Deck 10: Schizophrenia Spectrum and Other Psychotic Disorders

Question 1

Rebecca becomes very angry when her counselor asks confrontational questions surrounding Rebecca's romantic relationship with her boss. The counselor may want to consider further investigation of which psychotic-related disorder?

A) Brief psychotic disorder
B) Delusional disorder
C) Borderline personality disorder
D) Schizoaffective disorder

Answer 1

Delusional disorder

Question 2

Which of the following best represents an example of a negative symptom in psychosis?

A) Auditory hallucinations
B) Non-bizarre delusions
C) Disorganized thought
D) Poverty of speech

Answer 2

Poverty of speech

Question 3

Which of the following does not best represent a key symptom of psychosis?

A) Mood
B) Hallucinations
C) Delusions
D) Disorganized behavior

Answer 3

Mood

Question 4

A counselor recommends social skills training for a client diagnosed with schizophrenia. Which best describes the focus of a social skills training intervention?

A) Prescribing antipsychotics
B) Learning appropriate behavior and communication
C) Residential support
D) Inpatient hospitalization

Question 5

Which of the following best represents an example of a positive symptom in psychosis?

A) Poverty of speech
B) Alogia
C) Disorganized behavior
D) Disturbance of affect

Question 6

Roberto is diagnosed with delusional disorder. He reports multiple incidents at work in which his coworkers have tried to steal his clients. Which subtype of delusional disorder best represents Roberto's presenting symptoms?

A) Persecutory
B) Jealous
C) Grandiose
D) Erotomanic

Question 7

Which of the following medications would not likely be prescribed to alleviate psychotic symptoms?

A) Risperidone
B) Buspar
C) Olanzapine
D) Haloperidol

Question 8

Treatment for schizoaffective disorder may include:

A) Antipsychotics, mood stabilizers, and hospitalization
B) Stimulants
C) Schema Therapy
D) Antipsychotics and Acceptance and Commitment Therapy

Question 9

For the past month, Tim has been experiencing delusions, hallucinations, and disorganized speech. Based on these symptoms, which diagnosis would you give to Tim?

A) Schizophrenia
B) Schizoaffective disorder
C) Schizophreniform disorder
D) Delusional disorder

Question 10

After a series of distressful events, Maria requires inpatient hospitalization to stabilize the sudden onset of hallucinations and delusions. After two weeks Maria no longer experiences psychosis and she begins outpatient counseling to improve coping skills. Which of the following best represents the potential diagnosis for Maria?

A) Schizophreniform
B) Schizophrenia
C) Delusional disorder
D) Brief psychotic disorder

Question 11

Caroline presents to counseling with minimal impact to her social or occupational functioning. Her continued presenting problem is that her partner is having an affair. The counselor is unable to ascertain the evidence to support the accusations. Which of the following disorders best represents Caroline's presentation?

A) Borderline personality disorder
B) Bipolar I disorder
C) Delusional disorder
D) Schizoaffective disorder

Question 12

Taylor reports her stomach is porous therefore she will not drink any liquids and only eat bread products. Which of the following best categorizes her presenting symptom?

A) Delusion
B) Hallucination
C) Avolition
D) Echopraxia

Question 13

Gus presents with delusions and hallucinations. The counselor may consider the following disorder(s) during assessment:

A) Psychotic disorders, factitious disorder, and bipolar II disorder
B) Psychotic disorders, factious disorder, and substance induced disorders
C) Bipolar II disorder, substance induced disorders, and anxiety disorders
D) Factitious disorder, bipolar II, and substance-induced disorders

Question 14

Marta consistently references monkelos during her counseling session. The counselor has come to learn that monkelos are evil creatures hiding in walls. Marta is presenting with which of the following positive symptoms:

A) Speech derailment
B) Neologism
C) Echolalia
D) Tactile hallucination

Question 15

Juan is diagnosed with schizophrenia. He has difficulty maintaining personal hygiene and completing household tasks. Which of the following best categorizes his symptoms?

A) Avolition
B) Alogia
C) Auditory hallucination
D) Delusion

Question 16

Theo received inpatient hospitalization three times for symptoms of psychosis. After four months, he stabilizes and no longer presents with a constellation of symptoms. Which of the following best represents a potential diagnosis for Theo?

A) Schizoaffective disorder, bipolar type
B) Schizophrenia
C) Schizoaffective disorder, depressive type
D) Schizophreniform disorder

Question 17

Which of the following indicate a potential for poorer prognosis with psychotic disorders?

A) Negative symptoms
B) Positive symptoms
C) Limited mobility
D) Extreme negativism

Question 18

Which of the following is not a pillar of treatment for schizophrenia?

A) Medication
B) Psychosocial approaches
C) Insight-oriented counseling
D) Rehabilitation services

Question 19

Attention to immediate safety and environmental structuring is most important during which phase of the treatment process for psychotic disorders?

A) Acute
B) Stabilization
C) Stable
D) Maintenance

Question 20

Andre presents to counseling with symptoms of psychosis including delusional thoughts, auditory hallucinations, and disorganized speech. Please describe your assessment process of Andre.

Question 21

Maggie is diagnosed with schizoaffective disorder, bipolar type. Please describe your treatment approach for Maggie.

Question 22

You are working with a client whom you suspect is experiencing a delusional disorder. Describe the challenges of working with this client and how you would overcome them.