All are negative symptoms of schizophrenia except
Delusions
Avolition
Apathy
Alogia
The Correct Answer is A
A. Delusions are a positive symptom of schizophrenia, not a negative symptom. They are false, fixed beliefs that persist despite evidence to the contrary. Common types include persecutory, grandiose, and bizarre delusions. Positive symptoms result from excess dopamine activity in the mesolimbic pathway.
B. Avolition is a negative symptom characterized by a lack of motivation to initiate and sustain goal-directed activities. It leads to difficulties with personal hygiene, work, and social engagement, significantly impairing daily functioning.
C. Apathy is a negative symptom marked by a lack of interest, enthusiasm, or emotional responsiveness. Individuals with schizophrenia may show indifference to social interactions, personal achievements, or daily activities.
D. Alogia (poverty of speech) is a negative symptom where individuals speak less and provide minimal verbal responses. This reflects impaired thought processing and reduced cognitive engagement, common in schizophrenia's mesocortical dopamine pathway dysfunction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Clozapine (Clozaril) does not require food for absorption, but it has a high risk of sedation, weight gain, and metabolic side effects. It also requires regular blood monitoring due to the risk of agranulocytosis.
B. Aripiprazole (Abilify) can be taken with or without food, as food does not significantly affect its absorption. It is a partial dopamine agonist, associated with a lower risk of weight gain and metabolic issues compared to other atypical antipsychotics.
C. Lurasidone (Latuda) must be taken with at least 350 calories of food to ensure proper absorption. Taking it on an empty stomach reduces its bioavailability, making it less effective. It is considered a weight-neutral antipsychotic and has a lower risk of metabolic side effects.
D. Haloperidol (Haldol) does not require food for absorption. It is a first-generation antipsychotic (FGA) with a high risk of extrapyramidal symptoms (EPS) but minimal metabolic effects.
Correct Answer is B
Explanation
A. Fear of abandonment. Individuals with borderline personality disorder (BPD) have an intense fear of abandonment, leading to frantic efforts to avoid real or imagined rejection. This fear often results in unstable relationships, clingy behavior, or extreme emotional reactions to perceived neglect.
B. No remorse. Lack of remorse is characteristic of antisocial personality disorder (ASPD), not BPD. People with BPD may experience guilt, regret, and self-loathing, particularly after impulsive actions or relationship conflicts. Unlike ASPD, they do not engage in manipulative or harmful behavior without concern for others' feelings.
C. Mood swings. Rapid and intense mood swings are a hallmark of BPD. Affected individuals may shift from euphoria to despair within hours, often triggered by interpersonal stressors. This emotional instability contributes to self-destructive behaviors and difficulty maintaining relationships.
D. Impulsivity. People with BPD frequently engage in impulsive and reckless behaviors, such as substance abuse, binge eating, reckless driving, or self-harm. These behaviors are often driven by emotional dysregulation and difficulty coping with distress.
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