Deck 6: Schizophrenia and Other Psychotic Disorders

Question 1

Which of the following is true about Schneiderian 1st rank symptoms (FRS)?

A) They are seen only in Schizophrenia.
B) They are highly characteristic of the deficit syndrome.
C) Thought insertion and thought withdrawal are examples.
D) The DSM-5 continues to emphasize the importance of these symptoms by requiring only one (instead of two) active phase symptoms if this symptom is a FRS.

Answer 1

C

Question 2

Which of the following is false about the Assertive Community Treatment model for Schizophrenia?

A) Although a range of client services are provided, it does not typically include contact with the client's support system.
B) It utilizes brief but frequent contact with clients.
C) It is particularly important for clients at risk for repeated hospitalizations or who have been recently homeless.
D) It attempts to capitalize on client strengths rather than having a sole emphasis on deficit remediation.

Answer 2

A

Question 3

In diagnosing Schizoaffective Disorder according to the DSM-5, which of the following is true?

A) In addition to a period of overlapping mood and psychotic symptoms, there must be a period during the lifetime duration of the illness when psychotic symptoms have been present for 4 weeks in the absence of a major mood episode.
B) The diagnosis cannot be given if the client has previously met the criteria for Schizophrenia; in such cases a comorbid mood disorder (e.g., Major Depressive Disorder) is assigned to account for any periods of overlapping mood symptoms.
C) Mood symptoms must comprise a majority of the total duration of active and residual portions of the illness.
D) If a mood episode that overlaps with psychotic symptoms is a Major Depressive Episode (MDE), one of the MDE symptoms must be loss of interest in usual activities.

Answer 3

C

Question 4

Which of the following is true about informed consent in the treatment of psychotic disorders?

A) Clinicians should assume that individuals with psychotic disorders are decisionally impaired.
B) Decisional capacity can be improved in persons with Schizophrenia using strategies such as information repetition and presenting information through multiple channels (e.g., visual, auditory).
C) The presence of positive symptoms such as delusions and hallucinations is more strongly correlated with decisional capacity than cognitive variables.
D) All of the above

Question 5

Which of the following is true about second generation/atypical agents in the treatment of Schizophrenia?

A) This class of medication is usually prescribed over first-generation medications because of its lower side effect profile (e.g., tardive dyskinesia).
B) The CATIE study confirmed the greater effectiveness of this class of medication compared to first generation medication in reducing psychotic symptoms.
C) Development of the metabolic syndrome is a risk associated with some medications in this class.
D) Both a. and c.

Question 6

The deficit syndrome in Schizophrenia is characterized by enduring _________ symptoms, __________ premorbid adjustment, and ______ frequent resistance to antipsychotic medicine.

A) Negative; poorer; more
B) Negative; poorer; less
C) Positive; better; less
D) Negative; better; more
E) Positive; poorer; more

Question 7

Disorganized speech is a _________ symptom while alogia is a _________ symptom.

A) Delusional; hallucinatory
B) Prodromal; subsyndromal
C) First rank; residual phase
D) Positive; negative

Question 8

Social Skills Training for Schizophrenia:

A) Focuses primarily on verbal communication and not nonverbal communication
B) Requires homework assignments to assist with skills generalization
C) Is most commonly conducted in individual sessions rather than in groups
D) Is strongly and consistently associated with reduced symptoms and relapse/hospitalization rates

Question 9

____________________ is a construct involving critical and/or emotionally overinvolved attitudes held by family towards a psychiatrically ill relative and has been found to predict relapse in Schizophrenia.

A) Expressed Emotion
B) Projective Identification
C) Emotionally Invalidating Environment
D) The Double Bind

Question 10

Schizophrenia interventions focused on exercise and lifestyle changes (e.g., developing healthier eating habits) have received increased attention because:

A) Individuals with Schizophrenia are at increased risk for premature death.
B) The metabolic syndrome is commonly encountered among those with Schizophrenia.
C) Some medications used to treat Schizophrenia (e.g., clozapine, olanzapine, quetiapine) are associated with significant metabolic side effects such as weight gain and glucose and lipid changes.
D) All of the above