What is the long-term goal for Sam’s delusional thoughts?

• A. Not experience delusional thoughts by discharge
• B. Improve mood
• C. Increase aggression control
• D. Improve memory

Answer: (A)

Long-term management of delusional thoughts in schizophrenia aims for symptom remission so the person can function reliably in reality. For Sam, the target outcome is that delusional thoughts are not experienced by discharge, reflecting sustained improvement and the ability to rely on reality rather than false beliefs. This guides treatment toward ongoing antipsychotic management, relapse prevention, and therapies that strengthen reality testing and coping skills. Mood improvement, while important if mood symptoms are present, does not directly address delusions. Aggression control and memory improvement relate to safety and cognitive functioning but do not target the persistence of delusional beliefs.