SPECTRUM DISORDERS AND PSYCHOSIS
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📋 DOCUMENT OVERVIEW 30 Qs
This document covers schizophrenia spectrum disorders, psychosis, and related concepts such as
hallucinations, comorbidities, symptom management, and client outcomes. It provides 30 questions with
correct answers and explanations, offering a comprehensive review of mental health nursing knowledge
for exam preparation. Students can use this document to study, review, and understand key concepts,
making it an effective tool for exam preparation and professional development in mental health nursing.
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EXAM QUESTIONS
QUESTION 1
A nurse is providing information about hallucinations to a client who has schizophrenia. Which of the
following statements should the nurse make?
a. "It is a belief that something is real when in reality it is not."
b. "It is when behaviors that you typically display are abnormally absent."
c. "It is when you see or hear things that others are not experiencing."
d. "It is when you experience symptoms that affect your memory."
CORRECT ANSWER
c. "It is when you see or hear things that others are not experiencing."
Rational: Hallucinations are seeing or hearing things that others are not experiencing. The nurse should
include this statement when providing information about hallucinations to a client who has schizophrenia.
QUESTION 2
A nurse is speaking with a client about the potential impact of living with a serious mental illness.
Which of the following pieces of information should the nurse share?
a. having a job is positively associated with recovery from serious mental illness (SMI)
b. the stigma over SMIs has improved dramatically in recent years in the United States
c. males who have SMIs are more likely to be victimized than females who have SMIs
d. once housing is secured, clients who have SMIs generally do not have issues with housing insecurity
CORRECT ANSWER
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, a. having a job is positively associated with recovery from serious mental illness (SMI)
Rational: While there are many factors that contribute to recovery and reduction of manifestations,
employment is positively associated with recovery. Having a job can make it more likely for someone to be
able to afford treatment, have insurance, and have stable housing, which all contribute toward better
outcomes.
QUESTION 3
A nurse is caring for a client who has schizophrenia. The client states, "My health care provider
indicated that I likely got schizophrenia due to complications experienced in utero." Which of the
following risk factors is this complications linked to?
a. Genetics
b. Physiological
c. Biochemical
d. Environmental
CORRECT ANSWER
b. Physiological
Rational: Physiological risk factors for the development of schizophrenia include complications
experienced in utero. These risk factors include complications which occur during pregnancy such as
hypoxia, prenatal stress, infection, inadequate nutrition, or gestational diabetes.
QUESTION 4
A nurse is caring for a client who is experiencing psychosis. Which of the following manifestations
should the nurse identify as a positive symptom of schizophrenia?
a. flat affect
b. hearing voices
c. difficulty concentrating
d. withdrawn socially
CORRECT ANSWER
b. hearing voices
Rational: The nurse should identify that hearing voices is considered a hallucination for a client
experiencing psychosis. Hearing voices is a positive symptom of schizophrenia. Other positive symptoms
include paranoia, distorted beliefs, and distorted perceptions.
QUESTION 5
A nurse is caring for a client who has been diagnosed with schizophrenia. Which of the following
should the nurse identify as a positive symptom?
a. alogia
b. hallucination
c. avolition
d. anhedonia
CORRECT ANSWER
b. hallucination
Rational: The nurse should identify hearing things that are not real can be part of a hallucination.
Hallucinations are a positive symptom of schizophrenia. Other positive symptoms can include paranoia,
and distorted beliefs and perceptions.
QUESTION 6
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