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 C
Explanation
A. Historical: Historical data refers to past medical or substance use history but does not specifically relate to the client’s current account of their substance use. While this information is relevant, it is not the primary type of data being collected in this instance.
B. Objective: Objective data consists of measurable and observable information, such as vital signs, physical examination findings, or laboratory results. The client's account of their cocaine use is not an objective measure but rather a personal statement reflecting their experience.
C. Subjective: The client's statement about using cocaine daily for the past 6 months is subjective data. It is based on the client's personal experiences and perceptions, which are important for understanding their substance use pattern and informing treatment planning.
D. Secondary: Secondary data refers to information obtained from sources other than the client, such as family members, previous medical records, or other healthcare providers. Since the information is coming directly from the client, it does not qualify as secondary data.
Correct Answer is D
Explanation
A. Dissociative amnesia: This condition involves an inability to recall important personal information, usually related to trauma or stress. The symptoms described do not align with memory loss but rather with a physical sensation (numbness) that interferes with driving.
B. Depersonalization/derealization disorder: This disorder is characterized by persistent feelings of detachment from oneself or one's surroundings. The client's reported symptoms do not reflect feelings of detachment but rather a physical manifestation that affects their ability to drive.
C. Factitious disorder: This disorder involves intentionally producing or feigning symptoms to assume the sick role. The client’s symptoms are not self-induced for the purpose of gaining attention or sympathy, which is a key feature of factitious disorder.
D. Functional neurological symptom disorder: This condition is characterized by neurological symptoms, such as numbness or weakness, that cannot be explained by medical conditions. The client’s experience of numb hands while driving fits this disorder, as it reflects a physical symptom with no identifiable organic cause.
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