NR547 WEEK 3 EXAM QUESTIONS &
DETAILED CORRECT ANSWERS ALL
PASSED
psychosis - CORRECT ANSWER disruptions in thoughts and perceptions leading to a
disconnection from reality
-symptoms may include abnormal behaviors and sensations, including catatonic
behavior
-may be acute or chronic
-Although psychosis is categorized as a psychiatric disorder, it commonly occurs as a
secondary condition due to underlying endocrine, vascular, immunologic, or metabolic
problems
-Drugs, other substances, or other psychiatric conditions such as depression or mania
may also cause symptoms
Psychosis: Clinical Presentation - CORRECT ANSWER divided into several clinical
domains
-positive
• occur when clients experience things in addition to reality
• hearing voices or seeing things that are not there
-negative
• involve a loss of something
• loss of ability to experience pleasure or loss of motivation
-cognitive
• disorganization in thoughts, memories, focus, or attention
-affective
• the client's feelings and emotions
-motor
• may include abnormalities in gait, balance, and coordination, irregular muscle
contractions, or tremors
Psychosis: Positive Symptoms - CORRECT ANSWER Hallucinations
Delusions
Thought disorder
Hostility
Excitability
,Psychosis: Motor Symptoms - CORRECT ANSWER Motor delay
Dyscoordination
EPS
-Parkinsonism
-Dyskinesia
Psychosis: Affective Symptoms - CORRECT ANSWER Depression
Anxiety
Suicidality
Psychosis: Cognition symptoms - CORRECT ANSWER Attention
Working memory
Verbal memory
Visual memory
Executive functioning
Processing speed
Social conditioning
Psychosis: Negative Symptoms - CORRECT ANSWER Affective flattening
Alogia
Anhedonia
Amotivation
Asociality
Hallucinations: - CORRECT ANSWER perceptual experiences in the absence of
external stimuli
-Auditory
• may include command hallucinations
-Visual
-Tactile: feeling sensations in the body in the absence of stimuli
-Olfactory: smelling things that are not there
-Gustatory: tasting things that are not there
Delusions: - CORRECT ANSWER fixed false, irrational beliefs
-persecution: delusions r/t being threatened, victimized, or spied on
-reference: delusions r/t receiving personal messages from tv, radio, or actions of others
-somatic: delusions r/t the body, including illness or the presence of foreign objects
• may believe there are objects in their body (may think they are infested with insects.)
-grandeur: delusions r/t beliefs of special abilities or powers
-control: delusions that actions & thoughts are controlled by others
Symptoms of Psychosis: Thought Disorder - CORRECT ANSWER impairment in the
process of thinking and difficulty organizing thoughts in a logical pattern.
-incoherent speech
-loose associations
-meaningless words
, -perseveration
Symptoms of Psychosis: Disorganized Behavior - CORRECT ANSWER disordered or
impaired behavior or communication
-childlike silliness
-unpredictable agitation
-inappropriate clothing for the weather
-poor hygiene
schizophrenia is a diagnosis commonly associated with __________ - CORRECT
ANSWER psychosis
psychosis neurobiological factors: genetics - CORRECT ANSWER -Many genes play a
role in the likelihood that an individual will develop schizophrenia as do epigenetic
factors
• Heritability for schizophrenia may be as high as 79%
• links gene-environment interaction to the diagnosis of schizophrenia
psychosis neurobiological factors: Environmental Triggers - CORRECT ANSWER
Regular Cannabis Use
Exposure to Early Life Trauma
-Sexual Abuse
-Emotional Abuse
-Emotional Neglect
-Bullying
psychosis neurobiological factors: Neuroanatomy
Several areas of the brain are associated with the symptoms of schizophrenia. When
brain circuitry in the prefrontal cortex malfunctions, patients may experience symptoms.
