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NUR 326 Exam 1 questions with correct answers, Exams of Nursing

Western Governors University (WGU)Nursing

NUR 326 Exam 1 questions with correct answers

Typology: Exams

2024/2025

Available from 07/04/2025

edvin-brown
edvin-brown 🇺🇸

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NUR 326 Exam 1 questions with correct
answers
A |patient |has |been |prescribed |a |selective |serotonin |reuptake |inhibitor |(SSRI) |antidepressant. |After |
taking |the |new |medication, |the |patient |states, |"This |medication |isn't |working. |I |don't |feel |any |
different." |What |is |the |best |response |by |the |nurse? |- |✔✔"It |usually |takes |a |few |weeks |for |you |to |
notice |improvement |from |this |medication."
- |Seeing |a |response |to |antidepressants |takes |3 |to |6 |weeks
A |patient |coming |to |the |health |clinic |for |a |blood |pressure |check |reports |to |the |nurse |that |she |just |
does |not |have |the |energy |to |go |out |much |in |winter |but |looks |forward |to |gardening |in |summer. |The |
nurse |realizes |that |this |patient |is |describing |a |major |symptom |of |what |condition? |- |✔✔Seasonal |
affective |disorder
seasonal |affective |disorder |- |✔✔Decreased |exposure |to |sunlight |in |winter |months |can |reduce |the |
production |of |serotonin |in |the |brain, |leading |to |a |type |of |depression
- |tends |to |resolve |with |the |longer |days |and |increased |exposure |to |sun |of |spring |and |summer
A |patient |who |is |at |a |health |clinic |with |complaints |of |a |sore |throat |is |exhibiting |signs |of |depression. |
The |nurse |administers |a |basic |screening |for |depression. |What |level |of |prevention |is |the |nurse |
performing? |- |✔✔Secondary |prevention
Secondary |prevention |- |✔✔aimed |at |early |detection |of |problems, |I.e. |identification |of |depression |for |
early |intervention
Primary |prevention |for |mood |disorders |- |✔✔focuses |on |stress |reduction |and |societal |issues |such |as |
reducing |poverty |and |racism
Tertiary |prevention |- |✔✔aims |to |reduce |disability |from |a |diagnosed |condition; |for |mood |disorders, |
this |includes |prevention |of |relapse |and |protection |from |harm
A |family |member |of |a |patient |diagnosed |with |bipolar |disorder |asks |what |behaviors |would |indicate |
the |beginnings |of |a |manic |phase. |What |is |the |best |response |by |the |nurse? |- |✔✔"The |person |may |
have |excess |energy, |talk |a |lot, |feel |restless, |and |spend |too |much |money."
Signs |that |a |person |is |cycling |into |a |manic |phase |include |- |✔✔sleeping |and |eating |less |and |having |
increased |energy |and |racing |thoughts, |increased |impulsivity, |and |increased |spending |behaviors
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NUR 326 Exam 1 questions with correct

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A |patient |has |been |prescribed |a |selective |serotonin |reuptake |inhibitor |(SSRI) |antidepressant. |After | taking |the |new |medication, |the |patient |states, |"This |medication |isn't |working. |I |don't |feel |any | different." |What |is |the |best |response |by |the |nurse? |- |✔✔"It |usually |takes |a |few |weeks |for |you |to | notice |improvement |from |this |medication."

