A nurse is caring for a client who has schizophrenia who consistently does the opposite of what the nurse asks of him. The nurse recognizes this as which of the following alterations in behavior?
Automatic obedience.
Active negativism.
Impaired impulse control.
Waxy flexibility.
The Correct Answer is B
Choice A reason: Automatic obedience involves unthinkingly following instructions, often seen in catatonia. The client’s oppositional behavior is the opposite, making this an incorrect choice.
Choice B reason: Active negativism, common in schizophrenia, involves deliberately doing the opposite of what is requested, reflecting resistance or opposition. The client’s behavior matches this description.
Choice C reason: Impaired impulse control involves acting on urges without restraint, such as aggression or impulsivity. The client’s deliberate opposition is not impulsive but purposeful, so this is incorrect.
Choice D reason: Waxy flexibility involves maintaining imposed postures, typically in catatonia. The client’s oppositional behavior does not involve physical posturing, making this incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A reason:A history of bulimia nervosa increases the risk of self-harm, as eating disorders are often associated with emotional dysregulation, low self-esteem, and impulsive behaviors, which can manifest as self-injurious actions.
Choice B reason:Receiving a promotion at work is generally a positive event and not typically associated with an increased risk of self-harm. It may boost self-esteem and is not a risk factor for self-injury.
Choice C reason:A parent with dependent personality disorder may influence family dynamics, but it is not a direct risk factor for the client’s self-harm behaviors. The client’s own mental health conditions are more relevant.
Choice D reason:Borderline personality disorder is strongly associated with self-harm behaviors, as it involves emotional instability, impulsivity, and difficulty managing intense emotions, often leading to self-injury as a coping mechanism.
Correct Answer is B
Explanation
Choice A reason:Automatic obedience involves unthinkingly following instructions, often seen in catatonia. The client’s oppositional behavior is the opposite, making this an incorrect choice.
Choice B reason:Active negativism, common in schizophrenia, involves deliberately doing the opposite of what is requested, reflecting resistance or opposition. The client’s behavior matches this description.
Choice C reason:Impaired impulse control involves acting on urges without restraint, such as aggression or impulsivity. The client’s deliberate opposition is not impulsive but purposeful, so this is incorrect.
Choice D reason:Waxy flexibility involves maintaining imposed postures, typically in catatonia. The client’s oppositional behavior does not involve physical posturing, making this incorrect.
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