Moderate

Which feature most clearly indicates substance-induced psychosis rather than a primary psychotic disorder?

Correct answer: A. Psychotic symptoms begin during intoxication

  • A. Psychotic symptoms begin during intoxication
  • B. The patient has a family history of schizophrenia
  • C. The patient has reduced emotional expression
  • D. The patient reports voices speaking clearly

Explanation

A close temporal relationship between psychotic symptoms and intoxication or withdrawal supports substance-induced psychosis. Family history and negative symptoms can occur in primary psychotic disorders, while clear voices alone do not identify the cause.

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About Psychotic Disorders

Psychotic disorders involve disturbances in reality testing, including delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. Coverage includes schizophrenia and related disorders, assessment of thought content and perception, risk management, antipsychotic treatment, and the distinction between psychosis, delirium, substance effects, and mood disorders.

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40 free Psychotic Disorders MCQs from Mental Health Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.

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