Psychotic Disorders no. 4045

Psychotic Disorders no. 4045

QUESTION: Which of the following groups of characteristics would the nurse expect to see in the client with schizophrenia?

✓O a.) Loose associations, grandiose delusions, and auditory hallucinations
✘O b.) Periods of hyperactivity and irritability alternating with depression
✘O c.) Delusions of jealousy and persecution, paranoia, and mistrust
✘O d.) Sadness, apathy, feelings of worthlessness, anorexia, and weight loss

RATIONALE

RATIONALE: Loose associations, grandiose delusions, and auditory hallucinations are all characteristic of the classic schizophrenic client. These clients aren't able to care for their physical appearance. They frequently hear voices telling them to do something either to themselves or to others. Additionally, they verbally ramble from one topic to the next. Periods of hyperactivity and irritability alternating with depression are characteristic of bipolar or manic disease. Delusions of jealousy and persecution, paranoia, and mistrust are characteristics of paranoid disorders. Sadness, apathy, feelings of worthlessness, anorexia, and weight loss are characteristics of depression.
NURSING PROCESS STEP: Assessment
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Knowledge