Symptoms
Progression
Numbers
Treatment
Support
100
Positive symptoms are:

A. Definite symptom of schizophrenia

B. Any symptom that distorts reality

C. Indication of recovery

B. Any symptom that distorts reality such as delusions, hallucinations, etc.

Negative symptoms are thoughts, feelings, or behaviors normally present that are absent or diminished in an individual. While occuring, the brain shows reduced pre-frontal cortex brain activity.

100
What is downward drift?

A. Ability to relax from a heightened emotional state

B. Falling to the bottom of the social ladder

C. Showing more negative symptoms

B. Falling to the bottom of the social ladder

A phenomenon in which individuals exhibiting psychotic symptoms fall to the bottom of the social ladder or even become homeless because they cannot hold down a job or sustain a relationship.

100
What percentage of the population suffers from Schizophrenia?

A. 5%

B. 25%

C. 1%

C. 1%
100
One of the best self-treatments for avoiding relapse is:

A. Eating a well-balanced diet

B. Avoiding stress

C. Getting enough sleep

B. Avoiding stress
100
What is the name of Omaha's newest mental health facility?

A. Campus of Hope

B. Immanuel Hospital

C. Lasting Hope

C. Lasting Hope with 64 beds

Currently there are also 119 adult psychiatric beds in Omaha metro:

* 45 at Alegent Health Immanuel Medical Center

* 22 at Alegent Health Mercy Hospital

* 20 at Jennie Edmundson Hospital

* 10 at The Nebraska Medical Center

* 22 at Douglas County Community Mental Health Center

200
Flat affect is:

A. Limited range and intensity of emotional expression

B. Remaining asymptomatic for at least six months

C. Showing only positive symptoms of the disease

A. Limited range and intensity of emotional expression

Lack of eye contact, facial expression and verbal tone are all signs of flat affect.

200
Left untreated, schizophrenia will:

A.Put the individual at a high risk of suicide

B. Be harder to control once treated

C. Both A & B

C. Both A & B

Schizophrenics have a high suicide rate (50X general public).

200
What is the approximate cost (of schizophrenia) per year to society?

A. 63 billion

B. 63 million

C. 6.3 million

A. 63 billion

63 billion is for direct treatment, societal and family costs. Nearly 30 percent ($19 billion) of that cost involves direct treatment - the rest is other factors -- lost time from work (patients and care givers), social services, criminal justice resources.

200
Tardive dyskinesia is:

A. A second generation anti-psychotic

B. Type of schizophrenia

C. Uncoordinated muscle twitches

C. Uncoordinated muscle twitches

Rare side-effect of anti-psychotics, especially first generation (early) schizophrenia drugs.

200
There is a support group in Fremont for families.

A. Yes

B. No

C. I have NO idea

A. Yes!

Fremont NAMI (National Alliance on Mental Illness) meets the second Tuesday of every month at the Pathfinder house on North Clarkson. Everyone is welcome.

300
Psychosis is:

A. Violent tendencies

B. Insanity

C. Loss of contact with reality

C. Loss of contact with reality

Contrary to popular belief, psychosis does not normally involve violence. People with schizophrenia are far more likely to harm themselves than be violent toward the public. Violence is not a symptom of schizophrenia.

300
People with a mental illness will often avoid diagnosis because:

A. It's expensive

B. They don't know how to go about it

C. Stigma

C. Stigma
300
Typical age of onset is:

A. Men: 35 Women: 20

B. Men: 40 Women: 25

C. Men: 18 Women: 25

C. Men: 18 Women: 25

A woman's onset is typically later. Schizophrenia onset is quite rare for people under 10 years of age, or over 40 years of age.

300
How do many anti-psychotics work?

A. Increase the amount of dopamine in the brain

B. Increase the amount of GABA in the brain

C. Block dopamine receptors

C. Block dopamine receptors

Current theory holds that schizophrenics don't actually produce excess dopamine but are very sensitive to normal levels in the brain.

300
What is the best way to communicate with an individual with symptomatic schizophrenia?

A. Place yourself beside them rather than face-to-face.

B. Try to rationalize with them.

C. Avoid them

A. Place yourself beside them rather than face-to-face.

This deflects paranoia away from you. Speaking softly and avoiding eye contact may help. Identify with them, don't rationalize. Share the mistrust.

400
Clanging is:

A. Communicating with words that rhyme

B. Answers to questions that may not be relevant

C. Speech may be neither structured nor comprehensible

A. Communicating with words that rhyme

A form of speech pattern in schizophrenia where thinking is driven by word sounds. For example, rhyming or alliteration may lead to the appearance of logical connections where none in fact exists.

400
What is residual schizophrenia?

A. A lack of prominent positive symptoms

B. Untreated schizophrenia

C. Schizophrenia that can not be controlled

A. A lack of prominent positive symptoms

A category of Schizophrenia when the individual has experienced at least one previous psychotic episode and there is currently a lack of prominent positive symptoms.

400
Approximately how many people worldwide will be diagnosed with schizophrenia this year?

A. 3 million

B. 100,000

C. 1.5 million

C. 1.5 million worldwide

Or, 7.2 per 1000 people.

400
A common side effect of anti-psychotics is:

A. Headaches

B. Nausea

C. Weight gain

C. Weight gain

Other side effects include diabetes and high cholesterol.

400
Schizophrenia automatically qualifies an individual to receive SSI/Disability.

A. No

B. Yes

C. Yes and No

B. Yes

Although schizophrenia does automatically qualify them for SSI/Disability, they are often refused at least once and often have to engage a lawyer to receive rightful benefits.

500
Anhedonia is:

A. Type of hallucination named after ancient Greek myth

B. The inability to experience joy or pleasure

C. Rapidly changing mood- from happy to sad to angry

B. The inability to experience joy or pleasure

Researchers theorize that anhedonia may result from the breakdown in the brain's reward system, involving the neurotransmitter dopamine.

500
Prodromal stage in Schizophrenia is:

A. Period post psychotic episode

B. Period before psychotic episode

C. Slow withdrawal from normal life and social interaction

C. Slow withdrawal from normal life and social interaction

The slow deterioration from normal functioning to the delusional and dysfunctional thinking characteristic of many forms of schizophrenia, normally taking place over an average of 5 years.

500
How may people in the United States are currently living with Schizophrenia?

A. Over 2.2 million people

B. Over 1 million people

C. Over 100,000 people

A. Over 2.2 million people

Multiple Sclerosis: 400,000 people

Insulin-dependent Diabetes: 350,000 people

Muscular Dystrophy: 35,000 people

500
If medication is discontinued, what is the rate of relapse?

A. 80 percent within 2 years

B. 100 percent within 1 year

C. 50 percent within 2 years

A. 80 percent within 2 years

With continued drug treatment, only about 40 percent of recovered patients will suffer relapses.

500
Prodromal signals:

A. Indicate a reaction to medication

B. Can be sensed by families

C. Should be ignored

B. Can be sensed by families

Include restlessness, agitation, anxiety, sleeplessness, depression, inability to concentrate. Families can support individual by reporting these to the doctor and having the doctor adjust medication to prevent full-blown relapse.

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