A nurse is caring for a client who has schizophrenia.

Nurses' Notes: Day 1 1030: A 35-year-old client who has schizophrenia is admitted.

Diagnosed 15 years ago.

Brought in by partner and states client has remained in room for the last several days and movements are delayed.

Day 1 1730: Client refuses to eat or drink.

Client appears withdrawn and does not engage in conversation.

Client has flat affect.

Does not want to go to therapy session and wants to sleep.

Client's movements are slow.

Vital Signs: Day 1 1030: Temperature 37° C (98.6° F). Heart rate 72/min.

Respiratory rate 20/min.

Blood pressure 132/38 mm Hg. Oxygen saturation: 99% on room air.

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

Withdrawn.

Lack of energy.

Change in behavior.

Lack of motivation.

Blood pressure.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale:
Being withdrawn is a negative symptom of schizophrenia. It refers to the lack of social engagement and reduced interest in others.
Choice B rationale:
Lack of energy, or avolition, is a negative symptom of schizophrenia. It refers to a decrease in the initiation and persistence of goal-directed activities.
Choice C rationale:
Change in behavior is too broad to be considered a specific negative symptom of schizophrenia. Both positive and negative symptoms of schizophrenia can lead to changes in behavior.
Choice D rationale:
Lack of motivation, or avolition, is a negative symptom of schizophrenia. It refers to a decrease in the initiation and persistence of goal-directed activities.
Choice E rationale:
Blood pressure is not a symptom of schizophrenia. It is a physiological measurement and does not reflect the psychological symptoms of schizophrenia.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"}}

Explanation

Ventricular fibrillation: The correct electricity is Defibrillation. Ventricular fibrillation is a life-threatening condition that requires immediate medical attention. Defibrillation is the process of delivering an electric shock to the heart to stop the fibrillation and allow the heart’s normal rhythm to resume4.

PVC-run ventricular tachycardia with a pulse: The correct electricity is Synchronized Cardioversion. This is used when the patient is hemodynamically stable. It involves the delivery of a therapeutic dose of electrical current to the heart at a specific moment in the cardiac cycle5.

Atrial Flutter: The correct electricity is Synchronized Cardioversion. Atrial flutter is a type of abnormal heart rhythm, or arrhythmia. It can be treated with synchronized cardioversion, in which a controlled electric shock is delivered to the heart to restore normal rhythm5.

Bradycardia: The correct electricity is Transcutaneous Pacing. This is a temporary means of pacing a patient’s heart during a medical emergency. It should be undertaken by healthcare providers who are trained in the procedure5.

So, the correct answer is Defibrillation for Ventricular fibrillation, Synchronized Cardioversion for PVC-run ventricular tachycardia with a pulse and Atrial Flutter, and Transcutaneous Pacing for Bradycardia, after analyzing all choices.

A. The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic. B. The importance of limiting fluid intake when taking an antipsychotic. C. The importance of routine red blood cell count laboratory work when taking an antipsychotic. D. The importance of avoiding foods that contain tyramine when taking an antipsychotic.

Correct Answer is A

Explanation

Choice A rationale:

Adherence to medication, especially after the resolution of acute psychosis, is crucial when taking an antipsychotic like clozapine. This is because discontinuation can lead to a relapse of symptoms.

Choice B rationale:

There’s no specific need to limit fluid intake when taking an antipsychotic.

Choice C rationale:

While routine blood cell count laboratory work is important, it’s not specific to red blood cells but rather to monitor for agranulocytosis, a potential side effect of clozapine.

Choice D rationale:

Avoiding foods that contain tyramine is typically associated with monoamine oxidase inhibitors, not antipsychotics like clozapine.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"}}

Explanation

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?.

Correct Answer is A

Explanation

A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?

A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder.(Select all that apply.).

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?

A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?.

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?.

A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following findings should the nurse expect?.