  • |Seeing |a |response |to |antidepressants |takes | 3 |to | 6 |weeks A |patient |coming |to |the |health |clinic |for |a |blood |pressure |check |reports |to |the |nurse |that |she |just | does |not |have |the |energy |to |go |out |much |in |winter |but |looks |forward |to |gardening |in |summer. |The | nurse |realizes |that |this |patient |is |describing |a |major |symptom |of |what |condition? |- |✔✔Seasonal | affective |disorder seasonal |affective |disorder |- |✔✔Decreased |exposure |to |sunlight |in |winter |months |can |reduce |the | production |of |serotonin |in |the |brain, |leading |to |a |type |of |depression
  • |tends |to |resolve |with |the |longer |days |and |increased |exposure |to |sun |of |spring |and |summer A |patient |who |is |at |a |health |clinic |with |complaints |of |a |sore |throat |is |exhibiting |signs |of |depression. | The |nurse |administers |a |basic |screening |for |depression. |What |level |of |prevention |is |the |nurse | performing? |- |✔✔Secondary |prevention Secondary |prevention |- |✔✔aimed |at |early |detection |of |problems, |I.e. |identification |of |depression |for | early |intervention Primary |prevention |for |mood |disorders |- |✔✔focuses |on |stress |reduction |and |societal |issues |such |as | reducing |poverty |and |racism Tertiary |prevention |- |✔✔aims |to |reduce |disability |from |a |diagnosed |condition; |for |mood |disorders, | this |includes |prevention |of |relapse |and |protection |from |harm A |family |member |of |a |patient |diagnosed |with |bipolar |disorder |asks |what |behaviors |would |indicate | the |beginnings |of |a |manic |phase. |What |is |the |best |response |by |the |nurse? |- |✔✔"The |person |may | have |excess |energy, |talk |a |lot, |feel |restless, |and |spend |too |much |money." Signs |that |a |person |is |cycling |into |a |manic |phase |include |- |✔✔sleeping |and |eating |less |and |having | increased |energy |and |racing |thoughts, |increased |impulsivity, |and |increased |spending |behaviors

A |patient |has |been |admitted |with |major |depressive |disorder. |What |typical |signs |and |symptoms |would |the |nurse |expect |to |assess? |- |✔✔Poor |eye |contact Appetite |changes Slowed |speech Typical |signs |of |depression |include |- |✔✔sleep |disturbance; |poor |eye |contact; |loss |of |interest |in | events; |guilt; |decreased |energy, |speech, |and |concentration; |appetite |changes; |and |slowed |motor | movements Denial |stage |- |✔✔In |this |stage, |grieving |people |are |unable |or |unwilling |to |accept |that |the |loss |has | taken |(or |will |shortly |take) |place

  • |It |can |feel |as |though |they |are |experiencing |a |bad |dream, |that |the |loss |is |unreal, |and |they |are | waiting |to |"wake |up" |as |though |from |a |dream, |expecting |that |things |will |be |normal Anger |stage |- |✔✔at |the |loss |and |the |unfairness |of |it They |may |become |angry |at |the |person |who |has |been |lost |(or |is |dying). |Feelings |of |abandonment |may |also |occur. Bargaining |stage |- |✔✔In |this |stage, |people |beg |their |"higher |power" |to |undo |the |loss, |saying |things | along |the |lines |of, |"I'll |change |if |you |bring |her |(or |him) |back |to |me". | This |phase |usually |involves |promises |of |better |behavior |or |significant |life |changes |which |will |be |made |in |exchange |for |the |reversal |of |the |loss Grief |- |✔✔subjective |feeling |and |affect |that |follows |a |loss
  • |Powerful |emotional |state
  • |Universal |reaction
  • |Involves |stress, |pain |and |suffering Mourning |- |✔✔the |process |by |which |grief |is |resolved Types |of |Grief |- |✔✔- |Uncomplicated |grief
  • |Complicated |(dysfunctional) |grief
  • |Anticipatory |
  • |Disenfranchised
  • |Number |and |nature |of |previous |grief |reactions
  • |Degree |of |preparation |for |the |loss
  • |Physical |and |psychological |health |of |the |mourner
  • |Culture |and |ethnicity
  • |Spiritual |beliefs The |following |can |be |present |in |dysfunctional |grieving: |- |✔✔Changes |in |emotions, |behaviors |and | thoughts |are |more |exaggerated |than |expected. | These |changes |may |include |sleeplessness, |poor |appetite, |anger, |rage, |despair, |depression, |anxiety, | self-blame, |guilt |and |feelings |of |loneliness. Difficulty |moving |out |of |a |state |of |grief Emotional |numbness |for |a |prolonged |period | Grief |response |is |out |of |proportion |to |the |loss. Withdrawn |from |family |and |friends, |work, |school |and |other |activities. Engage |in |inappropriate |or |risky |behavior. Use |of |alcohol |in |excess |or |misuse |prescription |or |illegal |drugs. If |the |severity |or |duration |of |your |symptoms |begins |to |disturb |your |life |and |normal |functioning, Nursing |Interventions |for |grief |and |loss |- |✔✔Goal: |assist |person |with |process |and |accept |the | discomfort Maintain |accepting |attitude
  • |Facilitates |process
  • |Encourages |crying
  • |Verbalization |of |feelings
  • |Reviewing |relationship |with |deceased
  • |Seek |support |from |family |and |friends
  • |Anticipate |and |accept |anger |and |rage Discourage |maladaptive |coping
  • |Alcohol/drugs
  • |Promiscuity
  • |Prolonged |denial Discourage |drastic |moves |or |changes Lasts |6-12 |months Self |limited |process |of |realization Guidelines |for |Nurses |for |grief |and |loss |- |✔✔Seek |basic |understanding |of |clients' |spiritual |needs, | resources, |and |preferences Follow |clients' |expressed |wishes |regarding |spiritual |care Do |not |prescribe |or |urge |clients |to |adopt |certain |spiritual |beliefs |or |practices, |and |do |not |pressure | them |to |relinquish |such |beliefs |or |practices Strive |to |understand |personal |spirituality |and |how |it |influences |care |giving Provide |care |that |is |consonant |with |personal |beliefs mood |- |✔✔defined |as |the |way |a |person |feels. |The |term |affect |is |defined |as |the |observable |response | a |person |has |to |his |or |her |own |feelings The |mood |spectrum |- |✔✔a |continuum, |or |spectrum, |of |all |possible |moods |that |any |person |may | experience

