A 33-Year-Old Man Is Hospitalized After Neighbors Called the Police

question 17

Multiple Choice

A 33-year-old man is hospitalized after neighbors called the police to report that he has been singing loudly and playing the piano "nonstop" all day and night for the last month.  The patient says his mood is "terrific," claims he is related to the President, and hears voices telling him he is going to be a famous entertainer.  While in the hospital, he makes inappropriate sexual advances toward some of the female nurses.  He has a history of 9 psychiatric hospitalizations starting at age 22 for mood and psychotic symptoms.  In between hospitalizations, the patient has heard voices commenting on his appearance and has believed that secret cameras have been monitoring him, but he has had no mood symptoms.  Which of the following is the most likely diagnosis in this patient?

• A)Bipolar disorder with psychotic features
• B)Delusional disorder
• C)Major depression with psychotic features
• D)Schizoaffective disorder
• E)Schizophrenia
• F)Schizophreniform disorder

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Definitions:

Changing

Refers to the process of making something different from what it was before.

Immediate Outcomes

The direct results or effects that occur as a consequence of an action or event.

Omission Bias

The inclination to perceive actions that cause harm as more negative or morally inferior compared to equally damaging failures to act (omissions).

Relationship

Relates to the way in which two or more people or things are connected, or the state of being connected.