Schizophrenia Q 56
Cersei is diagnosed as having disorganized schizophrenia. Which behaviors would Nurse Sansa most likely assess in the client?
A. Absence of acute symptoms impaired role function.
B. Extreme social withdrawal, odd mannerisms, and behavior.
C. Psychomotor immobility; presence of waxy flexibility.
D. Suspiciousness toward others increased hostility.
Correct Answer: B. Extreme social withdrawal, odd mannerisms, and behavior
Disorganized schizophrenia is characterized by regressive behavior with extreme social withdrawal and frequently odd mannerisms. In the most general sense, disorganized schizophrenia refers to the disorganization of thought processes, behavior, and affect regulation (emotions). The DSM-IV included five subtypes of schizophrenia, including disorganized, paranoid, catatonic, undifferentiated, and residual. The subtypes were removed from the current version of the DSM (DSM-5, released in 2013), as it was determined that they were not helpful when treating the disorder.
Option A: The absence of acute symptoms and impaired role function are more characteristic of residual-type schizophrenia. Residual-type schizophrenia is characterized by a past history of at least one episode of schizophrenia, but the person will currently have no positive symptoms (delusions, hallucinations, disorganized speech or behavior). Symptoms may represent a transition between a full-blown episode and complete remission, or it may continue for years without any further psychotic episodes.
Option C: Psychomotor immobility and presence of waxy flexibility are more indicative of catatonic schizophrenia. Catatonia is a complex combination of psychomotor abnormalities and mood and thought processes. There are at least forty different signs and symptoms that have been associated with catatonia. The Diagnostic and Statistical Manual V has criteria for catatonia with specifiers, including that for schizophrenia.
Option D: Suspiciousness toward others and increased hostility is more characteristic of paranoid schizophrenia. Paranoid schizophrenia is characterized by predominantly positive symptoms of schizophrenia, including delusions and hallucinations. These debilitating symptoms blur the line between what is real and what isn’t, making it difficult for the person to lead a typical life.