A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms of schizophrenia? (Select all that apply.).

Auditory hallucinations.

Flight of ideas.

Decreased motivation.

Impaired memory.

Answer and Explanation

Correct Answer : A,B

Choice A rationale:

Auditory hallucinations are considered a positive symptom of schizophrenia. Positive symptoms are characterized by the presence of abnormal experiences or behaviors that are not typically present in individuals without schizophrenia. Auditory hallucinations involve hearing voices or sounds that are not real.

Choice B rationale:

Flight of ideas is a positive symptom of schizophrenia. It is characterized by a rapid and disorganized flow of thoughts, often leading to incoherent speech. This symptom is part of the formal thought disorder commonly seen in individuals with schizophrenia.

Choice C rationale:

Decreased motivation is not a positive symptom; it is considered a negative symptom of schizophrenia. Negative symptoms are characterized by a reduction or loss of normal functions or behaviors that are typically present in healthy individuals. Decreased motivation reflects a lack of interest, energy, or drive to engage in activities.

Choice D rationale:

Impaired memory is not a positive symptom but is more associated with cognitive deficits, which can be a part of schizophrenia, but it falls under cognitive symptoms rather than positive symptoms.

Choice E rationale:

Delusions of grandeur are positive symptoms of schizophrenia. Delusions are false beliefs that are firmly held despite evidence to the contrary. Delusions of grandeur involve a person having an exaggerated sense of self-importance or abilities. This is a classic positive symptom seen in schizophrenia. .

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Correct Answer is C

Explanation

Choice A rationale:

"Older adults are usually diagnosed with depressive disorder as they age.”. This choice is not appropriate because it makes a generalized statement about older adults being diagnosed with depressive disorder as they age. While depression can be more common in older adults due to various factors such as health issues and life changes, it's essential to explore the specific reasons for this particular client's symptoms.

Choice B rationale:

"You shouldn't worry about this because depressive disorder is easily treated.”. This choice dismisses the daughter's concerns and oversimplifies the treatment of depressive disorder. Depression can be a complex condition, and not all cases are easily treated. It's important to take the daughter's worries seriously and assess the client's condition thoroughly.

Choice D rationale:

"Everyone gets depressed from time to time.”. This response minimizes the daughter's concerns by suggesting that depression is a common experience for everyone. While it's true that many people may experience occasional sadness, clinical depression is a different matter and should be addressed with more empathy and attention.

A. Denial. B. Compensation. C. Rationalization. D. Displacement.

Correct Answer is D

Explanation

Answer is: d. Displacement.

Explanation: Displacement is a defense mechanism in which an individual redirects their emotions, feelings, or impulses from their original source to a less threatening target. In this case, the client is redirecting his anger toward his partner onto the nurse, making displacement the defense mechanism being demonstrated.

Choice a. is wrong because denial involves refusing to accept or acknowledge reality, often to protect oneself from emotional distress. There is no indication that the client is denying his situation or feelings in this scenario.

Choice b. is wrong because compensation involves making up for perceived weaknesses or deficiencies in one area by excelling in another. The client's behavior does not reflect an attempt to compensate for any shortcomings.

Choice c. is wrong because rationalization is a defense mechanism where an individual justifies their actions or feelings using seemingly logical reasons to avoid self-criticism or emotional discomfort. The client's behavior in this scenario does not involve providing any logical explanation for his anger.

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A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms of schizophrenia? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client is brought to the mental health clinic by her daughter.The daughter reports that her mother is not eating and seems uninterested in routine activities.The daughter states, "I'm so worried that my mother is depressed.”. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?

Correct Answer is D

Explanation

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