Which of the following assessment findings in a client who is suspected of having a delusional disorder would be suggestive of a diagnosis of schizophrenia?
A) The client's beliefs are considered delusional but nonbizarre.
B) The client experiences frequent and sustained hallucinations.
C) The client does not have insight into his or her delusions.
D) The client responds to group psychotherapy.
Ans: B
The presence of prominent and sustained hallucinations is suggestive of schizophrenia rather than delusional disorder. Nonbizarre delusions are associated with delusional disorder, and people with either diagnosis lack insight. Response to therapy does not differentiate between the two diagnoses.
You might also like to view...
After teaching the parents of a newborn with retinopathy of prematurity (ROP) about the disorder and treatment, which statement by the parents indicates that the teaching was successful?
A) "Can we schedule follow-up eye examinations with the pediatric ophthalmologist now?" B) "We can fix the problem with surgery.". C) "We'll make sure to administer eye drops each day for the next few weeks.". D) "I'm sure the baby will grow out of it.".
The nurse removes the skin staples of the client's incision. Which does the nurse expect during staple removal?
1. Skin edges separate slightly. 2. Staple end sticks in the skin. 3. Client complains of stinging. 4. Incision drains 30 ml of blood.
A group of children on one hospital unit are all suffering separation anxiety. When determining the stages of separation anxiety,the nurse recognizes that the child in the "despair"phase is the child who
does not cry if parents return and leave again. 2. screams and cries when parentsleave. 3. appears to be happy and contentwith staff. 4. lies quietly in bed.
The nurse is caring for a client who is pregnant with twins. Which statement indicates the client needs additional information?
1. "It is rare for twins to both be within the same amniotic sac." 2. "Because both of my twins are boys, I know that they are identical." 3. "If I have one boy and one girl, I will know they came from two eggs." 4. "If my twins came from one fertilized egg that split, they are identical."