The nurse is doing an admission assessment on a client with schizophrenia. Which of the following are positive symptoms of schizophrenia?

Symptom Positive Negative

Disordered thinking

Flat affect

Trouble concentrating

Lack of initiative

Social withdrawal

Answer and Explanation

Correct Answer : B

A.   Disordered thinking, also known as formal thought disorder, involves disturbances in the thought process, such as loosening of associations, thought blocking, or tangentiality. These disturbances result in fragmented or illogical thinking patterns.
B.   Flat affect refers to a reduction or absence of emotional expression. Individuals with flat affect may appear emotionally dull or unresponsive, showing little variation in facial expressions or vocal tone.
D.   Apathy refers to a lack of motivation, interest, or enthusiasm in engaging with one's environment or pursuing goals. Individuals with schizophrenia may experience extreme apathy, which can contribute to social withdrawal and functional impairment.
E.   Lack of initiative, also known as avolition, refers to a reduction or absence of goal-directed behavior or motivation to engage in purposeful activities. Individuals with schizophrenia may have difficulty initiating and sustaining activities of daily living or pursuing personal interests.
F.   Social withdrawal involves the avoidance or reduction of social interactions and activities. It may result from factors such as social anxiety, apathy, or disinterest in socializing due to psychotic symptoms or negative symptoms of schizophrenia.
C. Trouble concentrating is not typically considered a primary symptom of schizophrenia. While difficulties with concentration or attention may occur, they are more often associated with cognitive impairments rather than positive or negative symptoms.

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Correct Answer is D

Explanation

D. Children and adolescents with depression, especially when initiating or adjusting antidepressant medications like SSRIs, are at an increased risk of suicidal ideation and behavior. Therefore, it is crucial to prioritize the safety of the client by implementing suicide precautions, which may include close observation, removing potential means of self-harm, and involving the client in structured activities under supervision.

A. Monitoring food intake and eliminating potential sources of tyramine are considerations for clients taking monoamine oxidase inhibitors (MAOIs), another class of antidepressant medications, due to the risk of hypertensive crisis.

B. Weight loss and difficulty sleeping are potential side effects of SSRIs that may occur, particularly during the initial phases of treatment. However, suicide precautions are a priority

C. While SSRIs may cause headaches or migraines as potential side effects, monitoring for migraines specifically would not typically be a priority

A. The abused person is personally and financially dependent on the abuser. B. The abused person has low self-esteem and defines their success as a person by the ability to make the relationship work. C. The abused person uses alcohol or illegal drugs in the home. D. The abused person believes that they are unable to function without their partner. E. The abused person is afraid that the abuser will kill them if they try to leave.

Correct Answer is ["A","B","D","E"]

Explanation

A. Financial dependence can create barriers to leaving the relationship, especially if the abused person lacks the means to support themselves or their dependents independently.
B. Low self-esteem and a sense of self-worth tied to the relationship can lead individuals to tolerate abuse in hopes of salvaging the relationship or out of fear of being alone.
D. Fear of independence or uncertainty about managing life without the abuser's presence can deter individuals from leaving the relationship.
E. Fear of retaliation or harm from the abuser, including threats of violence or death, can keep individuals trapped in the relationship out of concern for their safety.
C. While substance abuse may contribute to the complexity of an abusive relationship, it is not necessarily a reason why abused persons remain with an abusive partner. Substance abuse can exacerbate existing issues within the relationship but may not be the primary reason for staying.

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The nurse is doing an admission assessment on a client with schizophrenia. Which of the following are positive symptoms of schizophrenia?

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Naxlex Comprehensive Predictor Exams

An 11-year-old client has been hospitalized on the adolescent psychiatry unit with severe depression. For the past several weeks, the client has been prescribed a selective serotonin reuptake inhibitor (SSRI). What is the priority nursing action?

Correct Answer is D

Explanation

Which are common reasons why abused persons remain with an abusive partner? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

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