Chapter 10: The complex needs patient Compared to the general population patients with schizophrenia have increased rates of which of the following? Premature death Asthma Osteoporosis Rheumatoid arthritis Diabetes mellitus According to Macpherson et al (1996), there is strong evidence to suggest that well-structured educational sessions can have an impact on a patient’s concordance with medication? True False The World Health Organization suggested which of the following criteria to identify metabolic syndrome (Thakdore 2005)? Macroalbuminuria Raised blood pressure Impaired glucose tolerance Low body mass index Increased triglyceride The incidence of irritable bowel syndrome in people with schizophrenia is? 2% 11% 19% 25% 30% Horwath et al (1996) found that the likelihood of injecting drug use was greater among which of the following? Patients under 36 years old Patients with a history of intranasal substance use Black patients Patients over 36 years old Female patients The life expectancy of patients with schizophrenia is how many years shorter than that of the general population? 5-7 years 9-12 years 15-19 years 20-24 years 25-30 years Compared to the white British population, the Fourth National Survey of Ethnic Minorities found prevalence rates of psychotic illness were … Higher among Caribbean women Higher among Caribbean men Lower in the Indian and Pakistani populations Lower in the Bangladeshi population Higher in the Irish population Staff training on cultural differences should include aspects of which of the following? Developing trust in community / local contacts Learning different languages in order to deliver care Trips abroad to assimiliate local customs De-stigmatising mental illness Sensitivity to cultural and religious values and practices According to Niederecker et al’s (1995) study, in which 1046 HIV-positive patients were screened, how many of these patients suffered from a psychotic illness? 9 56 118 365 682 There is evidence of modest risk of QTc prolongation with which of the following? Mesoridazine Chlorpromazine Aripiprazole Trifluoperazine Sulpiride There is evidence of relatively high risk of QTc prolongation with which of the following? Clozapine Sertindole Pimozide Droperidol Olanzapine According to Olfson et al (1999) the combination of which of the following increased the risk of returning to homelessness within 3 months of discharge? HIV infection Persistant symptoms Misusing drugs Impaired global functioning Secondary diagnoses of personality disorder Which of the following are characteristics of new long-stay patients? Young age Poor physcial health Generally male Unskilled Socially isolated The US Food and Drug Administration issued diabetes warnings in 2004 associated with the administration of which of the following? Risperidone Paliperidone Quetiapine Haloperidol Aripiprazole What percentage of patients with schizophrenia are overweight or obese? 10-20% 20-30% 30-40% 40-60% 60-80% Which of the following, as described by Kane (1996), are main factors that can lead to treatment resistance? Refractoriness to treatment Negative symptoms Adverse side-effects Positive symptoms Co-morbidity Which of the following are characteristics of complex needs patients in Psychiatric Intensive Care Units? Substance misuse Male gender Symptoms resistant to treatment Can be transferred within 8 weeks Frequent violent episodes In Chung and Corbett’s (1998) study on staff burnout, compared to community-based staff, hospital-based staff … Were more satisfied with their salaries Found training to be less adequate Were more emotionally exhausted Enjoyed their contact with patients more Felt more alienated from their patients In the event of developing cancer patients with schizophrenia have a … 25% lower chance of survival 50% lower chance of survival 25% higher chance of survival 50% higher chance of survival Which of the following did Nasrallah (2003) report as having a modest dose-independent short-term weight gain? Clozapine Amisulpiride Olanzapine Quetiapine Risperidone Which of the following risk factors have been identified with the prolongation of the QTc interval? Young age Polypharmacy Male sex Electrolyte imbalance Co-morbid heart disease Which of the following terms are used, often inappropriately, to describe complex needs patients? Dual diagnosis Young chronics Disabled Hard to place Challenging behaviour Old chronics Loading …
