13/FA_NURS_3310_21 Psychiatric Nursing Course TEST 1 FALL 2013 Test 9/30/13 12:02 PM Started Submitted 9/30/13 12:59 PM Completed

Status Attempt Score 69.34 out of 100 points Time Elapsed 56 minutes out of 1 hour and 30 minutes. Instructions

Question 1
1.34 out of 1.34 points A client is diagnosed with schizophrenia. A physician orders haloperidol (Haldol) 50 mg bid, benztropine (Cogentin) 1 mg prn, and zolpidem (Ambien) 10 mg HS. Which client behavior would warrant the nurse to administer benztropine? Selected Answer: Restlessness and muscle rigidity Answers: Tactile hallucinations Tardive dyskinesia Restlessness and muscle rigidity Reports of hearing disturbing voices Response Feedback: The symptom of tactile hallucinations and reports of hearing disturbing voices would be addressed by an antipsychotic medication such as haloperidol. Tardive dyskinesia, a potentially irreversible condition, would warrant the discontinuation of an antipsychotic medication such as haloperidol. An anticholinergic medication such as benztropine would be used to treat the extrapyramidal symptoms of restlessness and muscle rigidity.

Question 2
0 out of 1.34 points A nurse is administering risperidone (Risperdal) to a client diagnosed with schizophrenia. The therapeutic effect of this medication would most effectively address which of the following positive symptoms? (Select all that apply.) Selected Answers:

Somatic delusions

Social isolation

Gustatory hallucinations

Clang associations Answers: Somatic delusions Social isolation

Gustatory hallucinations Flat affect

Response Feedback:

Clang associations The nurse should expect that risperidone (Risperdal) would be effective treatment for somatic delusions, gustatory hallucinations, and clang associations. Risperidone is an atypical antipsychotic that has been effective in the treatment of the positive symptoms of schizophrenia and in maintenance therapy to prevent exacerbation of schizophrenic symptoms.

Question 3
1.34 out of 1.34 points A 16-year-old-client diagnosed with paranoid schizophrenia experiences command hallucinations to harm others. The clients parents ask a nurse, Where do the voices come from? Which is the appropriate nursing reply? Selected Answer: Answers: Your child has a chemical imbalance of the brain which leads to altered thoughts. Your childs hallucinations are caused by medication interactions. Your child has a chemical imbalance of the brain which leads to altered thoughts.

Your child has too little serotonin in the brain causing delusions and hallucinations. Your childs abnormal hormonal changes have precipitated auditory hallucinations. Response Feedback: The nurse should explain that a chemical imbalance of the brain leads to altered thought processes. Hallucinations, or false sensory perceptions, may occur in all five senses. The client who hears voices is experiencing an auditory hallucination.

Question 4
1.34 out of 1.34 points A nurse is assessing a client diagnosed with paranoid schizophrenia. The nurse asks the client, Do you receive special messages from certain sources, such as the television or radio? Which potential symptom of this disorder is the nurse assessing? Selected Answer: Delusions of reference Answers: Thought insertion Paranoid delusions Magical thinking Delusions of reference Response Feedback: The nurse is assessing for the potential symptom of delusions of reference. A client who believes that he or she receives messages through the radio is experiencing delusions of reference. When a client experiences these delusions, he or she interprets all events within the environment as personal references.