Match the brain area with malfunctioning circuitry with the symptoms produced:
Area of brain:
Mesocortical and ventromedial prefrontal cortex
Dorsolateral
Orbitofrontal and connections to the amygdala
Symptoms:
aggressive, impulsive symptoms
negative and affective symptoms
cognitive symptoms - CORRECT ANSWER Mesocortical and ventromedial prefrontal
cortex: negative and affective symptoms
Dorsolateral: cognitive symptoms
Orbitofrontal and connections to the amygdala: aggressive, impulsive symptoms
DETAILED CORRECT ANSWERS ALL
PASSED
psychosis - CORRECT ANSWER disruptions in thoughts and perceptions leading to a
disconnection from reality
-symptoms may include abnormal behaviors and sensations, including catatonic
behavior
-may be acute or chronic
-Although psychosis is categorized as a psychiatric disorder, it commonly occurs as a
secondary condition due to underlying endocrine, vascular, immunologic, or metabolic
problems
-Drugs, other substances, or other psychiatric conditions such as depression or mania
may also cause symptoms
Psychosis: Clinical Presentation - CORRECT ANSWER divided into several clinical
domains
-positive
• occur when clients experience things in addition to reality
• hearing voices or seeing things that are not there
-negative
• involve a loss of something
• loss of ability to experience pleasure or loss of motivation
-cognitive
• disorganization in thoughts, memories, focus, or attention
-affective
• the client's feelings and emotions
-motor
• may include abnormalities in gait, balance, and coordination, irregular muscle
contractions, or tremors
Psychosis: Positive Symptoms - CORRECT ANSWER Hallucinations
Delusions
Thought disorder
Hostility
Excitability
,Psychosis: Motor Symptoms - CORRECT ANSWER Motor delay
Dyscoordination
EPS
-Parkinsonism
-Dyskinesia
Psychosis: Affective Symptoms - CORRECT ANSWER Depression
Anxiety
Suicidality
Psychosis: Cognition symptoms - CORRECT ANSWER Attention
Working memory
Verbal memory
Visual memory
Executive functioning
Processing speed
Social conditioning
Psychosis: Negative Symptoms - CORRECT ANSWER Affective flattening
Alogia
Anhedonia
Amotivation
Asociality
Hallucinations: - CORRECT ANSWER perceptual experiences in the absence of
external stimuli
-Auditory
• may include command hallucinations
-Visual
-Tactile: feeling sensations in the body in the absence of stimuli
-Olfactory: smelling things that are not there
-Gustatory: tasting things that are not there
Delusions: - CORRECT ANSWER fixed false, irrational beliefs
-persecution: delusions r/t being threatened, victimized, or spied on
-reference: delusions r/t receiving personal messages from tv, radio, or actions of others
-somatic: delusions r/t the body, including illness or the presence of foreign objects
• may believe there are objects in their body (may think they are infested with insects.)
-grandeur: delusions r/t beliefs of special abilities or powers
-control: delusions that actions & thoughts are controlled by others
Symptoms of Psychosis: Thought Disorder - CORRECT ANSWER impairment in the
process of thinking and difficulty organizing thoughts in a logical pattern.
-incoherent speech
-loose associations
-meaningless words
, -perseveration
Symptoms of Psychosis: Disorganized Behavior - CORRECT ANSWER disordered or
impaired behavior or communication
-childlike silliness
-unpredictable agitation
-inappropriate clothing for the weather
-poor hygiene
schizophrenia is a diagnosis commonly associated with __________ - CORRECT
ANSWER psychosis
psychosis neurobiological factors: genetics - CORRECT ANSWER -Many genes play a
role in the likelihood that an individual will develop schizophrenia as do epigenetic
factors
• Heritability for schizophrenia may be as high as 79%
• links gene-environment interaction to the diagnosis of schizophrenia
psychosis neurobiological factors: Environmental Triggers - CORRECT ANSWER
Regular Cannabis Use
Exposure to Early Life Trauma
-Sexual Abuse
-Emotional Abuse
-Emotional Neglect
-Bullying
psychosis neurobiological factors: Neuroanatomy
Several areas of the brain are associated with the symptoms of schizophrenia. When
brain circuitry in the prefrontal cortex malfunctions, patients may experience symptoms.
Match the brain area with malfunctioning circuitry with the symptoms produced:
Area of brain:
Mesocortical and ventromedial prefrontal cortex
Dorsolateral
Orbitofrontal and connections to the amygdala
Symptoms:
aggressive, impulsive symptoms
negative and affective symptoms
cognitive symptoms - CORRECT ANSWER Mesocortical and ventromedial prefrontal
cortex: negative and affective symptoms
Dorsolateral: cognitive symptoms
Orbitofrontal and connections to the amygdala: aggressive, impulsive symptoms
