HP CHO -9 October 2022
Mental Health Nursing
Easy
All are affective disorders EXCEPT:
Appeared in: HP CHO -9 October 2022
Explanation
- Schizophrenia is a psychotic disorder, not an affective (mood) disorder.
- Affective disorders are characterized by primary disturbances in mood, such as depression and mania.
- Schizophrenia involves psychosis, including hallucinations and delusions, rather than mood disturbance.
- The key differentiator is the primary disturbance: mood in affective disorders, thought/perception in schizophrenia.
Why Other Options Were Wrong
- Option A: Depression is a classic affective (mood) disorder, characterized by persistent sadness, loss of interest, and other mood-related symptoms.
- Option C: Grief is a normal emotional response to loss and is not classified as a psychiatric disorder. However, it is an affective (emotional) reaction and can sometimes lead to clinical depression in predisposed individuals.
- Option D: Euphoria is not a disorder itself but is a symptom commonly seen in mania, which is an affective disorder.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification and differentiation of affective (mood) disorders versus psychotic disorders as background academic context rather than a clinical decision trigger.
- Nurses must distinguish between mood disorders and psychotic disorders for accurate assessment and intervention.
- Misclassifying schizophrenia as a mood disorder can lead to inappropriate treatment and poor patient outcomes.
- What if? If the question asked about symptoms of affective disorders, depression and euphoria would be correct, but schizophrenia would never be included.
How to Approach the Question
- Identify the main concept: affective (mood) disorders versus other psychiatric disorders.
- Look for the negative lead-in (EXCEPT) to find the outlier.
- Recall the definitions and core features of affective disorders and psychotic disorders.
- Eliminate options that are classic mood disorders or mood-related symptoms.
- Select the option that does not fit the affective disorder category.
Concept Tested & Keywords
- Concept Tested: Classification and differentiation of affective (mood) disorders versus psychotic disorders
- Stem keywords: affective disorders, depression, schizophrenia, grief, euphoria
- Lead-in keywords: EXCEPT
- Clinical cues: EXCEPT indicates to find the non-affective disorder
- Negative lead-in flag: EXCEPT
Question ID
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Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 5459-5461, 5377-5379, 5315-5317
Practise the full HP CHO -9 October 2022
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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