A nurse is assessing a client who has schizophrenia. Which of the following behaviors should the nurse anticipate?
Preoccupied with folding clothes.
Periods of elation with unusual talkativeness.
Recurrent thoughts of past trauma.
Invents words that have no meaning.
The Correct Answer is D
Choice A reason: Being preoccupied with repetitive activities such as folding clothes can sometimes occur in individuals with obsessive-compulsive disorder or autism spectrum disorders, but it is not a defining feature of schizophrenia.
Choice B reason: Elation and unusual talkativeness are hallmark features of mania in bipolar disorder, not schizophrenia.
Choice C reason: Recurrent thoughts of past trauma are more characteristic of post-traumatic stress disorder (PTSD), not schizophrenia.
Choice D reason: Creating words that have no meaning, also called neologisms, is a common positive symptom of schizophrenia and reflects disorganized thought processes.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Ignoring pain temporarily is an example of suppression, which is considered an adaptive coping strategy.
Choice B reason: Slamming a drawer represents displacement of frustration, which, while immature, can still be considered a common short-term coping outlet.
Choice C reason: Buying a gift after flirting is an example of undoing, which attempts to counteract negative feelings, and can sometimes be adaptive.
Choice D reason: Forgetting to schedule important appointments due to fear is repression/avoidance, which prevents the person from addressing health needs and is maladaptive.
Correct Answer is B
Explanation
Choice A reason:Placing a client in a seclusion room is not appropriate unless they pose an immediate safety risk to themselves or others. Seclusion can increase agitation in a manic client and is not a standard room assignment for managing mania.
Choice B reason:A private room close to the nursing station allows for close monitoring of the client’s behavior, which is critical during the manic phase due to impulsivity and high energy. This setup ensures safety while providing a controlled environment without unnecessary isolation.
Choice C reason:A private room in a quiet location may reduce stimulation, which is beneficial, but it may limit the ability to closely monitor the client. Proximity to the nursing station is preferred to ensure rapid intervention if needed.
Choice D reason:A semi-private room with a roommate who has a similar diagnosis could lead to overstimulation or conflict, as two manic clients may exacerbate each other’s symptoms. A private room is more appropriate for managing mania.
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