What assessment findings mark the prodromal stage of schizophrenia?

Stereotyped behavior, echopraxia, echolalia, and waxy flexibility.

Auditory hallucinations, ideas of reference, thought insertion, and broadcasting,

Loose associations, concrete thinking, and echolalia neologisms.

Withdrawal, misinterpreting, poor concentration, and preoccupation with religion.

Answer and Explanation

The Correct Answer is D

A. Stereotyped behavior, echopraxia, echolalia, and waxy flexibility are characteristic of the catatonic stage of schizophrenia, not the prodromal stage.

B. Auditory hallucinations, ideas of reference, thought insertion, and broadcasting are positive symptoms that typically emerge during the active stage of schizophrenia.

C. Loose associations, concrete thinking, and neologisms also represent active-phase symptoms and are not typical in the prodromal stage.

D. The prodromal stage is marked by subtle changes in behavior and cognition, including social withdrawal, misinterpretation of events, poor concentration, and preoccupation with unusual thoughts or religion. These signs precede the onset of full-blown psychotic symptoms.

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Correct Answer is A

Explanation

A. This occurs when the nurse projects personal feelings about someone from their own life onto the patient (e.g., comparing the patient to a grandparent and feeling sadness).

B. This refers to severe emotional outbursts in cognitively impaired patients, not nurse behavior.

C. This would involve the nurse using defense mechanisms to protect themselves from anxiety, not relating to the patient as a grandparent.

D. Transference is when the patient projects feelings onto the nurse, not the other way around.

A. Referral of a formerly suicidal patient to a support group. B. Psychiatric hospitalization of a suicidal patient C. Suicide precautions for 24 hours for newly admitted patients. D. Helping school children learn to manage stress and be resilient.

Correct Answer is D

Explanation

A. Referral of a formerly suicidal patient to a support group is a form of tertiary prevention, aimed at preventing recurrence and promoting recovery after an event.

B. Psychiatric hospitalization of a suicidal patient is considered secondary prevention, targeting individuals at immediate risk to prevent harm.

C. Suicide precautions for 24 hours for newly admitted patients is secondary prevention, focused on intervening during a high-risk period.

D. Helping school children learn to manage stress and be resilient is primary prevention, aimed at preventing the onset of suicidal behaviors before any signs or risk factors appear.

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What assessment findings mark the prodromal stage of schizophrenia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assesses a confused older adult. The nurse experiences sadness and reflects. This patient is like one of my grandparents... so helpless." Which response is the nurse demonstrating?

Correct Answer is A

Explanation

Which measure would be considered a form of primary prevention for suicide?

Correct Answer is D

Explanation

A nurse is caring for a client who has major depressive disorder and is scheduled for electroconvulsive therapy (ECT). The client's spouse asks the nurse about the possible side effects of the ECT. Which of the following responses should the nurse make?

Documentation in a patient's chart shows. "Throughout a 5-minute interaction, patient fidgeted and tapped their left foot, periodically covered their face with their hands, and looked under chair while stating, 1 enjoy spending time with you." Which analysis is most accurate?

Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 95 pounds and has a loss of 35 pounds. Which medical diagnosis is most likely?

A nurse is caring for a client in the emergency department (ED) Exhibits Which of the following client findings should the nurse report to the provider Immediately? (Select all that apply.)

A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which finding is associated with the child disorder? The child

A patient in alcohol rehabilitation reveals to the nurse. "I feel terrible guilt for sexually abusing my 6-year-old before I was admitted." Select the nurse's most important action.

A soldier returned 3 months ago from a combat zone and was diagnosed with post-traumatic stress disorders (PTSD). Which social event would be most disturbing for this soldier?

The nurse expects which medication to be prescribed to maintain abstinence to a patient with an addiction to either alcohol or opioids?