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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Codependency refers to a dysfunctional pattern of behavior in which a person excessively relies on another individual (often a partner or family member) for their sense of identity, self- worth, or emotional well-being. In this scenario, the partner's demand to see the client's records
and treatment plan, as well as the assertion of needing to oversee the treatment, suggests an excessive need for control and involvement in the client's life and healthcare decisions.
A. Manipulation involves influencing or controlling someone in a deceptive or dishonest way to achieve one's own goals.
B. Marginalization refers to the exclusion or relegation of a person or group to a lower or outer edge of society or a group.
D. Enabling refers to behaviors that unintentionally or intentionally allow someone to continue engaging in harmful behaviors or avoid facing consequences.
Correct Answer is A
Explanation
A. This demonstrates honesty, integrity, and accountability, which are important qualities in a healthcare professional. It also allows the nurse to ensure that the information provided is accurate and reliable, rather than providing potentially incorrect or misleading information.
B. Asking the community member to hold their question until the end may not be necessary and could potentially discourage further engagement.
C. This may disrupt the flow of the presentation and could inconvenience other attendees. Admitting not knowing the answer and committing to follow up may be a more efficient approach.
D. Providing an inaccurate or speculative answer when unsure may lead to misinformation and erode trust with the community members.
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