Knowledge check Module 6
Question 1
Needs Grading
A 21-year-old male college student was brought to Student Health Services by his
girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend
says that recently he began hearing voices and believes everyone is o...
Question 1
Needs Grading
A 21-year-old male college student was brought to Student Health Services by his
girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend
says that recently he began hearing voices and believes everyone is out to get him. The
student says he is unable to finish school because the voices told him he was not smart
enough. The girlfriend relates episodes _of_ unexpected rage and crying. Past medical
history noncontributory but family history positive for a first cousin who “had mental
problems”. Denies current drug abuse but states he smoked marijuana every day during
his junior and senior years _of_ high school. He admits to drinking heavily on weekends at
various fraternity houses. Physical exam reveals thin, anxious disheveled male who,
during conversations, stops talking, cocks his head and appears to be listening to
something. There is poor eye contact and conversation is rambling.
Based on the observed behaviors and information from girlfriend, the APRN believes the
student has schizophrenia.
Question 1 _of_ 4:
Describe the positive symptoms _of_ schizophrenia and relate those symptoms to the
case study patient.
Selecte Positive symptoms _of_ schizophrenia have to deal with symptoms that were
d not previously present or symptoms that were affected by an outside
variable. These would be the psychotic symptoms such as
Answer: delusions, hallucinations, disorganized speech, disorganized behaviors, and
possible catatonia. He is experiencing auditory hallucinations that tell him he
is not smart enough. He also has the delusion that he is not smart enough. The
patient has negative behaviors such as unexpected rage and crying.
Question 2
Needs Grading
A 21-year-old male college student was brought to Student Health Services by his
girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend
says that recently he began hearing voices and believes everyone is out to get him. The
student says he is unable to finish school because the voices told him he was not smart
enough. The girlfriend relates episodes _of_ unexpected rage and crying. Past medical
history noncontributory but family history positive for a first cousin who “had mental
problems”. Denies current drug abuse but states he smoked marijuana every day during
his junior and senior years _of_ high school. He admits to drinking heavily on weekends at
various fraternity houses. Physical exam reveals thin, anxious disheveled male who,
during conversations, stops talking, cocks his head and appears to be listening to
something. There is poor eye contact and conversation is rambling.
Based on the observed behaviors and information from girlfriend, the APRN believes the
student has schizophrenia.
, Question 2 _of_ 4:
Explain the genetics _of_ schizophrenia.
Selected There is no definitive research showing how it is passed down through
Answer: genetics. Studies that involves twins show the gene is carried but not all
manifest the symptoms _of_ schizophrenia. There may be involvement _of_
different chromosomes and also protein interactions that may help to show
the link in genetics.
Question 3
Needs Grading
A 21-year-old male college student was brought to Student Health Services by his
girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend
says that recently he began hearing voices and believes everyone is out to get him. The
student says he is unable to finish school because the voices told him he was not smart
enough. The girlfriend relates episodes _of_ unexpected rage and crying. Past medical
history noncontributory but family history positive for a first cousin who “had mental
problems”. Denies current drug abuse but states he smoked marijuana every day during
his junior and senior years _of_ high school. He admits to drinking heavily on weekends at
various fraternity houses. Physical exam reveals thin, anxious disheveled male who,
during conversations, stops talking, cocks his head and appears to be listening to
something. There is poor eye contact and conversation is rambling.
Based on the observed behaviors and information from girlfriend, the APRN believes the
student has schizophrenia.
Question 3 _of_ 4:
The APRN reviews recent literature and reads that neurotransmitters are involved in the
development _of_ schizophrenia. What roles do neurotransmitters play in the
development _of_ schizophrenia?
Selected The neurotransmitters that may play a role in schizophrenia are GABA,
Answer: glutamate, and dopamine. There is belief that reelin is reduced in adults with
schizophrenia. Reelin is an interneuron that helps with migration _of_ neuronal
activity. This reenin is found in abundance in GABA. Glutamate is believed to
be involved because _of_ how the NMDA receptor does not activate with
glutamate and therefore it causes schizophrenia. Dopamine is involved
because the antipsychotic medications (dopamine antagonists) show
decreased symptoms with schizophrenic patients leading to the theory that
the D2 receptor is invovled. This also lends to the theory that other
neurotransmitters are involved because if clozapine works (a blocker _of_
neurotransmitters like norepinephrine, serotonin, and GABA) then other
neurotransmitters may be involved as well.
Question 4
Needs Grading
A 21-year-old male college student was brought to Student Health Services by his
girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend
says that recently he began hearing voices and believes everyone is out to get him. The
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