Primary |Prevention |for |mood |spectrum |disorders |- |✔✔Reduction |of |poverty, |racism, |violence, |and | stress Depression |statistics |- |✔✔ 14 |million |each |year 1 |in | 8 |adults |major |depressive |episode |in |their |lifetime 2% |children |age |7-12 |have |major |depression |at |any |given |time; |6-9% |adolescents Lifetime |risk: |15%-25% |for |women; |8%-15% |for |men 50% |have |recurrence; |25% |have |chronic, |recurrent |depression #1 |disabling |illness |in |the |world Most |common |problem |encountered |by |mental |health |professionals. $43.7 |billion |annually |in |U.S. U.S |Preventative |Services |Task |Force: |Screening |for |depression |- |✔✔Over |past | 2 |weeks |have |you |felt | down, |depressed |or |hopeless? Over |past | 2 |weeks |have |you |felt |little |pleasure |or |interest |in |doing |things? Primary |Risk |Factors |for |Depression |- |✔✔- |Female | -Medical |Illness -Unmarried | -Alcohol |or |substance |abuse

  • |Low |socioeconomic |class
  • |Postpartum
  • |Early |childhood |trauma
  • |Presence |of |negative |life |event |especially |loss |and |humiliation
  • |Family |history |of |depression, |especially |in |first |degree |relatives
  • |Medical |illness
  • |Ineffective |coping |ability Etiology |of |Depression |- |✔✔Factors
  • |Genetics
  • |Biochemical
  • |Stressful |Life |Events
  • |Alteration |in |Hormonal |Regulation
  • |Learned |helplessness |model
  • |Cognitive |theory
  • |Diathesis-Stress |Model
  • |Inflammatory |Response
  • |Life |events |and |environmental |stress
  • |Loss |of |attachment
  • |Role |Strain
  • |Physiologic |changes Signs |and |symptoms |of |depression |to |assess |for: |- |✔✔Change |in |previous |functioning | Cause |significant |stress |or |impairment Alteration |in |mood |that |is |expressed |by |feelings |of |sadness, |despair |and |pessimism
  • |Depressed |mood |
  • |Anhedonia
  • |Significant |weight |change
  • |Change |in |sleep
  • |Decreased |motor |activity/ |- |Psychomotor |retardation
  • |Anergia
  • |Feelings |of |worthlessness/guilt
  • |Decreased |concentration
  • |Thoughts |of |death/suicide
  • |Citalopram |(Celexa)
  • |Escitalopram |(Lexapro) Selective |Serotonin/Norepinephrine |Reuptake |Inhibitors |- |✔✔- |Venlafaxine(Effexor)
  • |Nafazadone |(Serzone)
  • |Duloxetine |(Cymbalta) Tricyclic |antidepressants |- |✔✔- |Amytriptyline |(Elavil)
  • |Desiprimine |(Norpramin)
  • |Doxepin |(Sinequan)
  • |Imiprimine |(Tofranil)
  • |Nortriptyline |(Pamelor)
  • |Amoxipine |(Ascendin) Atypical |antidepressants |- |✔✔- |Buproprion |(Wellbutrin)
  • |Trazadone |(Desyrel) Monoamine |Oxidase |Inhibitors |(MAOI) |- |✔✔- |Isocarboxazid |(Marplan)
  • |Phenelazine |(Nardil)
  • |Tranylcypromine |(Parnate) Antidepressants |facts |- |✔✔- |65-75% |respond
  • |25-35% |do |not
  • |3-6 |weeks |for |full |benefit
  • |All |have |side-effects
  • |Some |are |very |toxic Bipolar |Disorders |- |✔✔Mania
  • |May |vary |in |intensity
  • |May |occur |with |psychotic |features
  • |Characterized |by |elevated, |expansive |or |irritable |mood.
  • |.6-.88% |of |adult |population Any |previous |or |current |

