Question

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?

Answer 1

Correct Answers:

Symptoms of major depression or mania

Rationale :

🔷 Schizoaffective disorder is characterized by schizophrenic symptoms (hallucinations, delusions) combined with mood disorder symptoms such as major depression or mania.

🔷 The active phase includes psychotic features that occur concurrently with mood episodes or persist for at least 2 weeks without mood symptoms.

🔷 Differentiation from schizophrenia is based on the prominent mood component in schizoaffective disorder.

🔷 Nurses should assess for suicidal ideation during depressive episodes and impulsivity during manic episodes.

🔷 Treatment involves antipsychotics, mood stabilizers, and psychotherapy.

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Answer 2

Correct Answers:

"Your provider will likely schedule you for several treatments over a period of weeks.”

Rationale :

💎 Electroconvulsive therapy (ECT) is administered in multiple sessions, typically 6 to 12 treatments over 2 to 3 weeks, for therapeutic effectiveness in depression.

💎 Treatments are spaced to minimize side effects, particularly short-term memory loss and confusion.

💎 Clients are under general anesthesia and receive muscle relaxants to prevent injury during the procedure.

💎 Nurses should emphasize that ECT is safe and effective for treatment-resistant depression when performed by trained professionals.

💎 Pre-procedure teaching also includes fasting, removal of dentures or jewelry, and post-procedure observation.

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Answer 3

Correct Answers:

Clients are fearful of making decisions.

Rationale :

⏺️ Dependent personality disorder is marked by an excessive need to be cared for, submissive behaviors, and fear of separation.

⏺️Clients have extreme difficulty making independent decisions and often rely on others for reassurance.

⏺️ They may tolerate mistreatment or inconvenience to avoid losing support from caregivers.

⏺️ Nurses should encourage assertiveness training and gradual decision-making to promote independence.

⏺️ Long-term therapy focuses on building self-confidence and autonomy.

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Answer 4

Correct Answers:

Multiple hospitalizations
Unexplained abdominal pain
Excessive thinking about health

Rationale :

Multiple hospitalizations

💎 Frequent and unnecessary hospitalizations with no clear medical diagnosis are a hallmark of factitious disorder, as symptoms are often fabricated or exaggerated.

💎 This pattern reflects the caregiver’s or patient’s desire to assume the sick role and gain medical attention.

💎 Nurses should document this behavior meticulously to assist in proper diagnosis and intervention.

Unexplained abdominal pain

💎 Persistent complaints of abdominal pain without diagnostic confirmation suggest intentionally produced or exaggerated symptoms.

💎 In children, this often occurs due to a caregiver inducing or fabricating illness (factitious disorder imposed on another/Munchausen by proxy).

💎 The focus is on obtaining medical procedures rather than relieving real symptoms.

Excessive thinking about health

💎 Caregivers with factitious disorder demonstrate excessive preoccupation with health, insisting on invasive tests despite normal findings.

💎 In this case, the parent’s defensiveness and insistence on hospitalization strongly indicate factitious behavior.

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Answer 5

Correct Answers:

Mania

Rationale :

💎 Mania is characterized by hyperactivity, increased psychomotor agitation, and poor concentration, which are evident in the client’s pacing and inability to focus during group therapy.

💎 Clients in a manic state often display excessive energy, restlessness, and difficulty remaining seated or engaged in structured activities.

💎 Other common features include rapid speech, flight of ideas, impulsive behaviors, and decreased need for sleep.

💎 Recognizing mania is crucial for implementing safety measures and mood-stabilizing interventions.

💎 Early management helps prevent exhaustion, aggression, or risky behaviors associated with manic episodes.

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Answer 6

Correct Answers:

Displaying extreme mood swings.

Rationale :

💎 Extreme mood swings are a significant warning sign of potential suicide, particularly in adolescents.

💎 Sudden shifts from deep sadness to an unusually elevated mood can indicate a final decision to commit suicide or severe emotional instability.

💎 Nurses should teach students to watch for other warning signs, such as withdrawal, giving away possessions, and verbalizing hopelessness.

💎 Early identification allows for timely referral to mental health professionals.

💎 Suicide prevention education promotes awareness, early intervention, and peer support.

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Answer 7

Correct Answers:

The need for resources increases as the disease progresses into adulthood.

Rationale :

🔷 Schizophrenia often begins in late adolescence or early adulthood and requires long-term medical, psychological, and social support.

🔷 As the disorder progresses, clients need continuous medication management, psychosocial rehabilitation, and vocational assistance.

