WGU D449 PSYCHOLOGY AND MENTAL
HEALTH LATEST 2026 FINAL ASSESSMENT
EXAM(OA) GRADED A+ COMPLETE 70
QUESTIONS FULLY SOLVED 100%
ORIGINAL|SOLVED
Question 1: A patient with schizophrenia suddenly covers their ears and begins yelling "Stop talking to
me" while sitting alone in a quiet dayroom. Staff confirms no one else is nearby. The nurse recognizes
this presentation as which type of positive symptom?
Delusion of grandeur
Disorganized behavior
Auditory hallucination
Flat affect
Question 2: A patient tells the nurse that government agents have placed cameras inside the hospital
walls and are tracking every move they make. The patient becomes increasingly agitated when staff
try to reassure them. The nurse identifies this fixed false belief as which positive symptom?
Delusion of persecution
Auditory hallucination
Disconnected speech pattern
Disorganized behavior
Question 3: During a nursing assessment, a patient with schizophrenia begins answering questions
about their breakfast but abruptly shifts to discussing weather patterns, then space travel, with no
logical connection between topics. The nurse documents this symptom as which positive finding?
Avolition
, Delusion of reference
Auditory hallucination
Disconnected speech pattern
Question 4: A patient diagnosed with schizophrenia frantically brushes at their arms and legs while
screaming about insects crawling on their skin. The nurse observes no insects anywhere in the room.
The nurse understands this experience best reflects which positive symptom category?
Persecutory delusion
Tactile hallucination
Disorganized behavior
Somatic delusion
Question 5: A patient with schizophrenia calmly informs the nurse that they have been personally
selected by a world leader to redesign the international banking system and refuses medication
because geniuses do not need treatment. The nurse recognizes this presentation as which positive
symptom?
Delusion of grandeur
Disconnected speech
Auditory hallucination
Anergia
Question 6: A nurse is interviewing a patient with schizophrenia who just learned their parent passed
away. The patient shows no facial expression change, speaks in a monotone voice, and displays no
emotional reaction to the news. The nurse documents this as which negative symptom?
Anhedonia
Avolition
Alogia
, Flat affect
Question 7: A patient with schizophrenia previously loved painting and playing guitar. Over the past
month, the patient refuses to attend art therapy and tells the nurse nothing brings them joy anymore.
The nurse identifies this loss of pleasure in previously enjoyed activities as which negative symptom?
Flat affect
Anhedonia
Avolition
Disconnected speech
Question 8: During a therapeutic interaction, the nurse asks a patient with schizophrenia several
open-ended questions about their week. Each time, the patient responds with only one or two words
and offers no elaboration despite encouragement. The nurse identifies this reduced verbal output as
which negative symptom?
Anergia
Flat affect
Alogia
Anhedonia
Question 9: A patient with schizophrenia has stopped showering, refuses to change clothes, and will
not get out of bed to attend group therapy despite having no physical limitations. The nurse
recognizes this inability to initiate purposeful activity as which negative symptom?
Avolition
Alogia
Anhedonia
Flat affect
HEALTH LATEST 2026 FINAL ASSESSMENT
EXAM(OA) GRADED A+ COMPLETE 70
QUESTIONS FULLY SOLVED 100%
ORIGINAL|SOLVED
Question 1: A patient with schizophrenia suddenly covers their ears and begins yelling "Stop talking to
me" while sitting alone in a quiet dayroom. Staff confirms no one else is nearby. The nurse recognizes
this presentation as which type of positive symptom?
Delusion of grandeur
Disorganized behavior
Auditory hallucination
Flat affect
Question 2: A patient tells the nurse that government agents have placed cameras inside the hospital
walls and are tracking every move they make. The patient becomes increasingly agitated when staff
try to reassure them. The nurse identifies this fixed false belief as which positive symptom?
Delusion of persecution
Auditory hallucination
Disconnected speech pattern
Disorganized behavior
Question 3: During a nursing assessment, a patient with schizophrenia begins answering questions
about their breakfast but abruptly shifts to discussing weather patterns, then space travel, with no
logical connection between topics. The nurse documents this symptom as which positive finding?
Avolition
, Delusion of reference
Auditory hallucination
Disconnected speech pattern
Question 4: A patient diagnosed with schizophrenia frantically brushes at their arms and legs while
screaming about insects crawling on their skin. The nurse observes no insects anywhere in the room.
The nurse understands this experience best reflects which positive symptom category?
Persecutory delusion
Tactile hallucination
Disorganized behavior
Somatic delusion
Question 5: A patient with schizophrenia calmly informs the nurse that they have been personally
selected by a world leader to redesign the international banking system and refuses medication
because geniuses do not need treatment. The nurse recognizes this presentation as which positive
symptom?
Delusion of grandeur
Disconnected speech
Auditory hallucination
Anergia
Question 6: A nurse is interviewing a patient with schizophrenia who just learned their parent passed
away. The patient shows no facial expression change, speaks in a monotone voice, and displays no
emotional reaction to the news. The nurse documents this as which negative symptom?
Anhedonia
Avolition
Alogia
, Flat affect
Question 7: A patient with schizophrenia previously loved painting and playing guitar. Over the past
month, the patient refuses to attend art therapy and tells the nurse nothing brings them joy anymore.
The nurse identifies this loss of pleasure in previously enjoyed activities as which negative symptom?
Flat affect
Anhedonia
Avolition
Disconnected speech
Question 8: During a therapeutic interaction, the nurse asks a patient with schizophrenia several
open-ended questions about their week. Each time, the patient responds with only one or two words
and offers no elaboration despite encouragement. The nurse identifies this reduced verbal output as
which negative symptom?
Anergia
Flat affect
Alogia
Anhedonia
Question 9: A patient with schizophrenia has stopped showering, refuses to change clothes, and will
not get out of bed to attend group therapy despite having no physical limitations. The nurse
recognizes this inability to initiate purposeful activity as which negative symptom?
Avolition
Alogia
Anhedonia
Flat affect
