Nokea
A group of nursing students is reviewing information about other psychotic disorders. The students demonstrate understanding of this information when they identify which disorder as involving an inducer?
- A. Brief psychotic disorder
- B. Schizophreniform disorder
- C. Shared psychotic disorder
- D. Psychotic disorder attributable to a substance
Correct Answer: C
Rationale: Shared psychotic disorder (C), or folie à deux, involves an inducer who transmits delusional beliefs to another person. Brief psychotic disorder (A) is time-limited, schizophreniform disorder (B) mimics schizophrenia, and substance-induced psychosis (D) is caused by substances, not an inducer.
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A nurse is preparing an in-service program for a group of psychiatric-mental health nurses about schizophrenia. Which of the following would the nurse include as a major reason for relapse?
- A. Lack of family support
- B. Accessibility to community resources
- C. Non-adherence to prescribed medications
- D. Stigmatization of mental illness
Correct Answer: C
Rationale: Non-adherence to prescribed medications (C) is a primary cause of relapse in schizophrenia, as antipsychotics are critical for symptom control. Lack of family support (A) and stigmatization (D) contribute indirectly, while accessibility to resources (B) is a protective factor.
A nursing instructor is developing a class lecture that compares and contrasts schizoaffective disorder with schizophrenia. When describing one of the differences between these two diagnoses, which of the following would the instructor include as reflecting schizoaffective disorder?
- A. It is episodic in nature.
- B. It involves difficulties with self-care.
- C. It has less severe hallucinations.
- D. It is associated with a lower suicide risk.
Correct Answer: A
Rationale: Schizoaffective disorder (A) is characterized by episodic mood disturbances (depressive or manic) alongside psychotic symptoms, unlike the more persistent psychotic symptoms in schizophrenia. Self-care difficulties (B) and hallucination severity (C) are not distinguishing features, and suicide risk (D) is not necessarily lower.
A nursing instructor is preparing a class lecture about schizophrenia and outcomes focusing on recovery. Which of the following would the instructor include as a major goal?
- A. Continuity of care
- B. Shorter in-patient stays
- C. Immediate crisis stabilization
- D. Social engagement
Correct Answer: D
Rationale: Social engagement (D) is a major recovery goal in schizophrenia, promoting reintegration and quality of life. Continuity of care (A) and crisis stabilization (C) are means to achieve recovery, and shorter stays (B) are logistical, not primary goals.
A nurse is providing care to a client just recently diagnosed with schizophrenia during an inpatient hospital stay. Throughout the day, the nurse observes the client drinking from the water fountain quite frequently as well as carrying cans of soda and bottles of water with him wherever he goes. Upon entering the client?s room, the nurse sees numerous empty cups that had been filled with fluids on his table and in the trash can. The room has an odor of urine. The nurse suspects which of the following?
- A. Diabetes mellitus
- B. Disordered water balance
- C. Tardive dyskinesia
- D. Orthostatic hypotension
Correct Answer: B
Rationale: Excessive fluid intake and urine odor suggest disordered water balance (B), such as psychogenic polydipsia, common in schizophrenia, leading to excessive drinking and urination. Diabetes mellitus (A) may cause thirst but not typically urine odor in this context. Tardive dyskinesia (C) and orthostatic hypotension (D) are unrelated to these symptoms.
While assessing a client with schizophrenia, the client states, Everywhere I turn, the government is watching me because I know too much. They are afraid that I might go public with the information about all those conspiracies. The nurse interprets this statement as indicating which type of delusion?
- A. Grandiose
- B. Nihilistic
- C. Persecutory
- D. Somatic
Correct Answer: C
Rationale: The client?s belief that the government is watching them due to their knowledge reflects a persecutory delusion (C), characterized by fears of harm or surveillance. Grandiose delusions (A) involve inflated self-importance, nihilistic delusions (B) involve beliefs in nonexistence, and somatic delusions (D) focus on bodily concerns.