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 D

Explanation

D. Telehealth can greatly benefit homebound clients or those who have difficulty accessing a physician's office due to various reasons such as mobility issues, geographical distance, or lack of transportation. It allows them to communicate with their primary care providers remotely, facilitating access to necessary healthcare services.

A. Telehealth is particularly beneficial for certain types of consultations, follow-up appointments, monitoring chronic conditions, mental health counseling, and providing education and support. B Telehealth is not necessarily a separate program but rather an alternative mode of delivering healthcare services.

C. Telehealth consultations may result in the issuance of prescriptions or recommendations for medical equipment or services, which would then be subject to the individual's health insurance coverage or out-of-pocket expenses.

A. The importance of routine red blood cell count laboratory work when taking an antipsychotic B. The importance of limiting fluid intake when taking an antipsychotic C. The importance of avoiding foods that contain tyramine when taking an antipsychotic D. The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic

Correct Answer is D

Explanation

A. One of the most significant potential side effects of clozapine is agranulocytosis, a severe decrease in the number of white blood cells not red blood cells, particularly neutrophils.

B. Limiting fluid intake is not typically a specific concern associated with clozapine.

C. Clozapine is not known to have significant interactions with tyramine-rich foods

D. Medication adherence is a key component in clients on clozapine to prevent acute psychotic episodes.

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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?

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