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 D
Explanation
Choice A reason: Zero tablets would result in the patient not receiving the required medication.
Choice B reason: Three tablets equal 15 mg, which is above the prescribed dose and could cause adverse effects.
Choice C reason: Half a tablet equals 2.5 mg, which is insufficient to meet the 10 mg prescribed dose.
Choice D reason: Two tablets equal the prescribed 10 mg, which is correct.
Correct Answer is D
Explanation
Choice A reason: SSRIs do not increase norepinephrine levels; that is the action of SNRIs or other antidepressant classes.
Choice B reason: SSRIs do not inhibit serotonin production; instead, they work by blocking reuptake, leading to increased serotonin availability.
Choice C reason: SSRIs do not lower dopamine levels; this would worsen mood symptoms rather than improve them.
Choice D reason: SSRIs block serotonin reuptake in presynaptic neurons, which increases serotonin availability in the synaptic cleft and helps elevate mood.
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