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 C

Explanation

A. Crying, sharing personal details of relationship problems, monopolizing conversations: While these behaviors may indicate emotional distress or stress, they are not specific red flags for a substance use disorder. Many factors can lead to emotional behaviors that are not necessarily related to substance use.
B. Increased cheerfulness, increased energy, helping other nurses on the shift: Although increased energy might seem positive, it can also be a sign of stimulant use. However, increased cheerfulness and helpfulness alone do not necessarily indicate a substance use disorder and may reflect a temporary mood change.
C. Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications: These behaviors are significant red flags for a substance use disorder. Continually volunteering for overtime may indicate a desire to be near controlled substances, while avoiding witnesses during narcotic waste and needing solitude in the medication room suggests potential misuse or diversion of medications.
D. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings: While increased irritability and outspoken behavior may raise concerns about the nurse's mood or job satisfaction, they are not direct indicators of a substance use disorder. Increased attendance at meetings may even suggest a commitment to the job rather than a problem.

A. Strict parental guidelines contribute to the development of personality disorders. B. Personality disorders are often seen in children under the age of 10. C. Personality disorders often manifest from childhood emotional trauma. D. Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders.

Correct Answer is C

Explanation

A. Strict parental guidelines contribute to the development of personality disorders: While parenting styles can influence personality development, strict parental guidelines alone are not a direct cause of personality disorders. A range of genetic, environmental, and psychological factors contribute to the development of these disorders.
B. Personality disorders are often seen in children under the age of 10: Personality disorders are generally not diagnosed in children under the age of 10, as personality development is still ongoing. Most personality disorders are diagnosed in adolescence or adulthood after personality traits have stabilized.
C. Childhood emotional trauma, such as abuse or neglect, can significantly influence personality development and contribute to the emergence of personality disorders later in life. Traumatic experiences can lead to maladaptive coping mechanisms and dysfunctional relationships, further perpetuating the characteristics of personality disorders as the individual matures.
D. Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders: Socioeconomic status does not determine the likelihood of being diagnosed with personality disorders. These disorders can affect individuals across all socioeconomic backgrounds, and prevalence is not necessarily linked to wealth or social class.

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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

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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