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100

This term refers to false beliefs that are resistant to reason or contrary to fact.

DELUSIONS

100

The two broad categories of schizophrenia symptoms are positive and blank.

NEGATIVE

100

Excess on this neurotransmitter may contribute to schizophrenia.

DOPAMINE

100

No joy or pleasure in life.

ANHEDONIA

100

Absence of facial expression.

FLAT AFFECT

200

This psychotic disorder lasts at least one day but less than one month, often triggered by stress.

BRIEF PSYCHOTIC D/O

200

This disorder combines features of schizophrenia and mood disorders, such as major depression or bipolar disorder.

SCHIZOAFFECTIVE D/O

200

In this condition, a person strongly believes something that is untrue but doesn’t meet criteria for schizophrenia.

DELUSIONAL D/O

200

Hearing voices that are not there is an example of this type of hallucination.

AUDITORY HALLUCINATIONS

200

A flat affect is an example of this category of symptom in schizophrenia.

NEGATIVE SYMPTOM

300

This term describes speech that is so disorganized it’s difficult to follow.

WORD SALAD

300

Yssa, age 21, has been diagnosed with schizophrenia. She has been socially isolated and hearing voices telling him to kill her parents. She has been admitted to the psychiatric unit from the emergency department. The initial nursing intervention for Yssa is to:

A. Give her an injection of Thorazine

B. Ensure a safe environment for her and others

C. Place her in restraints

D. Order him a nutritious diet

B. Ensure a safe environment for her and others

300

The primary goal in working with an actively psychotic, suspicious client would be to:

  1. Promote interaction with others.
  2. Decrease his anxiety and increase trust.
  3. Improve his relationship with his parents.
  4. Encourage participation in therapy activities.

2. Decrease his anxiety and increase trust.

300

Clint, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins to tell the nurse about how the CIA is looking for him and will kill him if they find him. The most appropriate response by the nurse is:

  1. "That's ridiculous, Clint. No one is going to hurt
  2. "The CIA isn't interested in people like you, Clint."
  3. "Why do you think the CIA wants to kill you?"
  4. "I know you believe that, Clint, but it's really hard for me to believe."

4. "I know you believe that, Clint, but it's really hard for me to believe."

300

Clint, a client on the psychiatric unit, has been diagnosed with schizophrenia. He begins to tell the nurse about how the CIA is looking for him and will kill him if they find him. Clint's belief is an example of a:

  1. Delusion of persecution
  2. Delusion of reference
  3. Delusion of control or influence
  4. Delusion of grandeur

1. Delusion of persecution

400

The nurse is interviewing a client on the psychiatric unit. The client tilts his head to the side, stops talking in mid sentence, and listens intently. The nurse recognizes from these signs that the client is likely experiencing:

  1. Somatic delusions
  2. Catatonic stupor
  3. Auditory hallucinations
  4. Pseudoparkinsonism

3. Auditory hallucinations

400

When a client suddenly becomes aggressive and violent on the unit, which of the following approaches

would be best for the nurse to use first?

  1. Provide large motor activities to relieve the client's pent-up tension.
  2. Administer a dose of prn chlorpromazine to keep the client calm.
  3. Call for sufficient help to control the situation safely
  4. Convey to the client that his behavior is unacceptable and will not be permitted.

3. Call for sufficient help to control the situation safely

400

Which of the following statements would indicate family teaching

about schizophrenia had been effective?

  1. "If our son takes his medication properly, he won't have another psychotic episode."
  2. "I guess we'll have to face the fact that our daughter will eventually be institutionalized."
  3. "It's a relief to find out that we did not cause our son's schizophrenia."
  4. "It is a shame our daughter will never be able to have children."

3. "It's a relief to find out that we did not cause our son's schizophrenia."

400

When the client describes fear of leaving his apartment as well as the

desire to get out and meet others, it is called

  1. ambivalence.
  2. anhedonia.
  3. alogia.
  4. Avoidance

1. ambivalence

400

2. A 30-year-old woman has been sitting motionless in a chair in the psychiatric ward for hours. She does not respond to her name being called, her body remains in the same rigid posture, and she does not react when the nurse moves her arms into a different position. Sometimes, she also mutters phrases repeatedly. What is the most likely diagnosis?

  1. Schizophreniform Disorder
  2. Catatonia
  3. Brief Psychotic Disorder
  4. Schizoaffective Disorder

2. Catatonia

500

A 40-year-old woman believes that a famous actor is secretly in love with her. She insists that he has been sending her secret messages through his social media posts, even though they have never met. She has no other psychotic symptoms and functions well in her daily life. What is the most likely diagnosis?

  1. Schizophrenia
  2. Schizoaffective Disorder
  3. Delusional Disorder (Erotomanic Type)
  4. Brief Psychotic Disorder

3. Delusional Disorder (Erotomanic Type)

500

A 30-year-old woman is brought to the emergency department after her wedding was unexpectedly canceled. Her family reports that she suddenly began talking to herself, making strange gestures, and claiming that she could hear voices telling her she was the queen of the universe. These symptoms started 3 days ago. Prior to this episode, she had no history of psychiatric illness. What is the most likely diagnosis?

  1. Schizophreniform Disorder
  2. Brief Psychotic Disorder
  3. Schizophrenia
  4. Schizoaffective Disorder

2. Brief Psychotic Disorder

500

This mental illness is characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior.

SCHIZOPHRENIA 

500

This symptom involves experiencing things that aren’t actually present, such as voices or visions.

HALLUCINATIONS 

500

Repeating back what another person has just said is known as this.

ECHOLALIA