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 B

Explanation

A. Clients demonstrate erratic behaviors: Erratic behaviors are more characteristic of personality disorders such as borderline personality disorder. Clients with dependent personality disorder typically exhibit more submissive and clingy behaviors rather than erratic ones.
B. Clients are fearful of making decisions: This finding is a hallmark of dependent personality disorder. Individuals with this disorder often have difficulty making decisions without excessive advice and reassurance from others. They may fear losing support or approval, leading to indecisiveness and reliance on others for direction.
C. Clients are dramatic: Dramatic behaviors are more commonly associated with histrionic personality disorder. Clients with dependent personality disorder tend to be more passive and compliant rather than dramatic.
D. Clients easily express disagreement with others: Individuals with dependent personality disorder often struggle to express disagreement due to their fear of disapproval and desire for acceptance. They may avoid conflict and prioritize maintaining relationships over voicing their opinions.

A. To ensure the client participates in a walk with staff on a daily basis B. To keep the client's environment calm and with minimal daily stimuli C. To develop and acknowledge understanding of a relapse plan prior to discharge D. To be reoriented to their current environment as needed

Correct Answer is C

Explanation

A. To ensure the client participates in a walk with staff on a daily basis: While regular physical activity can be beneficial, this goal focuses more on physical activity rather than addressing the underlying issues related to medication adherence and relapse prevention.
B. To keep the client's environment calm and with minimal daily stimuli: Creating a calm environment can help manage symptoms, but it is a more immediate concern rather than a long-term goal focused on the client's overall management and understanding of their condition.
C. To develop and acknowledge understanding of a relapse plan prior to discharge: This goal is crucial for the client's long-term recovery and management of their condition. By understanding their relapse plan, the client can identify triggers, recognize early warning signs of relapse, and engage in proactive strategies to maintain their mental health after discharge.
D. To be reoriented to their current environment as needed: While reorientation may be necessary for managing acute symptoms, it does not address long-term strategies for preventing relapse or promoting the client's overall well-being. This goal is more focused on immediate needs rather than long-term outcomes.

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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 planning care for several clients. The nurse knows that which of the following findings are common in clients who have dependent personality disorder?

Correct Answer is B

Explanation

A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?

Correct Answer is C

Explanation

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