The nurse assesses the client with schizophrenia and determines that which of the following demonstrates negative symptoms of the disorder?
1. The client says she is Jesus, and is preaching and baptizing.
2. Her speech is coherent, and the content is appropriate.
3. The client has a flat or very blunted affect most of the time.
4. Speech pattern is loose, moving from one idea to another.
3
Rationale: Negative symptoms of schizophrenia involve a deficit or decrease of normal function, such as a blunted or flat affect. Positive symptoms are an excess or distortion of normal functioning, such as delusions, hallucinations, or rapid speech pattern producing a word salad that has little meaning to the listener.
You might also like to view...
A client is admitted to the emergency department with a stab wound and is now presenting dyspnea, tachypnea, and sucking noise heard on inspiration and expiration. The nurse should care for the wound in which manner?
A) Clean the wound and leave open to the air. B) Apply vented dressing. C) Apply airtight dressing. D) Apply direct pressure to the wound.
The nurse is observing the behavior of a preschool-age child and becomes concerned. Which observation suggests that the child's thinking is inconsistent with normal preschooler growth and development?
A) Refusing to play with "real" children B) Refusing to go to bed without the friend C) Insisting that an imaginary friend have dinner with the family D) Insisting that an imaginary friend watch television with the child
The nurse assesses a client's chest tube and finds continuous bubbling in the water seal chamber. When the nurse clamps the chest tube close to the client's dressing, the bubbling stops. How does the nurse interpret this finding?
a. An air leak is present at the chest tube in-sertion site or in the thoracic cavity. b. An air leak is present in the drainage sys-tem. c. More water needs to be added to the water seal. d. The system is functioning appropriately and no intervention is needed.
A 76 year old patient is having a bilateral cataract removal. What is the correct classification for this surgery?
a. Major b. Cosmetic c. Elective d. Emergent