A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?

Bizarre behavior

Somatic delusions

Affective flattening

Illogicality

Answer and Explanation

The Correct Answer is C

A. Bizarre behavior: Bizarre behavior is typically considered a positive symptom of schizophrenia rather than a negative symptom. Positive symptoms involve the presence of abnormal behaviors or experiences that are not typically seen in healthy individuals. Bizarre behavior can include hallucinations, delusions, disorganized thinking, and grossly disorganized or catatonic behavior.

B. Somatic delusions: Somatic delusions, where the individual believes they have a medical condition or physical defect that is not present, are also considered positive symptoms of schizophrenia. Positive symptoms involve distortions or exaggerations of normal functions.

C. Affective flattening: This is the correct choice. Affective flattening, also known as blunted affect, refers to a reduction in the intensity, range, and expression of emotional responses. Individuals with schizophrenia who exhibit affective flattening may have a limited range of facial expressions, reduced vocal inflections, and a diminished ability to express emotions appropriately. Affective flattening is considered a negative symptom because it reflects a decrease or absence of normal emotional functioning.

D. Illogicality: Illogicality, or disorganized thinking, is another positive symptom of schizophrenia. It involves difficulties in organizing thoughts and expressing them coherently. Individuals with schizophrenia may exhibit illogical speech patterns, such as tangentiality (going off on tangents), loose associations (jumping from one unrelated topic to another), or thought blocking (sudden interruption of thoughts).

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Correct Answer is C

Explanation

A. Elbow. Elbow restraints are typically used to limit movement of the elbow joint. However, they may not be suitable for an infant post-cleft lip and palate repair surgery. The primary concern after this type of surgery is to prevent the infant from touching the surgical site, which requires a more comprehensive restraint method.

B. Jacket. A jacket restraint wraps around the torso and arms, similar to a mummy restraint. However, jacket restraints may not provide as much immobilization or security for the infant's arms as a mummy restraint. Given the importance of preventing the infant from touching the surgical site, a mummy restraint may be more appropriate in this case.

C. Mummy. This is the correct choice. A mummy restraint wraps around the infant's torso and arms, providing secure immobilization to prevent the infant from touching the surgical site. It is specifically designed to restrict movement while still allowing some freedom for comfort and positioning. This type of restraint is commonly used for infant’s post-cleft lip and palate repair surgery to facilitate optimal healing and prevent disruption of sutures.

D. Wrist. Wrist restraints are typically used to restrict movement of the wrists and hands. However, they may not be suitable for an infant post-cleft lip and palate repair surgery, as the primary concern is to prevent the infant from touching the surgical site on the face. Wrist restraints would not effectively address this issue and may be unnecessarily restrictive for the infant's comfort and mobility.

A. Monitor the client closely to prevent self-mutilation B. Give positive feedback when client is assertive with staff or clients. C. Set limits to prevent exploitation of other clients. D. Discourage flamboyant or seductive behaviors.

Correct Answer is C

Explanation

A. Monitor the client closely to prevent self-mutilation: This action is not typically associated with dependent personality disorder. Dependent personality disorder is characterized by an excessive need to be taken care of, leading to submissive and clinging behaviors, rather than self-mutilation.

B. Give positive feedback when the client is assertive with staff or clients: While it is important to encourage and reinforce assertive behaviors, giving positive feedback alone may not be sufficient to address the underlying issues associated with dependent personality disorder. It's essential to provide comprehensive care that addresses the client's dependency needs and promotes healthy assertiveness.

C. Set limits to prevent exploitation of other clients: Clients with dependent personality disorder may exhibit behaviors that involve relying excessively on others and seeking caretaking from them. Setting limits helps prevent these clients from exploiting or overly burdening others with their needs, promoting boundaries and accountability within the therapeutic environment.

D. Discourage flamboyant or seductive behaviors: Flamboyant or seductive behaviors are not typical characteristics of dependent personality disorder. These behaviors are more commonly associated with other personality disorders, such as histrionic or borderline personality disorder. In dependent personality disorder, the focus is more on an excessive need for support and reassurance rather than attention-seeking behaviors.

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A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?

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