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Withdrawn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E. Withdrawn: Social withdrawal and isolation are common negative symptoms.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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

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.

A. "I don't like it when you address me with that tone of voice." B. "I know you can, but are you going to read it or not?" C. "Fine. Here is the schedule, and I will expect you to be on time to your therapies." D. "We do this every day. Why are you so angry with me this morning?"

Correct Answer is A

Explanation

A. "I don't like it when you address me with that tone of voice." is the most appropriate response. It is assertive and non-confrontational, addressing the behavior (the tone of voice) in a direct and respectful way. This helps to set boundaries while maintaining a therapeutic relationship. In individuals with borderline personality disorder (BPD), it's important to model appropriate communication and reinforce respectful interactions without escalating the situation.
B. "I know you can, but are you going to read it or not?" is not ideal. This response can come across as dismissive and confrontational, which might escalate the situation further. It doesn't address the emotional content of the client's response or attempt to de-escalate the behavior.
C. "Fine. Here is the schedule, and I will expect you to be on time to your therapies." could come across as authoritarian and disrespectful, which might increase the client's frustration or feelings of being controlled. It doesn’t offer a therapeutic or empathic approach.
D. "We do this every day. Why are you so angry with me this morning?" may sound accusatory and could potentially provoke defensiveness. It places the focus on the client's emotions without addressing the immediate behavior, and it might make the client feel invalidated.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 has schizophrenia and tells the nurse, "They lie about me all the time and they are trying to poison my food." Which of the following statements should the nurse make?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?

A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?

A nurse is admitting a client to the mental health unit. Exhibits The nurse is developing a plan of care for the client. Which of the following interventions should the nurse include? (Select all that apply.)

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.

A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?

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.