After assessing a client with schizophrenia, a nurse suspects ...

[V@ndy87]

After assessing a client with schizophrenia, a nurse suspects that the client is experiencing an anticholinergic crisis. Which of the following would the nurse most likely have assessed? Select all that apply.
 
  A) Dilated, reactive pupils
  B) Blurred vision
  C) Ataxia
  D) Coherent speech
  E) Facial pallor
  F) Disorientation

Question 2

A client who has a major depressive episode tells the nurse that, for the past 2 weeks, he has been hearing voices and at times thinks that someone is following him. A history reveals that he has had these alternating symptoms before.
 
  He also has experienced time with neither of these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which of the following?
 
  A) Paranoid schizophrenia
  B) Undifferentiated schizophrenia
  C) Brief psychotic disorder
  D) Schizoaffective disorder

[prumorgan]

Answer to Question 1

Ans: B, C, F
Manifestations of anticholinergic crisis include dilated, unreactive pupils, blurred vision, ataxia, incoherent speech, facial flushing, and disorientation.

Answer to Question 2

Ans: D
Schizoaffective disorder is characterized by intervals of intense symptoms between quiescent periods. At times, there are symptoms of schizophrenia, and at other times, there seems to be a mood disorder. Because the symptoms alternate with quiet periods, schizophrenia, either paranoid or undifferentiated, would not apply. A brief psychotic episode involves symptoms of at least 1 day but less than 1 month, and the onset is sudden. The client generally experiences emotional turmoil or overwhelming confusion and rapid, intense shifts of affect.

[V@ndy87]

TYSM

[LVPMS]

Excellent