Which patient behavior would support the diagnosis of residual schizophrenia with nega-tive symptoms?
a. Communicating using only rhyming phases
b. Claims that "worms are crawling in my brain"
c. Maintaining both arms suspended awkwardly overhead
d. Shows no emotion when telling the story of a sister's recent death
ANS: D
Blunted affect is considered a negative symptom. The other symptoms would be classified as positive symptoms.
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A student nurse is preparing to administer enoxaparin (Lovenox) to a client. What action by the student requires immediate intervention by the supervising nurse?
a. Assessing the client's platelet count b. Choosing an 18-gauge, 2-inch needle c. Not aspirating prior to injection d. Swabbing the injection site with alcohol
A mother has just given birth to a newborn with a cleft lip. Sensing that something is wrong, she starts to cry and asks the nurse, "What is wrong with my baby?" What is the most appropriate nursing action?
a. Encourage the mother to express her feelings. b. Explain in simple language that the baby has a cleft lip. c. Provide emotional support until the practitioner can talk to the mother. d. Tell the mother a pediatrician will talk to her as soon as the baby is examined.
The nurse is instructing a family member on how to properly position her mother following a total hip replacement. The nurse explains the client's hip should always be kept:
A) straight with the knee flexed and no pillows. B) in an abducted position. C) in an adducted position. D) totally straight without any pillow between legs.
Nurses should base their clinical practice on:
a. Trial and error b. Evidence-based practice c. Intuition d. Reasoning