Author Question: An adolescent client diagnosed with a psychosis is having difficulty maintaining friendships at ... (Read 35 times)

james · **on:** Jul 23, 2018

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

Question 2

A young adult client is demonstrating a lack of interest in personal hygiene and routine social activities, a sudden drop in school grades, and a recent unwillingness to get out of bed to go to school. The nurse will assess for which health problem?

1. Depression and positive symptoms of schizophrenia
2. Depression and post-traumatic stress syndrome
3. Depression and insomnia
4. Depression and negative symptoms of schizophrenia

ong527 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 4
Rationale 1: The client has symptoms suggestive of depression, but positive symptoms of schizophrenia would include such actions as hallucinations, delusions, and disorganized thoughts.
Rationale 2: Post-traumatic stress syndrome presents with symptoms such as hallucinations and anxiety.
Rationale 3: Lack of sleep can cause a person to be sleepy and sluggish, but should not diminish desire to carry out normal activities of daily living.
Rationale 4: The client has symptoms suggestive of depression and the negative symptoms of schizophrenia.
Global Rationale: The client has symptoms suggestive of depression and the negative symptoms of schizophrenia. Positive symptoms of schizophrenia would include such actions as hallucinations, delusions, and disorganized thoughts. Post-traumatic stress syndrome presents with symptoms such as hallucinations and anxiety. Lack of sleep can cause a person to be sleepy and sluggish, but should not diminish desire to carry out normal activities of daily living.