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A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select all that apply.)

Impaired interpersonal relationships

Inability to initiate activities

Disorganized behavior

Antisocial personality

Hallucinations

Lack of emotional expression

Answer and Explanation

Correct Answer : C,E,F

Choice A reason:

Impaired interpersonal relationships can be a consequence of schizophrenia, but it is not a specific diagnostic criterion in the DSM-5. The criteria focus on more direct symptoms of the disorder.

Choice B reason:

Inability to initiate activities may be related to negative symptoms of schizophrenia, such as avolition, but it is not explicitly listed as a diagnostic criterion in the DSM-5. The criteria include more specific symptoms like disorganized behavior and hallucinations.

Choice C reason:

Disorganized behavior is one of the core symptoms of schizophrenia according to the DSM-5. It includes behaviors that are inappropriate or not goal-directed, reflecting a disruption in normal functioning.

Choice D reason:

Antisocial personality is a separate diagnosis and not a criterion for schizophrenia. Schizophrenia and antisocial personality disorder are distinct conditions with different diagnostic criteria.

Choice E reason:

Hallucinations are a key symptom of schizophrenia. They involve perceiving things that are not present, such as hearing voices or seeing things that others do not see. Hallucinations are one of the primary positive symptoms of schizophrenia.

Choice F reason:

Lack of emotional expression, also known as affective flattening, is a negative symptom of schizophrenia. It involves a reduced ability to express emotions and is a significant criterion in the diagnosis of schizophrenia.

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Correct Answer is D

Explanation

Choice A reason:
Crisis care is an important component of the mental health care continuum, providing immediate support during acute episodes. However, it is not the primary goal of the continuum of care. The goal is to provide ongoing, comprehensive support that promotes stability and recovery.

Choice B reason:
Case management is a crucial aspect of mental health care, ensuring that clients receive coordinated and continuous services. While it plays a significant role in the continuum of care, it is not the overarching primary goal.

Choice C reason:
Coordination of care is essential for effective mental health treatment, involving the integration of various services and providers. However, it is a means to an end rather than the primary goal itself.

Choice D reason:
Care in the least restrictive environment is the primary goal of the mental health care continuum. This principle emphasizes providing care in settings that allow the greatest level of independence and normalcy for the client while ensuring their safety and well-being. It aims to avoid unnecessary institutionalization and promote community-based care.

A. Fasting blood glucose 120mg/dL B. Hypertension C. Asthma D. WBC count 3,300/mm³

Correct Answer is D

Explanation

Choice A reason:
Fasting blood glucose of 120 mg/dL is slightly elevated but does not contraindicate the use of chlorpromazine. This medication is primarily contraindicated in conditions that affect the central nervous system, cardiovascular system, or blood cell counts. Elevated blood glucose levels should be monitored, but they do not pose an immediate risk when starting chlorpromazine.

Choice B reason:
Hypertension is a condition that requires careful monitoring when a patient is on chlorpromazine, but it is not an absolute contraindication. Chlorpromazine can cause orthostatic hypotension, so blood pressure should be monitored regularly. However, hypertension alone does not prevent the use of this medication.

Choice C reason:
Asthma is not a contraindication for chlorpromazine. While respiratory conditions should be monitored, chlorpromazine does not have a direct adverse effect on asthma. The primary concerns with chlorpromazine involve its effects on the central nervous system and blood cell counts.

Choice D reason:
A WBC count of 3,300/mm³ indicates leukopenia, which is a significant contraindication for chlorpromazine. This medication can cause agranulocytosis, a severe reduction in white blood cells, making patients more susceptible to infections. Therefore, a low WBC count is a critical factor in deciding against the use of chlorpromazine.

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A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When describing the continuum of care for mental health, which would the nurse identify as the primary goal?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a client who has a new prescription for chlorpromazine for the treatment of schizophrenia. Which of the following findings indicates a contraindication to chlorpromazine?

Correct Answer is D

Explanation

A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

A client receives a court order for commitment. Which concept exemplifies a “least restrictive environment”?

A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?

A nurse is caring for a client who is experiencing a crisis related to anxiety. Which of the following actions should the nurse take? (Select all that apply).

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A nurse is caring for a client who has bipolar disorder. The client says to the nurse, “Give me your pen to cut the pain out of my chest.” The nurse should identify that the client is at risk for which of the following?

Jaden is admitted to an inpatient psychiatric unit. During her time on the unit, Jaden is expected to get up at a certain time, attend breakfast at a certain time, and arrive for her medications at the correct time. What form of therapy is incorporated into this unit?