Schizophrenia Part 2

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Schizophrenia NCLEX Part 2 26. Question A client with schizophrenia who receives fluphenazine (Prolixin) develops pseudoparkinsonism and akinesia. What drug would the nurse administer to minimize extrapyramidal symptoms? A. benztropine (Cogentin) B. dantrolene (Dantrium) C. clonazepam (Klonopin) D. diazepam (Valium) 27. Question A client with a diagnosis of paranoid schizophrenia comments to the nurse, “How do I know what is really in those pills?” Which of the following is the best response? A. Say, “You know it’s your medicine.” B. Allow him to open the individual wrappers of the medication. C. Say, “Don’t worry about what is in the pills. It’s what is ordered.” D. Ignore the comment because it’s probably a joke. 28. Question A client tells the nurse that people from Mars are going to invade the earth. Which response by the nurse would be most therapeutic? A. “That must be frightening to you. Can you tell me how you feel about it?” B. “There are no people living on Mars.” C. “What do you mean when you say they’re going to invade the earth?” D. “I know you believe the earth is going to be invaded, but I don’t believe that.” 29. Question A client with schizophrenia tells the nurse he hears the voices of his dead parents. To help the client ignore the voices, the nurse should recommend that he: A. Sit in a quiet, dark room and concentrate on the voices. B. Listen to a personal stereo through headphones and sing along with the music. C. Call a friend and discuss the voices and his feelings about them. D. Engage in strenuous exercise. 30. Question A client with schizophrenia is receiving antipsychotic medication. Which nursing diagnosis may be appropriate for this client? A. Ineffective protection related to blood dyscrasias B. Urinary frequency related to adverse effects of antipsychotic medication C. Risk for injury related to a severely decreased level of consciousness D. Risk for injury related to electrolyte disturbances 31. Question A client with persistent, severe schizophrenia has been treated with phenothiazines for the past 17 years. Now the client’s speech is garbled as a result of drug-induced rhythmic tongue protrusion. What is another name for this extrapyramidal symptom?

Schizophrenia NCLEX Part 2 A. Dystonia (involuntary muscle contractions) B. Akathisia (restlessness) C. Pseudoparkinsonism D. Tardive dyskinesia 32. Question The nurse is assigned to a client with catatonic schizophrenia. Which intervention should the nurse include in the client’s plan of care? A. Meeting all of the client’s physical needs. B. Giving the client an opportunity to express concerns. C. Administering lithium carbonate (Lithonate) as prescribed. D. Providing a quiet environment where the client can be alone. 33. Question A client with a history of medication noncompliance is receiving outpatient treatment for chronic undifferentiated schizophrenia. The physician is most likely to prescribe which medication for this client? A. chlorpromazine (Thorazine) B. imipramine (Tofranil) C. lithium carbonate (Lithane) D. fluphenazine decanoate (Prolixin Decanoate) – injectable (depo) 34. Question Propranolol (Inderal) is used in the mental health setting to manage which of the following conditions? A. Antipsychotic-induced akathisia and anxiety. B. The manic phase of bipolar illness as a mood stabilizer. C. Delusions for clients suffering from schizophrenia. D. Obsessive-compulsive disorder (OCD) to reduce ritualistic behavior. 39. Question The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine, and benztropine. Why is benztropine administered? A. To reduce psychotic symptoms. B. To reduce extrapyramidal symptoms. C. To control nausea and vomiting. D. To relieve anxiety. 44. Question Important teaching for clients receiving antipsychotic medication such as haloperidol (Haldol) includes which of the following instructions? Select all that apply. A. Use sunscreen because of photosensitivity. B. Take the antipsychotic medication with food. C. Have routine blood tests to determine levels of the medication.

Schizophrenia NCLEX Part 2 D. Abstain from eating aged cheese. (MAOI – antidepressants) 46. Question A client with chronic schizophrenia receives 20 mg of fluphenazine decanoate (Prolixin Decanoate) by I.M. injection. Three days later, the client has muscle contractions that contort the neck. This client is exhibiting which extrapyramidal reaction?  A. Dystonia  B. Akinesia  C. Akathisia  D. Tardive dyskinesia 48. Question A client is unable to get out of bed and get dressed unless the nurse prompts every step. This is an example of which behavior?  A. Word salad  B. Tangential  C. Avolition  D. Perseveration

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