Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Vital Signs.
Day 1 1030: Vital Signs.
Temperature 37°C (98.6° F). Heart rate 72/min.
Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.
A. Blood pressure.
A rationale: Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
B. Lack of motivation.
B rationale: Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
C. Change in behavior.
C rationale: Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
D. Lack of energy.
D rationale: Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
E. Withdrawn.
E rationale: Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions. .
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Proctored Exam. Take the full exam now
Full Explanation
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Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions. .
Similar Questions
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. Depersonalization
A rationale: Depersonalization is a symptom of PTSD, but it involves feeling detached from oneself, not reenacting traumatic events.
B. Posttraumatic play.
B rationale: Posttraumatic play is a common manifestation of PTSD in children. It involves the child reenacting the traumatic event, which can be seen in the child’s mimicking of shooting a gun.
C. Omen formation.
C rationale: Omen formation is a belief that there were warning signs predicting the trauma. It’s not related to the child’s behavior.
D. Time skewing.
D rationale: Time skewing involves a shift in the perception of time during the recall of the traumatic event. It’s not demonstrated in this scenario.
Full Explanation
Choice A rationale:
Depersonalization is a symptom of PTSD, but it involves feeling detached from oneself, not reenacting traumatic events.
Choice B rationale:
Posttraumatic play is a common manifestation of PTSD in children. It involves the child reenacting the traumatic event, which can be seen in the child’s mimicking of shooting a gun.
Choice C rationale:
Omen formation is a belief that there were warning signs predicting the trauma. It’s not related to the child’s behavior.
Choice D rationale:
Time skewing involves a shift in the perception of time during the recall of the traumatic event. It’s not demonstrated in this scenario.
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. Cancer
A rationale: While anyone can get cancer, it’s not specifically linked to schizophrenia.
B. Osteoarthritis.
B rationale: Osteoarthritis is a degenerative joint disease. It’s not a common comorbidity with schizophrenia.
C. Alzheimer's disease.
C rationale: Alzheimer’s disease is a type of dementia. It’s not typically associated with schizophrenia.
D. Diabetes mellitus.
D rationale: Diabetes mellitus is a common comorbidity with schizophrenia. Antipsychotic medications can increase the risk of developing type 2 diabetes.
Full Explanation
Choice A rationale:
While anyone can get cancer, it’s not specifically linked to schizophrenia.
Choice B rationale:
Osteoarthritis is a degenerative joint disease. It’s not a common comorbidity with schizophrenia.
Choice C rationale:
Alzheimer’s disease is a type of dementia. It’s not typically associated with schizophrenia.
Choice D rationale:
Diabetes mellitus is a common comorbidity with schizophrenia. Antipsychotic medications can increase the risk of developing type 2 diabetes.
A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech.
Which of the following medications should the nurse anticipate the provider to prescribe?.
A. Mood stabilizer
A rationale: Mood stabilizers are used for bipolar disorder, not for symptoms like delusions and hallucinations.
B. Benzodiazepine.
B rationale: Benzodiazepines are used for anxiety and panic disorders. They don’t treat psychotic symptoms.
C. Dopamine antagonist.
C rationale: Dopamine antagonists, or antipsychotics, are the primary treatment for schizophrenia. They can reduce delusions and hallucinations.
D. Selective serotonin reuptake inhibitor.
D rationale: SSRIs are used for depression and some anxiety disorders. They don’t treat psychotic symptoms.
Full 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.