PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 12-4, 17, 72 (Table 12-2) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 22. What assessment findings mark the prodromal stage of schizophrenia? a. Withdrawal, misinterpreting, poor concentration, and preoccupation with religion b. Auditory hallucinations, ideas of reference, thought insertion, and broadcasting c. Stereotyped behavior, echopraxia, echolalia, and waxy flexibility d. Loose associations, concrete thinking, and echolalia neologisms
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ANS: A Withdrawal, misinterpreting, poor concentration, and preoccupation with religion are prodromal symptoms, the symptoms that are present before the development of florid symptoms. The incorrect options each list the positive symptoms of schizophrenia that might be apparent during the acute stage of the illness.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 12-3 to 5, 15, 92 (Box 12-1) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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23. A patient diagnosed with schizophrenia says, “Contagious bacteria are everywhere. When they get in your body, you will be locked up with other infected people.” Which problem is evident? a. Poverty of content b. Concrete thinking c. Neologisms d. Paranoia
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ANS: D The patient’s unrealistic fear of harm indicates paranoia. Neologisms are invented words. Concrete thinking involves literal interpretation. Poverty of content refers to an inadequate fund of information.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 12-20, 74 (Table 12-3) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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24. A patient diagnosed with schizophrenia begins a new prescription for ziprasidone. The patient is 5'6'' and currently weighs 204 lbs. The patient has dry flaky skin, headaches about twice a month, and a family history of colon cancer. Which intervention has the highest priority for the nurse to include in the patient’s plan of care? a. Skin care techniques b. Scheduling a colonoscopy c. Weight management strategies d. Teaching to limit caffeine intake ANS: C
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