The nurse is doing an admission assessment on a client with schizophrenia. Which of the following are positive symptoms of schizophrenia?

Symptom Positive Negative

Disordered thinking

Flat affect

Trouble concentrating

Lack of initiative

Social withdrawal

Answer and Explanation

Correct Answer : B

A.   Disordered thinking, also known as formal thought disorder, involves disturbances in the thought process, such as loosening of associations, thought blocking, or tangentiality. These disturbances result in fragmented or illogical thinking patterns.
B.   Flat affect refers to a reduction or absence of emotional expression. Individuals with flat affect may appear emotionally dull or unresponsive, showing little variation in facial expressions or vocal tone.
D.   Apathy refers to a lack of motivation, interest, or enthusiasm in engaging with one's environment or pursuing goals. Individuals with schizophrenia may experience extreme apathy, which can contribute to social withdrawal and functional impairment.
E.   Lack of initiative, also known as avolition, refers to a reduction or absence of goal-directed behavior or motivation to engage in purposeful activities. Individuals with schizophrenia may have difficulty initiating and sustaining activities of daily living or pursuing personal interests.
F.   Social withdrawal involves the avoidance or reduction of social interactions and activities. It may result from factors such as social anxiety, apathy, or disinterest in socializing due to psychotic symptoms or negative symptoms of schizophrenia.
C. Trouble concentrating is not typically considered a primary symptom of schizophrenia. While difficulties with concentration or attention may occur, they are more often associated with cognitive impairments rather than positive or negative symptoms.

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Correct Answer is ["A","B","C"]

Explanation

A. Tardive dyskinesia can involve abnormal, involuntary movements of the hips, pelvis, and trunk.
B. Facial grimacing and eye blinking are common manifestations of tardive dyskinesia. These movements involve involuntary contractions of facial muscles, leading to facial distortions and repetitive blinking.
C. Tongue thrusting and lip smacking are classic signs of tardive dyskinesia. These movements involve involuntary protrusion of the tongue and repetitive puckering or smacking of the lips.

D. Fine hand tremors and pill rolling movements are more commonly associated with other movement disorders, such as Parkinsonism, which can also be caused by certain antipsychotic medications but are distinct from tardive dyskinesia.
E. Urinary retention and constipation are not typical symptoms of tardive dyskinesia. These symptoms may occur due to other factors, such as anticholinergic effects of medications or medical conditions unrelated to tardive dyskinesia.

A. Provide a stimulating environment. B. Schedule daily seclusion times. C. Have consistent unit routines. D. Discourage daytime napping.

Correct Answer is C

Explanation

C. Consistent unit routines are essential for clients in the manic phase of bipolar disorder. Maintaining a structured environment with predictable routines can help stabilize mood, reduce agitation, and provide a sense of security for the client.

A. Mania is characterized by heightened activity, impulsivity, and sometimes agitation. Providing a stimulating environment may exacerbate these symptoms and increase the risk of escalating behaviors or agitation.

B. While it may be necessary to provide a safe and quiet space for the client if they become agitated or overwhelmed, scheduling daily seclusion times implies isolation, which can worsen feelings of loneliness or distress.

D. Excessive daytime napping can disrupt the client's sleep-wake cycle and exacerbate symptoms of mania.

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The nurse is doing an admission assessment on a client with schizophrenia. Which of the following are positive symptoms of schizophrenia?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is C

Explanation

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