A client with schizophrenia has received standard antipsychotics for a year. His hallucinations are less intrusive, but the client remains apathetic, has poverty of thought, cannot work, and is socially isolated.

To address these symptoms, the nurse might expect the psychiatrist to prescribe which medication?

Haloperidol

Olanzapine

Diphenhydramine

Chlorpromazine

Answer and Explanation

The Correct Answer is B

A.   Haloperidol is a first-generation antipsychotic and may not be as effective in addressing the negative symptoms (e.g., apathy, poverty of thought) as second-generation antipsychotics.
B.   Olanzapine is a second-generation antipsychotic known to be effective in treating both positive and negative symptoms of schizophrenia.
C.   Diphenhydramine is not typically used as a primary treatment for schizophrenia.
D.   Chlorpromazine is a first-generation antipsychotic and may not be as effective in addressing the negative symptoms as second-generation antipsychotics.

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Correct Answer is C

Explanation

A) Incorrect. The ability to accomplish activities of daily living is not specific to the diagnosis of schizophreniform disorder.

B) Incorrect. The client's emotional state or demeanor is not a specific indicator of schizophreniform disorder.

C) Correct. Schizophreniform disorder is characterized by the presence of hallucinations,
delusions, and other psychotic symptoms for less than six months. It is considered a provisional diagnosis while the condition is still in its early stages.

D) Incorrect. Euphoria and excessive energy are not specific features of schizophreniform disorder.

A. Encourage participation in various physical activities. B. Encourage participation in a group card game. C. Encourage participation in a BINGO game. D. Encourage the creation of a new interactive game for the unit.

Correct Answer is A

Explanation

A) Correct. Encouraging participation in physical activities can help channel excess energy and agitation associated with manic episodes.

B) Incorrect. Group card games may not provide an outlet for the high energy level typically seen in a manic episode.

C) Incorrect. While Bingo is a social activity, it may not be sufficient to address the high energy and potential restlessness seen in a manic episode.

D) Incorrect. Creating a new interactive game may not be feasible or appropriate in the acute setting, and it may not effectively address the client's current needs.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a client with the diagnosis of schizophreniform disorder. What should the nurse expect to find?

Correct Answer is C

Explanation

The client is experiencing a manic episode. Which of the following activities will be included in the plan of care?

Correct Answer is A

Explanation

A client diagnosed with bipolar disorder has recently started taking lamotrigine as part of their medication regimen. Which of the following would be an essential teaching point to include regarding the medication?

Which statement provides the best rationale for why a nurse should closely monitor a severely depressed client during antidepressant therapy?

What client population is at risk of developing tardive dyskinesia?

The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

An adult in the emergency department states, "Everything I see appears to be waving. I am outside my body looking at myself. I think I'm losing my mind." Vital signs are slightly elevated. What does the nurse suspect?

The nurse observes a client drooling during mealtime. The client complains that his tongue feels swollen, and his jaw feels tight. What is the first action by the nurse?

A client is admitted with tachycardia, hypertension, restlessness, agitation, and admits substance use. Which substance would be most likely to cause these symptoms?