NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 250
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1. Catatonic behavior in schizophrenia is characterized by which of the following:
a. Resisting attempts to be moved.
b. Maintaining rigid, immobile postures.
c. Decrease in reactivity to the environment
d. All of the above.
Answer: d. All of the above.
Description:Catatonic behavior in schizophrenia is characterized by all of the following: a. Resisting attempts to be moved. b. Maintaining rigid, immobile postures. c. Decrease in reactivity to the environment.
2. The parents of a 20-year-old male patient with schizophrenia express feelings of guilt for their son’s problems. Which of the following should be a part of family education?
a. Teach the parents that they must change
b. Acknowledge the parents responsibility and commitment
c. Explain the biological process of schizophrenia
d. Refer the family to a support group
Answer: c. Explain the biological process of schizophrenia
Description:In the context of family education for parents of a 20-year-old male patient with schizophrenia, option c is a key component. It's important to explain the biological process of schizophrenia to help the parents better understand the condition and reduce any unfounded feelings of guilt or blame. Schizophrenia is a complex mental disorder with a significant genetic and biological component. While options b and d can also be valuable in certain situations, they may not be as directly relevant in addressing the parents' feelings of guilt in this particular scenario. Option a, on the other hand, may not be appropriate, as it's not realistic to expect parents to change the fundamental aspects of who they are, but educating them about the condition can lead to more effective support and understanding.
3. The characteristic features of catatonic schizophrenia is:
a. Paranoid thoughts
b. Motor disturbances
c. Delusion of persecution
d. Thought broadcasting
Answer: b. Motor disturbances
Description:The characteristic features of catatonic schizophrenia are motor disturbances. Catatonic schizophrenia is characterized by a range of motor behaviors and disturbances, including immobility, excessive motor activity, peculiar movements, and negativism (resistance to movement or instruction). None of the other options (a, c, d) specifically describe the characteristic features of catatonic schizophrenia.
4. The four A’s of schizophrenia include all the following; EXCEPT:
a. Auditory hallucinations
b. Ambivalence
c. Associative looseness
d. Autistic thinking
Answer: a. Auditory hallucinations
Description:Ambivalence (conflicting emotions and attitudes) Associative looseness (thought disorder where ideas shift between unrelated topics) Autism (preoccupation with inner thoughts and withdrawal from reality) Affective flattening (reduced intensity of emotional expression) So, the correct answer is a. Auditory hallucinations are not one of the four A's of schizophrenia.
5. First rank symptoms of schizophrenia (FRSS) were described by:
a. William Wundt
b. Eugen Bleuler
c. Schneider
d. Evan Pavlov
Answer: c. Schneider
Description:First rank symptoms of schizophrenia (FRSS) were described by Kurt Schneider, so the correct answer is: c. Schneider
6. Schizophrenia is a disorder of:
a. Perception
b. Thinking
c. Speech
d. Mood
Answer: b. Thinking
Description:Schizophrenia is primarily a disorder of thinking. It is characterized by disturbances in thought processes, such as delusions, thought disorder, and disorganized thinking.
7. A patient in acute care psychiatric ward assessed to have hallucination and intense delusions. The nurse understand that this patient should be closely monitored for:
a. Negligence of personal hygiene
b. Grandiosity
c. Suicidal behavior
d. Injury to others
Answer: d. Injury to others
Description:A patient in an acute care psychiatric ward who is experiencing hallucinations and intense delusions should be closely monitored for the potential of causing injury to others. Delusions and hallucinations can sometimes lead individuals with severe mental health issues to become agitated or aggressive, potentially putting themselves and others at risk of harm. Monitoring for any signs of violent or harmful behavior is an important part of ensuring the safety of the patient and those around them.
8. Example of nonaffective psychosis is:
a. Schizophrenia
b. Mental retardation
c. Anxiety neurosis
d. Hysteria
Answer: a. Schizophrenia
Description:Schizophrenia is an example of nonaffective psychosis. Nonaffective psychosis refers to a group of psychotic disorders that are not primarily characterized by disturbances in mood or affect. Schizophrenia is a classic example of a nonaffective psychosis, as it primarily involves disturbances in thought processes, perception, and behavior, rather than mood disorders.
