A nurse is caring for a client who has schizophrenia who consistently does the opposite of what the nurse asks of him. The nurse recognizes this as which of the following alterations in behavior?

Automatic obedience.

Active negativism.

Impaired impulse control.

Waxy flexibility.

Answer and Explanation

The Correct Answer is B

Choice A reason: Automatic obedience involves unthinkingly following instructions, often seen in catatonia. The client’s oppositional behavior is the opposite, making this an incorrect choice.

Choice B reason: Active negativism, common in schizophrenia, involves deliberately doing the opposite of what is requested, reflecting resistance or opposition. The client’s behavior matches this description.

Choice C reason: Impaired impulse control involves acting on urges without restraint, such as aggression or impulsivity. The client’s deliberate opposition is not impulsive but purposeful, so this is incorrect.

Choice D reason: Waxy flexibility involves maintaining imposed postures, typically in catatonia. The client’s oppositional behavior does not involve physical posturing, making this incorrect.

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Correct Answer is A

Explanation

Choice A reason:The total daily dose of quetiapine is 800 mg, divided into two doses, meaning each dose is 400 mg (800 mg ÷ 2). With 200 mg tablets, each dose requires 400 mg ÷ 200 mg = 2 tablets. This is the correct calculation for the number of tablets per dose.

Choice B reason:Four tablets per dose would result in 800 mg per dose (4 × 200 mg), totaling 1600 mg daily, which doubles the prescribed daily dose of 800 mg. This is incorrect and could lead to an overdose.

Choice C reason:Five tablets per dose would result in 1000 mg per dose (5 × 200 mg), totaling 2000 mg daily, far exceeding the prescribed 800 mg daily dose. This is incorrect and unsafe.

Choice D reason:Three tablets per dose would result in 600 mg per dose (3 × 200 mg), totaling 1200 mg daily, which exceeds the prescribed 800 mg daily dose. This is incorrect and not aligned with the prescription.

A. The client responds to questions with disorganized speech. B. The client’s spouse reports that the client has recently gained weight. C. The client reports that voices are telling him to write a novel. D. The client is dressed in all black.

Correct Answer is A

Explanation

Choice A reason: Disorganized, rapid, or pressured speech is a hallmark symptom of acute mania and reflects flight of ideas.

Choice B reason: Recent weight gain may relate to medication side effects or other conditions, not mania specifically.

Choice C reason: Hearing voices is a hallucination, which suggests psychosis or schizophrenia, not acute mania.

Choice D reason: Wearing all black may indicate a personal preference, not a diagnostic feature of mania.

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A nurse is caring for a client who has schizophrenia who consistently does the opposite of what the nurse asks of him. The nurse recognizes this as which of the following alterations in behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is prescribed 800 mg of quetiapine per day, divided into two doses. If quetiapine is available in 200 mg tablets, how many tablets should be given per dose?

Correct Answer is A

Explanation

A nurse in an acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?

Correct Answer is A

Explanation

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