Lone Star College System, North Harris - PSYC 1301

Chapter 20: Neurobiological Responses and Schizophrenia and Psychotic Disorders

Test Bank

MULTIPLE CHOICE

1)A patient diagnosed with schizophrenia has difficulty completing tasks and seems forg disinterested in activities. A nurse can best select successful strategies by understanding th behaviors are due to:

2. A patient diagnosed with schizophrenia is standing naked after showering and appears and indecisive. The nursing intervention that will be most helpful to promote dressing would

3. During occupational therapy a patient diagnosed with schizophrenia sits staring at a pi paper. Which response is most therapeutic at this time?

4. A patient diagnosed with schizophrenia reveals to the nurse that voices have warned o and adds, “They’re so loud they frighten me. Do you hear them?” The nurse’s best initial re would be:

5. What part of the brain is dysfunctional in persons with schizophrenia? Research has im the:

6. A severely withdrawn patient diagnosed with schizophrenia will spend time in the dayr will not speak to staff or other patients. The most therapeutic nursing intervention in respon this behavior would be to:

7. A novice nurse asks the assigned mentor, “Why should I avoid telling the patient that are bizarre and simply not logical?” The mentor responds, “If you do that:

8. A patient who has been hospitalized for 2 days remains anxious and continues to be preoccupied with paranoid delusions. What intervention will best help the patient focus less delusions?

9. A most useful strategy for helping a patient with schizophrenia prevent a potential rela to:

10. Which teaching point will have the most positive effect on patients diagnosed with schizophrenia and their families concerning the risk of relapses?

11. An appropriate short-term goal for a withdrawn, isolated patient diagnosed with schizo is, “The patient will:

”

.”

12. The nursing diagnosis most likely to be applicable for a person who has schizophrenia, paranoid type, is:

13. The medical record of a patient diagnosed with schizophrenia states that the patient h cognitive dysfunction. From this statement, the nurse can expect to see evidence of:

14. A patient with schizophrenia repeatedly asks for directions and the time of day. The nu should:

15. Which neurological deficits would the nurse be most likely to encounter when assessin patient diagnosed with schizophrenia?

16. A nurse observes a patient who is sitting alone in a room muttering, “You don’t know w you’re talking about! Leave me alone.” The nurse attempts to validate whether the patient

17. A patient displays positive symptoms of schizophrenia as evidenced by psychotic disor thinking. The nurse can expect the patient to evidence:

18. A patient reports, “The government has implanted a device in my head.” What outcom the nurse identify as being appropriate for the patient to achieve within 1 week of admission

19. A patient reports, “My brain is controlled by government agents who can trace my whereabouts and listen to my thoughts.” An appropriate nursing response to this informatio be:

20. Which data gathered from the assessment of a family with a member diagnosed with schizophrenia would be of greatest importance in discharge planning for the patient?

21. A patient is delusional and has auditory hallucinations. The best statement to make wh approaching the patient with an oral electronic thermometer would be:

22. A patient admitted in a semistuporous catatonic state has neither left the apartment n

attended to personal hygiene for several weeks. The patient’s last 48 hours have been spen bed, mute and motionless. The priority nursing diagnosis is:

23. A patient tells the nurse, “I can’t go to any unit meetings because everyone can hear thoughts.” The nurse can correctly assess this symptom as:

24. A patient diagnosed with schizophrenia approaches the nurse and says, “I’m cold. Ice cold. Freezers keep ice cream cold.” This speech pattern can be assessed as:

25. A patient diagnosed with schizophrenia was rehospitalized after a relapse. A priority intervention in designing a discharge plan to prevent relapses will be: