A nurse is caring for a client who has schizophreniform disorder. Which of the following manifestations should the nurse expect?
The addition of mood disorder symptoms
Less intense and frequent symptoms
A greater ability to distinguish between reality and symptoms
A duration of symptoms from one to six months
The Correct Answer is D
A. The addition of mood disorder symptoms: Schizophreniform disorder may have mood symptoms, but they are not a defining feature. In contrast, mood disorders are more characteristic of schizoaffective disorder, which involves significant mood disturbances alongside psychotic symptoms.
B. Less intense and frequent symptoms: Symptoms of schizophreniform disorder are generally similar in intensity to those seen in schizophrenia. The disorder can present with significant psychotic symptoms that are not necessarily less intense or frequent.
C. A greater ability to distinguish between reality and symptoms: Individuals with schizophreniform disorder typically have a significant impairment in reality testing. They may have difficulty distinguishing between their symptoms and reality, similar to those with schizophrenia.
D. A duration of symptoms from one to six months: Schizophreniform disorder is characterized by the presence of psychotic symptoms lasting at least one month but less than six months. This duration is crucial for the diagnosis and differentiates it from schizophrenia, which involves symptoms persisting for six months or longer.
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Related Questions
Correct Answer is ["C","E"]
Explanation
A. Lack of emotional expression: While affective flattening can occur in schizophrenia, it is not one of the core diagnostic criteria. Schizophrenia is characterized by a variety of symptoms, but the lack of emotional expression alone is not sufficient for diagnosis.
B. Impaired interpersonal relationships: Although individuals with schizophrenia may experience difficulties in relationships, this is a consequence of the disorder rather than a diagnostic criterion. The focus of the diagnosis is on specific symptomatic criteria.
C. Disorganized behavior: This symptom is included in the DSM-5 diagnostic criteria for schizophrenia. Disorganized behavior can manifest as erratic or unpredictable actions that significantly impair functioning and are characteristic of the disorder.
D. Inability to initiate activities: While avolition (lack of motivation to initiate activities) is a symptom associated with schizophrenia, it is not explicitly listed as one of the primary diagnostic criteria in the DSM-5. It may contribute to the overall picture of the disorder.
E. Hallucinations: Hallucinations, particularly auditory hallucinations, are one of the hallmark symptoms of schizophrenia and are essential for diagnosis according to the DSM-5. The presence of hallucinations significantly impacts the individual's perception of reality.
F. Antisocial personality: Antisocial personality disorder is a separate diagnosis and not a symptom of schizophrenia. The presence of antisocial behavior does not align with the diagnostic criteria for schizophrenia.
Correct Answer is B
Explanation
A. Clients demonstrate erratic behaviors: Erratic behaviors are more characteristic of personality disorders such as borderline personality disorder. Clients with dependent personality disorder typically exhibit more submissive and clingy behaviors rather than erratic ones.
B. Clients are fearful of making decisions: This finding is a hallmark of dependent personality disorder. Individuals with this disorder often have difficulty making decisions without excessive advice and reassurance from others. They may fear losing support or approval, leading to indecisiveness and reliance on others for direction.
C. Clients are dramatic: Dramatic behaviors are more commonly associated with histrionic personality disorder. Clients with dependent personality disorder tend to be more passive and compliant rather than dramatic.
D. Clients easily express disagreement with others: Individuals with dependent personality disorder often struggle to express disagreement due to their fear of disapproval and desire for acceptance. They may avoid conflict and prioritize maintaining relationships over voicing their opinions.
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