The nurse is caring for a client with delusions, hallucinations, ...

[Starlight]

The nurse is caring for a client with delusions, hallucinations, paranoia, disorganized behavior, and difficulty relating to others. The nurse identifies these symptoms as indicative of which disorder?
 
  1. ADHD
  2. Psychosis
  3. Bipolar disorder
  4. Depression

Question 2

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

[TINA]

Answer to Question 1

Correct Answer: 2

Rationale 1: ADHD is incorrect because these are symptoms of psychosis.
Rationale 2: A client with psychosis exhibits symptoms such as delusions, hallucinations, paranoia, disorganized behavior, and difficulty relating to others.
Rationale 3: Bipolar disorder is incorrect because these are symptoms of psychosis.
Rationale 4: Depression is incorrect because these are symptoms of psychosis.

Global Rationale: A client with psychosis exhibits symptoms such as delusions, hallucinations, paranoia, disorganized behavior, and difficulty relating to others. ADHD, Bipolar disorder, and depression are incorrect because these are symptoms of psychosis.

Answer to Question 2

Correct Answer: 1, 3, 5

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

Global Rationale: Hallucinations, disorganized thoughts, and disorganized speech are positive symptom. Lack of interest and lack of responsiveness are negative symptoms.

[Starlight]

Thanks

[TINA]

Welcome