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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Antisocial personality disorder: This disorder is characterized by a disregard for societal rules and the rights of others. Clients with antisocial personality disorder may refuse to follow instructions and demonstrate a lack of respect for rules, indicating a pattern of behavior consistent with this diagnosis.
B. Schizotypal personality disorder: Individuals with schizotypal personality disorder typically exhibit eccentric behaviors, social anxiety, and odd beliefs but are not primarily characterized by a blatant disregard for rules or authority. Their behavior is more focused on social discomfort than defiance of rules.
C. Narcissistic personality disorder: While clients with narcissistic personality disorder may believe they are above the rules and display entitlement, their behavior is often driven by a need for admiration and self-importance rather than outright defiance of rules.
D. Histrionic personality disorder: Individuals with histrionic personality disorder typically seek attention and may be dramatic in their expressions. However, their behaviors are more focused on emotionality and attention-seeking rather than a direct refusal to follow rules or instructions.
Correct Answer is C
Explanation
A. Strict parental guidelines contribute to the development of personality disorders: While parenting styles can influence personality development, strict parental guidelines alone are not a direct cause of personality disorders. A range of genetic, environmental, and psychological factors contribute to the development of these disorders.
B. Personality disorders are often seen in children under the age of 10: Personality disorders are generally not diagnosed in children under the age of 10, as personality development is still ongoing. Most personality disorders are diagnosed in adolescence or adulthood after personality traits have stabilized.
C. Childhood emotional trauma, such as abuse or neglect, can significantly influence personality development and contribute to the emergence of personality disorders later in life. Traumatic experiences can lead to maladaptive coping mechanisms and dysfunctional relationships, further perpetuating the characteristics of personality disorders as the individual matures.
D. Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders: Socioeconomic status does not determine the likelihood of being diagnosed with personality disorders. These disorders can affect individuals across all socioeconomic backgrounds, and prevalence is not necessarily linked to wealth or social class.
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