A nurse is caring for a client who has schizophrenia.

Exhibits

Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

Blood pressure

Lack of motivation

Change in behavior

Lack of energy

Withdrawn

Answer and Explanation

Correct Answer : B,D,E

A. Blood pressure: A blood pressure reading (especially an isolated one) is not a psychiatric symptom and not related to schizophrenia symptomatology unless associated with medication side effects.
B. Lack of motivation: Also known as avolition, this is a hallmark negative symptom—reflected in the client's refusal to eat, drink, or attend therapy.
C. Change in behavior: This is too vague. While behavior changes are characteristic of schizophrenia, they could reflect either positive or negative symptoms and require clarification.
D. Lack of energy: Also referred to as anergia, it’s seen in the client's desire to sleep instead of engaging in activities and their slowed movements.
E. Withdrawn: Social withdrawal and isolation are common negative symptoms. The client avoids conversation and stays in bed, demonstrating a diminished interest in social interaction.

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Correct Answer is A

Explanation

A. Spending time sitting with the client is the correct and most therapeutic approach. Clients with severe depression often feel isolated and may have difficulty engaging in conversation or activities. Simply sitting quietly with the client shows presence, support, and acceptance, which can help build trust and provide comfort without placing pressure on the client to interact.
B. Encouraging decision-making may be inappropriate in the early stages of severe depression, as the client might feel overwhelmed or incapable of making even simple decisions due to impaired concentration and low motivation.
C. Playing a game of chess with the client may be too cognitively demanding and potentially frustrating for a client in a severely depressed state. It is better reserved for when the client is showing signs of improvement.
D. Giving the client choices of activities might seem supportive, but offering too many choices can increase anxiety and indecisiveness in someone who is severely depressed. Early in treatment, it's more helpful to offer structured support rather than open-ended decisions.

A. Dextrose 5% in 0.45% sodium chloride B. Oral hypoglycemic medications C. Glucocorticoid medications D. 0.9% sodium chloride IV bolus

Correct Answer is D

Explanation

A. Dextrose 5% in 0.45% sodium chloride is incorrect. Dextrose is not typically given in the initial management of diabetic ketoacidosis (DKA) because it can elevate blood glucose levels further. The primary goal in treating DKA is to lower the blood glucose level and correct the acidosis, not to add glucose to the system at this stage.
B. Oral hypoglycemic medications are not appropriate in DKA. The client is in a state of severe hyperglycemia and acidosis, and oral medications are ineffective for rapid glucose control in this emergency. Insulin is the treatment of choice.
C. Glucocorticoid medications are not indicated in DKA treatment. Glucocorticoids could actually worsen hyperglycemia, and they are not used to treat DKA.
D. 0.9% sodium chloride IV bolus is correct. In DKA, dehydration is common due to osmotic diuresis, and the priority treatment is to restore fluid balance. An IV bolus of normal saline (0.9% sodium chloride) is the first step to rehydrate the client and improve circulation. Once hydration begins, insulin therapy is typically initiated to reduce blood glucose and address the acidosis.

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A nurse is caring for a client who has schizophrenia. Exhibits Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a client who has schizophrenia.

Exhibits

Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.