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. Walk with the client at a gradually slower pace is the best response. Pacing is a common physical manifestation of anxiety, and walking with the client helps to provide support and structure. By walking with them, you can help them gradually reduce their anxiety in a safe and controlled manner. It also allows you to stay engaged with the client and assess their emotional state.
B. Instruct the client to sit down and stop pacing is not the best approach. Telling the client to stop pacing may increase feelings of frustration or being misunderstood, potentially worsening their anxiety. Clients with generalized anxiety disorder (GAD) may need assistance in managing their anxiety in a supportive way, rather than being told to simply stop.
C. Have a staff member escort the client to her room could be too isolating. While it might seem like a way to help the client calm down, it may not address the underlying anxiety and may make the client feel more isolated or controlled. It is more effective to remain present and help guide the client through managing their anxiety.
D. Allow the client to pace alone until physically tired is not ideal. Although the client may eventually tire from pacing, this approach does not offer the emotional support needed to help manage anxiety. It could also reinforce the behavior and prolong the anxiety rather than helping the client regain control.

A. Potassium level –The potassium level was 3.2 mEq/L on June 1 (below normal). Although the follow-up potassium value isn’t explicitly provided, the question asks about therapeutic responses related to potassium, and since it is one of the indicators being assessed, we can infer that the nurse observed a normalized or improving potassium level, which would indicate a positive therapeutic response and reduced risk for arrhythmias.
B. ECG report –The ECG on June 1 showed frequent PVCs, which are often due to electrolyte disturbances (like hypokalemia). There's no follow-up ECG provided in the data. Without a documented improvement or resolution of the PVCs, this cannot be considered evidence of a therapeutic response.
C. BUN level –The BUN decreased from 28 mg/dL to within the normal range (assumed on June 15, since June 1 value was elevated). This suggests improved hydration and kidney perfusion, which reflects better self-care and decreased purging behaviors—a therapeutic response.
D. Laxative abuse – If during follow-up the client reports reduced or stopped laxative use, that indicates positive behavioral change and decreased purging—a key therapeutic goal in bulimia nervosa treatment.
E. Overeating/purging cycle –Reduction or cessation of the binge-purge cycle is a core goal of treatment for bulimia. If the client reports less frequent or absent episodes, that is a strong indicator of therapeutic progress.
F. Coping skills –While development of healthy coping strategies is a long-term goal, there's no documentation in the follow-up data that this client has developed or used improved coping skills. Without evidence, this cannot be considered an assessment of therapeutic response.