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Chapter 34. Schizophrenia MTM Data Set

Which symptom is included in the diagnostic criteria for schizophrenia?

a. Disorganized speech

b. Cognitive deficits

c. Depressed mood

d. Illusions

Answer a.

Which action is most appropriate for the MTM provider when assessing a patient with schizophrenia?

a. Anticipate cataracts as a common medical complication.

b. Measure cognitive deficits using a brief clinical rating scale.

c. Monitor for tardive dyskinesia only during first generation antipsychotic treatment.

d. Interpret flat affect, poor speech productivity, and low energy as negative symptoms, not depression.

Answer b.

When measuring symptom severity of schizophrenia, what is the minimally accepted reduction in total scores that qualifies for a response and results from antipsychotic treatment?

a. Remission

b. 60%

c. 40%

d. 20%

Answer d.

Using living room language, how would an MTM provider describe one of the negative symptoms of schizophrenia?

a. Hearing voices

b. Inner restlessness

c. Constant lack of motivation

d. Always being suspicious of others

Answer c.

A patient with schizophrenia reports that symptoms have been bothersome for 3 days in a row. What information should be a part of the medication action plan?

a. Tell the patient to call the psychiatrist and get changed to a new antipsychotic.

b. Instruct the patient to double the dose of antipsychotic for a few days until the symptoms go away.

c. Instruct the patient to disregard the symptoms.

d. Instruct the patient to use coping skills when symptoms occur.

Answer d.

All of the following scenarios should result in the MTM provider referring the patient with schizophrenia back to the patient’s psychiatrist EXCEPT:

a. when the patient’s schizophrenia symptoms worsen over time.

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