Term
| The client has been admitted to the hospital for the treatment of schizophrenia. The client’s mother says to the nurse “This is all so confusing. How did he get this? Did I do something?” What is (are) the best response(s) of the nurse? Select all that apply. |
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Definition
1.“Research indicates that schizophrenia is a genetic disorder.”
2.“Schizophrenia is a biological brain disorder.”
3.“Schizophrenia is due to too much dopamine in certain parts of the brain.” |
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Term
| The client with schizophrenia is sitting quietly in a chair. The client does not respond much to what is happening, and has a lack of interest in the environment. What best describes the result of the nurse’s assessment? |
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Definition
| The client is experiencing negative symptoms. |
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Term
| The physician prescribes haloperidol (Haldol) for the client. The client says to the nurse “My doctor said this medication is high potency, what does that mean?” What is the best response of the nurse? |
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Definition
| “High potency means you might have some muscle spasms while taking this medication.” |
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Term
| The physician has prescribed haloperidol (Haldol) for the client with schizophrenia. What is the priority client outcome? |
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Definition
| The client will be compliant with taking the medication as prescribed. |
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Term
| The nurse is managing the care of a group of clients with schizophrenia. The clients are receiving conventional antipsychotic medications. When assessing for anticholinergic side effects, which would the nurse immediately report to the physician? |
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Definition
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Term
| The client has been receiving chlorpromazine (Thorazine) for the treatment of schizophrenia. The nurse assesses that the client has tardive dyskinesia. What describes the result of the nurse’s assessment? |
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Definition
| Unusual facial movements and lip smacking |
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Term
| The client is receiving risperidone (Risperdal). During morning assessment, the nurse notes that the client has a temperature of 102 degrees F. What is the priority nursing intervention? |
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Definition
| Contact the physician, as this could be a symptom of neuroleptic malignant syndrome. |
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Term
| The client is receiving clozaril (Clozapine) for the treatment of schizophrenia. The nurse evaluates the effectiveness of this medication when the client makes which statement? |
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Definition
| “I am not hearing the voices anymore.” |
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Term
| The nurse has completed medication education with the client who is receiving clozapine (Clozaril). The nurse evaluates that the education has been effective when the client makes which statement? |
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Definition
| “I must have my blood work done while taking this medication.” |
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Term
| The client is receiving clozapine (Clozaril). What is a priority outcome for this client? |
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Definition
| The client reports any signs of a sore throat or an infection. |
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Term
| For any client receiving clozapine (Clozaril), which laboratory result should be reported to the physician? |
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Definition
| White blood cell (WBC) of 3,800 cells/mcl. |
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Term
| The nurse has completed diet education for a group of clients who are receiving antipsychotic medications. If the medication education has been effective, clients will eliminate what choice from their menu selection? |
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Definition
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Term
| The client is receiving antipsychotic medications and tells the nurse he has not had a bowel movement for two days. What is the best initial action of the nurse? |
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Definition
| Contact the physician for an order for a Fleet Enema. |
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Term
| The client who is receiving antipsychotic medication complains of having a dry mouth. The client refused the morning dose of the medication. What is the best response by the nurse? |
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Definition
| “A dry mouth is common, but drinking more water will help.” |
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Term
| The client receives quetiapine (Seroquel) and asks the nurse how the medication works. What is the best response by the nurse? |
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Definition
| “Quetiapine (Seroquel) decreases dopamine in your brain and that decreases your symptoms.” |
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Term
| Symptoms of schizophrenia are thought to be associated with which receptor sites? |
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Definition
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Term
| A patient with a psychiatric history is communicating using made-up words, and indicates he doesn’t care about anything. This patient would most likely be: |
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Definition
| Demonstrating positive symptoms of schizophrenia. |
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Term
| Which of the following drugs would be indicated for a schizophrenic who needs management of both positive and negative symptoms? |
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Definition
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Term
| The relapse rate for psychotic patients who are not compliant and discontinue their medications is: |
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Definition
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Term
| An elderly female psychotic patient has been taking haloperidol (Haldol) for 1 week. The patient has been making wormlike movements with her tongue. The nurse identifies this to most likely be: |
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Definition
| An adverse effect likely caused by the medication, known as tardive dyskinesia |
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Term
| A patient experiencing an extrapyramidal adverse effect is not able to relax. This is known as: |
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Definition
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Term
| Which of the following would be the most appropriate action while treating a patient who overdosed on risperidone (Risperdal) 20 minutes ago? |
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Definition
| Administer activated charcoal. |
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Term
| A patient who has been treated with antipsychotic agents for schizophrenia has an elevated blood pressure, dyspnea, and an extremely high temperature. This condition is known as: |
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Definition
| Neurolept malignant syndrome. |
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Term
| Which statement is accurate regarding the use of antipsychotic agents? |
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Definition
| 1. Elderly clients need a more gradual dosage increase. |
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