What is a positive symptom of schizophrenia?

Correct Answer: A

Rationale: The correct answer is A: delusion. Positive symptoms of schizophrenia are behaviors or symptoms that are added to a person's personality, such as delusions. Delusions are false beliefs that are not based on reality, commonly seen in individuals with schizophrenia. Anhedonia (B) is a negative symptom characterized by the inability to experience pleasure. Apathy (C) is also a negative symptom associated with a lack of interest, motivation, or emotions. Mutism (D) is not specific to schizophrenia and refers to the inability or refusal to speak. Therefore, the correct answer is A because delusions are a classic positive symptom of schizophrenia.

Correct Answer: C

Rationale: The correct answer is C because it respects the client's right to autonomy and confidentiality. By offering to see if Mr. Hawkins wants to talk, the nurse is acknowledging his autonomy to make decisions about who he interacts with. This response also maintains confidentiality by not confirming or denying his presence without his consent. Choice A is incorrect as it does not respect Mr. Hawkins' autonomy and does not offer him the choice to speak with the caller. Choice B is incorrect because it does not protect Mr. Hawkins' confidentiality by potentially revealing his presence. Choice D is incorrect as it does not consider Mr. Hawkins' wishes and simply denies the call without involving him in the decision-making process.

Correct Answer: A

Rationale: The correct answer is A because waving fists, cursing, and shouting threats indicate aggressive and confrontational behavior, which are common signs of a behavioral crisis. This behavior poses a potential threat to others and requires immediate intervention. In contrast, choices B and C show distress or withdrawal, not crisis-level behavior. Choice D depicts an unusual behavior but does not necessarily indicate a crisis. In summary, the correct answer best aligns with the aggressive and threatening behavior typically seen in a behavioral crisis.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates active listening and seeks confirmation from the patient, ensuring accurate understanding. Asking if the nurse's understanding is correct encourages the patient to clarify any misunderstandings. This approach fosters effective communication and a therapeutic relationship. A: Asking about common elements may not address the specific concerns shared by the patient. B: Asking the patient to repeat their experiences may come off as dismissive or imply the nurse wasn't listening attentively. D: Requesting the patient to start from the beginning may be unnecessary and may not address the current concerns the patient is sharing.

Correct Answer: A

Rationale: Step 1: During World War II, many soldiers experienced mental health issues, leading to increased awareness and acceptance of mental illness as commonplace. Step 2: The societal impact of witnessing the psychological effects of war shifted attitudes towards mental health. Step 3: This increased acceptance paved the way for advancements in mental health care and reduced stigma. Step 4: Choice A is correct as it reflects the societal shift towards viewing mental illness as more common and acceptable. Summary: Choice B is incorrect as the biologic understanding of mental illness was not fully developed during World War II. Choice C is incorrect as deinstitutionalization was a later phenomenon, not directly related to the effects of World War II. Choice D is incorrect as the categorization of mental illnesses as psychoses or neuroses predates World War II and was not a direct effect of the war.