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. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) antidepressant commonly used in the treatment of anxiety disorders, including illness anxiety disorder (formerly known as hypochondriasis). It helps alleviate symptoms by increasing serotonin levels in the brain, which can improve mood and reduce anxiety.

A. Carbamazepine is an anticonvulsant medication primarily used in the treatment of seizure disorders, bipolar disorder, and certain types of neuropathic pain. It is not typically used as a first-line treatment for illness anxiety disorder.

B. Haloperidol is a first-generation antipsychotic medication used in the treatment of schizophrenia, psychotic disorders, and severe agitation. It is not typically used as a first-line treatment for illness anxiety disorder,

C. Olanzapine is a second-generation antipsychotic medication used in the treatment of schizophrenia, bipolar disorder, and certain types of depression. Like haloperidol, it is not typically used as a first-line treatment for illness anxiety disorder

A. "My little sister has a lot of health problems, and my parents are always in the hospital with her. I worry about that a lot." B. "My mother had me when she was in high school C. "My English teacher is amazing. They really listen well." D. "My parents are in the military. We have moved a lot since I was born,

Correct Answer is C

Explanation

C. It indicates a positive childhood experience where the adolescent has a supportive and attentive teacher who listens well. Positive relationships with supportive adults, such as teachers, coaches, or mentors, can serve as protective factors for adolescents with anxiety disorders

A. This statement suggests that the adolescent experiences stress and worry related to their sibling's health problems, which may exacerbate their anxiety rather than serving as a protective factor.

B. This statement provides information about the adolescent's family background but does not necessarily indicate a positive childhood experience or protective factor for anxiety.

D. Frequent moves associated with military life may present challenges rather than protective factors for anxiety, such as disruptions in social relationships and support networks.

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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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