NCLEX Quiz: Schizophrenic Disorder Trivia Questions!

1. Nurse Tara is teaching a community group about substance abuse. She explains that a genetic component has been implicated in which of the following commonly abused substances?

Alcohol

Barbiturates

Heroin

Marijuana

Several chromosomes (1.3.and 7) have been implicated in increased vulnerability to alcohol abuse. Statistics have shown that risk for alcohol abuse in first-degree relatives of alcohol abusers is as high as 40% to 60%. Most of the genetic research has been done related to alcohol.Options B.C.and D: Definitive data regarding genetic transmission is not available at this time for barbiturates.heroin.and marijuana.

Explanation

Several chromosomes (1.3.and 7) have been implicated in increased vulnerability to alcohol abuse. Statistics have shown that risk for alcohol abuse in first-degree relatives of alcohol abusers is as high as 40% to 60%. Most of the genetic research has been done related to alcohol.Options B.C.and D: Definitive data regarding genetic transmission is not available at this time for barbiturates.heroin.and marijuana.

2. Elsa is being treated in a chemical dependency unit. She tells the nurse that she only uses drugs when under stress and therefore does not have a substance problem. Which defense mechanism is the client using?

Compensation

Denial

Suppression

Undoing

Individuals who have substance problems often use denial.Options A.C.and D: Compensation.suppression.and undoing are incorrect and do not fit the situation described.

Explanation

Individuals who have substance problems often use denial.Options A.C.and D: Compensation.suppression.and undoing are incorrect and do not fit the situation described.

3. Nurse Rob has observed a co-worker arriving to work drunk at least three times in the past month. Which action by Nurse Rob would best ensure client safety and obtain necessary assistance for the co-worker?

Ignore the co worker’s behavior.and frequently assess the clients assigned to the co-worker.

Make general statements about safety issues at the next staff meeting.

Report the coworker’s behavior to the appropriate supervisor.

Warn the co-worker that this practice is unsafe.

The nurse is obligated by ethical considerations of client safety.as well as by nurse practice acts in many states.to report substance abuse in health care workers. Most healthcare facilities have an employee assistance program to help workers with substance abuse problems.Option A: Ignoring the co worker’s behavior would be a form of enabling behavior (codependency) on the staff nurse’s part.Option B: Making general statements about safety in a staff meeting avoids dealing with the problem.Option D: Warning the co-worker is inadequate; it does not ensure client safety or helps him receive necessary aid.

Explanation

The nurse is obligated by ethical considerations of client safety.as well as by nurse practice acts in many states.to report substance abuse in health care workers. Most healthcare facilities have an employee assistance program to help workers with substance abuse problems.Option A: Ignoring the co worker’s behavior would be a form of enabling behavior (codependency) on the staff nurse’s part.Option B: Making general statements about safety in a staff meeting avoids dealing with the problem.Option D: Warning the co-worker is inadequate; it does not ensure client safety or helps him receive necessary aid.

4. Which statement is correct about a 25-year-old client with newly diagnosed schizophrenia?

Age of onset is typical for schizophrenia.

Age of onset is later than usual for schizophrenia.

Age of onset is earlier than usual for schizophrenia.

Age of onset follows no predictable pattern in schizophrenia.

The primary age of onset for schizophrenia is late adolescence through young adulthood (ages 17 to 27). Paranoid schizophrenia may sometimes have a later onset. All of the other options are incorrect.

Explanation

The primary age of onset for schizophrenia is late adolescence through young adulthood (ages 17 to 27). Paranoid schizophrenia may sometimes have a later onset. All of the other options are incorrect.

5. A client with schizophrenia is referred for psychosocial rehabilitation. Which of the following are typical of this type of program? Select all that apply.

Analyzing family issues and past problems

Developing social skills and supports

Learning how to live independently in a community

Learning job skills for employment

The goal of psychosocial rehabilitation as a treatment method is to help the client develop the skills and supports necessary for successful living.learning.and working in the community. Analysis of family issues and past problems and treatment of family members are not commonly part of this type of program. The emphasis of psychosocial rehabilitation is on the client’s development of skills in the here and now; consequently.psychoanalytic counseling is not part of the approach.

Explanation

The goal of psychosocial rehabilitation as a treatment method is to help the client develop the skills and supports necessary for successful living.learning.and working in the community. Analysis of family issues and past problems and treatment of family members are not commonly part of this type of program. The emphasis of psychosocial rehabilitation is on the client’s development of skills in the here and now; consequently.psychoanalytic counseling is not part of the approach.

