UP CHO - 10 September 2021
Mental Health Nursing
Easy
Which of the following is the most appropriate definition of disorganized type of schizophrenia?
Appeared in: UP CHO - 10 September 2021
Explanation
- Disorganized schizophrenia is defined by disorganized speech, disorganized behavior, and inappropriate or flat affect.
- Catatonic symptoms are absent in this subtype.
- Patients often show poor self-care and regression.
- The key differentiator is the predominance of disorganization in thought, behavior, and affect.
Why Other Options Were Wrong
- Option A: This describes undifferentiated schizophrenia, which is diagnosed when a patient meets general criteria for schizophrenia but does not fit any specific subtype.
- Option B: This describes paranoid schizophrenia, which is characterized by prominent delusions and auditory hallucinations, not disorganization.
- Option D: This describes catatonic schizophrenia, which is defined by motor immobility, excessive motor activity, and negativism, not disorganization of speech or affect.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition and clinical features of disorganized (hebephrenic) schizophrenia as background academic context rather than a clinical decision trigger.
- Nurses must recognize disorganized schizophrenia to provide targeted care, especially for self-care deficits and safety concerns.
- Patients may require assistance with hygiene, nutrition, and structured routines due to regression and poor organization.
- What if? If the patient displayed extreme motor immobility or negativism, the diagnosis would shift toward catatonic schizophrenia, changing both management and safety precautions.
How to Approach the Question
- Identify the core clinical features described in each option.
- Recall the defining symptoms of each schizophrenia subtype.
- Exclude options that describe other subtypes (paranoid, catatonic, undifferentiated).
- Match the option that specifically mentions disorganized speech, behavior, and inappropriate affect without catatonic features.
Concept Tested & Keywords
- Concept Tested: Definition and clinical features of disorganized (hebephrenic) schizophrenia
- Stem keywords: disorganized type, schizophrenia, definition
- Lead-in keywords: most appropriate
Question ID
Qg5eNuaRJNFpNp7Vz-VoEv
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1101-1103
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 4737-4739
Practise the full UP CHO - 10 September 2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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