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 B
Explanation
Choice A reason:Seeing purple bugs crawling on the wall suggests visual hallucinations, a symptom of schizophrenia rather than anxiety. Alprazolam, a benzodiazepine, is prescribed for anxiety, not psychotic symptoms, which are better managed with antipsychotics.
Choice B reason:A pounding heart is a physical symptom of anxiety, indicating heightened arousal or panic. This aligns with the indication for alprazolam, which is used to relieve acute anxiety symptoms, making it appropriate to consider administering the medication.
Choice C reason:Claiming to be a government agent may reflect a delusion, a symptom of schizophrenia. Alprazolam is not indicated for delusions, which require antipsychotic treatment, so this statement does not warrant its use.
Choice D reason:Feeling too tired to attend a group meeting suggests fatigue, not necessarily anxiety. Alprazolam is not indicated for tiredness, which may require other interventions like rest or medical evaluation, making this an inappropriate trigger for administration.
Correct Answer is A
Explanation
Choice A reason:Sublimation is a defense mechanism where negative emotions, like anger, are channeled into positive or socially acceptable activities, such as exercise. Working out in the gym when feeling mad transforms the emotion into a constructive outlet, reflecting adaptive use of sublimation.
Choice B reason:Forgetting the event suggests repression or dissociation, not sublimation. This response does not involve channeling emotions into productive activities and is not adaptive for addressing anxiety.
Choice C reason:Denying anxiety indicates denial, not sublimation. This statement avoids acknowledging the emotion rather than redirecting it into a positive action, making it non-adaptive.
Choice D reason:Expressing inability to move past the tragedy reflects rumination or despair, not sublimation. It does not involve transforming negative emotions into constructive behaviors, so it is not an adaptive response.
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