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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Remove the client from the room: While ensuring the client's safety is important, removing them from the room may not be necessary and could escalate the situation further. The nurse should first assess the immediate environment and the client's feelings before making such a decision.
B. Touch the client's arm reassuringly: Physical contact can sometimes be perceived as threatening by clients experiencing acute symptoms. It is essential to respect the client's personal space, especially when they are in a distressed state.
C. Ask the client to describe what is being seen: Encouraging the client to describe what they are experiencing may increase their agitation or anxiety. It might be more effective to provide reassurance without delving into the specifics of their hallucination at this moment.
D. Tell the client that there is nothing there: Providing reassurance by acknowledging the client's distress while gently affirming that there is nothing present can help to ground the client. This response validates their feelings without reinforcing the hallucination, promoting a sense of safety and calmness.

A. Social worker B. Psychiatrist C. Employment assistance D. Spiritual advisor

Correct Answer is A

Explanation

A. Social worker: Referring the client to a social worker is appropriate in this situation, as social workers are trained to assist clients with housing issues and connect them to community resources. They can help the client find stable housing, navigate social services, and access additional support needed for successful reintegration into the community.
B. Psychiatrist: While a psychiatrist is essential for managing the client's medication and mental health treatment, they are not specifically focused on addressing housing needs. This referral would not directly assist the client with their immediate concern about housing.
C. Employment assistance: While employment assistance may be beneficial for the client's long-term stability, it does not address the more immediate issue of finding a place to live. The priority should be securing housing before focusing on employment.
D. Spiritual advisor: While a spiritual advisor may provide emotional and spiritual support, they are not equipped to address practical needs like housing. This referral would not directly assist the client with their current situation regarding homelessness.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. The client suddenly moves to the corner of the room and shouts, "Get it away from me!" Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is planning discharge for a client who has schizophrenia and reports "I don't have a place to live." Which of the following referrals should the nurse request from the provider?

Correct Answer is A

Explanation

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