A nurse is caring for a client who has schizophrenia.

Nurses' Notes: Day 1 1030: A 35-year-old client who has schizophrenia is admitted.

Diagnosed 15 years ago.

Brought in by partner and states client has remained in room for the last several days and movements are delayed.

Day 1 1730: Client refuses to eat or drink.

Client appears withdrawn and does not engage in conversation.

Client has flat affect.

Does not want to go to therapy session and wants to sleep.

Client's movements are slow.

Vital Signs: Day 1 1030: Temperature 37° C (98.6° F). Heart rate 72/min.

Respiratory rate 20/min.

Blood pressure 132/38 mm Hg. Oxygen saturation: 99% on room air.

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

Withdrawn.

Lack of energy.

Change in behavior.

Lack of motivation.

Blood pressure.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale:
Being withdrawn is a negative symptom of schizophrenia. It refers to the lack of social engagement and reduced interest in others.
Choice B rationale:
Lack of energy, or avolition, is a negative symptom of schizophrenia. It refers to a decrease in the initiation and persistence of goal-directed activities.
Choice C rationale:
Change in behavior is too broad to be considered a specific negative symptom of schizophrenia. Both positive and negative symptoms of schizophrenia can lead to changes in behavior.
Choice D rationale:
Lack of motivation, or avolition, is a negative symptom of schizophrenia. It refers to a decrease in the initiation and persistence of goal-directed activities.
Choice E rationale:
Blood pressure is not a symptom of schizophrenia. It is a physiological measurement and does not reflect the psychological symptoms of schizophrenia.

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Correct Answer is B

Explanation

Choice A rationale:

This statement is confrontational and may make the client defensive.

Choice B rationale:

This statement provides the client with a choice, promoting autonomy and encouraging self-care.

Choice C rationale:

This statement is forceful and does not respect the client’s autonomy.

Choice D rationale:

Ignoring the client’s lack of self-care does not address the issue and could potentially harm the client.

A. Withdrawn. B. Lack of energy. C. Change in behavior. D. Lack of motivation. E. Blood pressure.

Correct Answer is ["A","B","D"]

Explanation

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkempt and unbathed. Which of the following statements should the nurse make to the client?

Correct Answer is B

Explanation

Correct Answer is ["A","B","D"]

Explanation

A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?

A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority?.

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?

A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?.

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO. The client's current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value indicates which of the following?.

A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.).