A nursing instructor is developing an education plan for a group ...

[joe]

A nursing instructor is developing an education plan for a group of students about schizophrenia and schizoaffective disorders. The instructor identifies that, in addition to psychosis,
 
  what other condition must be present at the same time for a diagnosis of schizoaffective disorder?
 
  A) Substance abuse
  B) Mood disturbance
  C) Delirium
  D) Anxiety

Question 2

While being interviewed, a client diagnosed with a delusional disorder states, I have this really strange odor coming out of my mouth. I stop to brush my teeth almost every hour and then rinse with mouthwash every half hour to get rid of this smell.
 
  I've seen so many doctors, and they can't tell me what's wrong. The nurse interprets the client's statement as reflecting which type of delusion?
 
  A) Erotomanic
  B) Grandiose
  C) Somatic
  D) Jealous

[mathjasmine]

Answer to Question 1

Ans: B
When psychosis and mood disturbance occur at the same time, a diagnosis of schizoaffective disorder is made. Substance abuse, delirium, or anxieties are not involved with the diagnosis of schizoaffective disorder.

Answer to Question 2

Ans: C
The client's statements reflect a somatic delusion, which involves bodily functions or sensations. Those with somatic delusions use excessive health care resources and often go through elaborate rituals to cleanse themselves or their surroundings. Erotomanic delusions focus on the belief that the client is loved intensely by a loved object, who is usually married, of a higher economic status, or otherwise unattainable. With grandiose delusions, the client is convinced that he or she has a great unrecognized talent or has made an important discovery. Jealous delusions focus on the unfaithfulness or infidelity of a spouse or lover.

[joe]

TYSM

[peter]

Excellent