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Positive symptoms of schizophrenia, specifically hallucinations and delusions, are thought to be caused by hyperactivity of which neurotransmitter?

1. Dopamine
2. Norepinephrine
3. Acetylcholine
4. Epinephrine

  1. DopaminePositive symptoms of schizophrenia, such as delusions and hallucinations, are thought to be caused by dopamine hyperactivity in the mesolimbic tract at the D2 receptor site in the striatal area, where memory and emotion are regulated. Hyperactivity of acetylcholine, norepinephrine, and epinephrine are not associated with schizophrenia


Which of the following are key diagnostic criteria of schizophrenia? SATA

1. One or more major areas of social or occupational functioning markedly below previously achieved levels
2. Continuous signs for at least six months
3. Delusions present for a significant portion of time during a one-month period
4. Major depression occurring concurrently with active symptoms
5. A direct physiologic effect of a substance or medical condition


After teaching a group of nursing students about neurotransmitters associated with schizophrenia, the nursing instructor determines that the education was successful when the students verify which of the following as playing a role in the positive symptoms of schizophrenia?

1. Glutamate
2. Serotonin
3. Dopamine
4. Gamma-aminobutyric acid (GABA)



Clients diagnosed with schizophrenia may experience disordered water balance that may lead to water intoxication. Which of the following may occur as a result of water intoxication?

1. Oliguria
2. Hypernatremia
3. Hyponatremia
4. Weight loss


When preparing a class presentation about schizophrenia, which of the following would the nurse most likely include?

1. Delusions are more commonly noted in younger children with schizophrenia
2. Schizophrenia is more commonly diagnosed in children than in adolescents
3. Very few individuals with schizophrenia reach older adulthood
4. Improvement in symptoms can occur as a client with a history of schizophrenia reaches older adulthood


A client with schizophrenia is prescribed second-generations antipsychotic. The client’s mother asks, “About how long will it take until we see any changes in his symptoms?” Which response by the nurse would be most appropriate?

1. “Generally, it takes about one to two weeks to be effective in changing symptoms”
2. “You should see improvement in about 36 to 48 hours”
3. “His symptoms should subside almost immediately”
4. “It will take about 6 to 12 weeks until the drug is effective”





A client has been prescribed clozapine (Clozaril) for treatment of schizophrenia. The patient must be taught to monitor which blood levels weekly while taking this drug?

1. Platelets
2. Hemoglobin
3. WBC
4. Hematocrit


Which of the following is considered a first-generation antipsychotic drug used to treat psychosis in the United States?

1. fluphenazine (Proxlixin)
2. clozapine (Clozaril)
3. olanzapine (Zyprexa)
4. aripiprazole (Abilify)



A client diagnosed with schizophrenia is in anticholinergic crisis. The nurse would expect which finding to be noted upon assessment?

1. Bradycardia
2. Facial flushing
3. Incontinence
4. Hypothermia


Which of the following is an anticholinergic side effect associated with some antipsychotic medications?

1. Increased tearing
2. Salivation
3. Photophobia
4. Diarrhea


A client with schizophrenia is experiencing delusions. The client states, “There’s a huge apocalypse coming and an end of the world is near.” The nurse interprets this statement as which type of delusion?

1. Somatic
2. Grandiose
3. Nihilistic
4. Persecutory

  1. NihilisticA nihilistic delusion involves the belief that one is dead or a calamity is impending.A grandiose delusion involves the belief that one has exceptional powers, wealth, skill, influence, or destiny. A persecutory delusion involves the belief that one is being watched, ridiculed, harmed or plotted against. A somatic delusion involves the belief about abnormalities in bodily structure or functions



A nurse is assessing a client diagnosed with schizophrenia. The nurse suspects that the client may be experiencing water intoxication based on which finding? SATA

1. Emotional lability
2. Enhanced attention span
3. Muscle twitching
4. Increase in hallucinations
4. Irritability


Which of the following extrapyramidal side effects is noted by the client having bradykinesia and a shuffling gait?

1. Tardive dyskinesia
2. Akathisia
3. Acute dystonia
4. Pseudoparkinsonism



Which of the following would the nurse expect to administer to a client with schizophrenia who is experiencing a dystonic reaction?

1. Risperidone (Risperdal)
2. Trihexyphenidyl (Artane)
3. Benztropine (Cogentin)
4. Aripiprazole (Abilify)


A client with schizophrenia is prescribed clozapine (Clozaril). The nurse would monitor the client closely for specific signs of which of the following?

1. Infection
2. Hypotension
3. Nausea
4. Weight loss


A client diagnosed with schizophrenia is having delusions that he is being plotted against by the government. This would be documented as which of the following types of delusion?

1. Somatic
2. Grandiose
3. Persecutory
4. Nihilistic


When investigating biologic theories related to schizophrenia, which of the following neuroanatomic findings would be consistent with this mental health disorder?

1. Enlarged hippocampus
2. Enlarged lateral ventricle
3. Smaller third ventricle
4. Enlarged brain volume

Important information for writing discussion questions and participation

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

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