manic |episode |results |in | diagnosis |of |Bipolar |disorder MANIA |- |✔✔diagnosed |when |at |least | 1 |week |of |excessive |activity |and |energy can |be |euphoric |or |dysphoric episodes |can |alternate |with |depression |or |a |mixed |state |of |agitation |and |depression

  • |Bipolar |I |disorder
  • |Bipolar |II |disorder
  • |cyclothymia Bipolar |I |Disorder |- |✔✔- |One |or |more |episodes |of |major |depression |with |one |or |more |episodes |of | mania
  • |Prevalence |is |0.4%-1.6% Bipolar |II |Disorder |- |✔✔- |One |or |more |episodes |of |major |depression |with |periods |of |hypomania
  • |Prevalence |is |0.5% Manic |symptoms |- |✔✔- |Elevated/expansive |mood
  • |Inflated |self-esteem, |grandiosity, |delusions |of |grandeur
  • |Decreased |need |for |sleep
  • |Pressured |speech
  • |Flight |of |ideas
  • |Distractibility
  • |Irritability/agitation/intrusiveness
  • |Increased |involvement |in |goal |directed |activity
  • |Excessive |activity |in |high |risk |activities Nursing |Interventions |for |Mania |- |✔✔Communication/environment
  • |Use |firm |calm |approach
  • |Avoid |power |struggles
  • |Be |consistent
  • |Set |limits

When |a |client |experiences |four |or |more |mood |episodes |in |a |12-month |period, |which |term |is |used |to | describe |this |behavior? |- |✔✔Rapid |cycling Rapid |cycling |- |✔✔implies |four |or |more |mood |episodes |in |a |12-month |period, |as |well |as |more |severe |symptomatology The |nurse |can |expect |a |client |demonstrating |typical |manic |behavior |to |be |attired |in |clothing |that | includes |with |characteristics? |- |✔✔Colorful |and |outlandish

  • |Manic |clients |often |manage |to |dress |and |apply |makeup |in |ways |that |create |a |colorful, |even |bizarre, | appearance What |is |the |first-line |drug |used |to |treat |mania? |- |✔✔lithium lithium |- |✔✔a |mood |stabilizer, |is |the |first-line |drug |for |use |in |treating |bipolar |disorder When |a |client |reports |that |lithium |causes |an |upset |stomach, |the |nurse |should |make |which |suggestion |associated |with |taking |the |medication? |- |✔✔With |meals
  • |Many |clients |find |that |taking |lithium |with |or |shortly |after |meals |minimizes |gastric |distress When |the |wife |of |a |manic |client |asks |about |genetic |transmission |of |bipolar |disorder, |the |nurse's | answer |should |be |predicated |on |which |information? |- |✔✔The |rate |of |bipolar |disorder |is |higher |in | relatives |of |people |with |bipolar |disorder. Which |behavior |would |be |characteristic |of |a |client |during |a |manic |episode? |- |✔✔Going |rapidly |from | one |activity |to |another
  • |Hyperactivity |and |distractibility |are |basic |to |manic |episodes Which |side |effects |of |lithium |can |be |expected |at |therapeutic |levels? |- |✔✔Fine |hand |tremor |and | polyuria A |manic |client |tells |a |nurse |"Bud. |Crud. |Dud. |I'm |a |real |stud! |You'd |like |what |I |have |to |offer. |Let's |go | to |my |room." |What |is |the |best |initial |approach |to |managing |this |behavior? |- |✔✔Distracting |the |client |by |suggesting, |"It's |time |to |work |on |your |art |project."
  • |Distractibility |works |as |the |nurse's |friend |
  • |Rather |than |discuss |the |invitation, |the |nurse |may |be |more |effective |by |redirecting |the |client
  • |This |intervention |is |both |therapeutic |and |less |restrictive

