Assess Bipolar and depressive disorders
Which of the following patient presentations would not be classified as psychotic for the purpose of diagnosing schizophrenia?
A. A patient is hearing a voice that tells him he is a special person.
B. A patient believes he is being followed by a secret police organization that
is focused exclusively on him.
C. A patient has a flashback to a war experience that feels like it is happening
again.
D. A patient cannot organize his thoughts and stops responding in the middle
of an interview.
E. A patient presents wearing an automobile tire around his waist and gives
no explanation.
2.13 In which of the following disorders can psychotic symptoms occur?
A. Bipolar and depressive disorders.
B. Substance use disorders.
C. Posttraumatic stress disorder.
D. Other medical conditions.
E. All of the above.
2.14 A 32-year-old man presents to the emergency department distressed and agitated. He reports that his sister has been killed in a car accident on a trip to
South America. When asked how he found out, he says that he and his sister
were very close and he “just knows it.” After putting him on the phone with
his sister, who was comfortably staying with friends while on her trip, the man
expressed relief that she was alive. Which of the following descriptions best fits
this presentation?
A. He had a delusional belief, because he believed it was true without good
warrant.
B. He did not have a delusional belief, because it changed in light of new evidence.
C. He had a grandiose delusion, because he believed he could know things
happening far away.
D. He had a nihilistic delusion, because it involved an untrue, imagined catastrophe.
E. He did not have a delusion, because in some cultures people believe they
can know things about family members outside of ordinary communications.
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