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Suicide and schizophrenia

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Nursing Quiz on Suicide and schizophrenia, created by Kristi Breese on 09/10/2016.
Kristi Breese
Quiz by Kristi Breese, updated more than 1 year ago
Kristi Breese
Created by Kristi Breese over 7 years ago
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Resource summary

Question 1

Question
An initial suicide evaluation should include
Answer
  • 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

Question 2

Question
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".
Answer
  • True
  • False

Question 3

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

Question 4

Question
What are some behavioral clues in a suicidal patient?
Answer
  • 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possessions, making out a will, and exhibiting an unexpected and sudden improvement in mood after being depressed or withdrawn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

Question 5

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

Question 6

Question
What are the positive symptoms of schizophrenia?
Answer
  • Hallucinations
  • Blunted affect
  • Delusions
  • Disorganized speech
  • Bizarre behavior
  • Poverty of thought

Question 7

Question
What are the negative symptoms of schizophrenia?
Answer
  • Blunted affect
  • Poverty of thought
  • Hallucinations
  • Disorganized speech
  • Loss of motivation (avolition)
  • Inability to experience pleasure or joy (anhedonia)

Question 8

Question
The following are neurocognitive impairments of a person who has schizophrenia. Select all that apply.
Answer
  • Inattention, easily distracted
  • Impaired memory
  • Good problem-solving skills
  • Poor decision-making skills
  • Rational and logical thinking
  • Impaired judgement

Question 9

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

Question 10

Question
What is the dopamine hypothesis in schizophrenia patients?
Answer
  • 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

Question 11

Question
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.
Answer
  • True
  • False

Question 12

Question
One theory of the etiology of schizophrenia is there is a strong genetic component.
Answer
  • True
  • False

Question 13

Question
The glutamate hypothesis suggests that there is hyperactivity of the neurotransmitter dopamine in the limbic regions of the brain.
Answer
  • True
  • False

Question 14

Question
Serotonin doesn't play a role in causing some of the symptoms of schizophrenia.
Answer
  • True
  • False

Question 15

Question
Meaningless rhyming of words in a forceful manner, in which the rhyming is often more important that the context of the word
Answer
  • clang association
  • neologisms
  • waxy flexibility
  • word salad

Question 16

Question
Voices that command the person to hurt self or others
Answer
  • Delusions
  • Command hallucinations
  • Echolalia
  • Illusions

Question 17

Question
False fixed beliefs that cannot be corrected by reasoning
Answer
  • Delusions
  • Illusions
  • Hallucinations
  • Clang association

Question 18

Question
Pathological repeating of another's words by imitation and is often seen in people with catatonia.
Answer
  • Echolalia
  • Echopraxia
  • Thought insertion
  • Delusions

Question 19

Question
Mimicking of movements of another person
Answer
  • Echolalia
  • Echopraxia
  • Delusions
  • Paranoia

Question 20

Question
Sensory perceptions for which no external stimuli exists.
Answer
  • Hallucinations
  • Delusions
  • Paranoia
  • Neologisms

Question 21

Question
Frequently misinterpreting messages of others or giving private meaning to the communication of others
Answer
  • Ideas of reference
  • Illusions
  • Thought withdrawal
  • Waxy flexibility

Question 22

Question
Misperceptions or misinterpretations of a real experience
Answer
  • Illusions
  • Ideas of reference
  • Thought insertion
  • Word salad

Question 23

Question
Made up words that have special meaning for a person
Answer
  • Neologisms
  • Thought broadcasting
  • Clang association
  • Command hallucinations

Question 24

Question
Belief that one's thoughts can be heard by others
Answer
  • Thought broadcasting
  • Thought insertion
  • Thought withdrawal

Question 25

Question
Belief that thoughts of others are being inserted into one's mind
Answer
  • Thought broadcasting
  • Thought insertion
  • Thought withdrawal

Question 26

Question
Belief that thoughts have been removed from one's mind by an outside agency
Answer
  • Thought broadcasting
  • Thought insertion
  • Thought withdrawal

Question 27

Question
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
Answer
  • Waxy flexibility
  • Word salad
  • Clang association
  • Delusions

Question 28

Question
A jumble of words that is meaningless to the listener and perhaps to the speaker as well
Answer
  • Word salad
  • Clang association
  • Echolalia
  • Neologisms

Question 29

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

Question 30

Question
Program for Assertive Community Treatment (PACT) is designed for the well adjusted and well functioning patients.
Answer
  • True
  • False

Question 31

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

Question 32

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

Question 33

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

Question 34

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