When |a |hyperactive |manic |client |expresses |the |intent |to |strike |another |client, |the |initial |nursing | intervention |would |be |to |- |✔✔set |verbal |limits.

  • |Verbal |limit |setting |should |always |precede |more |restrictive |measures. What |action |should |the |nurse |take |on |learning |that |a |manic |client's |serum |lithium |level |is |1.8 |mEq/L? |- |✔✔Withhold |medication |and |notify |the |physician.
  • |The |client's |lithium |level |has |exceeded |desirable |limits
  • |Additional |doses |of |the |medication |should |be |withheld |and |the |physician |notified What |is |the |priority |nursing |diagnosis |for |a |hyperactive |manic |client |during |the |acute |phase |of | treatment? |- |✔✔Risk |for |injury
  • |Risk |for |injury |is |high, |related |to |the |client's |hyperactivity |and |poor |judgment
  • |Safety |is |always |the |priority |when |considering |client |care Which |room |placement |would |be |best |for |a |client |experiencing |a |manic |episode? |- |✔✔A |single |room | near |the |nurses' |station
  • |The |room |placement |that |provides |a |nonstimulating |environment |is |best. |
  • |Nearness |to |the |nurses' |station |means |close |supervision |can |be |provided What |is |a |desired |outcome |for |the |maintenance |phase |of |treatment |for |a |manic |client? |- |✔✔Adhere | to |follow-up |medical |appointments.
  • |The |client |would |be |living |in |the |community |during |the |maintenance |phase. |
  • |Keeping |follow-up |appointments |is |highly |desirable A |bipolar |client |tells |the |nurse, |"I |have |the |finest |tenor |voice |in |the |world. |The |three |tenors |who |do | all |those |TV |concerts |are |going |to |retire |because |they |can't |compete |with |me." |What |term |should |the |nurse |use |to |identify |this |behavior? |- |✔✔Grandiosity Grandiosity |- |✔✔Exaggerated |belief |in |one's |own |importance, |identity, |or |capabilities A |client |diagnosed |with |bipolar |disorder |has |a |nursing |care |plan |that |includes |several |nursing | diagnoses |listed. |Match |the |nursing |diagnosis |to |the |level |of |priority |- |✔✔First |priority
  • |Risk |for |injury
  • |Mortality |rates |for |bipolar |disorder |are |severe |because |substantial |numbers |of |individuals |with | bipolar |disorder |will |make |a |suicide |attempt |at |least |once |in |their |lifetime. |
  • |Suicides |occur |in |both |the |depressed |and |the |manic |phase. |
  • |Bipolar |patients |are |always |considered |high |risk |for |suicide |because |of |impulsivity |while |in |the | manic |phase |and |hopelessness |when |in |the |depressed |phase. What |statement |about |the |comorbidity |of |depression |is |accurate? |- |✔✔Depression |is |commonly |seen |in |individuals |with |medical |disorders. Beck's |cognitive |theory |suggests |that |the |etiology |of |depression |is |related |to |what |factor? |- | ✔✔Negative |processing |of |information the |theory |of |the |cognitive |triad |of |three |automatic |thoughts |responsible |for |people |becoming | depressed: |- |✔✔(1) |a |negative, |self-deprecating |view |of |oneself; | (2) |a |pessimistic |view |of |the |world; |and |(3) |the |belief |that |negative |reinforcement |will |continue Dysthymia |cannot |be |diagnosed |unless |it |has |existed |for |what |period |of |time? |- |✔✔At |least | 2 |years Dysthymia |- |✔✔chronic |condition |that |by |definition |has |to |have |existed |for |longer |than | 2 |years A |client |prescribed |a |monamine |oxidase |inhibitor |(MOA) |has |a |pass |to |go |out |to |lunch. |Given |a | choice |of |the |following |entrees, |the |client |can |safely |eat |- |✔✔fruit |and |cottage |cheese |plate. (do |not |contain |tyramine)
  • |Avocados, |fermented |food |such |as |sauerkraut, |processed |meat, |and |organ |meat, |contain |tyramine. |
  • |Monoamine |oxidase |inhibitors |inhibit |the |breakdown |of |tyramine, |which |can |lead |to |high |blood | pressure, |a |hypertensive |crisis, |and |eventually |a |cerebrovascular |accident. Assessment |of |the |thought |processes |of |a |client |diagnosed |with |depression |is |most |likely |to |reveal | what |characteristic? |- |✔✔Self-deprecatory |ideation
  • |Depressed |clients |never |feel |good |about |themselves
  • |They |have |a |negative, |self-deprecating |view |of |the |world A |depressed |client |is |noted |to |pace |most |of |the |time, |pull |at |her |clothes, |and |wring |her |hands. |These |behaviors |are |consistent |with |which |term? |- |✔✔Psychomotor |agitation When |the |clinician |mentions |that |a |client |has |anhedonia, |the |nurse |can |expect |that |the |client |will | demonstrate |what |behavior? |- |✔✔No |pleasure |from |previously |enjoyed |activities

