Question

6. Matilda has been highly agitated for the past two weeks, particularly when watching TV. She believes that news stories about crimes occurring nationally are directed at her, and that the reporters are accusing her of committing these crimes. What type of delusion is Matilda experiencing?

Nihilistic type

Persecutory type

Somatic type

Referential type

7. Wyatt believes that he can read others’ minds as they walk past him, and that a special helmet fitted with a TV antenna facilitates this process. He wears the helmet downtown where he stops passersby and places his palm on their forehead. Wearing of this special helmet and stopping individuals on the street are examples of which type of symptom?

Mood symptoms

Hallucinations

Negative symptoms

Disorganized behavior

8. Why are antipsychotic medications not routinely recommended for individuals in the early prodromal phase of a SPMI?

More data is needed about the long-term impact of these medications on the developing brain.

Early identification of SPMIs is not possible until clear, disabling symptoms are present.

Antipsychotic medications are generally less effective for younger adults.

Preventing the onset of a fully-developed SPMI is more likely to occur with antidepressant medications.

9. Keith has been living with his parents and younger brother since he was diagnosed with bipolar disorder with psychotic features two years ago. He is doing well, and has secured and maintained a competitive job at a local computer supply store. His primary stressor occurs once he returns home from work, when he inevitably gets into an argument with his parents. His parents feel that holding down a job is too stressful and will trigger a relapse for him, and they urge Keith to quit. Keith enjoys his job and would like to keep it, but he does not know how to get his parents to “back off.” Which intervention would likely be the most helpful for Keith?

Finding a less stressful job

Refusing continued contact with his parents

Educating his parents about recovery

Improving Keith’s social skills

10. Which statement is accurate about the typical onset of schizophrenia and schizoaffective disorder?

They typically develop during the late teens to early 20s for women, and slightly later for men.

They typically develop during the late teens to early 20s for men, and slightly later for women.

They commonly develop during childhood or during the later adult years.

They typically develop during middle adulthood for both men and women.

Answer 1

1) Delusions are a type of serious mental illness in which a person cannot tell the difference between what is real and what is imaginative.

Matilda is suffering from referential delision. She believes that the crime and other evenets are refering to her in person

In persecutory delusion person (here Matilda) would believe that she or someone close to her are being mistreated, or harmed

In somatic delusion person (here Matilda) would believe that she has a physical defect or medical problem of some kind

In nihilistic delusion person (here Matilda) would believe that she is dead/non-existent in the real world