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Withdrawn.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Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.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:
Stress from a new job could indeed be a cause of a depressed mood. Changes in life circumstances, such as starting a new job, can be stressful and lead to feelings of depression.
Choice B rationale:
High blood pressure is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.
Choice C rationale:
An elevated heart rate is not typically a direct cause of a depressed mood. It is a physical symptom that can be associated with many different conditions, but it does not directly cause depression.
Choice D rationale:
Renal dysfunction is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.
Correct Answer is A
Explanation
Choice A rationale:
The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
Choice B rationale:
This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.
Choice C rationale:
Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.
Choice D rationale:
The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.
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