Anhedonia |- |✔✔suggests |the |lack |of |ability |to |experience |pleasure A |depressed, |socially |withdrawn |client |tells |the |nurse, |"There |is |no |sense |in |trying. |I |am |never |able |to |do |anything |right!" |The |nurse |can |best |address |this |cognitive |distortion |with |which |response? |- | ✔✔"Let's |look |at |what |you |just |said, |that |you |can |'never |do |anything |right.'"

  • |Cognitive |distortions |can |be |refuted |by |examining |them, |but |to |examine |them |the |nurse |must |gain | the |client's |willingness |to |participate Which |statement |about |antidepressant |medications, |in |general, |can |serve |as |a |basis |for |client |and | family |teaching? |- |✔✔Onset |of |action |is |from | 1 |to | 3 |weeks |or |longer. Which |statement |would |best |show |acceptance |of |a |depressed, |mute |client? |- |✔✔"I |would |like |to |sit | with |you |for | 15 |minutes |now |and |again |this |afternoon."
  • |Spending |time |with |the |client |without |making |demands |is |a |good |way |to |show |acceptance A |client |prescribed |a |selective |serotonin |reuptake |inhibitor |mentions |taking |the |medication |along | with |the |St. |John's |wort |daily. |The |nurse |should |provide |the |client |with |what |information |regarding | this |practice? |- |✔✔Explain |the |high |possibility |of |an |adverse |reaction.
  • |Serotonin |malignant |syndrome |is |a |possibility |if |St. |John's |wort |is |taken |with |other |antidepressants A |depressed |client |tells |the |nurse, |"There |is |no |sense |in |trying. |I |am |never |able |to |do |anything |right!" |The |nurse |should |identify |this |cognitive |distortion |as |what |response? |- |✔✔Learned |helplessness
  • |Learned |helplessness |results |in |depression |when |the |client |feels |no |control |over |the |outcome |of |a | situation When |the |nurse |remarks |to |a |depressed |client, |"I |see |you |are |trying |not |to |cry. |Tell |me |what |is | happening." |The |nurse |should |be |prepared |to |implement |which |intervention? |- |✔✔Waiting |quietly | for |the |client |to |reply
  • |Depressed |clients |think |slowly |and |take |long |periods |to |formulate |answers |and |respond A |new |psychiatric |technician |mentions |to |the |nurse, |"Depression |seems |to |be |a |disease |of |old |people. |All |the |depressed |clients |on |the |unit |are |older |than | 60 |years." |How |should |the |nurse |respond |to |this | statement? |- |✔✔"Depression |is |seen |in |people |of |all |ages, |from |childhood |to |old |age."
  • |crippling |symptoms |of: |
  • |affective |blunting |(lack |of |facial |expression)
  • |anergia |(lack |of |energy)
  • |anhedonia |(inability |to |experience |happiness)
  • |avolition |(lack |of |motivation)
  • |poverty |of |content |of |speech |
  • |poverty |of |speech
  • |thought |blocking Schizophrenia |is |best |characterized |as |presenting |which |personality |trait? |- |✔✔Deteriorating
  • |The |course |of |schizophrenia |is |marked |by |recurrent |acute |exacerbations
  • |With |each |relapse |of |psychosis, |an |increase |in |residual |dysfunction |and |deterioration |occurs Which |side |effect |of |antipsychotic |medication |is |generally |nonreversible? |- |✔✔Tardive |dyskinesia
  • |no |proven |cure Currently |what |is |understood |to |be |the |causation |of |schizophrenia? |- |✔✔A |combination |of |inherited | and |nongenetic |factors
  • |a |combination |of |inherited |genetic |factors |and |extreme |nongenetic |factors |(e.g., |viral |infection, |birth |injuries, |nutritional |factors) |that |can |affect |the |genes |governing |the |brain |or |directly |injure |the |brain The |most |common |course |of |schizophrenia |is |an |initial |episode |followed |by |what |course |of |events? |- | ✔✔Recurrent |acute |exacerbations |and |deterioration
  • |marked |by |an |initial |episode |followed |by |recurrent |acute |exacerbations
  • |With |each |relapse |of |psychosis, |an |increase |in |residual |dysfunction |and |deterioration |occurs A |client |diagnosed |with |paranoid |schizophrenia |tells |the |nurse, |"I |have |to |get |away. |The |volmers |are | coming |to |execute |me." |The |term |"volmers" |can |be |assessed |as |- |✔✔a |neologism. neologism |- |✔✔a |newly |coined |word |that |has |meaning |only |for |the |client

