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 A
Explanation
A. Antisocial personality disorder: This disorder is characterized by a disregard for societal rules and the rights of others. Clients with antisocial personality disorder may refuse to follow instructions and demonstrate a lack of respect for rules, indicating a pattern of behavior consistent with this diagnosis.
B. Schizotypal personality disorder: Individuals with schizotypal personality disorder typically exhibit eccentric behaviors, social anxiety, and odd beliefs but are not primarily characterized by a blatant disregard for rules or authority. Their behavior is more focused on social discomfort than defiance of rules.
C. Narcissistic personality disorder: While clients with narcissistic personality disorder may believe they are above the rules and display entitlement, their behavior is often driven by a need for admiration and self-importance rather than outright defiance of rules.
D. Histrionic personality disorder: Individuals with histrionic personality disorder typically seek attention and may be dramatic in their expressions. However, their behaviors are more focused on emotionality and attention-seeking rather than a direct refusal to follow rules or instructions.
Correct Answer is A
Explanation
A. General anxiety disorder: General anxiety disorder (GAD) is commonly seen as a comorbidity with cluster B personality disorders, which include borderline, antisocial, histrionic, and narcissistic personality disorders. Individuals with these personality disorders may experience significant anxiety, particularly related to interpersonal relationships and emotional instability.
B. Schizophrenia: Schizophrenia is classified as a serious mental illness, but it is not typically considered a comorbidity of cluster B personality disorders. The symptomatology of schizophrenia is distinct from that of personality disorders.
C. Obsessive-compulsive disorder: While obsessive-compulsive disorder (OCD) can occur alongside various mental health conditions, it is more commonly associated with cluster C personality disorders (e.g., obsessive-compulsive personality disorder) rather than cluster B.
D. Anorexia nervosa: Anorexia nervosa is an eating disorder that may co-occur with various mental health conditions, but it is not specifically recognized as a common comorbidity with cluster B personality disorders. The focus of cluster B disorders is more on interpersonal dynamics and emotional regulation rather than eating behaviors.
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