Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse in a mental health clinic is conducting a staff education session on schizophrenia.
Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.).
A. Blunt affect.
Blunt affect is a negative symptom of schizophrenia, characterized by diminished expression of emotion.
B. Delusions.
Delusions are considered positive symptoms of schizophrenia, not negative.
C. Anhedonia.
Anhedonia, or the inability to feel pleasure, is a negative symptom of schizophrenia.
D. Hallucinations.
Hallucinations are considered positive symptoms of schizophrenia, not negative.
E. Poor judgment.
Poor judgment is not specifically categorized as a negative symptom of schizophrenia.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Custom Nurs 120 Psychiatric Nursing Fa23 Proctored Exam 2. Take the full exam now
Full Explanation
Choice A rationale:
Blunt affect is a negative symptom of schizophrenia, characterized by diminished expression of emotion.
Choice B rationale:
Delusions are considered positive symptoms of schizophrenia, not negative.
Choice C rationale:
Anhedonia, or the inability to feel pleasure, is a negative symptom of schizophrenia.
Choice D rationale:
Hallucinations are considered positive symptoms of schizophrenia, not negative.
Choice E rationale:
Poor judgment is not specifically categorized as a negative symptom of schizophrenia.
Similar Questions
A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?.
A. GI discomfort and poor coordination.
A serum lithium level of 1.6 mEq/L is above the therapeutic range (0.6-1.2 mEq/L) and can cause symptoms such as GI discomfort and poor coordination.
B. Lip smacking and tongue thrusting.
Lip smacking and tongue thrusting are not typically associated with lithium toxicity.
C. Blurred vision and jerking motor movements.
While blurred vision can be a symptom of lithium toxicity, jerking motor movements are not typically associated with this condition.
D. Fever and fluctuating blood pressure.
Fever and fluctuating blood pressure are not typically symptoms of lithium toxicity.
Full Explanation
Choice A rationale:
A serum lithium level of 1.6 mEq/L is above the therapeutic range (0.6-1.2 mEq/L) and can cause symptoms such as GI discomfort and poor coordination.
Choice B rationale:
Lip smacking and tongue thrusting are not typically associated with lithium toxicity.
Choice C rationale:
While blurred vision can be a symptom of lithium toxicity, jerking motor movements are not typically associated with this condition.
Choice D rationale:
Fever and fluctuating blood pressure are not typically symptoms of lithium toxicity.
A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain.
The client's laboratory results are all within the expected reference ranges, the ECG is unremarkable, and the client has no identified cardiac risk factors.
Which of the following actions should the nurse take?
A. Refer the client for flooding therapy.
Flooding therapy is not typically used for somatic symptom disorder.
B. Inform the client that the pain is not real.
Telling a client that their pain is not real can invalidate their experience and is not a recommended approach for somatic symptom disorder.
C. Provide reassurance to the client.
Providing reassurance to the client is a recommended approach when all tests are normal and there are no identified risk factors.
D. Encourage the client to request invasive cardiac testing.
Encouraging the client to request invasive cardiac testing is not typically recommended when all tests are normal and there are no identified risk factors.
Full Explanation
Choice A rationale:
Flooding therapy is not typically used for somatic symptom disorder.
Choice B rationale:
Telling a client that their pain is not real can invalidate their experience and is not a recommended approach for somatic symptom disorder.
Choice C rationale:
Providing reassurance to the client is a recommended approach when all tests are normal and there are no identified risk factors.
Choice D rationale:
Encouraging the client to request invasive cardiac testing is not typically recommended when all tests are normal and there are no identified risk factors.
A nurse is caring for a client who has been diagnosed with schizophrenia.
The client has been wearing the same clothes for the past week and appears unkempt and unbathed.
Which of the following statements should the nurse make to the client?
A. "Do you really think it is ok not to bathe? What is going on with you?".
This statement is confrontational and may make the client defensive.
B. "It is now time for you to bathe. Do you want to wear the red or green shirt?".
This statement provides the client with a choice, promoting autonomy and encouraging self-care.
C. "This is it! You are getting a bath! There are three of us here to bathe you!".
This statement is forceful and does not respect the client’s autonomy.
D. "I'm going to ignore your lack of self-care because it is an aspect of the disorder.”.
Ignoring the client’s lack of self-care does not address the issue and could potentially harm the client.
Full Explanation
Choice A rationale:
This statement is confrontational and may make the client defensive.
Choice B rationale:
This statement provides the client with a choice, promoting autonomy and encouraging self-care.
Choice C rationale:
This statement is forceful and does not respect the client’s autonomy.
Choice D rationale:
Ignoring the client’s lack of self-care does not address the issue and could potentially harm the client.