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
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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Imaginary playmates:
Toddlers typically do not engage in activities involving imaginary playmates. This behavior is more common in preschool-aged children.
B. Erikson's stage of initiative versus guilt:
Erikson's stage of initiative versus guilt occurs during the preschool years, typically around ages 3 to 5. It involves children developing a sense of initiative to take on new tasks and challenges, balanced with feelings of guilt if they are overly criticized or restricted.
C. Negative behaviors characterized by the need for autonomy:
This is the correct answer. Toddlers are in Erikson's stage of autonomy versus shame and doubt. During this stage, which typically occurs between the ages of 1 and 3, toddlers strive to gain independence and autonomy. They may exhibit negative behaviors, such as temper tantrums or defiance, as they assert their independence and explore their environment.
D. Demonstrations of sexual curiosity:
Demonstrations of sexual curiosity typically emerge later in childhood, around the preschool years or later. Toddlers are not typically focused on sexual curiosity during this stage of development.
Correct Answer is ["90"]
Explanation
Answer:
below 90 beats per minute (bpm)
Rationale:
For infants, especially those receiving digoxin, the heart rate is a critical parameter to monitor due to the medication's potential to affect cardiac function.
The general guideline for withholding digoxin in infants is if the apical heart rate is below 90 beats per minute (bpm) in infants. Therefore, the nurse should withhold the dose if the infant's apical heart rate is less than 90 bpm.
It's important to note that specific institutional protocols may vary, so nurses should always adhere to the guidelines established by their facility. Additionally, if the infant's heart rate is below the threshold, the nurse should promptly notify the healthcare provider for further evaluation and guidance.
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