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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Withdrawn.

Answer and Explanation

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Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.

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Correct Answer is B

Explanation

B)Depersonalization: Depersonalization, which involves feeling detached from one's own body or thoughts, is a key symptom of panic-level anxiety. It occurs when the client feels as though they are observing themselves from outside their body or disconnected from reality, often as a coping mechanism to manage the intense distress experienced during a panic attack.

A. Depersonalization B. Posttraumatic play. C. Omen formation. D. Time skewing.

Correct Answer is B

Explanation

Choice A rationale:

Depersonalization is a symptom of PTSD, but it involves feeling detached from oneself, not reenacting traumatic events.

Choice B rationale:

Posttraumatic play is a common manifestation of PTSD in children. It involves the child reenacting the traumatic event, which can be seen in the child’s mimicking of shooting a gun.

Choice C rationale:

Omen formation is a belief that there were warning signs predicting the trauma. It’s not related to the child’s behavior.

Choice D rationale:

Time skewing involves a shift in the perception of time during the recall of the traumatic event. It’s not demonstrated in this scenario.

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Naxlex Comprehensive Predictor Exams

A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?.

Correct Answer is B

Explanation

A nurse is providing care to a 9-year-old child who uses their hand to mimic shooting a gun anytime someone enters the room or tries to interact with them. The nurse should identify that this is an example of which of the following manifestations of post-traumatic stress disorder?.

Correct Answer is B

Explanation

A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?.

A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?

A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?.

A nurse is reviewing assessment findings for a 9-year-old child whose family home was destroyed in a wildfire. The nurse should identify that which of the following behaviors is related to the traumatic experience?.

A nurse is planning discharge for a client who has schizophrenia and reports "I don't have a place to live.”. Which of the following referrals should the nurse request from the provider?.

A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?.

A nurse is caring for a client who has schizophrenia. Nurses' Notes. Vital Signs. Day 1 1030: Vital Signs. Temperature 37°C (98.6° F). Heart rate 72/min. Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.