A client tells the nurse, "I refuse to take quetiapine (Seroquel) because it is manufactured by Al Qaeda. If I take it, I'll die." This is an example of:
1. A negative symptom of schizophrenia called alogia.
2. A negative symptom of schizophrenia called avolition.
3. A positive symptom of schizophrenia called delusion.
4. A characteristic of schizophrenia called ambivalence.
3
Rationale: The client's statement is an example of the positive symptom of schizophrenia called delusion, which is a mistaken or false fixed belief about the self or the environment. The client's statement is not an example of ambivalence which is defined as concurrent conflicting emotions, thoughts, or actions toward a person, object, or concept. It is also not an example of the tendency to use minimal words to speak called alogia, or of a lack of motivation called avolition.
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What is the nurse researcher's primary concern in data collection for research?
a. Flexibility in data collection b. Consistency in data collection c. Accurate interpretation of data collected d. Averaging of numerical scores to reduce the effect of outliers
Mr. O, age 50 years, comes for his annual health assessment, which is provided by his employer. During your initial history-taking interview, Mr. O mentions that he routinely engages in light exercise. At this time, you should:
a. ask if he makes his own bed daily. b. have the patient describe his exercise. c. make a note that he walks each day. d. record "light exercise" in the history.
Which of these statements made by a patient taking the MAOI phenelzine (Nardil) would warrant further instruction?
a. "I often forget to wear sunscreen when I go outside." b. "I need to restrict the amount of sodium in my diet." c. "I should not use over-the-counter cold medications." d. "I usually order liver and onions when my wife and I eat out."
To establish programs to support caregivers of clients with severe and persistent mental illness, the community mental health nurse should focus primarily on:
1. Staff of halfway houses 2. Foster care families 3. Clients' families of origin 4. Residential managers of low-rent apartments