Types of Schizophrenia and Psychotic Disorders

Types of Schizophrenia and Psychotic Disorders
Types of Schizophrenia and Psychotic Disorders
1. A client diagnosed with schizophrenia states, “Look,
color, hate me, get away, yes, yes.” Which is an appropriate charting entry to describe this client’s
statement?
1. “The client is experiencing command
hallucinations.”
2. “The client is verbalizing a neologism.”
3. “The client is experiencing a delusion of control.”
4. “The client is verbalizing a word salad.”
2. Which of the following nursing interventions would
correctly follow the Joint Commission’s requirements for monitoring a hallucinating client while in
restraints? Select all that apply.
1. Ensure that an in-person evaluation has occurred
within 1 hour of restraint initiation.
2. Ensure that a new restraint order has been reissued for a child every one to 2 hours.
3. Ensure that a new restraint order has been reissued for an adult every 6 hours.
4. Observe the client at least every 30 minutes.
5. Observe the adolescent client at least every
15 minutes.
10. symptoms of schizophrenias tend to
reflect an alteration or distortion of normal mental
functions.
11. Place the following symptoms in the order they
would occur in the schizophrenia spectrum phases of
development.
1. The client experiences sleep disturbance, anxiety, and depressed mood.
2. The client’s acute symptoms are either
absent or no longer prominent.
3. The client experiences social maladjustment and social withdrawal.
4. The client’s psychotic symptoms are
prominent.
Types of Schizophrenia and Psychotic Disorders
21. A client scheduled for electroconvulsive therapy
(ECT) asks the nurse to explain procedures and
medications that will be administered. Which of the
following would the nurse include? Select all that
apply.
1. Atropine sulfate or glycopyrrolate (Robinul) is
administered intramuscularly before the treatment
to decrease secretions.
2. Glycopyrrolate (Robinul) paralyzes respiratory
muscles making the administration of oxygen
necessary before treatment.
3. Succinylcholine chloride (Anectine) is given
intravenously to prevent muscle contractions
and bone fractures during the seizure.
4. Ventilation with pure oxygen will be initiated
before, during, and after the treatment.
5. The anesthesiologist will administer an intravenous,
short-acting anesthetic, such as propofol (Diprivan)
or etomidate (Amidate).
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