A nurse is caring for a client who has schizophrenia.

Exhibits

Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

Blood pressure

Lack of motivation

Change in behavior

Lack of energy

Withdrawn

Answer and Explanation

Correct Answer : B,D,E

A. Blood pressure: A blood pressure reading (especially an isolated one) is not a psychiatric symptom and not related to schizophrenia symptomatology unless associated with medication side effects.
B. Lack of motivation: Also known as avolition, this is a hallmark negative symptom—reflected in the client's refusal to eat, drink, or attend therapy.
C. Change in behavior: This is too vague. While behavior changes are characteristic of schizophrenia, they could reflect either positive or negative symptoms and require clarification.
D. Lack of energy: Also referred to as anergia, it’s seen in the client's desire to sleep instead of engaging in activities and their slowed movements.
E. Withdrawn: Social withdrawal and isolation are common negative symptoms. The client avoids conversation and stays in bed, demonstrating a diminished interest in social interaction.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Semi-Fowler's with neck in a neutral position is the correct answer. This position helps promote optimal breathing and decreases the risk of neck strain, which could lead to complications such as airway obstruction or tension on the surgical site. Keeping the neck in a neutral position reduces the risk of bleeding or tension on the anastomoses (if any) in the neck area and also aids in respiratory comfort.
B. High Fowler's with neck in a neutral position is not appropriate. Although the high Fowler's position can be used to help with breathing, it can put unnecessary strain on the neck after surgery, increasing the risk of discomfort or complications. The semi-Fowler's position is preferred as it provides adequate support and reduces the strain on the surgical site.
C. High Fowler's with neck extended is incorrect. Extending the neck can place unnecessary pressure on the surgical site, especially after a thyroidectomy, increasing the risk of complications like bleeding or airway obstruction.
D. Semi-Fowler's with neck extended is incorrect. Extending the neck in the semi-Fowler's position can still put strain on the surgical site and is not ideal for comfort or preventing complications.

A. Cataracts B. Pancreatitis C. Dysrhythmias D. Bleeding

Correct Answer is C

Explanation

A. Cataracts are not a known adverse effect of haloperidol. However, long-term use of certain antipsychotic medications (like chlorpromazine) has been associated with cataract development, but this is not a typical issue with haloperidol.
B. Pancreatitis is not a common adverse effect of haloperidol. While certain medications can affect the pancreas, this is not a typical concern with haloperidol.
C. Dysrhythmias is correct. Haloperidol, a typical antipsychotic, can cause cardiac arrhythmias, including QT prolongation, which increases the risk of serious dysrhythmias. This is especially important to monitor in patients on high doses or those with electrolyte imbalances.
D. Bleeding is not a common adverse effect of haloperidol. Antipsychotics do not typically cause bleeding, though some other medications (such as anticoagulants) might have this side effect.

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A nurse is caring for a client who has schizophrenia. Exhibits Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 8 hr postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?

Correct Answer is A

Explanation

A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

Correct Answer is C

Explanation

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A nurse in a mental health facility is assessing a client. Exhibits For each client assessment finding, click to specify if the finding is a potential risk for suicide or a protective factor against suicide.

A nurse is caring for a client who has schizophrenia.

Exhibits

Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.