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WorksheetsPsychosis: Schizophrenia and Schizoaffective Disorder KA
Total questions: 13
Worksheet time: 7mins
Case Study 1: Patient with New-Onset Schizophrenia Q1. Which findings are consistent with schizophrenia?
Auditory hallucinations
Disorganized speech
Elated mood
Flat affect
Memory loss due to trauma
Case Study 1: Patient with New-Onset Schizophrenia Q2. Choose the most appropriate priority nursing intervention for a patient experiencing auditory hallucinations:
Redirect the patient to reality-based activities
Encourage the patient to listen to the voices and follow their instructions
Leave the patient alone to process the hallucinations
Confront the patient about the unreality of the voices
Highlight all signs of positive symptoms of schizophrenia:
Delusions, Hallucinations, Disorganized behavior
Affective flattening, Alogia, Anhedonia
Social withdrawal, Poor grooming, Lack of motivation
Memory loss, Impaired attention, Reduced IQ
Case Study 2: Schizoaffective Disorder Q5. Which medication is commonly used to treat schizoaffective disorder due to its effect on both mood and psychosis?
(a)
The nurse is educating a patient starting risperidone. Which side effects should be included?
Weight gain
Extrapyramidal symptoms
Bradycardia
Elevated prolactin levels
Cough
Which of the following lists the correct order of interventions when approaching a patient having a psychotic episode?
Ensure safety, establish rapport, assess symptoms, provide reassurance
Assess symptoms, provide reassurance, ensure safety, establish rapport
Provide reassurance, ensure safety, assess symptoms, establish rapport
Establish rapport, assess symptoms, provide reassurance, ensure safety
The nurse suspects neuroleptic malignant syndrome (NMS). Which action is most appropriate?
Stop the antipsychotic medication immediately and notify the provider
Administer another dose of the antipsychotic medication
Encourage the patient to rest and monitor for improvement
Apply warm blankets and observe for shivering
Symptoms associated with NMS include:
Muscle rigidity, hyperthermia, altered mental status, autonomic dysfunction
Bradycardia, hypothermia, weight gain, insomnia
Rash, cough, diarrhea, blurred vision
Tremor, headache, hypotension, dry mouth
Which strategies support medication adherence in schizophrenia?
Use of long-acting injectables
Psychoeducation
Changing medications weekly
Involving family in care
Simplified medication regimen
A patient stabilized on clozapine needs routine monitoring of which lab value?
Liver enzymes
White blood cell count
Serum potassium
INR
What are risk factors for developing schizophrenia?
Family history
Early cannabis use
Childhood trauma
Long-term SSRI use
Hyperthyroidism
Which assessment finding indicates that a patient with schizophrenia is experiencing a negative symptom?
Delusions of grandeur
Apathy
Auditory hallucinations
Pressured speech
Select the most appropriate non-pharmacologic intervention for managing social withdrawal in schizophrenia:
encourage participation in structured group activities
increase medication dosage
isolate the patient from others
restrict all social interactions
