A nurse is assisting in teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?
Diagnosis typically occurs after 40 years of age.
Life expectancy is greater than the general population.
Co-occurring mental health illnesses are rarely diagnosed.
The need for resources increases as the disease progresses into adulthood.
The Correct Answer is D
A. Diagnosis typically occurs after 40 years of age. Diagnosis typically occurs in late adolescence to early adulthood, not after 40 years of age. While late-onset schizophrenia can occur, it is less common. The disorder usually manifests in the late teens to early 30s, with males often presenting earlier than females.
B. Life expectancy is greater than the general population. Life expectancy is lower than the general population due to factors such as increased risk of suicide, cardiovascular disease, and reduced access to healthcare. The presence of comorbid conditions and lifestyle factors, including smoking and poor diet, further contribute to a shorter lifespan.
C. Co-occurring mental health illnesses are rarely diagnosed. Co-occurring mental health illnesses are frequently diagnosed in individuals with schizophrenia. Conditions such as depression, anxiety disorders, and substance use disorders are common. These comorbidities can complicate treatment and impact overall prognosis.
D. The need for resources increases as the disease progresses into adulthood. The need for resources increases as the disease progresses into adulthood due to worsening functional impairment. Individuals with schizophrenia often require long-term support, including medication management, social services, and rehabilitation programs to maintain stability and quality of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Paranoid personality disorder. Paranoid personality disorder is characterized by distrust and suspicion of others without delusions or hallucinations. Individuals may misinterpret benign interactions as threatening but do not typically display magical thinking or bizarre beliefs.
B. Antisocial personality disorder. Antisocial personality disorder involves a disregard for social norms, manipulation, and lack of empathy. Individuals with this disorder do not usually exhibit delusions or claims of supernatural abilities.
C. Avoidant personality disorder. Avoidant personality disorder is marked by social inhibition, feelings of inadequacy, and hypersensitivity to criticism. These individuals avoid social situations but do not exhibit magical thinking or unusual beliefs.
D. Schizotypal personality disorder. Schizotypal personality disorder involves eccentric behavior, unusual thinking, and cognitive distortions such as magical thinking and paranoia. The belief that one can read minds is a characteristic feature of this disorder.
Correct Answer is D
Explanation
A. "Lately, I feel like I am more alert than usual and can focus better.": Depression is commonly associated with difficulties in concentration, memory impairment, and slowed cognitive function rather than increased alertness or improved focus. Clients with depression often report feeling mentally sluggish or experiencing brain fog.
B. "I can't sit still. I feel like I need to be doing things around the house.": While some individuals with depression experience psychomotor agitation, it is more common for depression to present with fatigue, low energy, and decreased motivation. Restlessness may also be seen in anxiety disorders, but it is not a primary symptom of depression.
C. "When I went to my provider, they told me I have high blood pressure.": Hypertension is a medical condition that may have various causes, but it is not a direct manifestation of depression. However, chronic stress and depression can contribute to cardiovascular issues over time, though depression itself is primarily characterized by emotional and cognitive symptoms.
D. "I can't get my mind to stop racing at night. I'm only sleeping a couple of hours.": Insomnia and difficulty falling or staying asleep are hallmark symptoms of depression. Clients often experience ruminative thoughts, early-morning awakenings, or non-restorative sleep, which can contribute to worsened mood, fatigue, and impaired daily functioning.
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