A nurse is caring for a 50-year-old client who is being evaluated for late-onset schizophrenia. Which of the following findings should the nurse expect?

A. change in personality

Used cannabis as teenager.

Age of 50 years

Family member mirrors client behaviors of psychosis

Answer and Explanation

The Correct Answer is C

A. Late-onset schizophrenia typically presents with symptoms such as hallucinations, delusions, disorganized thinking, and social withdrawal. However, this does not differentiate it from typical schizophrenia.

B. Substance use, including cannabis use, is a known risk factor for the development of schizophrenia, particularly in individuals who are genetically predisposed to the disorder. However, cannabis use as a teenager alone does not necessarily indicate late-onset schizophrenia.

C. Paraphrenia or late onset schizophrenia generally occurs later in life and symptoms persist and intensify as the client ages. Schizophrenia is rarely diagnosed after the age of 40 and is considered late onset if diagnosed after the age of 40.

D. Family history of psychosis or schizophrenia is a significant risk factor for developing schizophrenia, including late-onset schizophrenia. However, having a family member who mirrors the client's behaviors of psychosis is not a specific finding indicative of late-onset schizophrenia.

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Correct Answer is C

Explanation

C. Agranulocytosis is a serious side effect associated with clozapine, an antipsychotic medication. Agranulocytosis is characterized by a severe reduction in the number of white blood cells (specifically granulocytes) in the bloodstream, leading to an increased risk of infection. The client should be educated to monitor for signs and symptoms of agranulocytosis, including sore throat, fever, chills, and muscle aches, as these may indicate an underlying infection due to neutropenia.

A. Severe restlessness may be a side effect of some antipsychotic medications, but it is not specifically associated with agranulocytosis.

B. Respiratory depression and a comatose state are not typical manifestations of agranulocytosis.

D. Increased anxiety and suicidal ideations may be symptoms of certain mental health conditions or adverse effects of psychiatric medications, but they are not characteristic of agranulocytosis.

A. "it is a gene variant that increases the risk for development of a specific mental illness." B. "it is a gene variant that is responsible for an individual's resilience to stress." C. "It is a gene variant that is responsible for the development of a specific mental illness. D. it is a gene variant that determines an individual's likelihood of recovering from mental illness.

Correct Answer is A

Explanation

A. Vulnerability genes are genetic variants or factors that increase an individual's susceptibility or predisposition to developing a particular mental illness or disorder. These genes do not directly cause the illness but can increase the likelihood of its development when combined with environmental factors or stressors.

B. Resilience genes are genetic variations that confer resilience or the ability to adapt and cope effectively with stress, adversity, or traumatic experiences.

C. The effect of vulnerability genes is influenced by various factors, including environmental influences, lifestyle factors, and gene-environment interactions.

D. Vulnerability genes are associated with an increased risk of developing a specific mental illness rather than determining an individual's likelihood of recovering from mental illness.

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A nurse is caring for a 50-year-old client who is being evaluated for late-onset schizophrenia. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

Correct Answer is C

Explanation

A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?

Correct Answer is A

Explanation

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