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 Antihistamines, particularly those with strong anticholinergic properties, are known to be associated with the development of delirium. Anticholinergic medications can disrupt neurotransmitter signaling in the brain, leading to cognitive impairment, confusion, and delirium.

A. Benzodiazepine have not been associated with delirium.

B. SSRIs can have side effects, including agitation or confusion in some individuals, they are not typically associated with the development of delirium to the same extent as benzodiazepines.

C. Amphetamines are stimulant medications that increase the activity of certain neurotransmitters in the brain. However, they are not typically associated with the development of delirium.

A. Hallucinations and delusions B. Nausea and vomiting C. Seizures and tremors D. Uncontrolled movements around the mouth

Correct Answer is D

Explanation

D. Tardive dyskinesia (TD) is a side effect associated with long-term use of antipsychotic medications, particularly first-generation or typical antipsychotics. It is characterized by involuntary, repetitive movements of the face, tongue, lips, and sometimes extremities.

A. These are symptoms of psychotic disorders such as schizophrenia and are often the target symptoms for which antipsychotic medications are prescribed. However, tardive dyskinesia is a distinct adverse effect of antipsychotic use

B. Nausea and vomiting are common side effects of many medications, including antipsychotics, particularly during the initial stages of treatment. However, they are not typically associated with tardive dyskinesia.

C. Seizures and tremors are potential adverse effects of some antipsychotic medications, particularly atypical antipsychotics. However, they are not characteristic of tardive dyskinesia

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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

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Explanation

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