Which finding most strongly suggests delirium rather than schizophrenia?
Correct answer: C. Acute fluctuating attention and awareness
- A. Gradual social withdrawal over several months
- B. Stable auditory hallucinations for several years
- C. Acute fluctuating attention and awareness
- D. Persistent grandiose beliefs without confusion
Explanation
Delirium usually has an acute onset with fluctuating attention and awareness, often caused by a medical condition, medication or substance. Schizophrenia generally develops over a longer period and does not usually cause marked fluctuating consciousness.
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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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