A nurse is caring for a client who has schizophrenia.
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Withdrawn
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E. Withdrawn: Social withdrawal and isolation are common negative symptoms.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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 0815 is incorrect. If breakfast is delayed too long after administering regular insulin, the client could experience hypoglycemia because regular insulin peaks in about 2 to 3 hours, and there would be no food to balance its effect.
B. 0720 is too soon. Administering breakfast just 5 minutes after insulin is given could cause a mismatch in insulin action and food intake, potentially leading to hypoglycemia.
C. 0745 is also incorrect. Giving breakfast 30 minutes after administering insulin is still too close, as the insulin may be acting too strongly before the food intake.
D. 0730 is correct. Regular insulin typically peaks around 2-3 hours after administration, so providing breakfast at 0730 (15 minutes after the insulin) allows for appropriate timing between insulin onset and food consumption, reducing the risk of hypoglycemia.
Correct Answer is B
Explanation
A. Obesity is a risk factor for renal calculi, as it is associated with increased urinary calcium excretion and changes in the composition of urine that may promote stone formation. However, the more direct link in this question is dehydration.
B. Dehydration is a significant risk factor for renal calculi. When a person is dehydrated, the urine becomes more concentrated, increasing the likelihood of crystal formation. Adequate fluid intake helps to dilute urine and reduce the formation of stones.
C. Iron deficiency does not directly contribute to the formation of renal calculi. While iron deficiency can lead to other health issues, it is not considered a primary risk factor for kidney stone formation.
D. Protein in the urine (proteinuria) is not typically associated with increased risk for renal calculi. While proteinuria can indicate kidney damage or other conditions, it is not a direct cause of kidney stones.
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