A nurse in a mental health clinic is conducting a staff education session on schizophrenia.

Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.).

Blunt affect.

Delusions.

Anhedonia.

Hallucinations.

Poor judgment.

Answer and Explanation

Correct Answer : A,C

Choice A rationale:
Blunt affect is a negative symptom of schizophrenia, characterized by diminished expression of emotion.
Choice B rationale:
Delusions are considered positive symptoms of schizophrenia, not negative.
Choice C rationale:
Anhedonia, or the inability to feel pleasure, is a negative symptom of schizophrenia.
Choice D rationale:
Hallucinations are considered positive symptoms of schizophrenia, not negative.
Choice E rationale:
Poor judgment is not specifically categorized as a negative symptom of schizophrenia.

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Correct Answer is A

Explanation

Choice A rationale:

Adherence to medication, especially after the resolution of acute psychosis, is crucial when taking an antipsychotic like clozapine. This is because discontinuation can lead to a relapse of symptoms.

Choice B rationale:

There’s no specific need to limit fluid intake when taking an antipsychotic.

Choice C rationale:

While routine blood cell count laboratory work is important, it’s not specific to red blood cells but rather to monitor for agranulocytosis, a potential side effect of clozapine.

Choice D rationale:

Avoiding foods that contain tyramine is typically associated with monoamine oxidase inhibitors, not antipsychotics like clozapine.

A. A client who has a BUN of 22 mg/dL. B. A client who has a serum potassium of 3.3 mEq/L. C. A client who has a hematocrit of 55%. D. A client who has a WBC of 2,900 cells/mm².

Correct Answer is D

Explanation

Choice A rationale:

A BUN of 22 mg/dL is slightly elevated but not a contraindication for clozapine.

Choice B rationale:

A serum potassium of 3.3 mEq/L is slightly low but not a contraindication for clozapine.

Choice C rationale:

A hematocrit of 55% is high but not a contraindication for clozapine.

Choice D rationale:

A WBC of 2,900 cells/mm² is low and can indicate agranulocytosis, a potentially life-threatening condition. Clozapine should be discontinued.

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A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?.

Correct Answer is A

Explanation

A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine. For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued?

Correct Answer is D

Explanation

A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following findings should the nurse expect?.

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A nurse in a mental health clinic is conducting a staff education session on schizophrenia.

Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.).