Kristi Breese
Quiz by , created more than 1 year ago

Nursing Quiz on Suicide and schizophrenia, created by Kristi Breese on 09/10/2016.

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Kristi Breese
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Suicide and schizophrenia

Question 1 of 34

1

An initial suicide evaluation should include

Select one of the following:

  • Interview should include current suicidal ideation, available means

  • Determine lethality of intended action

  • Contract for safety

  • Substance abuse/impulsivity

  • Determine history of psychiatric disorder, previous attempt of suicide or family history

  • All of the above

Explanation

Question 2 of 34

1

Covert statements to look out for in a suicidal patient include, "It's okay now. Everything will be fine" and "I won't be a problem much longer".

Select one of the following:

  • True
  • False

Explanation

Question 3 of 34

1

What are some overt statements made by a suicidal patient? Select all that apply.

Select one or more of the following:

  • "I can't take it anymore"

  • "Life isn't worth living anymore"

  • "I won't be a problem much longer"

  • "I wish I were dead"

  • "It's okay now. Everything will be better"

  • "Everyone would be better off if I died"

Explanation

Question 4 of 34

1

What are some behavioral clues in a suicidal patient?

Select one of the following:

  • Giving away prized possessions, making out a will, and exhibiting an unexpected and sudden improvement in mood after being depressed or withdrawn

  • Sleeping well, being compliant with medications and attending support or group therapy

  • Showering daily

Explanation

Question 5 of 34

1

What are the safety procedures and nursing interventions for an acutely suicidal individual who is hospitalized?

Select one of the following:

  • Follow institutional protocol for suicide regarding creating a safe environment - take away potential weapons

  • Keep accurate and thorough records of patient’s behavior – both verbal and physical – as well as all nursing and physician actions

  • Put on either suicide precaution (one-on-one monitoring at arm’s length away) or suicide observation (q 15 minute visual checks), depending on level of suicide potential

  • Keep accurate and timely records and document patient’s activity (usually q 15 min), including what patient is doing and with whom, etc. – FOLLOW INSTITUTIONAL PROTOCOLS

  • If accepted at your institution, construct a no-suicide contract with the suicidal patient. Use clear, simple language. When contract expires, it is renegotiated.

  • Encourage patients to talk about their feelings and problem-solving alternatives

  • All of the above

Explanation

Question 6 of 34

1

What are the positive symptoms of schizophrenia?

Select one or more of the following:

  • Hallucinations

  • Blunted affect

  • Delusions

  • Disorganized speech

  • Bizarre behavior

  • Poverty of thought

Explanation

Question 7 of 34

1

What are the negative symptoms of schizophrenia?

Select one or more of the following:

  • Blunted affect

  • Poverty of thought

  • Hallucinations

  • Disorganized speech

  • Loss of motivation (avolition)

  • Inability to experience pleasure or joy (anhedonia)

Explanation

Question 8 of 34

1

The following are neurocognitive impairments of a person who has schizophrenia. Select all that apply.

Select one or more of the following:

  • Inattention, easily distracted

  • Impaired memory

  • Good problem-solving skills

  • Poor decision-making skills

  • Rational and logical thinking

  • Impaired judgement

Explanation

Question 9 of 34

1

Schizophrenia most likely occurs as a result of inherited genetic factors and extreme non-genetic factors (virus infection, birth injuries or nutritional factors).

Select one of the following:

  • True
  • False

Explanation

Question 10 of 34

1

What is the dopamine hypothesis in schizophrenia patients?

Select one of the following:

  • The theory that there is hyperactivity of the neurotransmitter dopamine in the limbic regions of the brain.

  • Suggestion that there is hypofunction in the N-methyl-D-aspartate (NMDA) receptors in the glutamate system that leads to a combination of excitotoxin toxicity and impaired neural plasticity.

  • Disruptions in the connections and communication within the neural circuitry.

  • All of the above

Explanation

Question 11 of 34

1

Non-genetic risk factors for developing schizophrenia include a history of perinatal complications, viral infection, poor nutrition or starvation, exposure to toxins, and lack of oxygen during birth.

Select one of the following:

  • True
  • False

Explanation

Question 12 of 34

1

One theory of the etiology of schizophrenia is there is a strong genetic component.

Select one of the following:

  • True
  • False

Explanation

Question 13 of 34

1

The glutamate hypothesis suggests that there is hyperactivity of the neurotransmitter dopamine in the limbic regions of the brain.

Select one of the following:

  • True
  • False

Explanation

Question 14 of 34

1

Serotonin doesn't play a role in causing some of the symptoms of schizophrenia.

