A patient with schizophrenia is described as having difficulty ...

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A patient with schizophrenia is described as having difficulty with executive functions. What patient dysfunction can the nurse expect to assess behaviorally? Select all that ap-ply.
 
  a. Invades the personal space of others frequently
  b. Consistently fails to bring money when going to buy snacks
  c. Cannot remember the names of staff who often provide care
  d. Requires repeated reinforcement on how to make a sandwich
  e. Frequently speaks of hurting himself or of hurting other patients

Question 2

A patient has begun experiencing dysfunction of the hypothalamus. What nursing inter-ventions will the nurse include in the patient's plan of care? Select all that apply.
 
  a. Reinforcing clear physical boundaries
  b. Assisting the patient with completing daily menus
  c. Learning about healthy sleep hygiene habits
  d. Monitoring and recording temperature every 4 hours
  e. Monitoring and recording blood pressure every 4 hours

[Cnarkel]

Answer to Question 1

ANS: A, B, D
Executive functions include reasoning, planning, prioritizing, sequencing behavior, insight, flexibility, judgment, focusing on tasks, responding to social cues, and attending in appropri-ate ways to incoming stimuli. Memory is not considered an executive function and risk for harm to self and others is not generally a diagnosis appropriate for such a patient.

Answer to Question 2

ANS: B, C, D
The hypothalamus is responsible for regulation of sleep-rest patterns, body temperature, and physical drives of hunger. Social appropriateness and blood pressure is not controlled by the hypothalamus.

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