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
Hallucinations
Lack of energy
Withdrawn
Correct Answer : B,D,E
Choice A reason: Blood pressure is a vital sign measurement and not a symptom of schizophrenia. It does not reflect the psychiatric manifestations of the disorder. Negative symptoms are characterized by deficits in normal emotional and behavioral functioning, not changes in vital signs. Therefore, blood pressure is unrelated to the assessment of negative symptoms.
Choice B reason: Lack of motivation is a hallmark negative symptom of schizophrenia. It reflects avolition, which is the inability to initiate or persist in goal-directed activities. This symptom often leads to difficulties in maintaining daily routines, attending therapy, or engaging in social interactions. It is directly linked to the functional impairment seen in clients with schizophrenia.
Choice C reason: Hallucinations are considered positive symptoms of schizophrenia, not negative symptoms. Positive symptoms involve the presence of abnormal experiences, such as auditory or visual hallucinations, delusions, or disorganized speech. While distressing, hallucinations represent an addition to normal functioning rather than a deficit, so they do not fall under the category of negative symptoms.
Choice D reason: Lack of energy is a negative symptom because it reflects diminished emotional and physical drive. This symptom contributes to the client’s inability to participate in activities, maintain self-care, or engage socially. It is often associated with anhedonia and avolition, both of which are central to negative symptomatology.
Choice E reason: Withdrawn behavior is another negative symptom. Social withdrawal indicates reduced ability or desire to interact with others, often due to flat affect, lack of motivation, or diminished emotional responsiveness. This symptom significantly impacts the client’s quality of life and ability to maintain relationships, making it a key indicator of negative symptoms in schizophrenia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Setting strict limits on behaviors is not therapeutic for OCD. It can increase anxiety and resistance, as compulsions are driven by uncontrollable urges to reduce distress.
Choice B reason: Informing the client that ritualistic behaviors serve no purpose invalidates their experience and can increase anxiety. Clients with OCD are often aware their behaviors are irrational but feel compelled to perform them.
Choice C reason: Isolation is inappropriate and harmful. It does not address the client’s needs and can worsen anxiety and compulsive behaviors.
Choice D reason: Allowing time for rituals is the correct intervention. Initially, the nurse should accommodate the client’s compulsions to reduce anxiety and build trust. Over time, therapeutic interventions can gradually help the client reduce ritualistic behaviors.
Correct Answer is A
Explanation
Choice A reason: This is the correct response because it uses a collaborative approach to problem-solving. Working with the client to create a convenient schedule increases adherence and empowers the client to take ownership of their treatment.
Choice B reason: This response is directive and lacks collaboration. It may make the client feel pressured rather than supported.
Choice C reason: Asking why the client finds it difficult may feel confrontational and does not provide practical support. It risks making the client defensive.
Choice D reason: Minimizing past difficulties does not address the client’s concern. It provides false reassurance without offering strategies to improve adherence.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today