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 ["B","C","E"]
Explanation
Choice A reason:Sleeping for long periods is more characteristic of the depressive phase of bipolar disorder, not mania. Manic behavior typically involves reduced need for sleep, making this an incorrect choice.
Choice B reason:Spending large sums of money impulsively is a hallmark of manic behavior, reflecting poor judgment and heightened energy typical of the manic phase in bipolar disorder.
Choice C reason:Flirtatious interactions are common in mania, as clients may exhibit increased sociability, disinhibition, or hypersexuality, making this a correct indicator of manic behavior.
Choice D reason:Dressing in black or grey clothing is not specifically associated with mania. Manic clients may choose bright or eccentric clothing, but color preference alone is not a reliable indicator of manic behavior.
Choice E reason:Rapid, continuous speech, often pressured, is a classic sign of mania, reflecting the client’s heightened energy, racing thoughts, and difficulty slowing down their communication.
Correct Answer is B
Explanation
Choice A reason:Automatic obedience involves unthinkingly following instructions, often seen in catatonia. The client’s oppositional behavior is the opposite, making this an incorrect choice.
Choice B reason:Active negativism, common in schizophrenia, involves deliberately doing the opposite of what is requested, reflecting resistance or opposition. The client’s behavior matches this description.
Choice C reason:Impaired impulse control involves acting on urges without restraint, such as aggression or impulsivity. The client’s deliberate opposition is not impulsive but purposeful, so this is incorrect.
Choice D reason:Waxy flexibility involves maintaining imposed postures, typically in catatonia. The client’s oppositional behavior does not involve physical posturing, making this incorrect.
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