A nurse is assessing a client diagnosed with substance induced psychotic disorder (SIPD). What would differentiate this client's symptoms from the symptoms of a client diagnosed with brief psychotic disorder (BPD)?
1. Clients diagnosed with SIPD experience delusions, whereas clients diagnosed with BPD do not.
2. Clients diagnosed with BPD experience hallucinations, whereas clients diagnosed with SIPD do not.
3. Catatonic features may be associated with SIPD, whereas BPD has no catatonic features.
4. Catatonic features may be associated with BPD, whereas SIPD has no catatonic features.
3
Rationale: The diagnosis of SIPD is made when symptoms are directly attributable to substance intoxication or withdrawal. The symptoms are more excessive and more severe than those usually associated with the intoxication or withdrawal syndrome. Hallucinations and delusions are associated with both SIPD and BPD. Catatonic features may be associated with SIPD, whereas BPD has no catatonic features.
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