quiz 2-schizophrenia/Phases of patient relationship

Question 1

are HALLUCINATIONS positive or negative symptom of schizophrenia

Answer 1

POSITIVE

Question 2

is acting ALOOF a positive or negative symptom of schizophrenia

Answer 2

NEGATIVE

Question 3

is ANHEDONIA a positive or negative symptom of schizophrenia

Answer 3

NEGATIVE

Question 4

are BIZARRE BEHAVIORS positive or negative symptom of schizophrenia

Answer 4

POSITIVE

Question 5

is ANERGIA a positive or negative symptom of schizophrenia

Answer 5

NEGATIVE

Question 6

is AVOLITION a positive or negative symptoms of schizophrenia

Answer 6

NEGATIVE

Question 7

are DELUSIONS a positive or negative symptom of schizophrenia

Answer 7

POSITIVE

Question 8

longest phase of the nurse client relationship

Answer 8

working phase

Question 9

Aloof

Answer 9

distant/withdrawn

Question 10

anhedonia

Answer 10

lack of pleasure

Question 11

avolition

Answer 11

loss of motivation

Question 12

anergia

Answer 12

lack of energy

Question 13

apathy

Answer 13

decreased interest

Question 14

alogia

Answer 14

poor or poverty of speech

Question 15

1st gen, typical, or conventional medications treat positive negative, or both symptoms

Answer 15

positive

Question 16

2nd gen or atypical medications treat positive, negative, or both symptoms

Answer 16

both positive and negative

Question 17

symptoms of pseudoparkinsonism

Answer 17

stooped posture, shuffling gait, bradykinesia, pill-rolling motion

Question 18

1st generation extrapyramidal symptoms

Answer 18

pseudoparkinsonism, acute or tardive dyskinesia, acute dystonia, akithesia

Question 19

what is the difference between tardive dyskinesia and and acute dystonia

Answer 19

spasms are more severe in acute dystonia

Question 20

what do you treat 1st gen Extrapyramidal symptoms with?

Answer 20

anti-parkinson medication such as benztropine

Question 21

which 2nd gen medication causes fatal agranulocytosis?

Answer 21

clozapine

Question 22

what are some 2nd generation extrapyramidal symptoms?

Answer 22

metabolic syndrome, orthostatic hypertension, tremor, elevated prolactin levels, sexual dysfunction

Question 23

magical thinking is an example of _______

Answer 23

delusional thinking

Question 24

what is your #1 priority when a patient is hallucinating

Answer 24

SAFETY

Question 25

How can you ensure safety of a patient who is hallucinating ?

Answer 25

Ask the patient what they are hearing or seeing and make sure the voices aren't telling them to harm themselves or others

Question 26

When the patient believes that thoughts are being put into their head, this is called ________

Answer 26

thought insertion

Question 27

a class example of thought insertion would be _____ a. fat, cat, mat b. I have a chip in my brain c. I see ghosts

Answer 27

B

Question 28

When the patient repeats what they hear, this is called? A. Clang association B. Echolalia C. Verbigeration D. Word Salad

Answer 28

B.

Question 29

When the patient begins to rhyme, this is called ? A. Clang association B. Echolalia C. Verbigeration D. Word Salad

Answer 29

A

Question 30

When the patient repeats their own words, this is called ? A. Clang association B. Echolalia C. Verbigeration D. Word Salad

Answer 30

C

Question 31

When the patient states random words, this is called ? A. Clang association B. Echolalia C. Verbigeration D. Word Salad

Answer 31

D

Question 32

what is the meaning of the word: Anosognosia

Answer 32

When the client is unaware that they are ill

Question 33

Select all that apply: what are symptoms of neuroleptic malignant syndrome ``` A. tachycardia B. Bradycardia C. fluctuation in BP D. bulging eyes E. sudden high fever F. Muscle rigidity G. diaphoresis H. constipation I. decreased level of conciousness ```

Answer 33

A, C, E, F, G, I

Question 34

neuroleptic malignant syndrome can be treated with ?

Answer 34

dantrolene, bromocriptine, and antipyretics for the high fever

Question 35

What is the first thing you should do when you realize that the patient may be experiencing neuroleptic malignant syndrome ?

Answer 35

Hold 1st generation drugs

Question 36

what is the prototype 1st gen medication

Answer 36

chlorpromazine

Question 37

what is the prototype 2nd gen medication

Answer 37

Risperidone

Question 38

what is the prototype 3rd gen medication

Answer 38

apriprazole

Question 39

what is acute dystonia

Answer 39

severe spasms of tongue, neck, face, and back

Question 40

begin to monitor for acute dystonia between _________ after admin

Answer 40

1 to 5 days

Question 41

Treat acute dystonia with:

Answer 41

benztropine(antiparkinson) + diphenhydramine im or iv

Question 42

If the patient experiences acute dystonia, stay with them and monitor __________ until spasm stop

Answer 42

airway

Question 43

pseudoparkinsonism can occur _______ following the first dose a. 5-20 days b. 4-20 days c. 30 days d. 5-30 days

Answer 43

d. 5-30 days

Question 44

implement the risk for _________ for patients who suffer from pseudoparkinsonism

Answer 44

falling

Question 45

what is akathesisa

Answer 45

can't sit or stand still. Also continuous pacing and agitation

Question 46

observe for akathisia in the first ________ of after treatment initiation

Answer 46

2 months

Question 47

lip smacking, involuntary movements of arms, legs, and trunk, and tongue fasciculation's describe :

Answer 47

tardive dyskinesia

Question 48

monitor the patients _____ when they are taking both generations of antipsychotics a. weight b. feet c. appendix

Answer 48

a. weight

Question 49

what scale should be used to screen for the presence of EPS

Answer 49

AIMS

Question 50

Azine is the suffix for most 2nd gen medications

Answer 50

false, that is for 1st gen

Question 51

Azine and done is the suffix for most 2nd gen medications

Answer 51

true