Shelia
What is the definition of Schizoaffective Disorder?
Presents with symptoms and signs of both schizophrenia and depressive or bipolar disorder.
Identify three signs and symptoms of PTSD?
Intrusive memories, flashbacks; Flashbacks; Nightmares; Isolation/avoiding event
A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which nursing action should be prioritized to maintain this client’s safety?
The nurse should note escalating behaviors and intervene immediately, to maintain this client’s safety. Early intervention may prevent an aggressive response and keep the client and others safe.
Identify the three of the five negative symptoms found in schizophrenia?
Affect flat, Alogia, Anergia, Anhedonia, Avolition
Which factors differentiate the diagnosis of PTSD from the diagnosis of adjustment disorder (AD)?
PTSD results from exposure to an extreme traumatic event, whereas AD results from exposure to “normal” daily events.
A nurse is assessing a client diagnosed with schizophrenia spectrum disorder. The nurse asks the client, “Do you receive special messages from certain sources, such as the television or radio?” The nurse is assessing which potential symptom of this disorder?
Delusions of reference
What is the reason that Shelia is on sodium valproate (Depakote) 500 mg every morning and 1000 mg. at bedtime?
To stabilize her moods and help with sleep.
What realistic goal should be included in George's plan of care?
The client will not require lorazepam (Ativan) to obtain adequate sleep by discharge.
A client diagnosed with schizophrenia spectrum disorder states, “Can’t you hear him? It’s the devil. He’s telling me I’m going to hell.” What is the most appropriate nursing response?
“The voices must sound scary, but the devil is not talking to you. This is part of your illness.”
Talk about the implications for using paliperidone XL (Invega XL)?
New generation antipsychotic, treat the schizophrenia.
George suffers with PTSD. Dr. Anwar is considering adding paliperidone (Invega). Which symptoms should you identify that would warrant the need for this medication?
Flashbacks of killing the enemy
A client diagnosed with schizophrenia spectrum disorder tells a nurse about voices commanding him to kill the president. Which is the priority nursing diagnosis for this client?
Risk for violence: directed toward others
Identify three defense mechanisms Shelia uses to decrease her anxiety?
Projection, Compensation, Intellectualization
George's daughter asks the nurse why her father was diagnosed with PTSD and others in unit in Vietnam were not. What information should you offer?
Responses are affected by how an individual handled previous trauma. Protectiveness of family and friends can help an individual. Control over the possibility of recurrence can affect the response to trauma. The time in which the trauma occurred can affect the individual’s response.
A nurse prepares to assess a client for tardive dyskinesia. What assessment tool will the nurse use?
Abnormal Involuntary Movement Scale (AIMS)