An adolescent client diagnosed with a psychosis is having difficulty maintaining friendships at school. Which behavior does the nurse suspect is the cause of the client's difficulty with peer relationships?
1. Laughing inappropriately at sad events
2. Tremors and contraction of the extremities, drooling, and eyes rolling back in the head
3. Tremors, palpitations, diaphoresis, and tachycardia
4. Lack of energy, sleepiness, inability to concentrate, and inability to perform activities of daily living
Correct Answer: 1
Rationale 1: Laughing inappropriately at sad events is a symptom of a psychotic episode.
Rationale 2: Tremors and contraction of the extremities, drooling, and eyes rolling back in the head are signs of a seizure.
Rationale 3: Tremors, palpitations, diaphoresis, and tachycardia are signs of an anxiety attack.
Rationale 4: Lack of energy, sleepiness, inability to concentrate, and inability to perform activities of daily living are signs of depression.
Global Rationale: Laughing inappropriately at sad events is a symptom of a psychotic episode. Tremors and contraction of the extremities, drooling, and eyes rolling back in the head are signs of a seizure. Tremors, palpitations, diaphoresis, and tachycardia are signs of an anxiety attack. Lack of energy, sleepiness, inability to concentrate, and inability to perform activities of daily living are signs of depression.
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