A patient tells the nurse, "I refuse to take quetiapine (Seroquel) because it is manufactured by terrorists. If I take it, I'll die." The nurse recognizes the patient's statement as indicative of what symptoms commonly seen in schizophrenia?
1. Alogia
2. Delusion
3. Ambivalence
4. Avolition
Answer: 2
Explanation: The patient'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 patient'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 few words when speaking, called alogia, or of a lack of motivation, called avolition.
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The nurse performs a visual assessment on a patient and is documenting the findings as the acronym PERRLA. What does PERRLA indicate?
a. Palpebral angle rigid, right and left angles b. Patient's eyes round, regular, lively, active c. Pupils equilateral, regular, round, little accommodation d. Pupils equal, round, and reactive to light and accommodation
The nurse is assessing a postpartum client who is 36 hours post delivery. Which findings cause the nurse to suspect a reproductive tract infection? Select all that apply
1. Temperature of 38.0°C (100.4°F) or higher 2. Foul-smelling lochia 3. Uterine tenderness 4. Leg edema and erythema 5. Breast engorgement
Interpretation and classification of FHR patterns are based on predictability of fetal status
A. At birth B. At the time the pattern is observed C. Over the previous hour
In using verbal responses to assist the patient's narrative, some responses focus on the patient's frame of reference and some focus on the health care provider's perspective
An example of a verbal response that focuses on the health care provider's perspective would be: a. Empathy. b. Reflection. c. Facilitation. d. Confrontation.