A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?
Lack of emotions
Paranoia
Confusion
Distorted beliefs
The Correct Answer is A
A. A lack of emotions, also known as flat affect or emotional blunting, is a common negative symptom of schizophrenia. It refers to a reduced range or intensity of emotional expression, such as reduced facial expressions, tone of voice, or gestures.
B. Paranoia is not a negative symptom but rather a positive symptom of schizophrenia.
C. Confusion may occur in schizophrenia, but it is not specific to negative symptoms. Confusion can be a result of various factors, including medication side effects, acute psychosis, or cognitive deficits.
D. Distorted beliefs, such as delusions, are considered positive symptoms rather than negative symptoms of schizophrenia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Factitious disorder involves feigning or inducing physical or psychological symptoms in oneself to assume the sick role and receive attention or care, often from medical professionals.
A. Functional neurological symptom disorder (previously known as conversion disorder) involves the presence of neurological symptoms that are inconsistent with known neurological conditions or diseases.
C. The primary focus in illness anxiety disorder is on the fear of having an illness rather than deliberate fabrication of symptoms.
D. The focus in somatic symptom disorder is on the physical symptoms themselves rather than deliberate fabrication or exaggeration of illness.
Correct Answer is C
Explanation
C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.
A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.
B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.
D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication
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