A nurse is caring for a client who is experiencing a flat affect, paranoid delusions,
anhedonia, anergia, neologisms, and echolalia. Which statement
... [Show More] correctly differentiates
the client's positive and negative symptoms of schizophrenia?
1. Paranoid delusions, flat affect, and anhedonia are negative symptoms of
schizophrenia.
2. Paranoid delusions, anhedonia, and anergia are positive symptoms of schizophrenia.
3. Paranoid delusions, neologisms, and echolalia are positive symptoms of
schizophrenia.
4. Paranoid delusions, anergia, and echolalia are negative symptoms of schizophrenia.
- ANS-3. Paranoid delusions, neologisms, and echolalia are positive symptoms of
schizophrenia.
A client diagnosed with schizopηrenia spectrum disorder tells a nurse about voices
commanding him to kill the president. Which is the priority nursing diagnosis for this
client?
1. Altered thought processes
2. Risk for violence: directed toward others
3. Disturbed sensory perception
4. Risk for injury - ANS-2. Risk for violence: directed toward others
The diagnosis of catatonic disorder associated with another medical condition is made
when the client's medical history, physical examination, or laboratory findings provide
evidence that symptoms are directly attributed to which of the following? (Select all that
apply.)
1. Hyperaphia
2. Hypothyroidism
3. Hypoadrenalism
4. Hyperadrenalism
5. Hyperthyroidism - ANS-2. Hypothyroidism
3. Hypoadrenalism
4. Hyperadrenalism
5. Hyperthyroidism
A client diagnosed with schizophrenia spectrum disorder takes an antipsychotic agent
daily. Which assessment finding should a nurse prioritize?
1. Weight gain of 8 pounds in 2 months
2. Temperature of 104°F (40°C)
3. Excessive salivation
4. Respirations of 22 beats/minute - ANS-2. Temperature of 104°F (40°C)
A paranoid client presents with bizarre behaviors, neologisms, and thought insertion.
Which nursing action should be prioritized to maintain this client's safety?
1. Assess for medication nonadherance.
2. Assess triggers for bizarre, inappropriate behaviors.
3. Note escalating behaviors and intervene immediately.
4. Interpret attempts at communication. - ANS-3. Note escalating behaviors and
intervene immediately.
A nurse is assessing a client diagnosed with schizophrenia spectrum disorder. The
nurse asks the client, "Do you receive special messages from certain sources, such as
the television or radio?" The nurse is assessing which potential symptom of this
disorder?
1. Magical thinking
2. Paranoid delusions
3. Thought insertion
4. Delusions of reference - ANS-4. Delusions of reference
A 60-year-old client diagnosed with schizophrenia spectrum disorder presents in an ED
with uncontrollable tongue movements, stiff neck, and difficulty swallowing. Which
medical diagnosis and treatment should a nurse anticipate when planning care for this
client?... [Show Less]