A client who has a major depressive episode tells the nurse that, for the past 2 weeks, he has been hearing voices and at times thinks that someone is following him. A history reveals that he has had these alternating symptoms before
He also has experienced time with neither of these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which of the following?
A) Paranoid schizophrenia
B) Undifferentiated schizophrenia
C) Brief psychotic disorder
D) Schizoaffective disorder
Ans: D
Schizoaffective disorder is characterized by intervals of intense symptoms between quiescent periods. At times, there are symptoms of schizophrenia, and at other times, there seems to be a mood disorder. Because the symptoms alternate with quiet periods, schizophrenia, either paranoid or undifferentiated, would not apply. A brief psychotic episode involves symptoms of at least 1 day but less than 1 month, and the onset is sudden. The client generally experiences emotional turmoil or overwhelming confusion and rapid, intense shifts of affect.
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