When talking about manifestations of Schizophrenia, there are positive and negative symptoms. Which of the following are negative symptoms? (Select all that apply)
Hallucinations
Apathy
Absence of normal social and interpersonal behaviors
Sensory overload due to loss of the ability to screen external sensory stimuli
Anhedonia
Incomprehensible speech
Delusions
Correct Answer : B,C,E
Choice A reason: Hallucinations are positive symptoms of schizophrenia, involving sensory experiences not based in reality, like hearing voices. Negative symptoms involve deficits, such as reduced emotional expression or social engagement. Since hallucinations add to experience, they are not negative, making this incorrect for negative symptoms.
Choice B reason: Apathy, a lack of motivation or interest, is a negative symptom of schizophrenia, reflecting diminished emotional and behavioral responses. It aligns with deficits in normal functioning, a hallmark of negative symptoms, making it a correct choice for this category of schizophrenia manifestations.
Choice C reason: Absence of normal social and interpersonal behaviors, such as social withdrawal, is a negative symptom, indicating reduced engagement and interaction. This deficit in typical social functioning is characteristic of negative symptoms in schizophrenia, making it a correct selection for this question.
Choice D reason: Sensory overload from impaired sensory filtering is not a standard negative symptom; it’s more related to cognitive or positive symptoms like hallucinations. Negative symptoms involve reduced behaviors, like apathy, so this is incorrect for the negative symptom category in schizophrenia.
Choice E reason: Anhedonia, the inability to experience pleasure, is a negative symptom, reflecting a deficit in emotional response. It is a core feature of reduced functioning in schizophrenia, aligning with negative symptom criteria, making it a correct choice for this question.
Choice F reason: Incomprehensible speech, such as disorganized speech, is a positive symptom, adding disordered communication to the patient’s experience. Negative symptoms involve reduced behaviors, like social withdrawal, so this is incorrect for the negative symptom category in schizophrenia.
Choice G reason: Delusions, false beliefs, are positive symptoms, adding to the patient’s mental experience. Negative symptoms involve deficits, such as lack of motivation, not added beliefs. This makes delusions incorrect for the negative symptom category in schizophrenia manifestations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Weight loss helps GERD by reducing abdominal pressure, but calcium channel blockers can worsen reflux by relaxing the lower esophageal sphincter. This makes the regimen counterproductive, as it does not effectively reduce acid exposure, rendering it an incorrect treatment choice.
Choice B reason: Surgical correction of the pylorus addresses gastric outlet issues, not GERD, which involves lower esophageal sphincter dysfunction. Procedures like fundoplication target GERD, but surgery is reserved for severe cases, making this an incorrect primary treatment regimen.
Choice C reason: Antacids provide temporary relief but do not suppress acid production long-term. Avoiding exacerbating positions and soft diets help, but they are less effective without stronger acid suppression, making this regimen less comprehensive than proton pump inhibitors for managing GERD.
Choice D reason: Proton pump inhibitors reduce acid production, healing esophageal damage in GERD. Avoiding large meals and staying upright minimize reflux episodes by reducing stomach pressure and promoting gastric emptying. This comprehensive approach effectively manages symptoms, making it the best treatment regimen.
Correct Answer is C
Explanation
Choice A reason: Antibiotics treat bacterial infections, but inspiratory stridor, cough, and tachypnea suggest acute airway obstruction, like croup or bronchospasm. Antibiotics are not immediate for these symptoms, as they address infection, not airway narrowing, making this a lower-priority treatment.
Choice B reason: Sputum culture identifies pathogens but is not urgent for inspiratory stridor, which indicates airway compromise needing immediate relief. Cultures guide long-term therapy, not acute management, making this an incorrect priority for the patient’s presentation.
Choice C reason: Inhaled bronchodilators, like albuterol, are the priority for inspiratory stridor, nonproductive cough, and tachypnea, as they relax airway smooth muscles, relieving bronchospasm or narrowing. This addresses acute airway obstruction, common in conditions like asthma or croup, making it the correct treatment.
Choice D reason: History of illness exposure informs diagnosis but delays treatment for acute airway symptoms. Inspiratory stridor requires immediate intervention to ensure airway patency, making history-taking secondary to addressing the urgent respiratory distress, thus an incorrect priority.
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