A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Day 1 1030: Vital Signs.
A 35-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Brought in by partner and states client has remained in room for the last several days and movements are delayed.
Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.
Blood pressure.
Lack of motivation.
Change in behavior.
Lack of energy.
Withdrawn.
Correct Answer : B,D,E
Choice A rationale:
Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
Choice B rationale:
Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
Choice C rationale:
Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
Choice D rationale:
Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
Choice E rationale:
Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Ignoring the client’s lack of self-care is not therapeutic. It’s important to address hygiene issues with clients who have schizophrenia.
Choice B rationale:
This approach is confrontational and does not respect the client’s autonomy or dignity.
Choice C rationale:
This is the best choice because it respects the client’s autonomy and provides them with a choice, which can help motivate them to participate in self-care activities.
Choice D rationale:
This statement is judgmental and confrontational, which is not therapeutic.
Correct Answer is C
Explanation
Choice A rationale:
Mood stabilizers are used for bipolar disorder, not for symptoms like delusions and hallucinations.
Choice B rationale:
Benzodiazepines are used for anxiety and panic disorders. They don’t treat psychotic symptoms.
Choice C rationale:
Dopamine antagonists, or antipsychotics, are the primary treatment for schizophrenia. They can reduce delusions and hallucinations.
Choice D rationale:
SSRIs are used for depression and some anxiety disorders. They don’t treat psychotic symptoms.
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