A 33-Year-Old Man Is Hospitalized After He Was Found by His

question 47

Multiple Choice

A 33-year-old man is hospitalized after he was found by his mother rocking back and forth on the floor of his room, repeatedly saying, "I deserve to die."  The patient has a history of schizophrenia since his early twenties and lives with his parents.  His antipsychotic medication was recently switched to aripiprazole due to poor response to quetiapine.  The patient has no other medical history.  He does not use alcohol or illicit drugs.  Physical examination is unremarkable.  On mental status examination, the patient is fearful and agitated.  He appears to be responding to internal stimuli and says the devil's voice is saying, "Why don't you kill yourself."  The patient asks the physician, "Don't you hear the devil?"  Which of the following is the most appropriate response to this patient?

• A)"I can assure you that these frightening voices are not real but are due to schizophrenia."
• B)"I can understand that the voices are upsetting, but they are only in your mind and should improve with the right medication."
• C)"I don't hear the voice of the devil, but I can understand how this experience must be terrifying for you."
• D)"I understand that you are frightened, but I need your commitment not to act on any commands to harm yourself."
• E)"The best strategy is to try to ignore the voices while we adjust your medications to bring you relief."

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Definitions:

Imperfect Competition

A market structure where the conditions necessary for perfect competition are not satisfied, characterized by factors like different products and barriers to entry.

Market Power

The ability of a firm or group of firms to influence the price of a good or service in the market, often through controlling supply, demand, or both.

Inefficiency

Occurs when resources are not used in the most effective way, resulting in wasted resources or lost opportunities, often identified in markets with monopolies or restrictive trade practices.

Imperfectly Competitive Industry

A market structure characterized by a few producers that have some control over the price and where products are differentiated.