🔷 Family and community resources become critical to maintaining functional independence and preventing relapse.

🔷 Co-occurring mental health illnesses, such as depression or substance use, are common and increase care complexity.

🔷 Early education helps clients and families understand the chronic nature of schizophrenia and the importance of ongoing support.

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Answer 8

Correct Answers:

"All sharp objects should be removed from the client's room."

Rationale :

🟣Removing sharp or potentially harmful objects is a primary safety intervention in suicide prevention.

🟣Clients on suicide precautions should be placed in safe, closely monitored environments.

🟣 Nurses should also implement 1:1 observation, frequent safety checks, and secure storage of personal items.

🟣 Teaching family members about suicide prevention is important, but immediate environmental safety is the nurse’s responsibility.

🟣 Prioritizing safety prevents self-harm and potential fatal attempts.

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Answer 9

Correct Answers:

Diabetes mellitus

Rationale :

🔷 Schizophrenia is commonly associated with metabolic comorbidities, particularly diabetes mellitus, due to antipsychotic medication side effects (weight gain, insulin resistance).

🔷 Lifestyle factors, including poor diet and low physical activity, also contribute to this risk.

🔷 Regular monitoring of blood glucose, lipid profile, and weight is essential in managing comorbid conditions.

🔷 Addressing physical health improves overall quality of life and psychiatric outcomes.

🔷 Nurses should educate clients on healthy lifestyle changes to minimize metabolic complications.

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Answer 10

Correct Answers:

Assess the client's vital signs.

Rationale :

💎 Clients with somatic symptom disorder may develop real physical conditions; therefore, all new or acute symptoms must be assessed thoroughly.

💎 Chest pain warrants immediate evaluation to rule out cardiac or other medical emergencies.

💎 Vital signs assessment ensures that life-threatening conditions are not overlooked due to psychiatric history.

💎 Once acute medical issues are ruled out, supportive interventions such as relaxation techniques can be reinforced.

💎 Nurses must maintain a nonjudgmental approach to build trust and ensure ongoing care.

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QLexNursing

1 :
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?

2 :
A nurse is reinforcing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?

3 :
A nurse is planning care for several clients. The nurse knows that which of the following findings are common in clients who have who have dependent personality disorder?

4 :
A nurse is caring for a school-age client in an outpatient clinic.

Answer Options

5 :
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?

6 :
A school nurse is assisting in the planning a presentation on identifying potential warning Signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the presentation?

7 :
A nurse is assisting in teaching a client who has been newly diagnosed with schizophrenia. Which of the following

8 :
A nurse on an inpatient mental health unit is reinforcing teaching to a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information?

9 :
A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?

10 :
A nurse on an inpatient unit is caring for a client who has somatic symptom disorder. The client comes to the nurse's station and reports chest pain. The nurse knows this is a new symptom for the client. Which of the following actions should the nurse take?

QLexNursing

1 : 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?

2 : A nurse is reinforcing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?

3 : A nurse is planning care for several clients. The nurse knows that which of the following findings are common in clients who have who have dependent personality disorder?

4 : A nurse is caring for a school-age client in an outpatient clinic.

Answer Options

5 : 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?

6 : A school nurse is assisting in the planning a presentation on identifying potential warning Signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the presentation?

7 : A nurse is assisting in teaching a client who has been newly diagnosed with schizophrenia. Which of the following

8 : A nurse on an inpatient mental health unit is reinforcing teaching to a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information?

9 : A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?

10 : A nurse on an inpatient unit is caring for a client who has somatic symptom disorder. The client comes to the nurse's station and reports chest pain. The nurse knows this is a new symptom for the client. Which of the following actions should the nurse take?

1 :
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?

2 :
A nurse is reinforcing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide?

3 :
A nurse is planning care for several clients. The nurse knows that which of the following findings are common in clients who have who have dependent personality disorder?

4 :
A nurse is caring for a school-age client in an outpatient clinic.

5 :
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?

6 :
A school nurse is assisting in the planning a presentation on identifying potential warning Signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the presentation?

7 :
A nurse is assisting in teaching a client who has been newly diagnosed with schizophrenia. Which of the following

8 :
A nurse on an inpatient mental health unit is reinforcing teaching to a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information?

9 :
A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?

10 :
A nurse on an inpatient unit is caring for a client who has somatic symptom disorder. The client comes to the nurse's station and reports chest pain. The nurse knows this is a new symptom for the client. Which of the following actions should the nurse take?