NRNP6635 FINAL EXAM VERSION 6 FINAL
SCRIPT 2026 COMPLETE QUESTIONS WITH
ANSWERS
◉ Impairment of thoughts and affect, characterized by a distorted
perception of reality.
The impairments are severe enough to affect the patient's ability to
participate in social events or to form relationships.
Patients with schizophrenia often lack awareness about their illness
(insight).
Co-existing substance use disorder and dependence is common
("dual diagnosis").
Symptoms can be classified into premorbid, positive, negative, and
cognitive. Answer: Clinical Presentation of schizophrenia
◉ Easy to recognize.
Delusions:
1. False, fixed beliefs maintained by the patient despite being
contradicted by reality or logical arguments.
2. Can include grandiosity, ideas of reference, paranoia, persecutory,
erotomania, jealousy, and somatic delusions.
Hallucinations:
, 1. Perceptual abnormalities in which sensory experiences occur in
the absence of external stimuli.
2. Can be auditory (most common), visual, somatic, gustatory, and
olfactory.
Illusions:
1. distinguished from hallucinations by the presence of real external
stimuli that is simply misinterpreted by the patient.
Disorganized speech and/or behavior:
1. can include neologisms, echolalia, flight of ideas, pressured
speech, and loose associations, among others. Answer: Positive
(psychotic phase)
◉ - Potentially difficult to recognize because of similarities to
depression.
- Flat affect (diminished emotional expression).
- Avolition (lack of initiative).
- Alogia (poverty of speech).
- Poor attention.
- Anhedonia. Answer: Negative (residual phase)
◉ - Usually nonspecific; related to the impact on the patient's quality
of life.
SCRIPT 2026 COMPLETE QUESTIONS WITH
ANSWERS
◉ Impairment of thoughts and affect, characterized by a distorted
perception of reality.
The impairments are severe enough to affect the patient's ability to
participate in social events or to form relationships.
Patients with schizophrenia often lack awareness about their illness
(insight).
Co-existing substance use disorder and dependence is common
("dual diagnosis").
Symptoms can be classified into premorbid, positive, negative, and
cognitive. Answer: Clinical Presentation of schizophrenia
◉ Easy to recognize.
Delusions:
1. False, fixed beliefs maintained by the patient despite being
contradicted by reality or logical arguments.
2. Can include grandiosity, ideas of reference, paranoia, persecutory,
erotomania, jealousy, and somatic delusions.
Hallucinations:
, 1. Perceptual abnormalities in which sensory experiences occur in
the absence of external stimuli.
2. Can be auditory (most common), visual, somatic, gustatory, and
olfactory.
Illusions:
1. distinguished from hallucinations by the presence of real external
stimuli that is simply misinterpreted by the patient.
Disorganized speech and/or behavior:
1. can include neologisms, echolalia, flight of ideas, pressured
speech, and loose associations, among others. Answer: Positive
(psychotic phase)
◉ - Potentially difficult to recognize because of similarities to
depression.
- Flat affect (diminished emotional expression).
- Avolition (lack of initiative).
- Alogia (poverty of speech).
- Poor attention.
- Anhedonia. Answer: Negative (residual phase)
◉ - Usually nonspecific; related to the impact on the patient's quality
of life.
