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Chapter 15

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Chapter 15

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Which of the following statements MOST accurately reflects current thinking about pscyhosis and schizophrenia?

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People with different diagnoses can exhibit psychosis; it's not limited to schizophrenia

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Most patients who lived on the hospital wards in state mental hospitals in the mid-1900s:

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were schizophrenics

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Which of the following is TRUE of state mental hospitals in the United States in the mid-twentieth century?

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They were overcrowded and understaffed

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Some hospitalized mental patients whose original symptoms of schizophrenia improved were nonetheless unable to return to society because of the negative effects of their care. This syndrome is called:

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social breakdown syndrome

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Long-term mental patients frequently developed anger, aggressiveness, and loss of interest in personal appearance. This condition has been called:

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social breakdown syndrome

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Which therapy is based on the premise that when you change the social environment, you can change the patient?

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milieu therapy

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Milieu therapy is based primarily on the principles of ________ psychology

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humanistic

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A patient who is called a resident who lives in a therapeutic community and actively works with staff members to create a life that is as much like that outside the hospital as possible, is probably receiving __________ therapy

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milieu

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Who was the first physician responsible for developing the prefrontal lobotomy for use on human patients?

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Egas Moniz

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The Americans Walter Freeman and James Watts "improved" the procedure developed by Egas Moniz by developing the:

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transorbital lobotomy

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Why were lobotomies so enthusiastically accepted by the medical community in the 1940s and 1950s?

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The inventors of this procedure were gifted and dedicated physicians

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Tokens:

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can be exchanged for a variety of rewards

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Which of the following is NOT a criticism of the token economy approach?

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Token economy programs do not change the behavior of the most severely ill patients

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Which of the following BEST describes the effectiveness of token economy strategies?

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They are successful at changing the patient's behavior

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Antipsychotic drugs were discovered accidentally when researchers were trying to develop:

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antihistamines

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The first antipsychotic drug to be approved for the use in the United States was:

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Thorazine

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Which of the following drugs has antipsychotic properties?

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haloperidol

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What is the MOST accurate advice you could give someone thinking about taking traditional antipsychotic medication for their schizophrenia?

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"Although these drugs will probably work, there are significant side effects."

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The schizophrenic symptoms most likely to be relieved by antipsychotic drugs is:

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delusions

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One of the unwanted and later side effects of antipsychotic medications is:

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tardive dyskinesia

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A woman has been treated with chlorpromazine for several years. Lately she seems to be chewing gum all the time and her arms are always in motion. She has begun to display twitching facial tics. This is an example of:

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tardive dyskinesia

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A person who is experiencing a potentially fatal reaction to an antipsychotic drug involving muscle rigidity and autonomic nervous system dysfunction is displaying:

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neuroleptic malignant syndrome

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The most successful way to eliminate tardive dyskinesia is:

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to stop the antipsychotic medication

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If you were working with a patient who displayed muscle tremors and rigidity, facial tics, and tardive dyskinesia, you would suspect that the person was receiving:

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antipsychotic drugs

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Which of the following drugs appears to act more at D-1 and D-4 dopamine receptors than at D-2 dopamine receptors?

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clozapine

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The MOST widely used atypical antipsychotic drug is:

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Clozaril

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"I want to maximize the antipsychotic effect of a drug while minimizing its undesirable side effects," says a doctor. What's the BEST advice you can give the doctor?

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"Use an atypical antipsychotic drug."

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Advantages of atypical antipsychotic drugs over conventional medications include:

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newer medications produce fewer extrapyramidal effects

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Compared to African Americans, white Americans are:

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more likely to receive atypical antipsychotic drugs for both schizophrenia and other psychotic disorders

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Why do sometherapists belive psychotherapy is unsuccessful in treating schizophrenia?

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Unmedicated schizophrenics are too far removed from reality to form the relationship needed

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Rather than seeking to eliminate hallucinations and delusions, which form of therapy helps people learn to reinterpret their hallucinations and change their reactions to the hallucinations?

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cognitive-behavioral

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If you are being treated for schizophrenia and are learning to distract yourself from the voices you hear and to reinterpret them as just a symptom of your disorder rather than reality, you are MOST likely receiving:

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cognitive-behavioral therapy

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Therapists who make statements such as, "It's not a real voice; it's my illness," are using a technique from the cognitive-behavioral approach that involves:

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interpreting their hallucinations

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New-wave cognitive-behavioral therapies are MOST similar to:

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Acceptance and Commitment Therapy

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The belief that many people hear voices and that this can be a meaningful, nonpathological experience is held by:

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a member of the Hearing Voices Network

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A family with a high level of expressed emotion may display a great deal of:

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criticism

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If relatives of a schizophrenic come to have more realistic expectations, reduce their guilt, and work on establishing better communication, they are probably receiving:

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family therapy

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If you and your family were receiving support, encouragement, and advice from other families with schizophrenic members, you would MOST likely be participating in:

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family psychoeducational programs

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Social therapy appears to play the STRONGEST role in:

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lessening the possibility of relapse in those recovering from schizophrenia

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Deinstituionalization:

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was aimed at returning patients with mental disorders to their communities

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If a person being treated for schizophrenia goes each day to a center where the focus is on improving social skills and receiving therapy, the person is participating in:

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partial hospitalization

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A person lives at home but spends his day at a mental health facility. The facility might be described as providing:

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partial hospitalization

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Schizophrenics who receive 24-hour supervision in a community setting, usually following a milieu approach, are receiving:

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halfway house services

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Several people with schizophrenia work at a recycling center, where on-time behavior is expected, and payment is made solely for work completed. The people do not compete with each other. MOST likely, this work takes place at a:

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sheltered workshop

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The person most responsible for coordinating community service and providing practical help with problem-solving social skills, and ensuring that medications are being taken properly is a:

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case manager

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A disturbed individual kills number of people in a mass shooting. The shooter is found to be mentally ill. How likely is it that such an individual will have received mental health services in the past year?

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likely; although the coordination of those services is a problem

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Someone says to you, "Homeless people scare me. They're all crazy." What is your BEST response?

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"Unfortunately, about a third of homeless people are mentally ill."

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Research suggests that an effective treatment plan for schizophrenia should include:

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biological treatments and psychological treatments

Abnormal Psychology: Chapter 15 – Flashcards

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