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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Naltrexone reduces cravings for alcohol but is used after detoxification, not during acute withdrawal.
Choice B reason: Acamprosate helps maintain abstinence but is started after detox, not during acute withdrawal.
Choice C reason: Disulfiram deters alcohol use by causing unpleasant reactions when alcohol is consumed, but it is not used for withdrawal management.
Choice D reason: Diazepam, a benzodiazepine, is the medication of choice during acute alcohol withdrawal because it prevents seizures, reduces agitation, and manages withdrawal symptoms.
Correct Answer is B
Explanation
Choice A reason: Delayed menarche at age 13 is within normal developmental variation. Although it may cause concern for the adolescent, it is not an immediate priority unless accompanied by other signs of delayed puberty.
Choice B reason: Expressing social isolation and rejection is a priority because it may indicate depression or risk for self-harm. Adolescents who feel excluded and disliked are more vulnerable to mental health crises.
Choice C reason: Perceiving parents as overprotective is common in adolescence as teenagers seek independence. This is not typically a clinical concern.
Choice D reason: Concerns about acne and appearance are common during adolescence and usually reflect normal developmental self-consciousness rather than a safety issue.
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