ATI Rn Comprehensive Schizophrenia Exam |115 Questions and Answers

1. Psychotic experiences are characteristic of schizophrenia, but they also occur in people with other disorders. Of the following, they are least likely to occur in people with A. Brain tumors B. Mood disorders C. Substance use disorder D. Specific phobias - D. Specific phobias 2. The psychiatrist who introduced the term dementia praecox was A. Emil kraepelin B. Benjamin rush C. Eugen bleuler D. Philippe pine - A. Emil kraepelin 3. Persecutory delusions, auditory hallucination, and unusual behaviors are examples: A. Positive symptoms B. Cognitive deficits C. Negative symptoms D. Catatonia - A. Positive symptoms 4. Frank has a diagnosis of schizophrenia. When his case man-ager asked what time he went to bed last night, he said," 2 clock frick frock tick tok, and I wont be wearing a mock" A. Loose association B. Thought blocking C. Clang association D. Alogia - C. Clang association 5. Blunted affect, anhedonia,avolition, and psychomotor retardation are examples of: A. Positive symptoms B. Cognitive deficits C. Negative symptoms D. Catatonia - C. Negative symptoms 6. The third category of schizophrenia symptoms is cognitive impairment, which includes: A. Delusions and hallucinations B. Personality and affect splits C. Attention and memory deficits D. Anhedonia and avoliition deficits - C. Attention and memory deficits 7. Richard has schizophrenia, At times, he maintains a rigid posture and is unresponsive to vocal commands. At other times, he repeats what other people say to him. Which subtype of schizophrenia does Richard most likely have ? A. Paranoid B. Undifferentiated C. Catatonic D. Disorganized - C. Catatonic 8. People with schizophrenia who live in developing countries have a better outcome than do people in developed countries because: A. The United States ranks 39th in mental health service provision worldwide B. The chronic nature of schizophrenia is relatively unknown in developing contries C. Alternative fold medicine is as effective as modern medical methods D. Smaller communities and less complex environments offer these people increased social support. - D. Smaller communities and less complex environments offer these people increased social support 9. African Americans are more likely to be given a diagnosis of schizophrenia because: A. They are more likely than white people to suffer from the disorder B. Clinician bias leads to misinterpretation of symptoms C. They more often report episodes of sleep paralysis, which is associated with the disorder. D. All of the above - B. Clinician bias leads to misinterpretation of symptoms 10. in one prospective study, Danish youth were videotaped in a school cafeteria when they were 11 to 13 years old. Twenty nine years later, as adults, some of these individuals had developed schizophrenia. As children, the adults who developed the disorder were: A. Less social and exhibited subtle neuromotor abnormalities B. Eccentric or odd, but without delusion or hallucinations C. Showing early signs of split personality D. Not different from the other children. - A. Less social and exhibited subtle neuromotor abnormalities 11. Schizophrenia usually begins at what stage of life: A. Early childhood B. Middle childhood C. Early adulthood D. Early middle age - C. Early adulthood 12. Shortly after the police told Lucinda that her 12 years old daughter ahd been killed by a hit and run divers, she went into a catatonic state. A few hours later she began to hear voice, and her speech became disorganized. She said that an angel had come to visit her. These symptoms stopped after several days. Lucinda was suffering from A. Catatonic schizophrenia B. Residual schizophrenia C. Schizophrenia form disorder D. Brief psychotic disorder - D. Brief psychotic disorder 13. Individual diagnosed with schizoaffective disorder might be considered to have: A. Both schizophrenia and a depressive disorder B. Only the negative symptoms of schizophrenia plus a mood disorder C. A nonpsychotic mood disorder D. A brief psychotic disorder - A. Both schizophrenia and a depressive disorder 14. The finding that genetically identical twins are not 100% concordant for schizophrenia strongly implies that: A. A uniquely genetic etiology for schizophrenia is unlikely B. Environmental factors must be the cause of schizophrenia spectrum disorders C. Family conflict cannot cause schizophrenia because twins are usually raised in the same family environment D. Mothers must unconsciously treat twins differently, which leads to vulnerability to schizophrenia. - A. A uniquely genetic etiology for schizophrenia is unlikely 15. Among possible prenatal risk factors for schizophrenia, one of the most thoroughly investigated is A. Genital or reproductive infections B. Nutritional deprivation during early gestation C. Severe prenatal maternal stress D. Maternal exposure to the influenza virus - D. Maternal exposure to the influenza virus 16. High levels of emotional involvement, intrusiveness and critical attitudes among family members of people with schizophrenia may negatively affect treatment outcome. This theory is know as: A. Expressed emotion B. Emotional scapegoating C. Family enmeshment D. Emotional stigmatization - A. Expressed emotion 17. Mano has schizophrenia and has developed some unusual movements and tics in his face, mouth, and hands, This condiciton, called tardive dyskinesia, is caused by A. Exposure to the influenza virus in utero B. High EE in a patient's family C. Treatment with typical antippychotic