Question 1

Which of the following is not a typical symptom of the catatonic subtype of schizophrenia?

Accepted Answer

Anhedonia is not a typical symptom of the catatonic subtype of schizophrenia. Stupor, echopraxia, and echolalia are common symptoms associated with catatonia. Anhedonia is a symptom often associated with the negative symptoms of schizophrenia, but not specific to the catatonic subtype.

Question 2

Uriah and Byron are roommates at the psychiatric hospital. Uriah tends to fluctuate between periods of excitement and remaining motionless for hours. Byron tends to have bizarre speech and thought patterns as well as odd behaviours. Which diagnoses would be most appropriate for Uriah and Byron?

Accepted Answer

Uriah's symptoms of fluctuating between periods of excitement and remaining motionless for hours are indicative of catatonic schizophrenia, which is characterized by disturbances in movement. Byron's bizarre speech and thought patterns, along with odd behaviors, suggest disorganized schizophrenia, which is characterized by disorganized thinking and behavior.

Question 3

Henry was diagnosed with schizophrenia when he was 17 years old. His symptoms include disorganized speech, blunted and flat affect, and odd behaviour. Which subtype of schizophrenia does Henry likely have?

Accepted Answer

Henry's symptoms of disorganized speech, blunted and flat affect, and odd behaviour are characteristic of the disorganized subtype of schizophrenia.

Question 4

Erin has auditory hallucinations. Her symptoms are prominent but they did not manifest until she was in middle adulthood. Which subtype of schizophrenia does Erin likely have?

Accepted Answer

Erin likely has the Paranoid subtype of schizophrenia, which is characterized by delusions and hallucinations. This subtype often develops later in life and can include auditory hallucinations. The other subtypes (Disorganized, Catatonic, and Residual) do not necessarily have prominent auditory hallucinations as a defining feature.

Question 5

Which of the following best describes the onset and course of the disorganized subtype of schizophrenia?

Accepted Answer

The disorganized subtype of schizophrenia typically has an early onset and follows a continuous course, often showing poor response to treatment. This subtype is characterized by disorganized speech and behavior, and flat or inappropriate affect.

Question 6

Which of the following is false concerning the catatonic subtype of schizophrenia?

Accepted Answer

The answer of Which of the following is false concerning...

Question 7

Who would be most likely to receive a diagnosis of the residual subtype of schizophrenia?

Accepted Answer

The residual subtype of schizophrenia is characterized by a history of at least one episode of schizophrenia, but currently experiencing only negative symptoms such as flat affect, alogia, or avolition. Barnard fits this criteria as he has had two acute episodes of schizophrenia in the past and now experiences only flat affect. Alonzo, Cyrus, and Dudley are experiencing positive symptoms (hallucinations, thought disorder) which do not fit the criteria for the residual subtype.

Question 8

Which of the following is true of people diagnosed with the disorganized subtype of schizophrenia?

Accepted Answer

People diagnosed with the disorganized subtype of schizophrenia may display disorganized speech and behavior, poor hygiene, and lack of social and emotional responsiveness. In extreme cases, they may not take care of their basic needs such as bathing or eating if left alone. Delusions and paranoia are more common in the paranoid subtype of schizophrenia, and emotional stability is not typically associated with any subtype of schizophrenia. Stupor and cataplexy are not commonly associated with any subtype of schizophrenia.

Question 9

Which of the following is true of psychotic episodes in paranoid schizophrenia?

Accepted Answer

Psychotic episodes in paranoid schizophrenia are often triggered by stress, such as major life events, social isolation, or substance use. It is not present in pre-morbid functioning, masked by disorganized behaviours, or confused for alters seen in dissociative identity disorder.

Question 10

Lee's response to the news that the family was moving was, "Who moves you move? (Sigh) Sad, sad (giggle). Let's swim at the park. (Sigh). Walking home, can we walk home from school? NO run home from the store (giggle)." Which subtype of schizophrenia is Lee's response most characteristic of?

Accepted Answer

Lee's response includes scattered and disorganized thoughts, inappropriate affect (laughing during a sad moment), and disordered communication (jumping from one topic to another without obvious connection). These symptoms are most characteristic of the disorganized subtype of schizophrenia.

Question 11

Which subtype of schizophrenia is characterized by disorganized thought and behaviours and emotional disturbances?

Accepted Answer

The disorganized subtype of schizophrenia is characterized by disorganized thought and behaviours, as well as emotional disturbances. Symptoms may include incoherent speech, inappropriate emotional responses, and disorganized movements.