6. Upon Sam's admission for acute psychiatric hospitalization. Nurse Jona documents the following: Client refuses to bathe or dress remains in room most of the day speaks infrequently to peers or staff. Which nursing diagnosis would be the priority at this time?

Anxiety

Decisional conflict

Self-care deficit

Social isolation

These behaviors indicate the client’s withdrawal from others and possible fear or mistrust of relationships.Options A and B: There is no indication of Anxiety or Decisional conflict in the information provided.Option C: Although the client refuses to bathe or dress.Self-care deficit would not be the priority nursing diagnosis in this situation.

Explanation

These behaviors indicate the client’s withdrawal from others and possible fear or mistrust of relationships.Options A and B: There is no indication of Anxiety or Decisional conflict in the information provided.Option C: Although the client refuses to bathe or dress.Self-care deficit would not be the priority nursing diagnosis in this situation.

7. Ryan who is a chronic alcohol abuser is being assessed by Nurse Gina. Which problems are related to thiamine deficiency?

Cardiovascular symptoms.such as decreased hemoglobin and hematocrit levels

CNS symptoms.such as ataxia and peripheral neuropathy

Gastrointestinal symptoms.such as nausea and vomiting

Respiratory symptoms.such as cough and sore throat

Wernicke’s encephalopathy is a CNS disorder caused by acute thiamin deficiency in people who abuse alcohol. Other symptoms.besides ataxia and peripheral neuropathy.are acute confusion or delirium.Options A and C: Cardiovascular and gastrointestinal symptoms are associated with alcohol abuse; they are not caused by thiamine deficiency.Option D: Respiratory problems are not usually directly related to alcohol.

Explanation

Wernicke’s encephalopathy is a CNS disorder caused by acute thiamin deficiency in people who abuse alcohol. Other symptoms.besides ataxia and peripheral neuropathy.are acute confusion or delirium.Options A and C: Cardiovascular and gastrointestinal symptoms are associated with alcohol abuse; they are not caused by thiamine deficiency.Option D: Respiratory problems are not usually directly related to alcohol.

8. Nurse Arya assesses for evidence of positive symptoms of schizophrenia in a newly admitted client. Which of the following symptoms are considered positive evidence? Select all that apply.

Anhedonia

Delusions

Flat affect

Unable to hear

Delusions are one of the most prominent symptoms of schizophrenia.

Explanation

Delusions are one of the most prominent symptoms of schizophrenia.

9. Which factor is associated with increased risk for schizophrenia?

Alcoholism

Adolescent pregnancy

Overcrowded schools

Poverty

Low socioeconomic status or poverty is an identified environmental factor associated with increased incidence of schizophrenia.Options A.B.and C: Although alcoholism.adolescent pregnancy.and overcrowded schools may be stressful.research does not show they increase the risk of schizophrenia.

Explanation

Low socioeconomic status or poverty is an identified environmental factor associated with increased incidence of schizophrenia.Options A.B.and C: Although alcoholism.adolescent pregnancy.and overcrowded schools may be stressful.research does not show they increase the risk of schizophrenia.

10. Nurse Julie recommends that the family of a client with substance-related disorder attend a support group such as Al-Anon and Alateen. The purpose of these groups is to help family members understand the problem and to:

Change the problem behaviors of the abuser.

Learn how to assist the abuser in getting help.

Maintain focus on changing their own behaviors.

Prevent substance problems in vulnerable family members.

Family support groups.such as Al-Anon and Alateen.emphasize the importance of changing one’s own behavior rather than trying to change the behavior of the individual with a substance abuse problem.Options A and B: Trying to change the abuser’s behavior or learning ways to find help for the abuser would be viewed as codependent behaviors.and thus would not be advocated by family support groups.Option D: Learning about substance abuse may help a vulnerable family member to avoid this problem; however.that is not the purpose of these groups.

Explanation

Family support groups.such as Al-Anon and Alateen.emphasize the importance of changing one’s own behavior rather than trying to change the behavior of the individual with a substance abuse problem.Options A and B: Trying to change the abuser’s behavior or learning ways to find help for the abuser would be viewed as codependent behaviors.and thus would not be advocated by family support groups.Option D: Learning about substance abuse may help a vulnerable family member to avoid this problem; however.that is not the purpose of these groups.