Question 1

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

Accepted Answer

Schneiderian first-rank symptoms (FRS) include experiences such as thought insertion, thought withdrawal, and other phenomena where the patient feels their thoughts are being interfered with or controlled by an external force. These symptoms are not exclusive to schizophrenia, nor are they specifically tied to the deficit syndrome. The DSM-5 does not require only one active phase symptom if a symptom is a FRS; this was a consideration in earlier diagnostic criteria but has been adjusted in DSM-5 to focus on a broader range of symptoms for diagnosis.

Question 2

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

Accepted Answer

The Assertive Community Treatment (ACT) model for Schizophrenia typically includes intensive involvement with the client's support system, contrary to the statement in option A. This model is known for its comprehensive approach, which often involves working closely with family members and other supports to ensure the client's needs are met across various aspects of their life.

Question 3

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

Accepted Answer

Mood symptoms must be present for the majority of the total duration of the illness, distinguishing Schizoaffective Disorder from Schizophrenia with mood features.

Question 4

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

Accepted Answer

Decisional capacity in individuals with psychotic disorders, such as schizophrenia, can indeed be enhanced through various strategies. These include repeating information and using multiple methods to present information, such as both visual and auditory channels. This approach helps ensure that patients better understand the information necessary for informed consent, despite the challenges posed by their condition.

Question 5

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

Accepted Answer

Second-generation or atypical antipsychotics are often preferred over first-generation antipsychotics due to their lower risk of extrapyramidal side effects, including tardive dyskinesia. However, they are associated with an increased risk of metabolic syndrome, which includes conditions like weight gain, diabetes, and dyslipidemia. The CATIE study did not find a significant difference in overall effectiveness between first- and second-generation antipsychotics.

Question 6

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

Accepted Answer

Negative symptoms are enduring symptoms of schizophrenia. Poorer premorbid adjustment is also a characteristic of schizophrenia. More frequent resistance to antipsychotic medicine is also a characteristic of schizophrenia.

Question 7

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

Accepted Answer

Disorganized speech is a positive symptom because it represents an excess or distortion of normal functions, while alogia (poverty of speech) is a negative symptom because it represents a diminution or loss of normal functions.

Question 8

Social Skills Training for Schizophrenia:

Accepted Answer

Social Skills Training for Schizophrenia often includes homework assignments to help individuals practice and generalize the skills learned in sessions to real-world situations.

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.

Accepted Answer

Expressed Emotion (EE) is a measure of the family environment that is based on how family members speak about the patient during a private interview with a researcher. High levels of EE within a family, characterized by critical comments, hostility, and emotional overinvolvement, have been linked to higher rates of relapse in individuals with schizophrenia.

Question 10

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

Accepted Answer

Exercise and lifestyle changes are emphasized in schizophrenia management due to the increased risk of premature death, high prevalence of metabolic syndrome, and significant metabolic side effects from antipsychotic medications.

Quiz 6: Schizophrenia and Other Psychotic Disorders

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