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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Withdrawn.

Answer and Explanation

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Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.

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Correct Answer is B

Explanation

Choice A rationale:

This statement indicates restlessness, which is not typically associated with depression.

Choice B rationale:

This statement indicates insomnia, which is a common symptom of depression.

Choice C rationale:

High blood pressure is not a symptom of depression.

Choice D rationale:

Increased alertness and focus are not typical symptoms of depression.

A. The child cries because they are the smallest child in their class. B. The child is found making small fires in the backyard. C. The child is rude to their siblings when things do not go their way. D. The child insists on having their own way when playing with friends.

Correct Answer is B

Explanation

Choice A rationale:

Being the smallest child in class is not directly related to the traumatic experience of a wildfire.

Choice B rationale:

Making small fires in the backyard could be a sign of trauma related to the wildfire.

Choice C rationale:

Being rude to siblings is not directly related to the traumatic experience of a wildfire.

Choice D rationale:

Insisting on having their own way when playing with friends is not directly related to the traumatic experience of a wildfire.

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Naxlex Comprehensive Predictor Exams

A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?.

Correct Answer is B

Explanation

A nurse is reviewing assessment findings for a 9-year-old child whose family home was destroyed in a wildfire. The nurse should identify that which of the following behaviors is related to the traumatic experience?.

Correct Answer is B

Explanation

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?.

A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?.

A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt. Which of the following belongings should the nurse ask the client's partner to take back home?.

A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?.

A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?.

A nurse is providing care to a 9-year-old child who uses their hand to mimic shooting a gun anytime someone enters the room or tries to interact with them. The nurse should identify that this is an example of which of the following manifestations of post-traumatic stress disorder?.

A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?.

A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?.