Chapter Review
326Chapter Study Guide
➤ MULTIPLE-CHOICE QUESTIONS
Select the best answer for each of the following
questions.- Which of the following are considered the posi-
tive signs of schizophrenia?
A. Delusions, anhedonia, ambivalence
B. Hallucinations, illusions, ambivalence
C. Delusions, hallucinations, disordered thinking
D. Disordered thinking, anhedonia, illusions - The family of a client with schizophrenia asks the
nurse about the difference between conventional
and atypical antipsychotic medications. The
nurse’s answer is based on which of the following?
A. Atypical antipsychotics are newer medica-
tions but act in the same ways as conven-
tional antipsychotics.
B. Conventional antipsychotics are dopamine
antagonists; atypical antipsychotics inhibit
the reuptake of serotonin.
C. Conventional antipsychotics have serious
side effects; atypical antipsychotics have vir-
tually no side effects.
D. Atypical antipsychotics are dopamine and
serotonin antagonists; conventional anti-
psychotics are only dopamine antagonists. - The nurse is planning discharge teaching for a
client taking clozapine (Clozaril). Which of the
following is essential to include?
A. Caution the client not to be outdoors in the
sunshine without protective clothing.
B. Remind the client to go to the lab to have
blood drawn for a white blood cell count.
C. Instruct the client about dietary restrictions.
D. Give the client a chart to record a daily
pulse rate. - The nurse is caring for a client who has been
taking fluphenazine (Prolixin) for 2 days. The
client suddenly cries out, his neck twists to one
side, and his eyes appear to roll back in the
sockets. The nurse finds the following prn
medications ordered for the client. Which one
should the nurse administer?
A. Benztropine (Cogentin) 2 mg p.o., BID, prn
B. Fluphenazine (Prolixin) 2 mg p.o., TID, prn
C. Haloperidol (Haldol) 5 mg IM, prn extreme
agitation
D. Diphenhydramine (Benadryl) 25 mg IM, prn- Which of the following statements would indi-
cate that family teaching about schizophrenia
had been effective?
A. “If our son takes his medication properly, he
won’t have another psychotic episode.”
B. “I guess we’ll have to face the fact that our
daughter will eventually be institutionalized.”
C. “It’s a relief to find out that we did not cause
our son’s schizophrenia.”
D. “It is a shame our daughter will never be able
to have children.” - When the client describes fear of leaving his
apartment as well as the desire to get out and
meet others, it is called
A. Ambivalence
B. Anhedonia
C. Alogia
D. Avoidance - The client who hesitates 30 seconds before re-
sponding to any question is described as having
A. Blunted affect
B. Latency of response
C. Paranoid delusions
D. Poverty of speech - The overall goal of psychiatric rehabilitation is
for the client to gain
A. Control of symptoms
B. Freedom from hospitalization
C. Management of anxiety
D. Recovery from the illness
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