A nurse should identify that which of the following factors is a protective factor that prevents adults from developing addictions?

A. Delusional disorder: Delusional disorder is characterized by the presence of false beliefs that are not consistent with reality. While some individuals with obsessive-compulsive disorder (OCD) may experience distorted thoughts, delusional disorder is not a common comorbidity associated with OCD.
B. Post-traumatic stress disorder: PTSD is a recognized comorbidity with OCD. Individuals with OCD may develop PTSD due to traumatic experiences that trigger their obsessions or compulsions, or they may have had traumatic events in their history that contribute to the development of both conditions.
C. Anorexia nervosa: While eating disorders can coexist with various mental health conditions, anorexia nervosa is not specifically linked as a common comorbidity with OCD. The relationship between OCD and eating disorders is complex, but anorexia nervosa is not a primary comorbid condition typically associated with OCD.
D. Agoraphobia: Although agoraphobia can occur alongside OCD, it is not as strongly correlated as PTSD. Agoraphobia involves the fear of being in situations where escape might be difficult or help unavailable, while OCD primarily involves intrusive thoughts and compulsive behaviors. Although both conditions can coexist, PTSD is more commonly recognized as a comorbidity.

A. Blood pressure: The blood pressure reading of 132/38 mm Hg is noteworthy, particularly the low diastolic value, but it does not specifically indicate negative symptoms of schizophrenia. It may require further monitoring, but it is not a direct reflection of the negative symptomatology.
B. Lack of motivation: The client's refusal to eat, drink, or participate in therapy sessions indicates a lack of motivation, which is a classic negative symptom of schizophrenia. This symptom reflects diminished drive and engagement in everyday activities.
C. Change in behavior: The client's prolonged withdrawal and limited interaction with others are significant changes from their previous functioning and can be considered negative symptoms. These changes often manifest as a decrease in social interaction and activities.
D. Lack of energy: While the client appears to have slow movements and may seem fatigued, "lack of energy" is a vague term. However, the slowed movements can indicate negative symptoms associated with schizophrenia. The more specific term would be lack of motivation or social withdrawal.
E. Withdrawn: The client's withdrawal from social interactions and activities is a clear indicator of negative symptoms. This behavior demonstrates a lack of interest in engaging with others and reflects the emotional and social deficits often seen in schizophrenia.