A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?
Biologically male clients are typically diagnosed earlier than biologically female clients.
Biologically female clients are likely to be diagnosed earlier than biologically born males.
Diagnosis commonly occurs in individuals under the age of 12.
People diagnosed with schizophrenia are more violent than others.
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 A
Explanation
Rationale:
A. Offering information about a support group is a supportive measure that can help the client manage their condition while parenting.
B. Encouraging children to visit the psychiatric unit may not be appropriate or therapeutic for the client or the children.
C. Suggesting that the children live with other relatives is a significant intervention that may not be necessary without further assessment.
D. Notifying child protective services is not warranted unless there is clear evidence of child neglect or abuse.
Correct Answer is B
Explanation
Rationale:
A. A sense of power from restricting food intake is more indicative of anorexia nervosa, not bulimia nervosa.
B. An emotional high during binge-purge episodes is consistent with bulimia nervosa, as individuals with this disorder often experience a temporary sense of relief or pleasure during these episodes.
C. While bingeing and purging in secret can be a behavior seen in bulimia nervosa, the statement does not directly address the emotional aspects of the disorder.
D. Using laxatives solely for constipation is not specific to bulimia nervosa; it is a broader symptom management issue.