A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?

Bizarre behavior

Somatic delusions

Affective flattening

Illogicality

Answer and Explanation

The Correct Answer is C

A. Bizarre behavior: Bizarre behavior is typically considered a positive symptom of schizophrenia rather than a negative symptom. Positive symptoms involve the presence of abnormal behaviors or experiences that are not typically seen in healthy individuals. Bizarre behavior can include hallucinations, delusions, disorganized thinking, and grossly disorganized or catatonic behavior.

B. Somatic delusions: Somatic delusions, where the individual believes they have a medical condition or physical defect that is not present, are also considered positive symptoms of schizophrenia. Positive symptoms involve distortions or exaggerations of normal functions.

C. Affective flattening: This is the correct choice. Affective flattening, also known as blunted affect, refers to a reduction in the intensity, range, and expression of emotional responses. Individuals with schizophrenia who exhibit affective flattening may have a limited range of facial expressions, reduced vocal inflections, and a diminished ability to express emotions appropriately. Affective flattening is considered a negative symptom because it reflects a decrease or absence of normal emotional functioning.

D. Illogicality: Illogicality, or disorganized thinking, is another positive symptom of schizophrenia. It involves difficulties in organizing thoughts and expressing them coherently. Individuals with schizophrenia may exhibit illogical speech patterns, such as tangentiality (going off on tangents), loose associations (jumping from one unrelated topic to another), or thought blocking (sudden interruption of thoughts).

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Correct Answer is B

Explanation

A. The client drinks 2 liters of liquids daily: Adequate hydration is important when taking lithium to prevent dehydration, which can increase lithium levels. Drinking 2 liters of liquids daily is appropriate and helps maintain hydration, reducing the risk of lithium toxicity.

B. The client runs 4 miles outdoors every afternoon: Vigorous exercise and excessive sweating, such as running 4 miles outdoors daily, can lead to dehydration and increased lithium levels, thereby increasing the risk of lithium toxicity. Clients taking lithium should be advised to avoid excessive sweating and to maintain adequate hydration during exercise.

C. The client eats 2 to 3 gm of sodium-containing foods daily: Consuming sodium-containing foods helps prevent lithium toxicity by promoting lithium excretion through the kidneys. Adequate sodium intake is necessary to maintain lithium balance in the body. Eating 2 to 3 grams of sodium-containing foods daily is within the recommended range for clients taking lithium.

D. The client eats foods high in tyramine: Foods high in tyramine are associated with the risk of hypertensive crisis, particularly in clients taking monoamine oxidase inhibitors (MAOIs), not lithium. While dietary restrictions may be necessary for clients taking MAOIs, they are not relevant to lithium therapy.

A. "I don't like it when you address me with that tone of voice." B. "I know you can, but are you going to read it or not?" C. "Fine. Here is the schedule, and I will expect you to be on time to your therapies." D. "We do this every day. Why are you so angry with me this morning?"

Correct Answer is A

Explanation

A)"I don't like it when you address me with that tone of voice.": This is the most therapeutic response. It addresses the inappropriate behavior (the rude tone) in a calm and direct manner, setting a clear boundary while remaining respectful. By focusing on the behavior, the nurse can maintain professionalism and avoid escalating the situation. This response also encourages the client to recognize the impact of their behavior without feeling attacked.

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A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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