A nurse is caring for a client who is experiencing a flat affect, paranoid delusions, anhedonia, anergia, neologisms, and echolalia. Which statement correctly differentiates the client's positive and negative symptoms of schizophrenia?

Correct Answer: B

Rationale: The correct answer is B because paranoid delusions, neologisms, and echolalia are all considered positive symptoms of schizophrenia. Positive symptoms are behaviors or experiences that are added to a person's normal functioning, such as hallucinations, delusions, or disorganized speech. In this case, paranoid delusions involve false beliefs of being persecuted or harmed, neologisms refer to made-up words, and echolalia is the repetition of words or phrases spoken by others. Flat affect, anhedonia, and anergia are actually negative symptoms of schizophrenia. Negative symptoms involve deficits in normal functioning, such as a lack of emotional expression (flat affect), inability to experience pleasure (anhedonia), and lack of energy or motivation (anergia). Therefore, choice B correctly differentiates the client's positive and negative symptoms of schizophrenia.

Correct Answer: B

Rationale: The correct answer is B: Perceived loss. The student is experiencing a perceived loss because she believes she is not smart enough to become a nurse based on one exam grade. This type of loss is based on the student's perception or belief rather than an actual loss of a tangible item or ability. It is a subjective interpretation of the situation, leading to feelings of inadequacy. A: Actual loss refers to a tangible loss of something concrete, which is not the case here. C: Physical loss pertains to the loss of a physical object or ability, which is not applicable in this situation. D: Situational loss involves a loss due to a specific situation or event, but in this case, the loss is more about the student's perception of her ability rather than a situational factor.

Correct Answer: C

Rationale: The correct answer, C, demonstrates awareness of safe, proficient nursing practice because it focuses on assessing the appropriateness of the medication and dose for the patient. This step ensures patient safety by verifying that the medication is suitable for the individual's condition and that the dosage is correct. It involves critical thinking and clinical judgment, aligning with the principles of patient-centered care and medication safety. Choices A and D are important steps in medication administration but do not directly address the crucial aspect of assessing the appropriateness of the medication for the patient. Checking the medication cart (A) ensures availability but does not guarantee suitability. Identifying the patient (D) is essential for patient safety but does not evaluate the medication itself. Choice B, checking the dose with another nurse, is a valuable safety measure to prevent medication errors but does not address the broader aspect of assessing the overall appropriateness of the medication for the specific patient's needs.

Correct Answer: C

Rationale: The correct answer is C: Implementation. This is because administering furosemide 40 mg IV push is a direct action taken by the nurse based on the planned interventions to manage the client's CHF symptoms. During the implementation phase, the nurse carries out the planned interventions to achieve the client's desired outcomes. A: Assessment is incorrect because administering medication is not part of the assessment phase, which involves gathering data about the client's condition. B: Planning is incorrect because administering medication is not part of the planning phase, which involves developing a care plan based on the assessment data. D: Evaluation is incorrect because administering medication is not part of the evaluation phase, which involves assessing the outcomes of the interventions implemented.

Correct Answer: A

Rationale: The correct answer is A, revoking the nursing license, due to the seriousness of the offense committed by the RN. Stealing narcotics is a violation of ethical standards and legal regulations, posing a risk to patient safety. Revoking the license is a necessary measure to protect the public from potential harm. Choice B, denying initial nursing licensure, is incorrect as the RN is already licensed. Choice C, issuing a limited nursing license, is inappropriate for such a severe violation. Choice D, no action taken on the nursing license, would not be justifiable given the gravity of the offense.