A schizophrenic client is being assessed by the nurse. The client ...

[anjilletteb]

A schizophrenic client is being assessed by the nurse. The client is demonstrating negative symptoms. Which symptoms would be considered negative? (Select all that apply.)
 
  Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  1. Hallucinations
  2. Disorganized thoughts
  3. Lack of interest
  4. Lack of responsiveness
  5. Disorganized speech

Question 2

The nurse is caring for a client with psychosis-like symptoms. Which explanation of these symptoms to the family is the most appropriate?
 
  1. The only causes for psychosis are schizophrenia and schizoaffective disorder.
  2. Psychotic symptoms are only seen in clients with schizoaffective disorder.
  3. Psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia.
  4. Psychotic symptoms are only seen in clients with schizophrenia.

[jliusyl]

Answer to Question 1

Correct Answer: 3, 4

Rationale 1: Hallucinations are a positive symptom.
Rationale 2: Disorganized thoughts is incorrect because this is a positive symptom.
Rationale 3: Lack of interest is a negative symptom.
Rationale 4: Lack of responsiveness is a negative symptom.
Rationale 5: Disorganized speech is incorrect because this is a positive symptom.

Global Rationale: Lack of interest and lack of responsiveness are both negative symptoms. Hallucination, disorganized thoughts, and disorganized speech are all positive symptoms.

Answer to Question 2

Correct Answer: 3

Rationale 1: The only causes for psychosis are schizophrenia and schizoaffective disorder is incorrect because psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia.
Rationale 2: Psychotic symptoms are only seen in clients with schizoaffective disorder is incorrect because psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia.
Rationale 3: Psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia.
Rationale 4: Psychotic symptoms are only seen in clients with schizophrenia is incorrect because psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia.

Global Rationale: Psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia. The only causes for psychosis are schizophrenia and schizoaffective disorder is incorrect because psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia. Psychotic symptoms are only seen in clients with schizoaffective disorder is incorrect because psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia. Psychotic symptoms are only seen in clients with schizophrenia is incorrect because psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia.

[anjilletteb]

Excellent

[tkempin]

TYSM