Schizophrenia and psychotic disorders NCLEX style questions

Schizophrenia and psychotic disorders NCLEX style questions Leave the first rating Students also studied Terms in this set (25) Social SciencesPsychology Abnormal Psychology Save ATI Schizophrenia Spectrum Disord...30 terms jacqueline_thai6 Preview

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65 terms savthi13Preview FINAL - Chapter 24 - Personality Dis...34 terms jhess214Preview NCLEX 71 terms wal A patient experiences delusional thinking for over a month, but their self and interpersonal functioning remain intact. Which psychotic disorder is most likely present?

• Brief Psychotic Disorder
• Schizophreniform Disorder
• Delusional Disorder
• Substance-Induced Psychotic Disorder
• Delusional Disorder

Rationale: Delusional Disorder is characterized by delusional thinking lasting at least 1 month, with no marked impairment in self or interpersonal functioning.A patient exhibits psychotic manifestations that have lasted for 5 months, but social and occupational dysfunction is not apparent. Which psychotic disorder is consistent with these symptoms?

• Brief Psychotic Disorder
• Schizophreniform Disorder
• Schizoaffective Disorder
• Substance-Induced Psychotic Disorder
• Schizophreniform Disorder

Rationale: Schizophreniform Disorder is characterized by manifestations similar to schizophrenia, but with a duration of 1 to 6 months, and social or occupational dysfunction may not be apparent.A patient's psychotic disorder meets the criteria for both schizophrenia and depressive disorder. Which psychotic disorder is most likely present?

• Delusional Disorder
• Schizoaffective Disorder
• Brief Psychotic Disorder
• Substance-Induced Psychotic Disorder
• Schizoaffective Disorder

Rationale: Schizoaffective Disorder is characterized by symptoms meeting criteria for both schizophrenia and depressive or bipolar disorder.

A patient exhibits hallucinations, delusions, and disorganized behavior. Which category of symptoms are these manifestations classified as in schizophrenia?

• Positive symptoms
• Negative symptoms
• Cognitive symptoms
• Affective symptoms
• Positive symptoms

Rationale: Hallucinations, delusions, and disorganized behavior are considered

positive symptoms of schizophrenia, as they are excess or abnormal behaviors not normally present in individuals.A patient with schizophrenia exhibits blunt affect, poverty of thought or speech, and lack of motivation. Which category of symptoms are these manifestations classified as?

• Positive symptoms
• Negative symptoms
• Cognitive symptoms
• Affective symptoms
• Negative symptoms

Rationale: Blunt affect, poverty of thought or speech, lack of motivation, lack of energy, and inability to experience pleasure are considered negative symptoms of schizophrenia. They represent deficits or decreases in normal functions.A patient experiences psychotic manifestations that last for only 3 weeks, but they exhibit marked social and occupational dysfunction. Which psychotic disorder is consistent with these symptoms?

• Schizophreniform DisorderB) Brief Psychotic

DisorderC) Delusional DisorderD) Schizoaffective Disorder

• Schizophreniform Disorder

Rationale: Schizophreniform Disorder is characterized by psychotic manifestations similar to schizophrenia lasting between 1 to 6 months, with marked social or occupational dysfunction.A patient exhibits psychosis due to substance intoxication. Which type of psychotic disorder does this presentation align with?

• Delusional Disorder
• Schizoaffective Disorder
• Substance-Induced Psychotic Disorder
• Brief Psychotic Disorder
• Substance-Induced Psychotic Disorder

Rationale: Substance-Induced Psychotic Disorder occurs when psychosis is

induced by substance intoxication or withdrawal.A patient with schizophrenia exhibits flat affect, poverty of thought, and lack of motivation. Which neurotransmitter imbalance is most likely contributing to these symptoms?

• Decreased dopamine in the mesolimbic pathway
• Increased dopamine in the mesocortical pathway
• Excess glutamate
• Decreased serotonin
• Increased dopamine in the mesocortical pathway

Rationale: Negative symptoms of schizophrenia, such as flat affect, poverty of

thought, and lack of motivation, are associated with decreased dopamine in the mesocortical pathway.A patient experiences recurrent delusions for over 6 months, but their daily functioning remains intact. Which psychotic disorder is consistent with these symptoms?

• Brief Psychotic Disorder
• Schizophreniform Disorder
• Delusional Disorder
• Schizoaffective Disorder
• Delusional Disorder

Rationale: Delusional Disorder is characterized by delusions lasting for at least 1 month, with no marked impairment in daily functioning.

