Schizophrenia

Q1: In Schizophrenia psychotic symptoms such as hallucinations delusions, disorganised speech and
grossly disorganised or catatonic behaviours are known as:

A. Negative symptoms
B. Positive symptoms
C. Mediating symptoms
D. Catastrophic symptoms

Q2: Misinterpretation of perceptions or experiences in Schizophrenia are known as:

A. Hallucinations
B. Misperceptions
C. Delusions
D. Avolition

Q3: Which of the following refers to when an individual with Schizophrenia believes they are someone
with fame or power?

A. Delusions of grandeur
B. Delusions of control
C. Delusions of reference
D. Nihilistic delusions

Q4: In Schizophrenia the when an individual believes that messages are being sent directly to him or her,
this is referred to as

A. Delusions of persecution
B. Nihilistic delusions
C. Delusions of reference
D. Delusions of persecution

Q5: Schizophrenia when an individual believes they are in danger, this is referred to as:

A. Delusions of grandeur
B. Delusions of persecution
C. Delusions of control
D. Nihilistic delusions

Q6: Which of the following ways might hallucinations be experienced in Schizophrenia,?

a. Auditory
b. Olfactory
 c. Gustatory
d. All of the above

Q7: In Schizophrenia a reality-monitoring deficit refers to which of the following:

A. Problems distinguishing between thoughts and ideas they generated themselves

B. Problems with memory loss
C. Problems with spatial ability
D. Problems distinguishing between what actually occurred and what did not

Q8: Which of the following come under the term disorganized speech In Schizophrenia?

A. Derailment
B. Loose associations
C. Word salads
D. All of the above

Q9: 'poverty of content' in Schizophrenia is when::

A. Speech appears to be detailed in terms of numbers of words, but is grammatically

incorrect
B. A tendency to jump from one topic to another within a sentence
C. Poor use of vocabulary
D. Poor use of grammar

Q10: Catatonic Behavior in Schizophrenia is characterized by which if the following:

A. Resisting attempts to be moved

B. Maintaining rigid, immobile postures
C. Decrease in reactivity to the environment
D. All of the above

Q11: Grossly Disorganized Behavior in Schizophrenia is characterized by which of the following?

A. Behavior may be childlike and silly and inappropriate for the person's chronological age
B. Behavior may be inappropriate to the context
C. Behavior may be unpredictable and agitated
D. All of the above

Q12: Affective flattening in Schizophrenia is characterized by which of the following

A. Expressionless and unresponsive facial appearance

B. Lack of eye contact
C. Monotonous voice tone
D. All of the above
Q13: In Schizophrenia, the term anhedonia refers to?

A. An inability to enjoy food

B. An inability to express empathy
C. An inability to react to enjoyable or pleasurable events
D. An inability to react appropriately to social cues

Q14: Paranoid schizophrenia is a sub-type of Schizophrenia which is characterized by:

A. The presence of disorganized behavior and flat or inappropriate affect

B. The presence of delusions or auditory hallucinations
C. The severe disturbances of motor behavior
D. A lack of prominent positive symptoms with evidence of on-going negative symptoms

Q15: A sub-type of Schizophrenia known as Catatonic schizophrenia is characterized by:

A. The severe disturbances of motor behavior

B. The presence of disorganized behavior and flat or inappropriate affect
C. The presence of delusions or auditory hallucinations
D. A lack of prominent positive symptoms with evidence of on-going negative symptoms

Q16: A sub-type of Schizophrenia known as Residual Type schizophrenia is characterized by:

A. The presence of delusions or auditory hallucinations

B. A lack of prominent positive symptoms with evidence of on-going negative symptoms
C. The presence of disorganized behavior and flat or inappropriate affect
D. The severe disturbances of motor behavior

Q17: In the Prodromal stage in Schizophrenia which of the following symptoms are evident:

A. Slow withdrawal from normal life and social interaction

B. Shallow and inappropriate emotions
C. Deterioration in personal care
D. All of the above

Q18: In the Active Stage in Schizophrenia which of the following symptoms are evident?

A. Delusions
B. Disordered speech and communication
C. Hallucinations
D. All of the above

Q19: When blood samples are collected in order to study the inheritance patterns within families that
have members diagnosed with schizophrenia. This is known as:

A. Genetic linkage analyses

 B. Hemo-predisposition analysis
C. Genetic blood work
D. Psychoz-biological analysis

Q20: The biochemical theory of schizophrenia known as the Dopamine hypothesis refers to:

A. Insufficient Dopamine activity

B. Contaminated Dopamine
C. Excess Dopamine activity
D. Allergic sensitivity to Dopamine

Q21: Antipsychotic drugs such as the phenothiazine’s are used to help treat Schizophrenia, by:

A. Blocking the brain's dopamine receptor sites and so reducing dopamine activity
B. Increasing brain Dopamine activity
C. Replacing Dopamine with Norepinephrine
D. Preventing re-uptake of Serotonin

Q22: According to psychodynamic theories of Schizophrenia psychosis is caused by regression to a

previous ego state. This is known as:

A. Ego Defense
B. Discounting
C. Primary narcissism
D. Primary reformulation

Q23: A client with schizophrenia is prescribed second-generations antipsychotic. The client's mother
asks, "About how long will it take until we see any changes in his symptoms?" Which response by the
nurse would be most appropriate?

A. "Generally, it takes about one to two weeks to be effective in changing symptoms"

B. "You should see improvement in about 36 to 48 hours"
C. "His symptoms should subside almost immediately"
D. "It will take about 6 to 12 weeks until the drug is effective"

Q24: A client has been prescribed clozapine (Clozaril) for treatment of schizophrenia. The patient must
be taught to monitor which blood levels weekly while taking this drug?

A. Platelets
B. Hemoglobin
C. WBC
D. Hematocrit

Q25: A client with schizophrenia is experiencing delusions. The client states, "There's a huge apocalypse
coming and an end of the world is near." The nurse interprets this statement as which type of delusion?
 A. Somatic
B. Grandiose
C. Nihilistic
D. Persecutory

Q26: When investigating biologic theories related to schizophrenia, which of the following
neuroanatomical findings would be consistent with this mental health disorder?

A. Enlarged hippocampus
B. Enlarged lateral ventricle
C. Smaller third ventricle
D. Enlarged brain volume