drugs D. A lowering of the white blood cell count. - C. Treatment with typical antippychotic drugs 18. One of the greatest challenges to effective pharmacological treatment of schizophrenia is: A. Correct diagnosis of the condition in the first place B. Medication noncompliance C. Provision of the correct medication, typically an atypical antipscuhotic D. All of the above - B. Medication noncompliance 19. When patients and their families learn about schizophrenia in order to recude family distress and help the patient cope, the process is knows as: A. Psychoeducation B. Cognitive -behavior therapy C. Social skills training D. Psychotherapy - A. Psychoeducation 20. Training that teaches nonverbal skills such as eyes contact, vocal tone, voice volume, and verbal skills such as initiating and maintaining conversations, expressing feelings, and acting assertively, is called: A. Psychoeducation B. Cognitive-behavior therapy C. Social skills training D. Psychotherapy. - C. Social skills training What is tardive dyskinesia? A. Inappropriate vocal utterances accompanies by verbal tics B. Uncontrolled , angry outbursts and inappropriate social behaviors C. Language difficulties D. Abnormal involuntary movements of the mouth an face, and spasmodic movements of limbs and trunk. - D.abnormal involuntary movements of the mouth and face, and spasmodic movements of limbs and trunk 22. Idiosyncratic beliefs that are held despite their preposterousness are _______. A. Negative symptoms B. Hallucinations C. Delucsions D. Disorganized symtoms - C.delusions 23. Sophie had been exhibiting delusions and hallucinations for 17 days. Right before the onset of the psychotic symptoms, her father passed away. Currently, her symptoms seem to have disappeared and she has returned to normal functioning. What psychotic disorder is Sophie exhibiting? A. Brief psychotic disorder B. Delucsional disorder C. Schizoaffective disorder D. Active schizophrenia - A. brief psychotic disorder 24. What neurotransmitter is hypothesized to play a significant role in schizophrenia A. Dopamine B. Epinephrine C. Norepinephrine D. Serotonin - A.dopamine 25. Hallucinations that involve the sense of taste are called A. Olfactory B. Auditory C. Visual D. Gustatory - D.gustatory. 26. Nicole, a 23-year old graduate student, is convinced that she contracted mad cow disease while studying in Great Britain. She has seen many doctors, including neurologists, who all confirm that she is healthy. Despite their reassurances, Nicole continues to believe that she is ill and plans to continue her "doctor shopping" until she is diagnosed with the disease. Nicole does not report any disruptions in her academic, social, or work life. Given this information, Nicole's diagnosis would be A. Delusional disorder B. shared psychotic disorder C. schizoaffective disorder. D. schizophreniform disorder - A.delusional disorder. 27. In ____________ disorder patients exhibit symptoms of both schizophrenia and mood disorders. A. Shared psychotic B. Schizoaffective C. Delusional D. Schizophreniform - B.schizoaffective 28. Antipsychotic medications act by _______ A. Decreasing norepinephrine output B. Increasing serotonin production C. Blocking dopamine receptors D. Enhancing acetylcholine acvitiy - C.blocking dopamine receptors 29. The view that schizophrenic patients tend to drift into the lowest social classes is known as the ____ A. Environmental causion hypothesis B. Biologycal causes hypothesis C. Social selection hypothesis D. Social factors hypothesis - C.social selection hypothesis 30. A component or trait which indicates a vulnerability to a particular disorder is known as a(n) _______ A. Genotype B. Endophenotype C. Phenotype D. Prototype - B.endophenotype 31. When a person is under the age of 18 years and is diagnosed with schizophrenia, the disorder is called A. Childhood- induced schizophrenia B. Early-oneset schizophrenia C. Pre-adult schizophrenia D. Adolescence-induced schizophrenia - B. Early-oneset schizophrenia 32. When medication is not entirely effective in treating psychotic symptoms, it may be supplemented with A. Dialectal-behavioral therapy B. Eye movement desensitization and reprocessing therapy C. Psychotherapy D. Coginive-behavioral therapy - D. Coginive-behavioral therapy 33. The____________ hypothesis is a theory that attempts to explain how drugs and/or alcohol can be used in an attempt to alleviate symptoms of schizophrenia. A. Substance abuse B. Dopamine C. Serotonin D. Self-medication - D. Self-medication 34. When schizophrenia is diagnosed in childhood, A. patients who receive adequate treatment usually improve in adolescence. B. the disorder is usually linked to family environment. C. drug treatments is always effective. D. the disorder is more severe and has a poorer outcome. - D. the disorder is more severe and has a poorer outcome. 35. Positive symptoms of schizophrenia include all of the following EXCEP A. hallucinations B. bizarre behavior C. psychomotor retardation D. delusions - C. psychomotor retardation 36. This negative symptom is one of the most common symptoms of schizophrenia. A. Paranoia B. Grandiose delusions C. Blunted affect D. Hallucinations - C. Blunted affect 37. MRI studies have demonstrated that changes in ventricle size and gray matter quantity among people with schizophrenia A. occur before the emergence of the disorder. B. always lead to the development of the disorder. C. .never lead to the development of the disorder. D. occur as a result of the disorder. - A. occur before the emergence of the disorder