A nurse is speaking to a group of nurses about the difference between schizoaffective disorder and schizophrenia. Which of the following findings is associated with the active phase of schizoaffective disorder?

Symptoms of major depression or mania

Absence of delusions or hallucinations

More severe negative symptoms

Anosognosia is more severe

Answer and Explanation

The Correct Answer is A

A. Symptoms of major depression or mania: Schizoaffective disorder is characterized by the presence of mood disorder symptoms (such as major depression or mania) in conjunction with symptoms of schizophrenia, including delusions or hallucinations. During the active phase of schizoaffective disorder, individuals experience both psychotic symptoms and significant mood disturbances.
B. Absence of delusions or hallucinations: In schizoaffective disorder, delusions and hallucinations are present alongside mood symptoms. Therefore, the absence of these psychotic symptoms does not characterize the active phase.
C. More severe negative symptoms: While schizoaffective disorder can have negative symptoms, such as emotional flattening or lack of motivation, the emphasis is more on the co-occurrence of mood symptoms rather than solely on negative symptoms.
D. Anosognosia is more severe: Anosognosia refers to a lack of awareness of one's own illness. While it can occur in both schizophrenia and schizoaffective disorder, the severity of anosognosia is not a distinguishing factor specifically associated with the active phase of schizoaffective disorder.

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Correct Answer is C

Explanation

A. A history of schizophrenia: Schizophrenia is a distinct mental health disorder characterized by psychosis, including delusions and hallucinations. While it may co-occur with dissociative disorders, it is not considered a direct risk factor for dissociative identity disorder (DID).
B. Borderline personality disorder: While there is some overlap in symptoms between borderline personality disorder and dissociative identity disorder, borderline personality disorder itself is not a risk factor for developing DID. However, individuals with DID may also present with features of borderline personality disorder.
C. History of trauma during the developmental years: This is a significant risk factor for the development of dissociative identity disorder. DID is often associated with severe trauma, particularly during childhood, such as physical, emotional, or sexual abuse. The disorder can serve as a coping mechanism to dissociate from the traumatic experiences.
D. A history of self-injurious behavior: Self-injurious behavior may be a symptom associated with various mental health disorders, including borderline personality disorder, but it is not specifically identified as a risk factor for dissociative identity disorder.

A. The majority of people who have been incarcerated at state prisons are treated for a serious mental illness. B. People who have SMIs and have been incarcerated are less likely to be victimized. C. People who have been incarcerated rarely experience inadequate treatment while in prison. D. People who have SMIS and have been incarcerated face a greater risk of discontinuing treatment and relapsing.

Correct Answer is D

Explanation

A. The majority of people who have been incarcerated at state prisons are treated for a serious mental illness: While many incarcerated individuals do have serious mental illnesses (SMIs), a significant number do not receive adequate treatment while in prison. This statement is not accurate as a majority of those incarcerated do not receive proper mental health care.
B. People who have SMIs and have been incarcerated are less likely to be victimized: Individuals with SMIs may actually be at greater risk of victimization while incarcerated due to their vulnerability. This statement does not accurately reflect the reality of their experiences.
C. People who have been incarcerated rarely experience inadequate treatment while in prison: Many individuals with SMIs do not receive adequate treatment while incarcerated, which can exacerbate their conditions and contribute to challenges upon release.
D. People who have SMIs and have been incarcerated face a greater risk of discontinuing treatment and relapsing. Individuals with SMIs often struggle with continuity of care after release, leading to higher rates of treatment discontinuation and relapse. The transition from prison to community care can be difficult, resulting in gaps in treatment and support.

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A nurse is speaking to a group of nurses about the difference between schizoaffective disorder and schizophrenia. Which of the following findings is associated with the active phase of schizoaffective disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

Correct Answer is C

Explanation

A nurse is working with clients who were incarcerated and have recently been released from prison. Which of the following pieces of information regarding SMIs should the nurse be aware of?

Correct Answer is D

Explanation

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