The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

Exhibits compulsive, ritualistic behaviors.

Responds with illogical answers to questions.

Admits to frequently thinking about committing suicide.

Describes times of depression followed by feelings of euphoria.

Answer and Explanation

The Correct Answer is B

A.   Compulsive, ritualistic behaviors might be seen in other psychiatric conditions but are not specifically characteristic of schizophrenia.
B.   Responding with illogical answers to questions is a common symptom of schizophrenia, specifically disorganized thinking or speech.
C.   Frequent thoughts of committing suicide might occur in various psychiatric conditions but are not specific to schizophrenia.
D.   Describing times of depression followed by feelings of euphoria is more characteristic of bipolar disorder, not schizophrenia.

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Correct Answer is D

Explanation

A. Asking the client to describe and identify the source of feelings might escalate the anxiety and might not be immediately helpful in reducing anxiety levels.
B. Providing education about coping with anxiety might be beneficial, but in a moment of severe anxiety, immediate intervention to reduce anxiety is more crucial.
C. Escorting the client from the group might be necessary in some cases, but assisting with relaxation techniques within the group setting can offer immediate support and relief.
D. Assisting the client with relaxation techniques in the group can help reduce anxiety and provide immediate support.

A. Suggest that the client develop a list of pleasurable activities. B. Encourage the client to exercise. C. Provide education on methods to enhance sleep. D. Teach the client to develop a plan for daily structured activities. E. Teach the client to develop a plan for daily structured activities.

Correct Answer is D

Explanation

A. Developing a list of pleasurable activities might be beneficial but might not directly address the lack of motivation and psychomotor retardation.
B. Encouraging exercise is generally helpful but might be challenging for someone experiencing hypersomnia and lack of motivation.
C. Providing education on methods to enhance sleep is important, but it might not directly address psychomotor retardation or motivation.
D. Teaching the client to develop a plan for daily structured activities can provide a sense of purpose, routine, and help combat psychomotor retardation and lack of motivation commonly seen in depression.

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The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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