavior


*psychotic symptoms*


Negative symptoms of schizophrenia - Ans:✔✔-blunted emotion (flat affect), lack of motivation

(avolition), alogia (poverty of speech), or difficulty experiencing pleasure (anhedonia)


Cognitive symptoms of schizophrenia - Ans:✔✔-deficits in attention, memory or concentration


What is a major safety concern with schizophrenia? - Ans:✔✔-Risk for suicide


Schizoid personality disorder - Ans:✔✔-no interest in relationships, seclusive to self, "loner", works night

jobs




Page 1/53

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




schizotypal personality disorder - Ans:✔✔-eccentric/magical thinking, odd beliefs, aloof/dress weirdly,

malignant personality (highest likelihood of transitioning into a psychotic disorder like schizophrenia)


Schizophrenia vs. Schizophreniform vs. Brief psychotic disorder - Ans:✔✔-Brief psychotic disorder: 1

month or less of symptoms


Schizophreniform: 1-6 months of symptoms


Schizophrenia: 6 months or more of symptoms


schizoaffective disorder - Ans:✔✔-Psychotic disorder featuring symptoms of both schizophrenia and

major mood disorder (either MDD or bipolar)


*schizophrenia is the primary diagnosis (only presenting illness for at least 2 weeks without other

symptoms)


delusions of control - Ans:✔✔-belief that outside forces are controlling one's body or actions


delusions of reference - Ans:✔✔-the belief that common elements in the environment are directed

toward the individual


Prodromal phase of schizophrenia - Ans:✔✔-Lasts from a few weeks to a few years


Deterioration in role functioning


Cognitive impairment


Page 2/53

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Obsessive-compulsive behavior


social withdrawal


Significant deterioration in function


Sleep disturbance, anxiety, irritability


50 percent have depressive symptoms


Depressed mood, poor concentration, fatigue


Perceptual abnormalities, ideas of reference, and suspiciousness herald onset of psychosis


Residual phase of schizophrenia - Ans:✔✔-return to prodromal levels, mild symptoms, impairment of

functioning, no delusions or hallucinations, impairment of cognitive functioning


Active phase of schizophrenia - Ans:✔✔-Delusions


Hallucinations


Disorganized speech and behavior


Decreased level of functioning in work, personal relationships, or self-care


premorbid phase of schizophrenia - Ans:✔✔-occurs before there is clear evidence of illness


Social maladjustment

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Antagonistic thoughts and behavior


Shy and withdrawn


Poor peer relationships


Doing poorly in school


Antisocial behavior


What nursing intervention would you focus on during the active phase of schizophrenia? - Ans:✔✔-first

empathize with the client by focusing on


feelings generated by the hallucination, present objective


reality, and then distract or redirect the client to reality-based activities.


T/F: Schizophrenia is characterized by a splitting personality. - Ans:✔✔-False (characterized by a

deteriorating personality)


T/F: Dysfunctional family dynamics has been identified as a strong link to the cause of schizophrenia. -

Ans:✔✔-True


echolalia - Ans:✔✔-automatic and immediate repetition of what others say


circumstantiality - Ans:✔✔-Speech that is delayed in reaching the point and contains excessive or

irrelevant details

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