A |client |diagnosed |with |paranoid |schizophrenia |refuses |food, |stating |the |voices |are |saying |the |food |is |contaminated |and |deadly. |Which |response |should |the |nurse |provide |to |this |client |statement? |- |✔✔"I |understand |that |the |voices |are |very |real |to |you, |but |I |do |not |hear |them." This |reply |acknowledges |the |client's |reality |but |offers |the |nurse's |perception |that |he |or |she |is |not | experiencing |the |same |thing A |client, |who |has |been |prescribed |clozapine | 6 |weeks |ago, |reports |flulike |symptoms |including |a |fever | and |a |very |sore |throat, |the |nurse |should |initiate |which |nursing |intervention? |- |✔✔Arrange |for |the | client |to |have |blood |drawn |for |a |white |blood |cell |count.

  • |Antipsychotic |medications |may |cause |agranulocytosis, |the |first |manifestation |of |which |may |be |a | sore |throat |and |flulike |symptoms When |a |client |diagnosed |with |paranoid |schizophrenia |tells |the |nurse, |"I |have |to |get |away. |The | volmers |are |coming |to |execute |me," |an |appropriate |response |for |the |nurse |would |be: |- |✔✔"It |must | be |frightening |to |think |something |is |going |to |harm |you."
  • |This |response |focuses |on |the |client's |feelings |and |neither |directly |supports |the |delusion |nor |denies | the |client's |experience The |purpose |of |the |Abnormal |Involuntary |Movement |Scale |(AIMS) |assessment |on |a |persistently | mentally |ill |client |who |has |been |diagnosed |with |schizophrenia |is |early |detection |of |- |✔✔tardive | dyskinesia.
  • |An |AIMS |assessment |should |be |performed |periodically |on |clients |who |are |being |treated |with | antipsychotic |medication |known |to |cause |tardive |dyskinesia. A |client |has |reached |the |stable |plateau |phase |of |schizophrenia. |What |is |the |appropriate |clinical | planning |focus |for |this |client? |- |✔✔Social, |vocational, |and |self-care |skills
  • |During |the |stable |plateau |phase |of |schizophrenia, |planning |is |geared |toward |client |and |family | education |and |skills |training |that |will |help |maintain |the |optimal |functioning |of |schizophrenic | individuals |in |the |community Which |nursing |intervention |is |designed |to |help |a |schizophrenic |client |minimize |the |occurrence |of |a | relapse? |- |✔✔Teach |the |client |and |family |about |behaviors |associated |with |relapse.