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 B
Explanation
Choice A reason:Seeing purple bugs crawling on the wall suggests visual hallucinations, a symptom of schizophrenia rather than anxiety. Alprazolam, a benzodiazepine, is prescribed for anxiety, not psychotic symptoms, which are better managed with antipsychotics.
Choice B reason:A pounding heart is a physical symptom of anxiety, indicating heightened arousal or panic. This aligns with the indication for alprazolam, which is used to relieve acute anxiety symptoms, making it appropriate to consider administering the medication.
Choice C reason:Claiming to be a government agent may reflect a delusion, a symptom of schizophrenia. Alprazolam is not indicated for delusions, which require antipsychotic treatment, so this statement does not warrant its use.
Choice D reason:Feeling too tired to attend a group meeting suggests fatigue, not necessarily anxiety. Alprazolam is not indicated for tiredness, which may require other interventions like rest or medical evaluation, making this an inappropriate trigger for administration.
Correct Answer is D
Explanation
Choice A reason: This statement reflects derealization, which is the experience that the external environment feels unreal or changed, not depersonalization.
Choice B reason: This describes auditory hallucinations, a common symptom of schizophrenia, but not depersonalization.
Choice C reason: This indicates persecutory delusions, not depersonalization.
Choice D reason: This confirms depersonalization, which involves altered perception of one’s own body or sense of self, such as believing body parts are distorted in size or shape.
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