Question 1

A patient who is being evaluated in the emergency room says that she is a mother deity,the earth mother god who is all-powerful.The psychiatric advanced practice nurse states that the patient is&#10;A)Experiencing a delusion&#10;B)Experiencing a hallucination&#10;C)Experiencing impaired impulse control&#10;D)Experiencing an acute stress reaction

Accepted Answer

The patient's belief that she is a mother deity is a delusion, which is a fixed false belief that is not based in reality. A hallucination involves perceiving something that is not actually present, impaired impulse control refers to difficulty controlling one's behavior, and an acute stress reaction is a response to a traumatic event.

Question 2

It has been suggested that reduced volume of the temporal lobe is related to&#10;A)Persistence of negative symptoms&#10;B)Severity of auditory hallucinations&#10;C)Deficits in working memory&#10;D)Impairment of motor coordination

Accepted Answer

Severity of auditory hallucinations

Question 3

When used for treatment of a patient with schizophrenia,typical antipsychotics could be expected to be most effective for which of the following symptoms?&#10;A)Social isolation&#10;B)Ineffective individual coping&#10;C)Hallucinations&#10;D)Lack of ability to make decisions

Accepted Answer

Typical antipsychotics are effective in treating positive symptoms of schizophrenia such as hallucinations and delusions. They work by blocking dopamine receptors in the brain, which can reduce the severity and frequency of these symptoms. Social isolation, ineffective coping, and lack of decision-making abilities are negative symptoms of schizophrenia and are generally not as responsive to typical antipsychotic treatment.

Question 4

Which of the following features is associated with positive outcome among patients with schizophrenia?&#10;A)Younger age of onset&#10;B)Male gender&#10;C)Living in an industrialized country&#10;D)Having positive symptoms

Accepted Answer

Positive symptoms of schizophrenia, such as hallucinations and delusions, are often more responsive to treatment than negative symptoms (e.g., lack of emotion, social withdrawal), which can lead to a more positive outcome for patients.

Question 5

An atypical antipsychotic would be expected to work better than a typical antipsychotic for which of the following symptoms?&#10;A)Hallucinations&#10;B)Delusions&#10;C)Paranoia&#10;D)Cognitive dysfunction

Accepted Answer

Atypical antipsychotics are known to have a greater effect on cognitive dysfunction than typical antipsychotics. While both types of medications can be effective for treating hallucinations, delusions, and paranoia, atypical antipsychotics have been found to have less severe side effects and may be more effective for treating negative symptoms and cognitive dysfunction.

Question 6

A patient states that she hears voices telling her that she should kill herself.The psychiatric advanced practice nurse states that the patient is&#10;A)Experiencing delusions&#10;B)Experiencing hallucinations&#10;C)Experiencing an aura&#10;D)Experiencing a dissociative state

Accepted Answer

The patient is experiencing hallucinations, as she is hearing voices that are not actually present. Delusions involve holding false beliefs, auras are associated with seizures, and dissociative states involve a disruption of one's sense of identity or consciousness.

Question 7

Men with schizophrenia have&#10;A)An older age of onset&#10;B)Fewer negative symptoms&#10;C)A more favorable premorbid history&#10;D)A less favorable course

Accepted Answer

Men with schizophrenia tend to have a less favorable course, with more severe symptoms and greater functional impairment compared to women with schizophrenia. This may be related to differences in brain structure and hormone levels between men and women. While there may be some variability in age of onset and premorbid history among individuals with schizophrenia, this is not consistently different between men and women. Similarly, negative symptoms (such as reduced emotional expression and motivation) are common in both men and women with schizophrenia.

Question 8

Abnormalities of motor function characterized by a marked lack of motion or remaining in one posture are most characteristic of which subtype of schizophrenia?&#10;A)Paranoid&#10;B)Catatonic&#10;C)Disorganized&#10;D)Undifferentiated

Accepted Answer

Catatonic subtype of schizophrenia is characterized by motor abnormalities such as remaining in one posture or a marked lack of motion. This subtype also includes symptoms such as echolalia (repeating others' words) and echopraxia (imitating others' movements).

Question 9

A patient who has just been started on Haldol 5 mg po bid is complaining of a sudden painful stiff neck and jaw muscles.This is most likely&#10;A)Akinesia&#10;B)Akathisia&#10;C)Dystonia&#10;D)Somatization

Accepted Answer

The symptoms described are indicative of acute dystonia, a possible side effect of Haldol. It is characterized by painful muscle spasms, particularly in the neck and jaw muscles. Akinesia refers to slowness or lack of movement, akathisia refers to restlessness or inability to sit still, and somatization refers to physical symptoms without a clear organic cause.

Question 10

Brain imaging techniques have revealed which one of the following anatomic changes in some people with schizophrenia?&#10;A)Increased blood flow in the prefrontal area&#10;B)Increased ventricular size&#10;C)Increased brain activity in the frontal area&#10;D)Enlargement of the thalamus

Accepted Answer

Brain imaging studies have consistently shown increased ventricular size in some people with schizophrenia, indicating loss of brain tissue. This finding is thought to be related to the cognitive deficits and negative symptoms observed in schizophrenia.

Deck 15: Schizophrenia and Schizoaffective Disorder