The nurse is caring for a newly admitted client diagnosed with catatonic schizophrenia. Which of the following behaviors should the nurse document to be consistent with catatonic schizophrenia? The client:
Laughs when watching a sad movie.
Maintains an immobilized state for several hours.
Refuses to eat any unwrapped foods.
Uses a rhyming form of speech.
The Correct Answer is B
Choice A Reason:
Laughing inappropriately, such as when watching a sad movie, can be a symptom of schizophrenia, but it is not specific to the catatonic subtype. Inappropriate affect may occur in schizophrenia but does not solely characterize catatonic behavior.
Choice B Reason:
Catatonic schizophrenia is marked by periods of immobility or stupor. A client who maintains an immobilized state for several hours is displaying a classic sign of catatonia. During these periods, the client may be mute, rigid, and resistant to movement, which are key features of this condition.
Choice C Reason:
Refusing to eat certain types of food is not specifically indicative of catatonic schizophrenia. While individuals with schizophrenia may have unusual preferences or fears related to food, this behavior could be related to a variety of factors and is not a definitive sign of catatonia.
Choice D Reason:
Using a rhyming form of speech, known as clang associations, can be seen in schizophrenia but is more characteristic of disorganized thinking associated with the disorder rather than catatonia. Catatonia involves motoric symptoms rather than speech patterns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Bureaucratic leadership is structured and rule-based, often relying on strict adherence to policies and procedures¹. In the scenario described, the nurse's decision to remove the patients from the group session does not necessarily reflect a bureaucratic approach, as it does not specify adherence to established rules or protocols.
Choice B Reason:
Democratic leadership involves participative decision-making, where the leader includes team members in the process¹. The nurse's action in the scenario does not suggest a democratic style, as the decision was made unilaterally without seeking input from the group.
Choice C Reason:
Autocratic leadership is characterized by individual control over all decisions with little input from group members¹. The nurse's decision to remove the patients without group discussion or input aligns with an autocratic leadership style.
Choice D Reason:
Laissez-faire leadership is a hands-off approach, where leaders allow group members to make the decisions¹. The nurse's proactive decision to remove the patients indicates a more direct and controlled approach, contrasting with the laissez-faire style.
Correct Answer is C
Explanation
Choice A reason:
While a mental health unit that includes milieu therapy may focus on stabilizing clients, it is not limited to those in an acute phase of mental illness. Milieu therapy is a comprehensive approach that can benefit individuals at various stages of their treatment.
Choice B reason:
Milieu therapy is not necessarily less intensive nor does it focus solely on one psychiatric illness or substance abuse disorder. It is a versatile treatment method that can be applied to a range of conditions and is integrated into the daily life of the unit.
Choice C reason:
This choice accurately reflects the essence of milieu therapy. It is a therapeutic approach where the environment is used as an integral part of treatment. The goal is to create a stable, adaptive reality through routines, boundaries, and open communication, fostering a sense of safety and support for therapeutic change.
Choice D reason:
Milieu therapy is not exclusively focused on long-term care but is adaptable to the needs of clients, whether they require short-term stabilization or long-term treatment. It is designed to help individuals learn healthier ways of thinking and behaving within a supportive community setting.
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