A nurse is discussing schizophrenia spectrum disorders with a client.

The client states, "My friend says that before I started hearing voices, I stopped hanging out with them.

Why is that?" Which of the following responses should the nurse make?

"That is very interesting.We are not sure why people start to isolate themselves.”.

"Do you think of yourself as more of an introvert? That makes a difference with how you socialize.”.

"Before symptoms of schizophrenia begin, people often isolate themselves.This is an early warning.”.

"Were you avoiding your friend so that you could hear the voices more clearly?". .

Answer and Explanation

The Correct Answer is C

Choice A rationale:

While it’s interesting to consider why people isolate themselves, this statement does not provide a clear explanation for the behavior.

Choice B rationale:

Being an introvert or extrovert doesn’t necessarily correlate with the onset of schizophrenia symptoms.

Choice C rationale:

Before symptoms of schizophrenia begin, people often isolate themselves. This is known as the prodromal phase of schizophrenia.

Choice D rationale:

Avoiding friends to hear voices more clearly is not a typical behavior associated with the onset of schizophrenia.

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Correct Answer is B

Explanation

Choice A rationale:

Pseudoparkinsonism is a side effect of antipsychotic medications that mimics the symptoms of Parkinson’s disease, such as tremors and rigidity. It does not typically cause hyperpyrexia or diaphoresis.

Choice B rationale:

Neuroleptic malignant syndrome is a rare but serious side effect of antipsychotic medications. It can cause severe fever (hyperpyrexia), unstable blood pressure, and heavy sweating (diaphoresis)4.

Choice C rationale:

Acute dystonia is a condition of sudden, involuntary muscle contractions. It does not typically cause hyperpyrexia or diaphoresis.

Choice D rationale:

Tardive dyskinesia is a side effect of long-term use of antipsychotic medications, causing involuntary movements, especially around the mouth. It does not typically cause hyperpyrexia or diaphoresis.

A. Lithium. B. Valproate. C. Carbamazepine. D. Donepezil. E. Paroxetine.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale:
Lithium is a mood stabilizer commonly used in the treatment of bipolar disorder.
Choice B rationale:
Valproate is an antiepileptic and mood-stabilizing medication commonly used to treat bipolar disorder.
Choice C rationale:
Carbamazepine is an anticonvulsant medication that has been found effective in managing mood swings in bipolar disorder.
Choice D rationale:
Donepezil is primarily used to treat Alzheimer’s disease and is not typically used in the treatment of bipolar disorder.
Choice E rationale:
Paroxetine is a type of antidepressant known as an SSRI, and it can be used in the treatment of bipolar disorder.

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A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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A nurse is preparing to teach a client about his prescription of lithium for the treatment of bipolar disorder. Which of the following statements should the nurse include in the teaching?

A nurse is discussing schizophrenia spectrum disorders with a client.

The client states, "My friend says that before I started hearing voices, I stopped hanging out with them.

Why is that?" Which of the following responses should the nurse make?