A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Day 1 1030: Vital Signs.
A 35-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Brought in by partner and states client has remained in room for the last several days and movements are delayed.
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.
Change in behavior.
Lack of energy.
Withdrawn.
Correct Answer : B,D,E
Choice A rationale:
Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
Choice B rationale:
Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
Choice C rationale:
Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
Choice D rationale:
Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
Choice E rationale:
Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Families where caregivers have college degrees or higher are often more stable and provide a nurturing environment, which is a protective factor against adverse childhood experiences.
Choice B rationale:
Children who don’t feel close to their guardians and don’t feel like they can talk to them about their feelings are at a higher risk of developing mental health disorders.
Choice C rationale:
Families that include young caregivers or single parents often face more stress and instability, which can increase the risk of adverse childhood experiences.
Choice D rationale:
Families that are isolated from other people, such as extended family, friends, and neighbors, often lack social support, which can increase the risk of adverse childhood experiences.
Correct Answer is A
Explanation
Choice A rationale:
If a client states that they do not want to live anymore and plans to end their life, the nurse should ask the client about the lethality of their plan. This can help the nurse assess the immediate risk and determine the appropriate level of intervention.
Choice B rationale:
While it’s important to encourage clients to focus on the positive aspects of life, this should not be the first response when a client expresses suicidal ideation. The priority is to assess the risk and ensure the client’s safety.
Choice C rationale:
Reassuring the client that everything is going to work out may seem helpful, but it can also minimize the client’s feelings and potentially make them feel misunderstood. The priority is to assess the risk and ensure the client’s safety.
Choice D rationale:
Allowing the client time alone to self-reflect is not the appropriate action when a client expresses suicidal ideation. The client should not be left alone, as they may be at risk of self-harm.
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