Psychotic Disorders no. 4105
QUESTION: The nurse observes that a client diagnosed with schizophrenia is staring into space and doesn't acknowledge the presence of others. At times, the client moves rapidly but then stops and remains in one posture for long periods. What form of schizophrenia is the nurse observing?
✘O a.) Paranoid
✘O b.) Disorganized
✘O c.) Undifferentiated
✓O d.) Catatonic
RATIONALERATIONALE: A client with catatonic schizophrenia shows a lack of responsiveness to the environment. The client may move rapidly or slowly, often alternating between patterns of movement. In many cases, he then poses and appears rigid. The other forms of schizophrenia <font face="LWWSYM">:</font> paranoid, disorganized, undifferentiated, and residual <font face="LWWSYM">:</font> are associated with different patterns of behavior and responses. However, disruption of motor behavior in conjunction with a lack of responsiveness to the immediate environment occurs only in the catatonic form of schizophrenia.
NURSING PROCESS STEP: Assessment
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Knowledge
