RN Nursing · Psychotic Disorders — Schizophrenia · Practice question
Mr. K was hospitalized for 6 days in his home town. At this time he was experiencing disorganized thoughts and isolation. Examples of his thoughts problems included the following: beliefs that the television program was sending messages just for him coded inside the commercials; belief that mythological creatures are directing him to battle; belief that a celebrity on TV want to marry him; misinterpretation of numbers to indicate that he is GOD. What type of symptoms characteristic of schizophrenia are manifested in previous scenario? (Select all that apply.)
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✓
positive, delusion of reference
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positive, delusions of broadcasting
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✓
positive, grandiose delusions
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✓
negative, social withdawn
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positive, delusion of control
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positive, visual hallucination
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positive, auditory hallucination
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positive, persecutory delusion
Answer & explanation
Correct: positive, delusion of reference · positive, grandiose delusions · negative, social withdawn
Mr. K's presentation includes several distinct psychotic phenomena that map onto specific symptom categories in schizophrenia. Believing that television commercials contain coded messages intended specifically for him is a delusion of reference, a positive symptom in which neutral events are interpreted as having personal, directed significance. Believing that mythological creatures are directing him to battle and misinterpreting numbers to mean he is GOD represent grandiose delusions, positive symptoms involving an inflated belief about one's power, identity, or importance. His social isolation during hospitalization reflects the negative symptom of social withdrawal, which involves diminished motivation and reduced engagement with others. Delusions of broadcasting refer to the false belief that one's thoughts are being broadcast outward for others to hear, which is not described here. Delusion of control involves the belief that an external force is controlling one's thoughts or actions, but the scenario depicts direction rather than control of the self. Visual and auditory hallucinations involve perceptual experiences without external stimuli; none are explicitly described. Persecutory delusion involves believing one is being threatened or harmed, which is also not the primary theme. Therefore, the three correct answers are delusion of reference, grandiose delusions, and social withdrawal.
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