The nurse caring for a patient with schizophrenic spectrum ...

[TVarnum]

The nurse caring for a patient with schizophrenic spectrum disorder notes that the patient imitates the nurse's movements during the assessment. Which symptom is the patient experiencing?
 
  1. Echolalia
  2. Echopraxia
  3. Loose associations
  4. Automatic obedience

Question 2

When working with patients who have had psychotic episodes, the nurse knows that which is a critical feature for psychological adjustment?
 
  1. Reflection on psychological milestones
  2. Insight into learning how to cope with life
  3. Progressive goal direction through thought processes
  4. Re-engagement in normal daily interactions
  Answer: 4

[Liddy]

Answer to Question 1

Answer: 2
Explanation: Motor symptoms are common in patients with SSDs; the patient is experiencing echopraxia, which is the compulsive imitation of another's actions. Echolalia is the repetition of words spoken by another. Loose associations are a formal thought disorder symptom. Automatic obedience is exaggerated, robotic cooperation to requests.

Answer to Question 2

Explanation: Within the psychological domain a critical feature of psychological adjustment is the courage and ability to re-engage in normal daily interactions. Progressive goal direction through thought processes occurs in the biological domain. Insight into learning how to cope with life occurs across domains and disorders. Reflection on psychological milestones occurs within the psychological domain, but is not a critical feature.