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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Stage 2 (moderate): In this stage of alcohol withdrawal, symptoms may include increased anxiety, tremors, and elevated vital signs, but hallucinations and severe disorientation are not typically present. The client's current condition exceeds the expectations of moderate withdrawal, indicating a more severe level.
B. Stage 1 (mild): Mild withdrawal symptoms are generally characterized by anxiety, insomnia, and mild tremors. The presence of hallucinations, significant changes in vital signs, and severe disorientation suggests that the client is experiencing more than just mild withdrawal symptoms.
C. Stage 3 (severe): Severe alcohol withdrawal is characterized by the presence of hallucinations, severe agitation, confusion, and autonomic instability, as indicated by the client's elevated blood pressure and heart rate. The client’s experience of seeing spiders and disorientation about their location indicates severe withdrawal, which may lead to complications like delirium tremens if not properly managed.
D. The client's manifestations indicate a psychotic disorder instead of alcohol withdrawal: While hallucinations can be indicative of a psychotic disorder, the context of recent alcohol use and the accompanying withdrawal symptoms strongly suggest that the client is experiencing severe alcohol withdrawal rather than a separate psychotic disorder.
Correct Answer is C
Explanation
A. People diagnosed with schizophrenia are more violent than others: Individuals with schizophrenia are not inherently more violent than the general population. The majority are not violent and are often more likely to be victims rather than perpetrators of violence.
B. Biologically female clients are likely to be diagnosed earlier than biologically born males: Research indicates that biologically male clients often present with symptoms earlier than females.
C. Biologically male clients are typically diagnosed earlier than biologically female clients: Research shows that males tend to exhibit the onset of schizophrenia earlier, usually in late adolescence to early adulthood, whereas females may experience a later onset, often in their 20s or 30s.
D. Diagnosis commonly occurs in individuals under the age of 12: Schizophrenia is rare in children under 12 years of age, and diagnosis typically occurs in late adolescence or early adulthood. Early-onset schizophrenia is uncommon, and most cases are diagnosed after the age of 12.
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