Ch.16 – Test Bank Docx – Schizophrenia And Schizoaffective - Test Bank | Occupational Therapy in Mental Health 2e by Catana Brown by Catana Brown. DOCX document preview.
Chapter 16: Schizophrenia and Schizoaffective Disorder
Multiple Choice
1. Mariah is a 23-year-old who has been diagnosed with major depression. Last year she began experiencing delusions, as well as disorganized thinking and behaviors. These symptoms remitted with medication but she then began to display flat affect and social withdrawal. Two months ago she once again began to experience delusions and an increase in disorganized thinking. Which of the following disorders is Mariah experiencing?
a. Schizophrenia
b. Schizoaffective disorder
c. Major depression with psychotic features
d. Bipolar I disorder
Topic: Description of the Condition
LO: 16.1
2. Which of the following symptom clusters would Mariah’s symptoms of delusions represent?
a. Psychotic symptoms
b. Negative symptoms
c. Disorganized symptoms
d. Affective symptoms
Topic: Symptom Clusters
LO: 16.2
3. Keo is demonstrating psychotic-like symptoms, cognitive decline, and increased social isolation. He has not yet met the criteria for schizophrenia. Which of the following best describes what Keo is experiencing?
a. Negative symptoms
b. Affective symptoms
c. Prodromal period
d. Late stage symptoms
Topic: Prevalence and Course
LO: 16.4
4. Which of the following is most reflective of gender and cultural differences in schizophrenia?
a. Schizophrenia is underdiagnosed in minority groups.
b. Schizophrenia is generally more severe for females.
c. Men experience more positive symptoms.
d. Cultural considerations are vital in distinguishing psychotic experiences.
Topic: Gender and Cultural-Specific Differences
LO: 16.5
5. Cognitive impairments in individuals with schizophrenia impact occupational performance. Which of the following is the most accurate statement regarding cognitive impairments and schizophrenia?
a. They are a core symptom of schizophrenia.
b. They are more predictive of functional outcomes than symptoms.
c. They worsen through time.
d. The hallmark cognitive impairment of schizophrenia is difficulty with short-term memory.
Topic: Impact on Occupational Performance
LO: 16.6
6. Overall health and wellness in individuals with schizophrenia negatively impacts occupational performance. Which of the following is most descriptive of the impact on health and wellness on occupational performance?
a. Medication can lead to oral side effects such as dry mouth, tardive dyskinesia, and dystonia of the mouth, tongue, head, and neck.
b. Individuals with schizophrenia are nonresponsive to interventions focused on lifestyle behaviors.
c. Medications can increase the risk of type 1 diabetes and weight gain.
d. Individuals with schizophrenia are at lower risk of medical comorbidities.
Topic: Impact on Occupational Performance
LO: 16.6
7. Evidence indicates that early intervention for individuals with schizophrenia should include cognitive remediation. Which of the following best describes a cognitive remediation intervention approach?
a. Adapting the cognitive aspects of a task
b. Daily living skills training
c. Application of behavioral strategies to activities of daily living (ADL) and instrumental activities of daily living (IADL) skills
d. Graded and repeated practice of cognitive-oriented task in the context of occupational performance
Topic: Intervention
LO: 16.7
8. Which statement best describes the course of schizophrenia?
a. Different individuals will have different experiences, but many individuals will have an improvement through time.
b. The course of schizophrenia is one of progressive deterioration.
c. Once individuals develop psychotic symptoms, they tend to experience the same symptoms throughout their lifetime.
d. Most individuals develop schizophrenia late in life.
Topic: Description of the Condition
Rationale: There is a great deal of heterogeneity in the expression and course of schizophrenia; however, most individuals improve to some degree through time.
9. Individuals with schizophrenia are much more likely to die at a younger age than the general population, and most often that death is attributable to what condition?
a. Cardiovascular disease
b. Suicide
c. Cancer
d. Dementia
Topic: Impact on Occupational Performance
Rationale: Individuals with schizophrenia have a life span that is decades shorter than individuals in the general population, with the most common cause of death associated with cardiovascular disease.
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Test Bank | Occupational Therapy in Mental Health 2e by Catana Brown
By Catana Brown
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