1. A nurse is assessing a client with chronic schizophrenia. Which effects will the client most likely exhibit? Select all that apply.
Correct1
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Apathy
2
Sadness
Correct3
Flatness
4
Hostility
5
Happiness
6
Depression
Apathy (indifference) is common among people with chronic schizophrenia because negative symptoms are more apparent. Flatness, with few extremes of emotion, is common among people with chronic schizophrenia because negative symptoms are more apparent. Extremes in emotions are not associated with chronic schizophrenia. Sadness is related more to mood disorders, such as a depressive episode of bipolar disorder or major depression. Hostility may be seen in some forms of schizophrenia, such as paranoid schizophrenia, but it is rarely seen in the chronic stages. Happiness and elation are associated with manic episodes of bipolar disorder, not chronic schizophrenia. Depression is related to mood disorders, such as a depressive episode of bipolar disorder or major depression.
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2. Which client characteristic is an initial concern for the nurse when caring for a client with the diagnosis of paranoid schizophrenia?
1
Continual pacing
Correct2
Suspicious feelings
3
Inability to socialize with others
4
Disturbed relationship with the family
The nurse must consider the client's suspicious feelings and establish basic trust to promote a therapeutic milieu. Continual pacing is not a problem because the nurse can walk back and forth with the client. Inability to socialize with others and disturbed relationship with the family may be of long-range importance but have little influence on the nurse-client relationship at this time.
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