A nurse is collecting data from a client who has schizophrenia. Which of the following client findings should the nurse document as a positive symptom of the disorder?
Dysphoria
Poor hygiene
Disorganized speech
Anhedonia
The Correct Answer is C
Choice A reason: Dysphoria refers to a state of unease or generalized dissatisfaction, often linked to mood disorders such as depression. It is considered a negative symptom or affective disturbance rather than a positive symptom of schizophrenia. Positive symptoms are those that add abnormal experiences, such as hallucinations or disorganized speech, rather than subtracting normal functioning.
Choice B reason: Poor hygiene is a behavioral deficit often seen in schizophrenia, but it is classified as a negative symptom. Negative symptoms involve a reduction or absence of normal behaviors, such as lack of motivation, poor grooming, or social withdrawal.
Choice C reason: Disorganized speech is a hallmark positive symptom of schizophrenia. It reflects disturbances in thought processes, where the client’s communication becomes incoherent, illogical, or fragmented. This symptom demonstrates the addition of abnormal cognitive patterns, making it a positive symptom.
Choice D reason: Anhedonia is the inability to experience pleasure, which is a negative symptom. It reflects a deficit in emotional responsiveness and motivation rather than the presence of abnormal behaviors or perceptions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Encouraging focus on reality-based issues helps redirect the client gently without reinforcing delusions. It maintains therapeutic communication while grounding the client.
Choice B reason: Asking for meaning focuses attention on the delusion, reinforcing it rather than redirecting.
Choice C reason: Persuading the client that thoughts are not true is confrontational and ineffective. Clients with schizophrenia may not accept reality testing when actively delusional.
Choice D reason: Allowing continued delusional talk reinforces psychosis and does not promote reality orientation.
Correct Answer is C
Explanation
Choice A reason: Promising secrecy is inappropriate because nurses are mandated reporters. They are legally and ethically obligated to report suspected child abuse. Making such a promise undermines trust when disclosure becomes necessary.
Choice B reason: Labeling the family as "bad" is judgmental and non-therapeutic. It risks alienating the child and does not provide supportive reassurance.
Choice C reason: Telling the child that it is not their fault is therapeutic and supportive. Children often internalize blame for abuse, so this statement helps reduce guilt and shame while validating their experience.
Choice D reason: Discussing the abuse directly with family members can place the child at further risk and is inappropriate. The nurse must follow mandated reporting procedures rather than confronting the family.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.