The mother of a 20yearold woman recently diagnosed with paranoid schizophrenia asks the nurse what causes schizophrenia. The nurse recognizes which of the following are implicated in the etiology of schizophrenia?

Thyroxine

Erythropoietin

Glutamate

Serotonin

Answer and Explanation

The Correct Answer is C

A) Incorrect. Thyroxine is a hormone produced by the thyroid gland and is not directly implicated in the etiology of schizophrenia.

B) Incorrect. Erythropoietin is a hormone that stimulates the production of red blood cells and is not directly implicated in the etiology of schizophrenia.

C) Correct. Glutamate, an excitatory neurotransmitter, has been implicated in the development of schizophrenia. Abnormalities in glutamate signaling have been identified in individuals with schizophrenia.

D) Incorrect. While serotonin abnormalities have been associated with mood disorders such as depression, they are not considered a primary factor in the etiology of schizophrenia.

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Correct Answer is C

Explanation

A. While understanding precipitating factors is important, it is not the immediate priority when the client is actively experiencing hallucinations.
B. Distracting the client may not address the underlying cause of the hallucinations, which should be the priority.
C. Determining the content of the hallucinations can provide important information for assessment and intervention.
D. Dismissing the client's experience can be alienating and unhelpful.

A. "Why don't you discuss that with your physician?" B. "I would rather you reconsider that decision." C. "What happened the last time you stopped taking your medication?" D. "The physician prescribed that medication to help you."

Correct Answer is D

Explanation

A. This response may be seen as evading the client's statement. It's important to provide a more direct response.
B. This response may come across as controlling or confrontational, which may not promote open communication.
C. This response is a good therapeutic technique as it encourages the client to reflect on past experiences with stopping medication.
D. This response provides a clear and factual statement about the purpose of the prescribed medication, encouraging the client to understand its importance.

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The mother of a 20yearold woman recently diagnosed with paranoid schizophrenia asks the nurse what causes schizophrenia. The nurse recognizes which of the following are implicated in the etiology of schizophrenia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What intervention is a priority when the client is experiencing auditory hallucinations?

Correct Answer is C

Explanation

Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

Correct Answer is D

Explanation

A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?

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The nurse is admitting a client with the diagnosis of schizophreniform disorder. What should the nurse expect to find?

A client is admitted to the emergency department after using ecstasy. The nurse identifies this drug as belonging to what class?

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What are the possible physiological changes in the brain of a client diagnosed with Alzheimer's disease? (Select all that apply)

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