A young adult client is demonstrating a lack of interest in personal hygiene and routine social activities, a sudden drop in school grades, and a recent unwillingness to get out of bed to go to school. The nurse will assess for which health problem?
1. Depression and positive symptoms of schizophrenia
2. Depression and post-traumatic stress syndrome
3. Depression and insomnia
4. Depression and negative symptoms of schizophrenia
Correct Answer: 4
Rationale 1: The client has symptoms suggestive of depression, but positive symptoms of schizophrenia would include such actions as hallucinations, delusions, and disorganized thoughts.
Rationale 2: Post-traumatic stress syndrome presents with symptoms such as hallucinations and anxiety.
Rationale 3: Lack of sleep can cause a person to be sleepy and sluggish, but should not diminish desire to carry out normal activities of daily living.
Rationale 4: The client has symptoms suggestive of depression and the negative symptoms of schizophrenia.
Global Rationale: The client has symptoms suggestive of depression and the negative symptoms of schizophrenia. Positive symptoms of schizophrenia would include such actions as hallucinations, delusions, and disorganized thoughts. Post-traumatic stress syndrome presents with symptoms such as hallucinations and anxiety. Lack of sleep can cause a person to be sleepy and sluggish, but should not diminish desire to carry out normal activities of daily living.
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