A patient with schizophrenia exhibits hallucinations, delusions, and disorganized behavior. Which neurotransmitter imbalance is most likely contributing to these positive symptoms?

• Decreased dopamine in the mesolimbic pathway
• Increased dopamine in the mesocortical pathway
• Excess glutamate
• Decreased GABA
• Increased dopamine in the mesolimbic pathway

Rationale: Positive symptoms of schizophrenia, such as hallucinations, delusions, and disorganized behavior, are associated with increased dopamine in the mesolimbic pathway.A nurse is assessing a patient who is experiencing false fixed beliefs that cannot be corrected by reasoning. The patient believes they have special powers and are invincible. Which alteration in thought process is the patient exhibiting?

• Loose associations
• Neologisms
• Delusion of grandeur
• Word salad
• Delusion of grandeur

Rationale: Delusion of grandeur is a false belief that one possesses superior

qualities, power, or abilities. The patient believes they are all-powerful and important.A patient experiences sensory perceptions such as hearing voices or sounds that are not actually present.Which alteration in perception is the patient experiencing?

• Neologisms
• Echolalia
• Hallucinations
• Clang association
• Hallucinations

Rationale: Hallucinations are sensory perceptions that do not have any apparent

external stimulus. Auditory hallucinations involve hearing voices or sounds when there is no external source.A nurse observes a patient exhibiting rapid and erratic movements with no clear purpose or meaning. The patient's speech is also jumbled and lacks coherence.Which alteration in behavior and speech is the patient displaying?

• Stereotyped behaviors and word salad
• Automatic obedience and echolalia
• Catatonia and clang association
• Agitation and loose associations
• Stereotyped behaviors and word salad

Rationale: Stereotyped behaviors are repetitive motor patterns that lack purpose, while word salad is speech characterized by jumbled words with little meaning or coherence.A patient responds to questions with opposite or contrary actions or statements. For example, when asked to sit down, the patient stands up. Which alteration in behavior is the patient demonstrating?

• Negativism
• Automatic obedience
• Waxy flexibility
• Impaired impulse control
• Negativism

Rationale: Negativism is the opposite of what is requested or expected. The

patient demonstrates resistance or opposition to instructions or suggestions.

A patient exhibits muscular rigidity and maintains a specific position for an extended period of time. Which alteration in behavior is the patient displaying?

• Stereotyped behaviors
• Automatic obedience
• Waxy flexibility
• Stupor
• Waxy flexibility

Rationale: Waxy flexibility is a psychomotor symptom characterized by

maintaining a specific position for an extended period of time, even when it is uncomfortable or impractical.A nurse is assessing a patient who exhibits rapid and unpredictable movements with no clear purpose or meaning. The patient's speech is also characterized by meaningless rhyming of words. Which alterations in behavior and speech are the patient displaying?

• Stereotyped behaviors and echolalia
• Catatonia and waxy flexibility
• Agitation and clang association
• Motor retardation and neologisms
• Agitation and clang association

Rationale: Agitation refers to excessive motor activity that is not goal-directed, while clang association is speech characterized by meaningless rhyming of words.A patient expresses the belief that their thoughts are being controlled by an external force, and they feel powerless to stop it. Which alteration in thought process is the patient exhibiting?

• Thought broadcasting
• Thought insertion
• Thought withdrawal
• Religiosity
• Thought insertion

Rationale: Thought insertion is a delusional belief that one's thoughts are being implanted or controlled by an external force.A patient exhibits repetitive and purposeless motor patterns, such as rocking back and forth or tapping their fingers repeatedly. Which alteration in behavior is the patient demonstrating?

• Automatic obedience
• Stereotyped behaviors
• Echopraxia
• Gesturing or posturing
• Stereotyped behaviors

Rationale: Stereotyped behaviors are repetitive motor patterns that lack purpose or meaning.A nurse observes a patient maintaining a motionless posture for an extended period, appearing to be in a coma-like state. Which alteration in behavior is the patient displaying?

• Stupor
• Negativism
• Echopraxia
• Boundary impairment
• Stupor

Rationale: Stupor is a psychomotor symptom characterized by a state of

unresponsiveness and immobility.A patient expresses the belief that they are dead and no longer alive. Which type of delusion is the patient experiencing?

• Delusion of persecution
• Delusion of grandeur
• Nihilistic delusion
• Magical thinking
• Nihilistic delusion

Rationale: Nihilistic delusion is a false belief that one is dead, nonexistent, or that the world has ceased to exist.