D. If patients with schizophrenia stay on their drug regimen, they usually lead fully productive lives with no further symptoms. Declan is a 26-year-old patient with schizophrenia. He states to you, "My, oh my. My mother is brother. Anytime now it can happen to my mother." Your best response would be: A. "You are having problems with your speech.
If patients with schizophrenia stay on their drug regimen, they usually lead fully productive lives with no further symptoms. Declan is a 26-year-old patient with schizophrenia. He states to you, "My, oh my. My mother is brother. Anytime now it can happen to my mother." Your best response would be: A.
A) "Schizophrenia is caused by intolerable stress." B) "Schizophrenia is inherited." C) "Genes may predispose some people to react to particular experiences by developing schizophrenia."
B. Schizophrenia can be managed by receiving treatment only at the time of acute exacerbations. C. Patients with schizophrenia often do not fully respond to treatment and have residual symptoms and varying degrees of disability. D.
A. Tara and Aaron have the same expectation of a poor long-term prognosis.
Declan is being discharged from the psychiatric unit on risperidone (Risperdal). You are providing medication teaching to Declan and his mother, who is his primary caregiver. Which of the following statements is the appropriate response to Declan's mother's question regarding the risk for extrapyramidal side effects (EPSs) while taking risperidone? ...
C. Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics.
Individuals who ultimately develop schizophrenia typically exhibit a deficit in cognitive and social functioning that begins in childhood, with a notable decline in cognitive and social functioning that occurs during adolescence and precedes the onset of psychosis. This decline in cognitive functioning coincides with the neurodevelopmental period known as competitive elimination, during which extensive brain restructuring and synaptic pruning takes place.
B - Incorrect. Individuals with schizophrenia typically experience a decline in functioning during the prodromal phase.
D - Incorrect. Substantia nigra: This region in the brainstem houses dopaminergic cell bodies that project to the striatum. The substantia nigra is not particularly linked to aggression.
C - Correct. Orbital frontal cortex: Aggressive symptoms such as those exhibited by this patient are hypothetically associated with impairment in impulse control, which is largely regulated by the orbital frontal cortex.
A - Incorrect. Dorsolateral prefrontal cortex: This brain region is hypothetically associated with cognition and executive functioning, not with aggression.
D - Incorrect. D2 receptor occupancy of 90% is well above the hypothetical minimum threshold for antipsychotic effects, and is also above the hypothetical threshold for inducing extrapyramidal side effects.
A - Incorrect. With only 20% D2 receptor occupancy, it is unlikely that a pharmacologic agent will have any therapeutic effects.