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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A. The nurse will lose their nursing license immediately: While stealing and taking drugs from the narcotics cart is a serious offense, losing a nursing license typically involves a formal investigation process and a hearing before the board of nursing. Immediate revocation is unlikely without due process.
B. The nurse will need to transfer to a different unit: Transferring to a different unit does not address the underlying issue of substance abuse or theft. While this may occur in some cases, it is not a likely initial outcome given the severity of the allegations.
C. The nurse will be fired immediately: While termination may occur as a consequence of the behavior, it is not the immediate action taken in response to the report. The facility may conduct an investigation before deciding on termination.
D. The nurse will be assisted into drug treatment: It is common for healthcare facilities to offer assistance for substance use disorders, especially if the nurse expresses a willingness to seek help. The initial outcome often includes referrals to treatment programs as part of a broader approach to address the issue and ensure the nurse receives the necessary support.
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