A nurse is caring for a client who has schizophrenia. The nurse should expect the client to exhibit which of the following manifestations? (Select all that apply.)
A.
Repeats the words of others when speaking
B.
Speaks in word salad
C.
Expresses interest in ADLs (Activities of Daily Living)
D.
Has a blunt affect
E.
Experiences delusions
When caring for a client with schizophrenia, the nurse should expect the following manifestations:
A. Repeats the words of others when speaking
This behavior, known as echolalia, is a common symptom in schizophrenia. It involves repeating words or phrases that others have said.
B. Speaks in word salad
Word salad is a form of disorganized speech where the client’s sentences are incoherent and lack meaningful content. It is characteristic of schizophrenia, particularly in acute episodes.
D. Has a blunt affect
Blunted affect refers to reduced emotional expression, which is a common manifestation in schizophrenia. Clients may show limited emotional responsiveness.
E. Experiences delusions
Delusions are fixed false beliefs that are not based in reality and are common in schizophrenia. Clients may hold beliefs that are paranoid, grandiose, or bizarre.
C. Expresses interest in ADLs (Activities of Daily Living)
While clients with schizophrenia can show interest in ADLs, this is not a typical symptom associated with the disorder. In fact, many clients with schizophrenia may exhibit avolition, which is a lack of interest or motivation in daily activities.
In summary, the expected manifestations in schizophrenia include:
- Repeating the words of others (echolalia)
- Speaking in word salad
- Having a blunt affect
- Experiencing delusions
The interest in ADLs is not a typical manifestation of schizophrenia.