The nurse is talking with a patient who voices concerns about the incidence of schizophrenia in her ...

The nurse is talking with a patient who voices concerns about the incidence of schizophrenia in her family. The patient states that she is worried the condition will be inherited by her teenage daughter.
 
  What response by the nurse is most appropriate?
  a. Unfortunately, schizophrenia does run in families.
  b. Although some familial factors exist, there is no exact known cause for schi-zophrenia.
  c. Your daughter would show some evi-dence of the condition by this point in her life, so there is no real reason to worry.
  d. As long as your home environment is warm and loving, she will be fine.

Question 2

The nurse is changing the dressing on self-inflicted cigarette burns on a patient with borderline personality disorder. When providing the care, which action is most therapeutic?
 
  a. Change the dressings while being nurtur-ing and caring to keep patient from feeling abandoned.
  b. Approach the dressing change with a matter-of-fact demeanor to decrease sec-ondary gains of sympathy.
  c. Present a stern attitude to underscore the seriousness of the act.
  d. Interact in a professional and distant manner to diminish the opportunity for manipulation.

Question 3

What effect does the nurse desire to achieve by using clear, direct communication with patients with borderline personality disorder?
 
  a. Avoid generating an intense reaction from the patient.
  b. Eliminate the possibility of manipulation.
  c. Decrease the probability of the patient reacting emotionally.
  d. Provide a role model for good communi-cation.

Question 4

The nurse is aware the patient with borderline personality disorder did not have a family visit this week and adds an intervention to address the patient's probable perception of abandonment. Which intervention is most appropriate?
 
  a. Schedule the patient for pet therapy visit.
  b. Arrange for remote activity during next visiting time.
  c. Assess daily for evidence of self-mutilation.
  d. Assign a young CNA to his care.

Question 5

During report, the nurse is told that a patient has Cluster B group type of personality disorder. Which type of behavior can the nurse anticipate?
 
  a. Paranoia
  b. Avoidance
  c. Antisocial behavior
  d. Obsessive-compulsive behavior

Question 6

The nurse is aware that interventions for the negative symptoms of schizophrenia are based on which factor?
 
  a. Establishment of trust
  b. Acceptance of medication protocols
  c. Support in interpersonal social activities
  d. Promotion of conversation with the pa-tient

Question 7

A student nurse questions the nurse about the frequency of administration of antipsychotics, such as risperidone (Risperdal). Which advantage is true of newer antipsychotics like risperidone (Risperdal)?
 
  a. Decreased photosensitivity
  b. Fewer serious side effects
  c. Less expensive
  d. Decreased incidence of headaches