Galen College
Q1. Which finding is considered a positive symptom of
schizophrenia?
A) Auditory hallucinations
B) Flat affect
C) Avolition
D) Social withdrawal
Correct Answer: A) Auditory hallucinations
Rationale: Positive symptoms are additions to normal functioning and include
hallucinations, delusions, disorganized speech, and disorganized behavior.
Q2. Which finding is considered a negative symptom of
schizophrenia?
A) Delusion
B) Hallucination
C) Flat affect
D) Disorganized speech
Correct Answer: C) Flat affect
Rationale: Negative symptoms reflect loss or reduction of normal functions
and include flat affect, anhedonia, avolition, alogia, and social withdrawal.
Q3. A patient hears voices commenting on behavior when no one
else is present. Which symptom is demonstrated?
A) Delusion
B) Hallucination
C) Obsession
D) Illusion
Correct Answer: B) Hallucination
Rationale: A hallucination is a sensory perception that occurs without an
external stimulus. Auditory hallucinations are common in schizophrenia.
Q4. A patient believes that strangers are secretly planning to harm
them despite no evidence. Which symptom is this?
A) Hallucination
B) Delusion
,C) Compulsion
D) Illusion
Correct Answer: B) Delusion
Rationale: A delusion is a fixed false belief that persists despite evidence that
contradicts the belief.
Q5. Which type of delusion involves the belief that others are
plotting against or trying to harm the patient?
A) Persecutory
B) Grandiose
C) Somatic
D) Nihilistic
Correct Answer: A) Persecutory
Rationale: Persecutory delusions involve false beliefs that an individual is
being watched, followed, threatened, deceived, or harmed.
Q6. Which type of delusion involves an exaggerated belief in one's
importance, abilities, or identity?
A) Somatic
B) Grandiose
C) Persecutory
D) Nihilistic
Correct Answer: B) Grandiose
Rationale: Grandiose delusions involve unrealistic beliefs of exceptional
power, identity, wealth, intelligence, or importance.
Q7. A patient insists that a healthy organ is diseased despite
repeated normal examinations. Which type of delusion may this
represent?
A) Somatic
B) Persecutory
C) Grandiose
D) Referential
Correct Answer: A) Somatic
Rationale: Somatic delusions involve false beliefs about the body or bodily
functioning.
, Q8. A patient believes that television commentators are speaking
specifically to them. Which type of delusion is this?
A) Grandiose
B) Referential
C) Somatic
D) Nihilistic
Correct Answer: B) Referential
Rationale: A delusion of reference occurs when a person believes that neutral
events, statements, or media messages have special personal significance.
Q9. A patient states, “The government has implanted a device in my
brain that controls all my actions.” Which delusion is most
consistent with this belief?
A) Delusion of control
B) Somatic delusion
C) Grandiose delusion
D) Nihilistic delusion
Correct Answer: A) Delusion of control
Rationale: A delusion of control involves the belief that one's thoughts,
feelings, or behaviors are being controlled by an outside force.
Q10. Which symptom involves severely disorganized thinking that
may make speech difficult to follow?
A) Flat affect
B) Disorganized speech
C) Avolition
D) Anhedonia
Correct Answer: B) Disorganized speech
Rationale: Disorganized speech results from disrupted thought processes and
may involve loose associations, illogical connections, or incoherent
communication.
Q11. Which negative symptom involves decreased motivation to
initiate and complete activities?
A) Avolition
B) Hallucination