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

Answer and Explanation

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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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.

A. Somatic symptom disorder B. Illness anxiety disorder C. Functional neurological symptom disorder D. Factitious disorder

Correct Answer is A

Explanation

A. Somatic symptom disorder: Somatic symptom disorder involves experiencing physical symptoms that cause significant distress or impairment, often without a clear medical cause. The client's action of cutting themselves due to boredom suggests a maladaptive coping mechanism related to emotional distress, which aligns with the characteristics of somatic symptom disorder.
B. Illness anxiety disorder: Illness anxiety disorder is characterized by excessive worry about having a serious illness despite minimal or no symptoms. The client's self-harming behavior does not indicate anxiety about illness but rather reflects an impulsive action taken out of boredom.
C. Functional neurological symptom disorder: Functional neurological symptom disorder features neurological symptoms that cannot be explained by a medical condition. However, it typically does not involve self-harm as a response to boredom. The client's behavior does not fit this diagnosis.
D. Factitious disorder: Factitious disorder involves intentionally producing or feigning symptoms to adopt the sick role or gain attention. While the client is engaging in self-harm, it does not appear to be for the purpose of deception or seeking attention, which distinguishes their behavior from factitious disorder.

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A nurse is caring for a client who has schizophreniform disorder. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

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