Psychosis In Young People
Josh is a 17 year old man who lives at home with his mother and younger siblings. He presents to the ED one Saturday evening with his mother. Josh is agitated and is pacing around the room, he refuses to maintain eye contact and appears dishevelled. Josh’s mother tells the triage nurse quietly that she thinks he is paranoid. He has refused to leave the house over the last three weeks and has been regularly smoking THC.
- 1.
When a patient experiencing psychosis is left feeling fearful and unsafe, it can lead to:
- A.
Non-engagement
- B.
Agitation and aggression
- C.
A better assessment
- D.
Sadness
Correct Answer
B. Agitation and aggressionExplanation
When a patient experiencing psychosis feels fearful and unsafe, it can trigger a heightened state of agitation and aggression. This response may be a result of their distorted perception of reality, leading them to react defensively or aggressively towards perceived threats. The patient's fear and lack of safety can exacerbate their symptoms and make it challenging for healthcare professionals to engage with them effectively. Understanding and addressing the patient's feelings of fear and insecurity is crucial in managing their agitation and aggression and promoting a more positive therapeutic environment.Rate this question:
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- 2.
One of the most important assessment components with psychosis is:
- A.
Asking about delusions and hallucinations
- B.
Assessing social withdrawal
- C.
Engaging the young person
- D.
Finding out their treatment history
Correct Answer
C. Engaging the young personExplanation
Engaging the young person is an important assessment component in psychosis because it allows the healthcare provider to establish a rapport and build trust with the individual. By engaging the young person, the healthcare provider can gather valuable information about their experiences, symptoms, and concerns. This information is crucial for making an accurate diagnosis and developing an appropriate treatment plan. Additionally, engaging the young person can help in identifying any potential barriers to treatment adherence and promoting a collaborative approach to their care.Rate this question:
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- 3.
Some of the ways you might be able to engage Josh include (you can select more than one response):
- A.
Finding out if he would feel more comfortable in a different room
- B.
Having more people interview him
- C.
Asking if he would like his mother present or not
- D.
Asking questions that don't necessarily relate to the psychosis
- E.
Offering that he might feel better going home
Correct Answer(s)
A. Finding out if he would feel more comfortable in a different room
C. Asking if he would like his mother present or not
D. Asking questions that don't necessarily relate to the psychosisExplanation
The suggested ways to engage Josh include finding out if he would feel more comfortable in a different room, asking if he would like his mother present or not, and asking questions that don't necessarily relate to the psychosis. These approaches aim to create a more comfortable and supportive environment for Josh during the interview process, allowing him to feel more at ease and open to communication.Rate this question:
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- 4.
Other information that can be useful as part of assessing psychosis in young people is (you can select more than one response):
- A.
Changes in functioning
- B.
Comorbid substance use
- C.
Periods of depression or anxiety
- D.
Suicidal or homicidal ideation
- E.
Collateral information from other sources
Correct Answer(s)
A. Changes in functioning
B. Comorbid substance use
D. Suicidal or homicidal ideation
E. Collateral information from other sourcesExplanation
Assessing psychosis in young people requires considering various factors. Changes in functioning are important to assess as they can indicate the impact of psychosis on daily life activities. Comorbid substance use is relevant as it can exacerbate or interact with psychotic symptoms. Periods of depression or anxiety can co-occur with psychosis and affect the overall presentation. Suicidal or homicidal ideation is crucial to evaluate as it indicates the severity of the condition and the risk of harm. Collateral information from other sources can provide additional insights into the individual's symptoms and functioning.Rate this question:
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- 5.
You discover through your assessment that Josh believes people have been listening into his phone conversations in an attempt to kill him. These psychotic symptoms would be considered:
- A.
Delusions
- B.
Hallucinations
- C.
Paranoid Schizophrenia
- D.
Drug induced psychosis
Correct Answer
A. DelusionsExplanation
The correct answer is delusions. Delusions are false beliefs that are not based in reality and are often a symptom of psychotic disorders such as schizophrenia. In this scenario, Josh's belief that people are listening to his phone conversations in order to harm him is a delusion because there is no evidence to support this belief.Rate this question:
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Current Version
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Mar 19, 2023Quiz Edited by
ProProfs Editorial Team -
Nov 04, 2013Quiz Created by
Catherine Halcomb
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