Schizophrenia is most often characterized by which assessment finding?
Separate personalities
Mood swings and hostility
Preoccupation with somatic symptoms
Thought disturbances and hallucinations
The Correct Answer is D
Choice A reason: Separate personalities are not a characteristic of schizophrenia; this is a common misconception. The disorder involving separate personalities is more accurately associated with dissociative identity disorder.
Choice B reason: While mood swings and hostility can occur in schizophrenia, they are not defining features of the disorder. Schizophrenia is primarily characterized by psychosis, which includes delusions and hallucinations.
Choice C reason: Preoccupation with somatic symptoms is more commonly associated with somatic symptom disorder, not schizophrenia. Schizophrenia involves a range of symptoms including cognitive and emotional dysfunctions.
Choice D reason: Thought disturbances, such as disorganized thinking, and hallucinations, particularly auditory ones, are hallmark symptoms of schizophrenia and are often used in its assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While it's important to provide support, simply telling the client they have nothing to be ashamed of does not address the underlying issues or feelings the client may be experiencing.
Choice B reason: This response opens a dialogue and allows the client to share their experiences and challenges since the last admission, fostering a therapeutic relationship and understanding.
Choice C reason: This statement could be perceived as judgmental and may make the client feel worse, potentially hindering the therapeutic relationship.
Choice D reason: Asking why they started drinking again could come across as accusatory and may cause the client to become defensive or feel guilty, which is not conducive to recovery.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Nonverbal cues can provide insight into a client's emotional state and intentions that may not be expressed verbally, especially when a client may not be able to communicate effectively due to their condition.
Choice B reason: While psychiatric disorders can affect verbal communication, this is not the primary reason nurses are encouraged to be aware of nonverbal communication.
Choice C reason: Clients may be guarded, but the primary reason for nurses to be aware of nonverbal communication is to gain additional information, not just because clients are guarded.
Choice D reason: Psychiatric disorders affecting thoughts more than physical behaviors does not explain why nonverbal communication is important.
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