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Question ⬇

Psychosocial Integrity

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35. Which clinical manifestations should a nurse recognize as being related to the "negative" symptoms associated with a schizophrenic client? Select all that apply.

Choices

Choices ⬆ ⬇

1. Brief, empty responses.

2. Clang associations.

3. Inappropriate sexual behaviors.

4. Poor eye contact.

5. Somatic delusions.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Remember: positive symptoms are behaviors that are added on to the client and negative symptoms are those that taken away.

Content Area: Mental Health, Schizophrenia; Integrated Process: Nursing Process, Assessment; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Pathophysiology

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Rationale ⬆

Psychosocial Integrity

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1.  4.  

Answer 1 is correct because the client with negative symptoms has diminished functions systematically (e.g., withdrawn, mute, and psychomotor retardation) and a flattened or inappropriate affect. Answer 2 is incorrect because this is a clinical manifestation of positive symptoms (e.g., inappropriate and bizarre verbal communication). Answer 3 is incorrect because inappropriate behaviors (e.g., an excess of normal behaviors) are clinical manifestations of positive symptoms. Answer 4 is correct because the client is exhibiting negative symptoms, which include poor eye contact. Answer 5 is incorrect because excessive delusional thoughts (e.g., the client may believe himself or herself to be afflicted with a terminal illness when there is no medical evidence) are clinical manifestations of positive symptoms related to schizophrenia.

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