A nurse is caring for a client who has schizophrenia.
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Withdrawn
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E. Withdrawn: Social withdrawal and isolation are common negative symptoms.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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Asking “Why do you think you are being lied about and poisoned?” encourages the client to elaborate on a delusion, which can reinforce the false belief rather than help the client gain insight. This response is not therapeutic.
B. Asking “Who is lying about you and trying to poison you?” validates the delusion by treating it as reality, which is not appropriate in managing psychotic symptoms.
C. Saying “You are mistaken. Nobody is lying about you or trying to poison you.” directly contradicts the client’s delusion. This approach can increase defensiveness and damage trust in the nurse-client relationship.
D. “You seem to be having very frightening thoughts.” is the correct response because it acknowledges the client’s emotional experience without validating or challenging the delusion. This promotes therapeutic communication by expressing empathy and encouraging the client to explore feelings in a supportive way.
Correct Answer is ["B","C","D","E","F"]
Explanation
A. ECG can detect complications like bradycardia or QT prolongation, but does not in itself indicate progress unless compared over time. It's more useful as a diagnostic tool than a treatment response marker.
B. Weight gain is one of the most reliable markers of recovery in anorexia nervosa. If the client is gaining weight steadily as part of a refeeding plan, it strongly indicates progress.
C. Sodium level: Electrolyte imbalances (such as hyponatremia) are common due to malnutrition and purging behaviors. A normalized sodium level indicates physiological recovery.
D. Respiratory assessment: Improvement in respiratory rate (from 24 → 20/min) and increased SpO2 (93% → 96%) suggest better respiratory and overall metabolic function.
E. Temperature: An increase in body temperature indicates improvement in metabolic rate and nutritional status, both of which are impaired in severe malnutrition.
F. Creatinine level reflects kidney function and muscle mass. Improvement or normalization of creatinine levels is a positive sign of physiological restoration in anorexia.
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