Quiz 3 - Schizophrenia

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McMaster University *

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3PA2

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Psychology

Date

Dec 6, 2023

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docx

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4

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Quiz 3: Alterations in Mental Health – Schizophrenia Question 1 The neurodevelopmental model of schizophrenia suggests that the factors involved in the development of schizophrenia include: a) A dynamic interplay between a genetic predisposition and environmental factors b) A dynamic interplay between adolescent brain chemistry changes and high expressed emotion (EE) family communication patterns c) A dynamic interplay between dysfunctional parenting and a genetic predisposition d) A dynamic interplay between negative family communication patterns and neurodevelopmental patterns Question 2 Some of the neuroanatomical changes that occur in schizophrenia include: a) An enlargement of the lateral and third ventricle; increased volume in the frontal and temporal lobe and whole brain volume; diminished neuronal content in the thalamus and hippocampus b) A reduction in volume in the lateral and third ventricle; increased volume in the frontal and temporal lobe and whole brain volume; increased neuronal content in the thalamus and hippocampus c) A reduction in volume in the lateral and third ventricle; increased volume in the frontal and temporal lobe and whole brain volume; decreased neuronal content in the thalamus and hippocampus d) An enlargement of the lateral and third ventricle; reduction in the frontal and temporal lobe and whole brain volume; diminished neuronal content in the thalamus and hippocampus Question 3 Monozygotic twins: a) Share 50% of their genetic material and if one twin has schizophrenia the risk of the other having the illness is 10-15% b) Share 100% of their genetic material and if one twin has schizophrenia, the risk of the other having schizophrenia is 40-50% c) Share 50% of their genetic material and if one twin has schizophrenia the risk of the other having the illness if 40-50% d) Share 100% of their genetic material and if one twin has schizophrenia, the risk of the other having schizophrenia is 10-15% Question 4 Hypofrontality in schizophrenia means that there is:
a) An increased blood flow and glucose metabolism in the prefrontal cortex b) A decreased blood flow and glucose metabolism in the prefrontal cortex c) An increased blood flow and decreased glucose metabolism in the prefrontal cortex d) A decreased blood flow and increased glucose metabolism in the prefrontal cortex Question 5 The left globus pallidus is associated with: a) The negative and cognitive symptoms of schizophrenia b) The positive and negative symptoms of schizophrenia c) The disorganized and positive symptoms of schizophrenia d) The negative and disorganized symptoms of schizophrenia Question 6 During the admission procedure, a client appears to be responding to voices. The client cries out at intervals, "No, no, I didn't kill him. You know the truth; tell that police officer. Please help me!" What is the nurse's MOST appropriate response? a) Respond by saying, "I want to help you. I realize you must be very frightened." b) Sit quietly and not respond to the client's statements c) Listen attentively and assume a facial expression of disbelief d) Respond by saying "Do not become so upset. No one is talking to you; those voices are part of your illness" Question 7 A client is sitting in the corner of the dayroom cocking his head to one side as if he hears something, but no one is nearby. The nurse suspects he is having auditory hallucinations. Which of the following questions should the nurse ask FIRST ? a) "Are you seeing someone other than me?" b) "Do you want to go to the recreation room?"
c) "What are you hearing right now?" d) "What is going on with you right now?" Question 8 A 19 year old college student came to his primary care physician for help with a foul odor he believed he was unintentionally emitting. The student stated that the odor left him socially isolated and that he was miserable about it. The primary care physician could detect no odor. This delusion is best described as: a) Grandiose b) Somatic c) Persecutory d) Erotomanic Question 9 A client with schizophrenia demonstrates several negative symptoms of the disease, and is prescribed risperidone. Which outcome indicates that the medication has minimized these negative symptoms? a) There are fewer delusions b) The client reports that the hallucinations have stopped c) There is less agitation d) The client demonstrates increased interest in activities within the inpatient unit Question 10 A client who is suspicious of others (including staff) is brought to the hospital wearing a wrinkled dress with stains on the front. Assessment also reveals a flat affect, confusion, and slow movements. Which goal should the nurse identify as the initial priority when planning this client's care? a) Providing the client with clean, comfortable clothes b) Giving the client information about the program c) Helping the client feel safe and accepted d) Introducing the client to other clients
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