Free Psychotic Disorders MCQs with Answers
40 Psychotic Disorders MCQs from Mental Health Nursing, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.
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 questions · page 2 of 2
- A. Psychosis occurs only during manic episodes
- B. Psychosis occurs only during depressive episodes
- C. Psychosis occurs for a period without a mood episode
- D. Psychosis begins after stopping an antipsychotic
Explanation: Schizoaffective disorder includes major mood episodes together with schizophrenia symptoms, plus a period of delusions or hallucinations…
Correct answer: Psychosis occurs for a period without a mood episode- A. Flight of ideas
- B. Thought blocking
- C. Circumstantial thinking
- D. Clang association
Explanation: Thought blocking is a sudden interruption in the flow of thinking and speech, often leaving the patient unable to continue briefly.
Correct answer: Thought blocking- A. Blood glucose and lipid levels
- B. Hearing acuity and visual fields
- C. Serum calcium and uric acid
- D. Peak flow and oxygen saturation
Explanation: Olanzapine can cause weight gain, hyperglycaemia and dyslipidaemia, so metabolic monitoring is required.
Correct answer: Blood glucose and lipid levels- A. “Stop the medicine when your thoughts become clear.”
- B. “The injections help prevent relapse even when you feel well.”
- C. “Take two oral doses whenever an injection is missed.”
- D. “Continue treatment only when hallucinations return.”
Explanation: Maintenance antipsychotic treatment helps prevent relapse, and improvement does not mean the illness has resolved.
Correct answer: “The injections help prevent relapse even when you feel well.”- A. Akathisia
- B. Agranulocytosis
- C. Pseudoparkinsonism
- D. Tardive dyskinesia
Explanation: Akathisia causes severe inner restlessness with an inability to remain still.
Correct answer: Akathisia- A. Give several complex tasks at once
- B. Provide a simple routine with step-by-step prompts
- C. Leave the patient alone until motivation improves
- D. Insist on independent bathing without assistance
Explanation: A simple structured routine with small achievable steps supports a patient with avolition and self-care impairment.
Correct answer: Provide a simple routine with step-by-step prompts- A. The finding confirms schizophrenia
- B. The symptoms may be medication-induced
- C. The patient is experiencing a negative symptom
- D. The patient has a primary personality disorder
Explanation: Corticosteroids can produce psychiatric effects, including mood changes and psychosis, so the medication history must be reviewed.
Correct answer: The symptoms may be medication-induced- A. Somatic delusion
- B. Grandiose delusion
- C. Persecutory delusion
- D. Nihilistic delusion
Explanation: A grandiose delusion is a fixed false belief of exceptional identity, power, wealth or importance.
Correct answer: Grandiose delusion- A. Stop it immediately to prevent dependence
- B. Continue it as prescribed and discuss concerns with the prescriber
- C. Skip doses whenever sleepiness occurs
- D. Double the next dose after any missed dose
Explanation: Antipsychotics should be continued as prescribed and not stopped suddenly without medical advice, because abrupt discontinuation can lead…
Correct answer: Continue it as prescribed and discuss concerns with the prescriber- A. Tactile hallucination
- B. Visual hallucination
- C. Somatic delusion
- D. Illusion
Explanation: A tactile hallucination is a false sensation of touch or movement without an external stimulus.
Correct answer: Tactile hallucination- A. At least one week
- B. At least one month
- C. At least six months
- D. At least one year
Explanation: Schizophrenia requires continuous signs of disturbance for at least six months, with at least one month of active-phase symptoms.
Correct answer: At least six months- A. Schizophrenia
- B. Schizoaffective disorder
- C. Major depression with psychotic features
- D. Brief psychotic disorder
Explanation: In major depression with psychotic features, psychosis occurs only during the depressive episode.
Correct answer: Major depression with psychotic features- A. Assume the symptoms are schizophrenia
- B. Assess physical health and medication use
- C. Begin long-term family therapy
- D. Restrict all social interaction
Explanation: New psychosis can result from medical illness, prescribed drugs, or substance use, so physical assessment and medication history are…
Correct answer: Assess physical health and medication use- A. Anticholinergic effect
- B. Extrapyramidal effect
- C. Serotonin syndrome
- D. Agranulocytosis
Explanation: Dry mouth, blurred vision and urinary retention are typical anticholinergic effects.
Correct answer: Anticholinergic effect- A. Mild increased appetite
- B. Prolonged QT interval
- C. Slight daytime sleepiness
- D. Occasional dry mouth
Explanation: A prolonged QT interval increases the risk of serious ventricular arrhythmias and requires prompt clinical review.
Correct answer: Prolonged QT interval- A. Perseveration
- B. Neologism
- C. Flight of ideas
- D. Thought blocking
Explanation: Perseveration is the persistent repetition of a word, idea or response even when the subject has changed.
Correct answer: Perseveration- A. Ask several questions rapidly
- B. Use brief, simple and clear questions
- C. Insist on prolonged eye contact
- D. Speak for the patient when silence occurs
Explanation: Brief, simple questions allow a withdrawn patient time to process information and respond.
Correct answer: Use brief, simple and clear questions- A. Encourage the patient to walk alone
- B. Place the patient near the nursing station
- C. Offer an extra dose at bedtime
- D. Limit oral fluids throughout the shift
Explanation: Sedation and impaired balance increase the risk of falls, so close observation and a safer environment are the priority.
Correct answer: Place the patient near the nursing station- A. “You should continue it when symptoms return.”
- B. “The voices are imaginary, so ignore them.”
- C. “Cannabis can worsen psychosis; let us discuss safer treatment.”
- D. “You should stop every prescribed medicine immediately.”
Explanation: Cannabis may worsen psychosis and is not a safe treatment for hallucinations.
Correct answer: “Cannabis can worsen psychosis; let us discuss safer treatment.”- A. “I will stop medicine when my sleep improves.”
- B. “I will report early changes and keep follow-up visits.”
- C. “I will avoid all contact with my family.”
- D. “I will double the dose if I hear a voice.”
Explanation: Keeping follow-up appointments, taking treatment as prescribed and reporting early warning signs can help identify relapse promptly.
Correct answer: “I will report early changes and keep follow-up visits.”