Question 12

Which of the following is not one of the biological theories of schizophrenia discussed in the text?

Accepted Answer

The text does not discuss visible physical deformities as a biological theory of schizophrenia.

Question 13

The onset of Joseph's psychotic episodes has been linked to his stressful lifestyle. He developed delusions and became irritated with anyone who disagreed with his delusions. Which subtype of schizophrenia does Joseph likely have?

Accepted Answer

Joseph's delusions and irritability are characteristic of the paranoid subtype, which is often triggered by stress and is marked by delusions of persecution or grandeur.

Question 14

Which of the following subtypes of schizophrenia is rare and has not been well researched?

Accepted Answer

The catatonic subtype of schizophrenia is rare and has not been well researched. This subtype is characterized by symptoms such as extreme motor immobility or excessive, purposeless movement, unusual postures or gestures, and echoing of speech or movements of others.

Question 15

Summer developed chronic symptoms of schizophrenia at age 22. Thus far her symptoms include disorganized behaviours, thought disruptions, and inappropriate affect. She has been unresponsive to treatment. Which subtype of schizophrenia does Summer most likely have?

Accepted Answer

Summer's symptoms of disorganized behaviours and thought disruptions are indicative of the disorganized subtype of schizophrenia. The inappropriate affect also fits within this subtype. Additionally, the fact that she has been unresponsive to treatment suggests that her symptoms are severe and long-lasting, which is characteristic of the chronic forms of schizophrenia such as the disorganized subtype. The catatonic subtype is characterized by prominent motor symptoms, such as frozen or rigid behaviours, and the paranoid subtype by delusions of persecution or grandeur. The residual subtype describes individuals who have had at least one episode of schizophrenia, but currently only exhibit negative symptoms such as social withdrawal and lack of motivation.

Question 16

How does the prognosis for people with paranoid schizophrenia compare to the prognosis for people with other subtypes of schizophrenia?

Accepted Answer

People with paranoid schizophrenia generally have a better prognosis than those with other subtypes of schizophrenia. They tend to have a later onset of symptoms, fewer negative symptoms, and improved cognitive function. Additionally, individuals with paranoid schizophrenia may be more likely to seek and engage in treatment, which can improve their overall outcome.

Question 17

Which of the following is true of the undifferentiated subtype of schizophrenia?

Accepted Answer

The undifferentiated subtype of schizophrenia is characterized by a mix of various symptoms, such as hallucinations, delusions, disorganized speech, and erratic or abnormal behavior. It typically has an early onset and a chronic course, often resistant to treatment. According to the DSM-5, this subtype is associated with a worse long-term outcome than the paranoid subtype, but better than the disorganized subtype. Therefore, choices A, C, and D are incorrect.

Question 18

Compared to individuals with other subtypes of schizophrenia, which of the following statements is true of individuals with paranoid schizophrenia?

Accepted Answer

Individuals with paranoid schizophrenia exhibit the most prominent delusions and hallucinations, often centered around themes of persecution or distrust. They may experience auditory hallucinations, but their thoughts and behaviour are generally organized and coherent. Individuals with disorganized schizophrenia tend to exhibit the most prominent disorganized behaviour and thoughts, while individuals with catatonic schizophrenia exhibit the most prominent catatonic behaviours. The presence of delusions and hallucinations with a specific theme is not a diagnostic requirement for paranoid schizophrenia.

Question 19

Berta experiences delusions of being controlled by the voices in her computer. She insists that her husband take the computer out of the house. He refuses and insists that she needs to get some help for her problem. Which subtype of schizophrenia does Berta likely have?

Accepted Answer

Berta's delusions of being controlled by the voices in her computer indicate paranoia, which is a key feature of the paranoid subtype of schizophrenia. Residual and disorganized subtypes are characterized by different symptoms, and undifferentiated subtype is used when an individual's symptoms do not fit neatly into any of the other subtypes.

Question 20

Kari acts like a child, speaks in word salads, and does not bathe, dress, or eat if left alone. Which subtype of schizophrenia does Kari most likely have?

Accepted Answer

Kari's symptoms, such as acting like a child, speaking in word salads, and neglecting personal care, are indicative of the disorganized subtype of schizophrenia. This subtype is characterized by disorganized speech, behavior, and affect, which align with the behaviors described.

Quiz 11: Disruptive, Impulse-Control, and Conduct Disorders