Which assessment observation supports a patient's diagnosis of disorganized schizophre-nia?
a. Reports suicidal ideations
b. Last relapse was 6 years ago
c. Consistent inappropriate laughing
d. Believes that "the government is out to get me"
ANS: C
The presence of disorganization and inappropriate affect identifies this disorder as disor-ganized schizophrenia. The symptoms of residual schizophrenia have long periods of remis-sion. Schizoaffective disorder presents with severe mood disorders along with symptoms of schizophrenia. Paranoid schizophrenia is characterized by persecutory or grandiose delusions.
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