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 B
Explanation
A. Liver and pancreatic disease: While methamphetamine use can lead to various health issues, liver and pancreatic diseases are not directly linked to the acute effects of blood vessel constriction and spasming. These conditions are more commonly associated with substances like alcohol or certain prescription medications.
B. Heart disease and stroke: Methamphetamine use causes vasoconstriction and increased heart rate, significantly elevating the risk of cardiovascular complications. The combination of these factors can lead to heart disease, myocardial infarction, and stroke due to reduced blood flow and increased blood pressure, making this the most relevant risk for the client.
C. Brain trauma and injury: While methamphetamine can lead to cognitive impairment and increase the risk of accidents, blood vessel constriction specifically relates more directly to cardiovascular issues rather than immediate brain trauma or injury.
D. Bone loss and osteoporosis: Methamphetamine use can contribute to various health problems, but it is not directly associated with acute blood vessel constriction or spasming. Bone loss and osteoporosis are typically linked to chronic substance abuse, nutritional deficiencies, or hormonal changes rather than the immediate vascular effects of methamphetamine.
Correct Answer is D
Explanation
A. Thought insertion: This delusion involves the belief that one's thoughts are not their own and have been placed in their mind by an external force. The client's belief of being a celebrity does not reflect this type of delusion.
B. Persecutory: Persecutory delusions involve the belief that one is being targeted or harassed by others. The client's delusion of being a celebrity does not indicate that they feel threatened or persecuted; rather, it reflects an inflated sense of self-importance.
C. Control: Delusions of control involve the belief that one's thoughts, feelings, or actions are being controlled by an external force. The client's behavior does not suggest they believe their actions are controlled by someone else but rather indicates a belief in their elevated status.
D. Grandiose: Grandiose delusions are characterized by an inflated sense of self-worth, power, or identity. The client's belief of being a celebrity exemplifies this type of delusion, as it involves an exaggerated perception of their own importance and status.
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