Jonathan is a 19-year-old psychology major at a community college. For over a year his family and friends have noticed increasingly bizarre behaviors, starting with him having unusual thoughts about conspiracy theories. Then, during his grandmother's funeral, he sat and smiled throughout the service. For the past six months, his parents have occasionally caught him looking at the empty corner and yelling, "Get out of here!" in an agitated voice. He has refused to answer or make calls on his cell phone, claiming that if he does it will activate a deadly chip that was implanted in his brain by evil aliens. On several occasions, he accused his parents of conspiring with the aliens to have him killed so they can remove his brain and put it inside one of their own. He eventually stopped attending classes and no longer talks to his friends. His parents tried to get him to go see a psychiatrist but he refused. He spends most of his time alone in his room. After several occasions of noticing that he was unkempt and reeked of body odor, his mother asked him when he had last showered and he replied, "Shower? Yes, I like the April showers when it rains, the king reigns supreme." Then, he stopped eating because he thought his parents were trying to poison him and sat motionless and mute for two days. His parents finally forced him to check into the hospital for an evaluation. Jonathan has never been known to use alcohol or drugs.

Question 26 (1 point)

Jonathan's most likely DSM-5-TR diagnosis is _____.

Question 26 options:

	Schizophreniform
	Schizoaffective
	Schizophrenia
	Major depressive disorder with psychotic features

Question 27 (1 point)

Based on the information in the case, what type of hallucinations is Jonathan most likely experiencing?

Question 27 options:

	auditory
	visual
	somatic
	olfactory

Question 28 (1 point)

Jonathan's belief that his cell phone will activate a deadly chip implanted in his brain is _____.

Question 28 options:

	inappropriate affect
	a negative symptom
	a delusion
	a hallucination

Question 29 (1 point)

All of the following except _____ are positive symptoms of Jonathan's condition.

Question 29 options:

	belief that his parents are trying to poison him
	loose associations or derailment
	ignoring his physical hygiene
	hallucinations

Question 30 (1 point)

Which of the following is a negative symptom of Jonathan's illness?

Question 30 options:

	hallucinations
	delusions
	social withdrawal
	loose associations

Question 31 (1 point)

Which is an example of a psychomotor symptom of Jonathan's condition?

Question 31 options:

	neglecting his hygiene
	catatonic excitement
	catatonic stupor
	loose associations

Question 32 (1 point)

Jonathan's comment, "Shower? Yes, I like the April Showers when it rains, the king reigns supreme" is an example of ______.

Question 32 options:

	loose association
	neologism
	inappropriate affect
	clang

Question 33 (1 point)

Which of the following is not among the different phases of Jonathan's illness reflected in the case?

Question 33 options:

	active
	All of the phases of his condition are reflected in the case.
	the prodromal phase
	residual

Question 34 (1 point)

Which is the distinguishing factor to differentiate Jonathan's disorder from brief psychotic disorder or schizophreniform?

Question 34 options:

	Jonathan's disorder also includes a manic episode while the other disorders do not
	brief psychotic disorder and schizophreniform disorder include symptoms of a major depressive disorder while Jonathan's disorder does not
	the duration of symptoms
	the type of symptoms

Question 35 (1 point)

Which of the following would a biological theorist most likely believe about Jonathan and his family?

Question 35 options:

	He has cold, domineering mother who is both overprotective and rejecting, setting the stage for him developing his condition.
	He was not reinforced for attending to social cues and began responding to irrelevant cues more and more, leading to bizarre behavior.
	He has family members with the condition from whom he inherited a biological predisposition for developing it,
	He was given the label, schizophrenic, and the label became a self-fulfilling prophesy that promoted his psychotic symptoms.

Question 36 (1 point)

A theorist who believes that once Jonathan is given the diagnostic label for his condition, he is more likely to act in ways that reflect a self-fulfilling prophesy follows a _____model.

Question 36 options:

	biological
	cognitive-behavioral
	sociocultural
	psychodynamic

Question 37 (1 point)

Family theorists would predict that if his family is high in ____ he is ____ likely to relapse after treatment.

Question 37 options:

	expressed emotion; more
	expressed emotion; less
	support and nurturance; more
	criticism and hostility; less

Question 38 (1 point)

The leading biological explanation of Jonathan's condition would suggest that it is due to overactive ______ activity.

Question 38 options:

	serotonin
	dopamine
	GABA
	norepinephrine

Question 39 (1 point)

If Jonathan did use drugs and did not have a psychotic disorder, excess use of which type of drugs would be most likely to produce the symptoms he is displaying?

Question 39 options:

	nicotine
	benzodiazepines
	amphetamines
	alcohol