Select one of the following:

  • True
  • False

Explanation

Question 15 of 34

1

Meaningless rhyming of words in a forceful manner, in which the rhyming is often more important that the context of the word

Select one of the following:

  • clang association

  • neologisms

  • waxy flexibility

  • word salad

Explanation

Question 16 of 34

1

Voices that command the person to hurt self or others

Select one of the following:

  • Delusions

  • Command hallucinations

  • Echolalia

  • Illusions

Explanation

Question 17 of 34

1

False fixed beliefs that cannot be corrected by reasoning

Select one of the following:

  • Delusions

  • Illusions

  • Hallucinations

  • Clang association

Explanation

Question 18 of 34

1

Pathological repeating of another's words by imitation and is often seen in people with catatonia.

Select one of the following:

  • Echolalia

  • Echopraxia

  • Thought insertion

  • Delusions

Explanation

Question 19 of 34

1

Mimicking of movements of another person

Select one of the following:

  • Echolalia

  • Echopraxia

  • Delusions

  • Paranoia

Explanation

Question 20 of 34

1

Sensory perceptions for which no external stimuli exists.

Select one of the following:

  • Hallucinations

  • Delusions

  • Paranoia

  • Neologisms

Explanation

Question 21 of 34

1

Frequently misinterpreting messages of others or giving private meaning to the communication of others

Select one of the following:

  • Ideas of reference

  • Illusions

  • Thought withdrawal

  • Waxy flexibility

Explanation

Question 22 of 34

1

Misperceptions or misinterpretations of a real experience

Select one of the following:

  • Illusions

  • Ideas of reference

  • Thought insertion

  • Word salad

Explanation

Question 23 of 34

1

Made up words that have special meaning for a person

Select one of the following:

  • Neologisms

  • Thought broadcasting

  • Clang association

  • Command hallucinations

Explanation

Question 24 of 34

1

Belief that one's thoughts can be heard by others

Select one of the following:

  • Thought broadcasting

  • Thought insertion

  • Thought withdrawal

Explanation

Question 25 of 34

1

Belief that thoughts of others are being inserted into one's mind

Select one of the following:

  • Thought broadcasting

  • Thought insertion

  • Thought withdrawal

Explanation

Question 26 of 34

1

Belief that thoughts have been removed from one's mind by an outside agency

Select one of the following:

  • Thought broadcasting

  • Thought insertion

  • Thought withdrawal

Explanation

Question 27 of 34

1

When a leg or arm is placed in an awkward position by someone else and the patient holds that position for an uncomfortable length of time

Select one of the following:

  • Waxy flexibility

  • Word salad

  • Clang association

  • Delusions

Explanation

Question 28 of 34

1

A jumble of words that is meaningless to the listener and perhaps to the speaker as well

Select one of the following:

  • Word salad

  • Clang association

  • Echolalia

  • Neologisms

Explanation

Question 29 of 34

1

Which of the following describes the purpose of Program for Assertive Community Treatment (PACT)?

Select one of the following:

  • Aim is to prevent relapse, maximize social and vocational functioning and to keep the individual in the community

  • Emphasizes the patient's strengths in adapting to the community, provides support and assertive outreach, and involves almost all aspects of the patient's life

  • Provides mobile crisis intervention, supportive cognitive and behavioral therapy, and substance abuse training

  • All of the above

Explanation

Question 30 of 34

1

Program for Assertive Community Treatment (PACT) is designed for the well adjusted and well functioning patients.

Select one of the following:

  • True
  • False

Explanation

Question 31 of 34

1

Describe appropriate psychoeducational strategies for patient with schizophrenia and their families.

Select one or more of the following:

  • Learn all you can about the illness

  • Develop a relapse prevention plan

  • Take advantage of all psychoeducational tools

  • Comply with treatment

  • Take long walks by the beach

  • Avoid alcohol and drugs

  • Keep in touch with supportive people

  • Keep healthy

  • Go on a long extended vacation to Europe

Explanation

Question 32 of 34

1

Describe appropriate ways to communicate with a patient who is hallucinating. Select all that apply.

Select one or more of the following:

  • Try to understand what the voices are saying or telling the patient to do

  • Don't make eye contact

  • Approach the patient in a nonthreatening and nonjudgmental way

  • Call the patient by another person's name

  • Speak simply but louder than usual

Explanation

Question 33 of 34

1

Describe appropriate communication strategies for a patient exhibiting delusions. Select all that apply.

Select one or more of the following:

  • Clarify the reality of the patient's experience

  • Don't empathize with the patient's apparent experience and feelings

  • Validate the delusions

  • Identify the feelings the patient is experiencing.

  • Clarify misinterpretations of the environment.

Explanation

Question 34 of 34

1

Describe communication techniques that appropriate for patient with paranoia. Select all that apply.

Select one or more of the following:

  • React to offensive criticism made by the person with anxiety and rejection

  • Approach the patient in a nonjudgmental, respectful manner

  • Explain procedures ahead of time

  • Be honest and consistent

  • Laugh, whisper, and talk quietly when the patient cannot hear what is being said

  • Use clear and concise language

Explanation

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