The nurse is assisting in the care of a client who is hyperactive, pacing down the hallway, and exhibiting poor concentration during group therapy. When collecting data, the nurse should identify that which of the following is characteristic of the client's manifestations?
Depression
Delusions
Hallucinations
Mania
The Correct Answer is D
A. Depression. Depression is typically characterized by low energy, feelings of sadness, and withdrawal from activities. Hyperactivity and pacing are not consistent with depressive symptoms, as individuals with depression often exhibit psychomotor retardation rather than excessive movement.
B. Delusions. Delusions are fixed, false beliefs that are not based on reality, such as paranoia or grandiosity. While delusions can occur in mania, the client's primary symptoms of hyperactivity, pacing, and poor concentration are more indicative of a manic episode rather than delusional thinking alone.
C. Hallucinations. Hallucinations involve sensory perceptions that occur without external stimuli, such as hearing voices or seeing things that are not there. The client’s symptoms do not indicate hallucinations but rather heightened activity levels and distractibility.
D. Mania. Mania is characterized by hyperactivity, excessive energy, rapid speech, and poor concentration. Pacing and an inability to focus during group therapy suggest an elevated mood state, making mania the most appropriate identification of the client’s manifestations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Diagnosis typically occurs after 40 years of age. Diagnosis typically occurs in late adolescence to early adulthood, not after 40 years of age. While late-onset schizophrenia can occur, it is less common. The disorder usually manifests in the late teens to early 30s, with males often presenting earlier than females.
B. Life expectancy is greater than the general population. Life expectancy is lower than the general population due to factors such as increased risk of suicide, cardiovascular disease, and reduced access to healthcare. The presence of comorbid conditions and lifestyle factors, including smoking and poor diet, further contribute to a shorter lifespan.
C. Co-occurring mental health illnesses are rarely diagnosed. Co-occurring mental health illnesses are frequently diagnosed in individuals with schizophrenia. Conditions such as depression, anxiety disorders, and substance use disorders are common. These comorbidities can complicate treatment and impact overall prognosis.
D. The need for resources increases as the disease progresses into adulthood. The need for resources increases as the disease progresses into adulthood due to worsening functional impairment. Individuals with schizophrenia often require long-term support, including medication management, social services, and rehabilitation programs to maintain stability and quality of life.
Correct Answer is A
Explanation
A. Biologically male clients are typically diagnosed earlier than biologically female clients: Schizophrenia generally presents earlier in males, often between ages 18 and 25, whereas females tend to be diagnosed later, typically between their late 20s and early 30s. This difference is thought to be influenced by hormonal and genetic factors.
B. Biologically female clients are likely to be diagnosed earlier than biologically male clients: Schizophrenia tends to manifest later in females, partly due to the protective effects of estrogen, which may delay the onset of symptoms compared to males.
C. Diagnosis commonly occurs in individuals under the age of 12: Childhood-onset schizophrenia is extremely rare. Most cases present in late adolescence or early adulthood, with symptoms gradually developing over time.
D. People diagnosed with schizophrenia are more violent than others: Individuals with schizophrenia are not inherently more violent than the general population. They are more likely to be victims of violence rather than perpetrators, and when violence does occur, it is often associated with substance use or untreated symptoms.
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