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A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?

A.

Biologically male clients are typically diagnosed earlier than biologically female clients.

B.

Biologically female clients are likely to be diagnosed earlier than biologically born males.

C.

Diagnosis commonly occurs in individuals under the age of 12.

D.

People diagnosed with schizophrenia are more violent than others.

Answer and Explanation

The Correct Answer is A

Rationale:

 

A. Schizophrenia is typically diagnosed earlier in males compared to females, with onset often occurring in late adolescence to early adulthood.

 

B. Biologically female clients are generally diagnosed later in life compared to males.

 

C. Schizophrenia is rarely diagnosed in individuals under the age of 12; it commonly presents in late adolescence or early adulthood.

 

D. People with schizophrenia are not necessarily more violent than others; rather, violence is not a defining characteristic of the disorder.


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Correct Answer is C

Explanation

Rationale:

A. Denial involves refusing to accept reality but is not as characteristic of borderline personality disorder as splitting.

B. Reaction formation involves behaving in a manner opposite to one's true feelings, which is not the primary defense mechanism in borderline personality disorder.

C. Splitting is a common defense mechanism in borderline personality disorder where the client views people or situations as all good or all bad, potentially causing conflict within the healthcare team.

D. Regression involves reverting to earlier developmental stages but does not typically cause division among healthcare providers.

Correct Answer is D

Explanation

Rationale:

A. Self-stigma refers to the internalized negative beliefs a person may have about their own mental illness, not external fears about others.

B. Institutional stigma involves policies or practices within organizations that discriminate against those with mental illness, not individual fears.

C. Cultural stigma refers to societal attitudes and beliefs about mental illness within a specific culture, not individual fears about safety.

D. Public stigma involves widespread negative beliefs and stereotypes about mental illness, which can contribute to fears that individuals with schizophrenia are dangerous to others.

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