Author Question: Which client with schizophrenia would be expected to have the lowest score in global assessment of ... (Read 90 times)

Lobcity · **on:** Jul 19, 2018

Which client with schizophrenia would be expected to have the lowest score in global assessment of
functioning?

a. Client A, aged 39 years, who had paranoid ideation develop at age 35 years
b. Client B, aged 40 years, who has had disorganized schizophrenia since age 18
years
c. Client C, diagnosed as catatonic at age 24 years, who has been stable for 3 years
d. Client D, aged 19 years, diagnosed with undifferentiated schizophrenia at age 17
years

Question 2

Select the best outcome for a client with the nursing diagnosis of impaired social interaction related
to sociocultural dissonance, as evidenced by client stating Although I'd like to, I don't join in
because I don't speak the language

so good.. Client will
a. cooperate with others.
b. become more independent.
c. express a desire to interact with others.
d. consistently participate in unit group activity of his choice.

T4T · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Disorganized schizophrenia represents the most regressed and socially impaired of all the
schizophrenias. Client B could logically be expected to have the lowest global assessment of
functioning. In addition, the client has been ill for a number of years. Option A: Client A could be
expected to have the highest score because paranoid schizophrenia of short duration may be less
impairing than other types. Option C: Client C has been stable more than 3 years, suggesting higher
functional ability. Option D: Client D has been ill only 2 years, and disability in undifferentiated
schizophrenia remains fairly stable over time.

Answer to Question 2

ANS: D
The outcome describes social involvement on the part of the client. Neither cooperation nor
independence has been an issue. The client has already expressed a desire to interact with others.