GALEN COLLEGE OF NURSING NUR 3450 UNIT 9 CHAPTER 12 SCHIZOPHRENIA AND
SCHIZOPHRENIA SPECTRUM DISORDERS QUESTIONS AND ANSWERS | NUR 3450
STUDY GUIDE & PRACTICE TEST 2026/2027
Unit 9 chapter 12- schizophrenia and schizophrenia spectrum disorders
• DSM-V criteria
o Two or more of the following for a significant portion of time in 1 month:
▪ Delusions
▪ Hallucinations
▪ Disorganized speech
▪ Gross disorganization or catatonia
▪ Negative symptoms (diminished emotional expression or avolition)
▪ Functional impairment of some kind
▪ Continuous disturbance for at least 6 months
• Comorbidity of schizophrenia and schizophrenia spectrum disorders
o Substance abuse disorders
▪ Nicotine dependence
o Anxiety, depression, and suicide
o Physical health or illness
o Polydipsia
• Course of the disorder
o Prodromal
▪ Onset; mild changes
o Acute
▪ Exacerbation of symptoms
o Stabilization
▪ Symptoms diminishing
▪ Movement toward previous level of functioning
o Maintenance or residual
▪ New baseline is established
• Positive symptoms:
o Alterations in reality testing
o Delusions that are false or fixed beliefs
o Alterations in speech
o Concrete thinking or inability to think abstractly
• Alterations in speech
o Associative looseness
o Word salad (most extreme form)
▪ Jumble of words meaningless ot a listener
o Clang association
o Words chosen based on sound
o Neologisms
o Meaning for the patient only
o Echolalia
o Pathological repetition of another’s words
o Circumstantiality
o Tangentiality
o Cognitive retardation
o Pressured speech
o Flight of ideas
o Symbolic speech
• Disorders or distortions of thought
o Thought blocking
o Thought insertion
o Thought deletion
, o Magical thinking
o Paranoia
• Alterations in perception
o Depersonalization
o Derealization
o Hallucinations
o Auditory
o Visual
o Olfactory
o Gustatory
SCHIZOPHRENIA SPECTRUM DISORDERS QUESTIONS AND ANSWERS | NUR 3450
STUDY GUIDE & PRACTICE TEST 2026/2027
Unit 9 chapter 12- schizophrenia and schizophrenia spectrum disorders
• DSM-V criteria
o Two or more of the following for a significant portion of time in 1 month:
▪ Delusions
▪ Hallucinations
▪ Disorganized speech
▪ Gross disorganization or catatonia
▪ Negative symptoms (diminished emotional expression or avolition)
▪ Functional impairment of some kind
▪ Continuous disturbance for at least 6 months
• Comorbidity of schizophrenia and schizophrenia spectrum disorders
o Substance abuse disorders
▪ Nicotine dependence
o Anxiety, depression, and suicide
o Physical health or illness
o Polydipsia
• Course of the disorder
o Prodromal
▪ Onset; mild changes
o Acute
▪ Exacerbation of symptoms
o Stabilization
▪ Symptoms diminishing
▪ Movement toward previous level of functioning
o Maintenance or residual
▪ New baseline is established
• Positive symptoms:
o Alterations in reality testing
o Delusions that are false or fixed beliefs
o Alterations in speech
o Concrete thinking or inability to think abstractly
• Alterations in speech
o Associative looseness
o Word salad (most extreme form)
▪ Jumble of words meaningless ot a listener
o Clang association
o Words chosen based on sound
o Neologisms
o Meaning for the patient only
o Echolalia
o Pathological repetition of another’s words
o Circumstantiality
o Tangentiality
o Cognitive retardation
o Pressured speech
o Flight of ideas
o Symbolic speech
• Disorders or distortions of thought
o Thought blocking
o Thought insertion
o Thought deletion
, o Magical thinking
o Paranoia
• Alterations in perception
o Depersonalization
o Derealization
o Hallucinations
o Auditory
o Visual
o Olfactory
o Gustatory
