A nurse is caring for a client who has schizophreniform disorder. Which of the following manifestations should the nurse expect?

The addition of mood disorder symptoms

Less intense and frequent symptoms

A greater ability to distinguish between reality and symptoms

A duration of symptoms from one to six months

Answer and Explanation

The Correct Answer is D

A. The addition of mood disorder symptoms: Schizophreniform disorder may have mood symptoms, but they are not a defining feature. In contrast, mood disorders are more characteristic of schizoaffective disorder, which involves significant mood disturbances alongside psychotic symptoms.
B. Less intense and frequent symptoms: Symptoms of schizophreniform disorder are generally similar in intensity to those seen in schizophrenia. The disorder can present with significant psychotic symptoms that are not necessarily less intense or frequent.
C. A greater ability to distinguish between reality and symptoms: Individuals with schizophreniform disorder typically have a significant impairment in reality testing. They may have difficulty distinguishing between their symptoms and reality, similar to those with schizophrenia.
D. A duration of symptoms from one to six months: Schizophreniform disorder is characterized by the presence of psychotic symptoms lasting at least one month but less than six months. This duration is crucial for the diagnosis and differentiates it from schizophrenia, which involves symptoms persisting for six months or longer.

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Correct Answer is B

Explanation

A. Single status: Being single may not be a protective factor against addiction. In fact, individuals who are single may experience loneliness or social isolation, which can sometimes increase the risk of substance use as a coping mechanism.
B. Positive self-image: A positive self-image is a significant protective factor against developing addictions. Individuals with a strong sense of self-worth and self-esteem are more likely to engage in healthy coping strategies and resist negative influences, making them less susceptible to addictive behaviors.
C. Passive personality: A passive personality may not serve as a protective factor; individuals with passive traits may struggle to assert themselves and set boundaries, potentially increasing vulnerability to peer pressure and substance use.
D. Being a parent: While being a parent can provide a sense of responsibility and purpose that may deter some individuals from engaging in risky behaviors, it is not universally considered a protective factor against addiction. The relationship between parenthood and addiction can vary significantly among individuals.

A. Administer a benzodiazepine to the client. B. Establish rapport with the client. C. Teach the client grounding techniques. D. Educate the client about their disorder.

Correct Answer is B

Explanation

A. Administer a benzodiazepine to the client: While benzodiazepines may be useful for managing anxiety, the first step in caring for a client with a dissociative disorder is to build a trusting relationship. Medications should not be prioritized over establishing rapport.
B. Establish rapport with the client: Building rapport is crucial in creating a safe environment for the client. It allows the nurse to gain the client’s trust, facilitating effective communication and treatment. A strong therapeutic alliance is essential for the client's willingness to engage in further interventions.
C. Teach the client grounding techniques: While grounding techniques can be beneficial for clients experiencing dissociation, they are most effective when the client feels safe and supported. Establishing rapport first will help the client be more receptive to learning and practicing these techniques.
D. Educate the client about their disorder: Education is important, but it should come after establishing a trusting relationship. The client may not be open to education about their disorder until they feel comfortable with the nurse and the therapeutic process.

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A nurse is caring for a client who has schizophreniform disorder. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is B

Explanation

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