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","C","E"]
Explanation
Choice A reason:Sleeping for long periods is more characteristic of the depressive phase of bipolar disorder, not mania. Manic behavior typically involves reduced need for sleep, making this an incorrect choice.
Choice B reason:Spending large sums of money impulsively is a hallmark of manic behavior, reflecting poor judgment and heightened energy typical of the manic phase in bipolar disorder.
Choice C reason:Flirtatious interactions are common in mania, as clients may exhibit increased sociability, disinhibition, or hypersexuality, making this a correct indicator of manic behavior.
Choice D reason:Dressing in black or grey clothing is not specifically associated with mania. Manic clients may choose bright or eccentric clothing, but color preference alone is not a reliable indicator of manic behavior.
Choice E reason:Rapid, continuous speech, often pressured, is a classic sign of mania, reflecting the client’s heightened energy, racing thoughts, and difficulty slowing down their communication.
Correct Answer is C
Explanation
Choice A reason:Cottage cheese is a low-tyramine food and generally safe for patients taking monoamine oxidase inhibitors (MAOIs) like phenelzine. It does not pose a significant risk of causing a hypertensive crisis, which is a concern with MAOIs due to their interaction with tyramine-rich foods.
Choice B reason:Shellfish is not typically high in tyramine, the compound that can cause dangerous interactions with MAOIs. While food safety (e.g., avoiding spoiled shellfish) is important, shellfish does not need to be avoided specifically due to phenelzine use.
Choice C reason:Salami, a cured meat, is high in tyramine, which can interact with MAOIs like phenelzine. This interaction can lead to a hypertensive crisis, characterized by dangerously high blood pressure, headaches, and other serious symptoms. Patients on MAOIs must avoid tyramine-rich foods like aged meats, cheeses, and fermented products.
Choice D reason:Frozen peas are not high in tyramine and do not pose a risk when taken with MAOIs. They are generally safe for consumption and do not require dietary restrictions for patients on phenelzine.
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