A nurse is caring for a client who has positive manifestations of schizophrenia. Which of the following behaviors should the nurse anticipate?

Has recurrent thoughts of past trauma.

Invents words that have no meaning.

Preoccupation with washing and folding his clothes.

Avoids interactions with staff and peers.

Answer and Explanation

The Correct Answer is B

Choice A reason: Recurrent thoughts of past trauma are more indicative of post-traumatic stress disorder rather than schizophrenia.

Choice B reason: Inventing new words or phrases that have no meaning, also known as neologisms, is a common positive symptom of schizophrenia.

Choice C reason: A preoccupation with washing and folding clothes is not specifically indicative of schizophrenia; it could be a sign of obsessive-compulsive disorder.

Choice D reason: While social withdrawal can be a symptom of schizophrenia, it is considered a negative symptom, not a positive one.

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Correct Answer is A

Explanation

Choice A reason: An illusion is a misinterpretation of a real external stimulus. Mr. S is mistaking the cracks in the plaster for snakes, which is an illusion.

Choice B reason: A flashback is a vivid memory of a traumatic event that feels like it is happening again. This does not describe Mr. S's experience.

Choice C reason: A hallucination is a sensory experience of something that does not exist outside the mind. Since Mr. S is misinterpreting an actual visual stimulus (the cracks), it is not a hallucination.

Choice D reason: A delusion is a firmly held false belief resistant to reason or confrontation with actual fact. Mr. S's belief is based on a misinterpretation of a visual stimulus, not a delusion.

A. "I should be sure the patient has no questions before they sign the consent." B. "I can witness the patient's signature on the consent." C. "Consent is good for 30 days." D. "This protects the hospital from all lawsuits."

Correct Answer is D

Explanation

Choice A reason: Ensuring the patient has no questions before signing the consent is a standard and appropriate practice.

Choice B reason: A nurse can witness the patient's signature on the consent form, which is a normal procedure.

Choice C reason: Consent is not universally good for 30 days; it is specific to the procedure and timing, and this statement could mislead and cause legal issues.

Choice D reason: Saying that informed consent protects the hospital from all lawsuits is incorrect and could lead to a false sense of security, as informed consent is about patient autonomy, not just legal protection.

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A nurse is caring for a client who has positive manifestations of schizophrenia. Which of the following behaviors should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

Correct Answer is A

Explanation

The nurse is reviewing informed consent with a coworker. Which statement by the coworker would concern the nurse?

Correct Answer is D

Explanation

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