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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A serum potassium of 3.3 mEq/L is slightly low but does not require stopping clozapine therapy.
Choice B reason: A hematocrit of 55% is elevated but not a contraindication for clozapine use.
Choice C reason: A WBC of 2,900 cells/mm³ indicates severe leukopenia/agranulocytosis, a life-threatening adverse effect of clozapine, requiring immediate discontinuation.
Choice D reason: A BUN of 22 mg/dL is only mildly elevated and not directly related to clozapine risks.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason:Tremors, particularly in the hands, are a common symptom of alcohol withdrawal, often appearing within hours of the last drink. They are caused by the nervous system’s hyperexcitability due to the absence of alcohol’s depressant effects, making this a key manifestation to include in teaching.
Choice B reason:Polyphagia, or excessive hunger, is not a typical symptom of alcohol withdrawal. Withdrawal is more commonly associated with loss of appetite or nausea due to gastrointestinal distress and nervous system dysregulation, so this should not be included in the teaching.
Choice C reason:Nystagmus, an involuntary eye movement, can occur in alcohol withdrawal, particularly in severe cases or during delirium tremens. It is a neurological symptom resulting from the brain’s response to withdrawal, making it appropriate to include in the teaching.
Choice D reason:Seizures are a serious and potentially life-threatening complication of alcohol withdrawal, often occurring within 12 to 48 hours after the last drink. Educating the client about this risk is critical, as it underscores the need for medical supervision during withdrawal.
Choice E reason:Illusions, or misinterpretations of sensory stimuli, are common in alcohol withdrawal, especially during severe stages like delirium tremens. These perceptual disturbances should be included in the teaching to prepare the client for possible symptoms.
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