9. The effect that is most commonly seen in patient with schizophrenia is:
a. Elation and Euphoria
b. Sadness and depression
c. Apathy and flatness
d. Anger and aggression
Answer: c. Apathy and flatness
Description:The effect that is most commonly seen in patients with schizophrenia is apathy and flatness. This means that individuals with schizophrenia often exhibit reduced emotional expression and may appear emotionally blunted or indifferent. While other emotions like anger and aggression can also be seen in some individuals with schizophrenia, apathy and emotional flatness are more characteristic of the disorder as a whole.
10. A 32-year-old woman who is admitted to acute can psychiatric ward with a diagnosis of paranoid schizophrenia refuse to take food saying that the food is posited. The appropriate nursing intervention for this client is to:
a. Reassure the patient by tasting the food before patient
b. Assure the patient that the food is safe to take
c. Allow the patient to take packed/canned foods
d. Warn the patient of the consequences if she refuse to take food.
Answer: c. Allow the patient to take packed/canned foods
Description:This approach respects the patient's concerns while still ensuring that she receives nourishment. It may be helpful to provide food items with unbroken seals or packaging to address the patient's paranoia and encourage her to eat. Coercion (option d) is generally not recommended in mental health care, as it can lead to resistance and further distress. Reassuring the patient (option a) or assuring her that the food is safe (option b) may not be effective due to her delusional beliefs, so offering alternative food options is a more practical approach.
11. Waxy flexibility, mutism, bizarre posture and stupor an characteristics of:
a. Undifferentiated schizophrenia
b. Catatonic schizophrenia
c. Paranoid schizophrenia
d. BPAD with depressive episode
Answer: b. Catatonic schizophrenia
Description:Waxy flexibility, mutism, bizarre posture, and stupor are characteristics of catatonic schizophrenia. So, the correct answer is: b. Catatonic schizophrenia.
12. Suspiciousness is a typical feature of:
a. BPAD with Mania
b. Paranoid schizophrenia
c. Undifferentiated schizophrenia
d. Hebephrenic schizophrenia
Answer: b. Paranoid schizophrenia
Description:Suspiciousness is a typical feature of paranoid schizophrenia. So, the correct answer is: b. Paranoid schizophrenia.
13. A schizophrenic patient is suspecting his faithful partner of infidelity (extramarital affair). The nurse understand that the patient is experiencing:
a. Delusion of nihilism
b. Delusion of grandiosity
c. Delusion of persecution
d. Delusion of infidelity
Answer: d. Delusion of infidelity
Description:The schizophrenic patient suspecting his faithful partner of infidelity is experiencing a delusion of infidelity. Delusions are false beliefs that are firmly held despite evidence to the contrary. In this case, the patient is holding a false belief that their partner is being unfaithful.
14. Which of the following is a negative symptom of schizophrenia?
a. Delusions
b. Aggression
c. Hallucinations
d. Affective flattening
Answer: d. Affective flattening
Description:Affective flattening is a negative symptom of schizophrenia. Negative symptoms are characterized by deficits or the absence of normal emotional responses, and affective flattening specifically refers to a reduction in the range and intensity of emotional expression. Delusions (a), aggression (b), and hallucinations (c) are typically considered positive symptoms of schizophrenia, which involve the presence of abnormal experiences or behaviors.
15. In schizophrenia, all are considered negative symptoms; EXCEPT:
a. Anhedonia
b. Decreased emotional expression
c. Impaired concertation
d. Hallucinations.
Answer: d. Hallucinations.
Description:In schizophrenia, hallucinations are not considered negative symptoms; they are actually categorized as positive symptoms. Hallucinations involve the presence of abnormal sensory experiences, such as hearing voices or seeing things that are not there. The other options, anhedonia (a), decreased emotional expression (b), and impaired concentration (c), are considered negative symptoms of schizophrenia, as they involve deficits or reductions in normal functioning.
16. Schizophrenia is treated by:
a. Antidepressants
b. Antipsychotics
c. Antiepileptics
d. Mood stabilizers
Answer: b. Antipsychotics
Description:Schizophrenia is typically treated with antipsychotic medications. Antipsychotics are specifically designed to help manage the symptoms of schizophrenia, such as hallucinations, delusions, and thought disturbances.
17. Waz-molding posture is seen in:
a. Schizoaffective disorder
b. Manic depressive psychosis
c. Bipolar-II disorder
d. Catatonic schizophrenia
Answer: d. Catatonic schizophrenia
Description:The "waxy flexibility" or "waxy rigidity" posture is a characteristic feature of catatonic schizophrenia. In this condition, individuals may exhibit unusual postures and can maintain them for extended periods, as if their limbs are molded into position, hence the term "waxy flexibility."
