A nurse is reading the medical record for a client who has schizophrenia, which indicates that the client exhibits depersonalization. Which of the following statements by the client confirms that she is experiencing depersonalization?
"Everything in this room has changed and I don't recognize it anymore."
"I hear voices telling me that I have been bad."
"I have broken off all my past relationships because my friends and family are trying to kill me."
"My hands and feet are much smaller than they used to be."
The Correct Answer is D
Choice A reason: This statement reflects derealization, which is the experience that the external environment feels unreal or changed, not depersonalization.
Choice B reason: This describes auditory hallucinations, a common symptom of schizophrenia, but not depersonalization.
Choice C reason: This indicates persecutory delusions, not depersonalization.
Choice D reason: This confirms depersonalization, which involves altered perception of one’s own body or sense of self, such as believing body parts are distorted in size or shape.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Disorganized, rapid, or pressured speech is a hallmark symptom of acute mania and reflects flight of ideas.
Choice B reason: Recent weight gain may relate to medication side effects or other conditions, not mania specifically.
Choice C reason: Hearing voices is a hallucination, which suggests psychosis or schizophrenia, not acute mania.
Choice D reason: Wearing all black may indicate a personal preference, not a diagnostic feature of mania.
Correct Answer is A
Explanation
Choice A reason: This reflects an internal crisis of denial, where the client struggles to accept the diagnosis and cope with the emotional impact, leading to rejection of treatment.
Choice B reason: A situational crisis is triggered by external life events like loss of a job or sudden illness in a family member, not by denial of a personal diagnosis.
Choice C reason: A maturational crisis occurs during developmental transitions like adolescence or retirement, which is unrelated to this scenario.
Choice D reason: An adventitious crisis is caused by unexpected disasters such as natural catastrophes or acts of violence, not a medical diagnosis.
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