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Chapter 34: Problem 528

When assessing a client newly admitted with a diagnosis of active phase schizophrenia, which are negative symptoms of schizophrenia which the nurse might find? Mark all that apply. A. disorganized speech B. _ flat affect C. alogia D. _ impaired attention E. bizarre behavior F. - avolition

Short Answer

Expert verified
Negative symptoms: B. flat affect, C. alogia, F. avolition.

Step by step solution

01

Understanding the Question

The question asks about the negative symptoms of schizophrenia. Negative symptoms are those that reflect a decrease or loss of normal functions, as opposed to positive symptoms which are an excess or distortion of normal functions.
02

Identify Possible Symptoms

Review the symptoms given in the list: A. disorganized speech, B. flat affect, C. alogia, D. impaired attention, E. bizarre behavior, F. avolition.
03

Recognize Negative Symptoms

Determine which of the listed options are negative symptoms. Negative symptoms include a flat affect (reduced emotional expression), alogia (poverty of speech), and avolition (lack of motivation to initiate or sustain activities).
04

Exclude Positive Symptoms

Disorganized speech and bizarre behavior are considered positive symptoms, not negative. Impaired attention can be either but is more related to cognitive symptoms.
05

Select the Correct Options

Based on the above steps, the correct options that are negative symptoms are: flat affect (B), alogia (C), and avolition (F).

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

flat affect
Flat affect refers to a significant reduction in the expression of emotions. People with a flat affect do not show typical emotional reactions.
For example, they might not smile at something funny or look sad when discussing painful events.
This can make interactions with others challenging because emotional cues are vital for effective communication.
It's essential for nursing professionals to recognize flat affect during a psychiatric nursing assessment.
Identifying this symptom can help in forming a comprehensive care plan for patients with schizophrenia.
alogia
Alogia, often termed 'poverty of speech,' is another negative symptom of schizophrenia.
Patients with alogia have a marked reduction in speech fluency and productivity.
They might give short, uninformative answers to questions or show a general lack of engagement in conversation.
This can be frustrating for both the patient and their caregivers.
Recognizing alogia during a psychiatric nursing assessment is crucial because it provides insight into the patient's social functioning and helps inform appropriate interventions.
avolition
Avolition is characterized by a lack of motivation to start or continue tasks, including those related to personal hygiene and work.
Patients with avolition might seem lazy or uncooperative, but it's important to understand that this behavior is a symptom of their condition.
During a psychiatric nursing assessment, identifying avolition can aid in developing strategies to help the patient improve their daily functioning.
Encouraging small, manageable tasks can gradually increase their engagement in activities.
psychiatric nursing assessment
A psychiatric nursing assessment involves evaluating a patient's mental health status and identifying symptoms of psychiatric disorders, such as schizophrenia.
This comprehensive evaluation includes observing the patient's behavior, asking detailed questions, and possibly using structured assessment tools.
Key areas to focus on include their emotional expression, speech patterns, and motivation levels.
Understanding these symptoms helps nurses create effective care plans and tailor interventions to each patient's needs.
nursing education
Nursing education is crucial for preparing nurses to provide high-quality care for patients with psychiatric disorders.
This education includes training on how to recognize and manage the symptoms of schizophrenia, such as flat affect, alogia, and avolition.
It also emphasizes the importance of compassionate communication and patient-centered care.
Continuing education programs and hands-on training can further enhance nursing skills and knowledge, ensuring that nurses are well-equipped to support their patients effectively.

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Most popular questions from this chapter

A child has a tonsillectomy. On return to the floor, the child is positioned prone until fully awake. Instructions given to the parents should include: (Select all that apply.) A. Avoid red liquids B. Use a straw to make drinking easier C. Cold liquids like popsicles will feel good. D. Give milk and non-acidic liquids to soothe the throat E. As soon as the child wakes up, start the child drinking

Which is an appropriate guideline for the nurse to utilize when communicating with an adolescent? A. Reassure that what he or she is going through is understood. B. Invite the parents to be present when talking with the adolescent. C. Ask meaning of expressions if not clearly understood as a result of teen culture. D. Share with the parents information received in their absence.

Which precaution measures would be instituted when a client has a Mycoplasma pneumoniae infection? (Mark all that apply.) A. ___ Client is placed in a private, negative airflow pressure room. B. ___ Client is placed in a private room or with other clients with infection caused by the same organism. C. ___ Use mask at all times while in the client鈥檚 room. D. ___ Use mask when working within 3 feet of the client E. ___ Use gown and protective barriers when giving direct care. F. ___ Mask on client if transported out of room. G. ___ Use gloves at all times when caring for clients. H. ___ Use gloves when there is risk of exposure to blood or body fluids.

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