A client with schizophrenia is unable to complete activities of ...

[gbarreiro]

A client with schizophrenia is unable to complete activities of daily living. The client does not respond much to what is happening, and lacks interest in the environment.
 
  Based on this data, which conclusion by the nurse is appropriate?
  A) The client is experiencing negative symptoms.
  B) The client is experiencing positive symptoms.
  C) The client is most likely very depressed.
  D) The client is most likely hearing voices.

Question 2

A nurse is caring for a client who is confused and agitated. The nurse understands that the best method to determine if the client has reversible confusion is to use the Confusion Assessment Method (CAM).
 
  What is true regarding this diagnostic tool?
  A) It consists of five parts and is a lengthy test.
  B) It measures the severity of the client's delirium.
  C) It is also effective in screening for depression.
  D) It is effective in screening for cognitive impairment and reversible confusion.

[cpetit11]

Answer to Question 1

Answer: A

Negative symptoms are those that subtract from normal behavior. These symptoms include a lack of interest, motivation, responsiveness, pleasure in daily activities, or the ability to care for self. Positive symptoms include hallucinations, delusions, and a disorganized thought or speech pattern. There isn't any evidence to support that the client is hearing voices. There isn't any evidence to support that the client is very depressed.

Answer to Question 2

Answer: D

The Confusion Assessment Method (CAM) is a tool the nurse can use to differentiate between delirium and dementia. It consists of two parts; the first part screens for cognitive impairment and the second part screens for reversible confusion. Although it is effective in differentiating between delirium and dementia, it does not measure the severity of the client's delirium and it does not screen for depression.