PMHNP I - SCHIZOPHRENIA & RELATED
DISORDERS EXAM 2 QUESTIONS WITH
VERIFIED ANSWERS
Subtypes of Schizoaffective: - ANSWER-Depressive - when prominent mood symptoms
are of the depressive type only
Bipolar - when predominant mood symptoms are manic or MIXED type
RFs for Schizoaffective - ANSWER-Family hx of Schizophrenia or BiPD
Substance/Medication-Induced Psychotic Disorder - ANSWER-Presence of ONE or
BOTH of the S/S below:
1. Delusions
2. Hallucinations
Symptoms developed during or soon after substance intoxication or withdrawal or after
exposure to a medication.
The substance is capable of production delusions and/or hallucinations.
T/F - A person with schizoaffective disorder experiences the S/S of schizophrenia and an
anxiety disorder. - ANSWER-False - Schizoaffective disorder has symptoms of both
schizophrenia and mood disorders.
Course of Illness:
Episodic Remission and Exacerbation periods
Which symptoms appear first? - ANSWER-Negative S/S appear first, act the illness
develops, positive S/S decrease over time, but negative S/S persist. Negative S/S can be
more DEBILITATING.
What are the factors of good prognosis for schizophrenia? - ANSWER-High level of
premorbid fx
Acute onset
Later age of onset
Clear precipitating event
Good support system
Positive Symptoms
Married or have a partner
The shorter the interval between treatment and onset of first symptoms, the better
Absence of brain abnormalities
No family hx of schizophrenia
Schizophrenia: PE Findings - ANSWER-Abnormal smooth pursuit of eye
movements/abnormal saccadic eye movement (eye darting)
Poor eye-hand coordination
Appear clumsy or awkward
Narrow or wide-set eyes
Subtle malformation of the ears
Highly arched palate
, Schizophrenia: PE Findings - What are the neurological "soft signs"? - ANSWER-
Asteregnosis --> Loss of ability to judge the form of an object by touch
Twitches, tics, rapid eye blinking
Mirroring
Impaired fine-motor movement
Dysdiadochokinesis - impairment of the ability to perform rapidly alternative movements
Lt vs Rt confusion
Schizophrenia: PE Findings - What are the neurological localizing "Hard signs"? -
ANSWER-Weakness
Decreased reflexes
Schizophrenia: MSE Findings - ANSWER-Appearance: Odd, unusual, peculiar
Speech: Bizarre, disorganized, tangential, loose association
Affect: Blunted, flat, or inappropriate
Mood: Bland, impoverished
Thought process: Psychotic, thought insertion or withdrawal
Thought content: Impoverished
Cognition: Illogical, disorganized
Memory: Short-term impairment
Concentration: Difficulty during psychotic episodes
Abstraction: Concrete
Judgment: Impaired for self-welfare
Schizophrenia: Dx and Lab Findings - ANSWER-Enlargement of lateral ventricles
Widened cortical sulk
Decrease in volume of white and gray matter
Decreased volume of temporal lobe
Decreased volume in hippocampus, amygdala, and thalamus.
Shared Psychotic Disorder (Folie A Deux) - ANSWER-Development of a delusion in an
individual that has a close relationship with another person who already has a psychotic
disorder with a prominent delusion.
Assess for the following criteria:
Person usually will have schizophrenia
Dominant person in the relationship
Imposes his or her delusion on the client
Relationship is long-term and very close
Schizophreniform Disorder - ANSWER-Occurs LESS often then schizophrenia
Approximately 1/3 recover COMPLETELY within 6 MONTHS
Remaining 2/3 develop schizophrenia or schizoaffective d/o
TWO or MORE of the following, eat present for a significant portion of time during a ONE
month period. At least one of the S/S must be symptom 1, 2, or 3.
1. Delusions
2. Hallucinations
3. Disorganized Speech
4. Grossly disorganized or catatonic behavior
5. Negative S/S
DISORDERS EXAM 2 QUESTIONS WITH
VERIFIED ANSWERS
Subtypes of Schizoaffective: - ANSWER-Depressive - when prominent mood symptoms
are of the depressive type only
Bipolar - when predominant mood symptoms are manic or MIXED type
RFs for Schizoaffective - ANSWER-Family hx of Schizophrenia or BiPD
Substance/Medication-Induced Psychotic Disorder - ANSWER-Presence of ONE or
BOTH of the S/S below:
1. Delusions
2. Hallucinations
Symptoms developed during or soon after substance intoxication or withdrawal or after
exposure to a medication.
The substance is capable of production delusions and/or hallucinations.
T/F - A person with schizoaffective disorder experiences the S/S of schizophrenia and an
anxiety disorder. - ANSWER-False - Schizoaffective disorder has symptoms of both
schizophrenia and mood disorders.
Course of Illness:
Episodic Remission and Exacerbation periods
Which symptoms appear first? - ANSWER-Negative S/S appear first, act the illness
develops, positive S/S decrease over time, but negative S/S persist. Negative S/S can be
more DEBILITATING.
What are the factors of good prognosis for schizophrenia? - ANSWER-High level of
premorbid fx
Acute onset
Later age of onset
Clear precipitating event
Good support system
Positive Symptoms
Married or have a partner
The shorter the interval between treatment and onset of first symptoms, the better
Absence of brain abnormalities
No family hx of schizophrenia
Schizophrenia: PE Findings - ANSWER-Abnormal smooth pursuit of eye
movements/abnormal saccadic eye movement (eye darting)
Poor eye-hand coordination
Appear clumsy or awkward
Narrow or wide-set eyes
Subtle malformation of the ears
Highly arched palate
, Schizophrenia: PE Findings - What are the neurological "soft signs"? - ANSWER-
Asteregnosis --> Loss of ability to judge the form of an object by touch
Twitches, tics, rapid eye blinking
Mirroring
Impaired fine-motor movement
Dysdiadochokinesis - impairment of the ability to perform rapidly alternative movements
Lt vs Rt confusion
Schizophrenia: PE Findings - What are the neurological localizing "Hard signs"? -
ANSWER-Weakness
Decreased reflexes
Schizophrenia: MSE Findings - ANSWER-Appearance: Odd, unusual, peculiar
Speech: Bizarre, disorganized, tangential, loose association
Affect: Blunted, flat, or inappropriate
Mood: Bland, impoverished
Thought process: Psychotic, thought insertion or withdrawal
Thought content: Impoverished
Cognition: Illogical, disorganized
Memory: Short-term impairment
Concentration: Difficulty during psychotic episodes
Abstraction: Concrete
Judgment: Impaired for self-welfare
Schizophrenia: Dx and Lab Findings - ANSWER-Enlargement of lateral ventricles
Widened cortical sulk
Decrease in volume of white and gray matter
Decreased volume of temporal lobe
Decreased volume in hippocampus, amygdala, and thalamus.
Shared Psychotic Disorder (Folie A Deux) - ANSWER-Development of a delusion in an
individual that has a close relationship with another person who already has a psychotic
disorder with a prominent delusion.
Assess for the following criteria:
Person usually will have schizophrenia
Dominant person in the relationship
Imposes his or her delusion on the client
Relationship is long-term and very close
Schizophreniform Disorder - ANSWER-Occurs LESS often then schizophrenia
Approximately 1/3 recover COMPLETELY within 6 MONTHS
Remaining 2/3 develop schizophrenia or schizoaffective d/o
TWO or MORE of the following, eat present for a significant portion of time during a ONE
month period. At least one of the S/S must be symptom 1, 2, or 3.
1. Delusions
2. Hallucinations
3. Disorganized Speech
4. Grossly disorganized or catatonic behavior
5. Negative S/S
