Psychosis In Young People

5 Questions | Total Attempts: 139

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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.


Questions and Answers
  • 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

  • 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

  • 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

  • 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

  • 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