18. Prognosis is Schizophrenia is less favorable if:
a. Occurs in women
b. Anxiety is prominent
c. Emotional blunting occurs
d. Rapid onset of psychosis occurs
Answer: c. Emotional blunting occurs
Description:The prognosis in schizophrenia is less favorable if emotional blunting occurs. Emotional blunting, which involves a reduced intensity of emotional expression, can make it more challenging for individuals with schizophrenia to engage in social and occupational activities and may indicate a more severe form of the disorder. The other factors listed (a. Occurs in women, b. Anxiety is prominent, d. Rapid onset of psychosis occurs) do not necessarily determine the prognosis of schizophrenia. Prognosis in schizophrenia is influenced by a combination of factors, including the individual's response to treatment, the presence of supportive social networks, and the severity of symptoms, among others.
19. First rank symptoms of schizophrenia are all; EXCEPT:
a. Ambivalence
b. Running commentary
c. Primary delusion
d. Somatic passivity
Answer: a. Ambivalence
Description:"Ambivalence," is not one of the first rank symptoms of schizophrenia. Ambivalence refers to the coexistence of conflicting feelings or attitudes, which is not specific to schizophrenia but can be a characteristic of various mental health conditions.
20. First rank symptoms of schizophrenia are all; EXCEPT:
a. Depersonalization
b. Running commentary
c. Primary delusion
d. Somatic passivity
Answer: a. Depersonalization
Description:First rank symptoms of schizophrenia are a set of symptoms that are considered to be highly specific for schizophrenia. They were first described by the German psychiatrist Kurt Schneider in the early 1900s.
21. Poor prognostic factor in schizophrenia is:
a. Acute onset
b. Middle age
c. Family history of affective disorder
d. Gradual onset
Answer: d. Gradual onset
Description:In the context of schizophrenia, a gradual onset of symptoms is generally considered a poor prognostic factor. Schizophrenia that develops gradually tends to be associated with a more chronic and severe course of the illness. The other factors listed (a. Acute onset, b. Middle age, c. Family history of affective disorder) are not necessarily poor prognostic factors on their own and can vary depending on the individual's specific circumstances and the course of the illness.
22. Which of the following is the treatment of choice for patients with schizophrenia, who refuse to take treatment?
a. Clozapine
b. Risperidone
c. Olanzapine
d. Fluphenazine
Answer: b. Risperidone
Description:When patients with schizophrenia refuse to take treatment, the choice of treatment may involve medications that can be administered in a long-acting injectable form to ensure compliance. Risperidone is one such medication that is available in a long-acting injectable form and can be used for patients who have difficulty adhering to oral medications.
23. Schizophrenia drugs mainly act on:
a. D1 Dopamine receptors
b. D2 Dopamine receptors
c. D3 Dopamine receptors
d. Ach receptors
Answer: b. D2 Dopamine receptors
Description:Schizophrenia drugs mainly act on D2 dopamine receptors. The dopaminergic hypothesis of schizophrenia suggests that overactivity of dopamine transmission, particularly at D2 receptors, plays a role in the pathophysiology of the disorder. Antipsychotic medications, which are commonly used to treat schizophrenia, often target D2 dopamine receptors to help alleviate symptoms.
24. Meaning of term ‘Schizophrenia’ is:
a. Free mind
b. Euphoric mind
c. Split mind
d. Confused mind
Answer: c. Split mind
Description:The term "Schizophrenia" comes from the Greek words "schizo," which means "split," and "phrenia," which means "mind." So, the meaning of the term "Schizophrenia" is "split mind." It was originally used to describe the fragmented thinking and disorganized thought processes often seen in individuals with this disorder.
25. Cause of premature deaths in Schizophrenia is:
a. Hospital acquired infections
b. Homicide
c. Suicide
d. Toxicity of anti-psychotic drugs
Answer: c. Suicide
Description:The cause of premature deaths in individuals with schizophrenia is often suicide. Schizophrenia is associated with a higher risk of suicide compared to the general population. While other factors such as medical conditions and side effects of antipsychotic drugs can contribute to premature mortality, suicide is a significant concern in individuals with schizophrenia.
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