What percentage of the world population is estimated to have schizophrenia? |
B) 1 percent |
Psychosis means: |
B) loss of contact with reality |
The term "schizophrenia" is derived from the Greek for: |
A) split mind. |
Which of the following is NOT consistent with the most common pattern of schizophrenia? |
A) Women develop the disorder earlier and more severely than men. |
Downward drift is BEST reflected in which of the following statements? |
B) Schizophrenia causes people to fall into poverty and social disruption. |
Schizophrenia is found in all socioeconomic classes. However, it is MOST likely to be found in someone from a: |
A) lower socioeconomic level. |
Armond does not feel much emotion and does not really want to do anything. He has also completely withdrawn from his friends and family. The presence of these behaviors illustrates ______ schizophrenia. |
C) negative |
Delusions, disorganized thinking and speech, heightened perceptions and hallucinations, and inappropriate affect are examples of ______ symptoms of schizophrenia. |
A) positive |
Millie sees pretty colored butterflies on all the walls. She also hears gentle music, which is not actually there. The presence of these behaviors illustrates ______ symptoms of schizophrenia. |
B) positive |
Rosa is sure that her family is planning to kidnap her and take her inheritance. She has found her husband talking on the phone in whispers and seen her children looking at her strangely. Rosa is MOST likely suffering from: |
D) delusions of persecution. |
Antonio believes that the anchor on the evening television news is speaking directly and personally to him. He even goes to the television studio to talk to the anchor. Antonio is suffering from: |
C) delusions of reference. |
The MAIN difference between hallucinations and delusions is that: |
B) hallucinations involve perception and delusions involve belief. |
All of the following statements are true of mentally ill chemical abusers (MICAs) EXCEPT: |
A) MICA is overdiagnosed because the drug abuse is often overemphasized. |
What treatment programs seem to work best for mentally ill chemical abusers (MICAs)? |
C) long-term, individualized, comprehensive therapy |
Researchers estimate that about what percent of homeless individuals are identifiable as MICAs (mentally ill chemical abusers)? |
B) 10 to 20 percent |
In general, the problems that mentally ill chemical abusers (MICAs) face in terms of diagnosis and treatment are: |
D) more than those faced by either people with severe mental disorders or chemical abuse disorders. |
"I am the Virgin Mary, and I’ve come to give birth to a new savior," says someone experiencing: |
C) delusions of grandeur. |
A person with schizophrenia who said, "It’s cold today. My cold is better but I got it from the nurse. She is a big blonde who lives in Manhattan. I live in Manhattan with Jimmy Carter," is experiencing: |
A) loose associations. |
"Insects make me itch. My brother collects them; he is 5 feet 10 inches tall. That’s my favorite number. I dance and draw." Such speech illustrates which of the following symptoms of schizophrenia? |
A) positive |
"Insects make me itch. My brother collects them; he is 5 feet 10 inches tall. That’s my favorite number. I dance and draw." Such speech illustrates which of the following symptoms of schizophrenia? |
A) loose associations |
If someone had the delusion of being an animal, the person MOST likely would be experiencing: |
B) lycanthropy. |
A person with schizophrenia who hears all the animals around her making plans to get her ready for the ball, and comes to think she is Cinderella is experiencing a(n) ______ hallucination and a delusion of ______ |
A) auditory; grandeur |
Which of the following would be the MOST common type of hallucination? |
A) That dog is singing to me and asking me to sing along. |
The MOST common type of hallucination in schizophrenia is: |
C) auditory. |
If you could "get inside the head" of a person experiencing auditory hallucinations, you would MOST likely find that: |
A) the person actually produces nerve signals of sound in his brain. |
Research with those experiencing auditory hallucinations has demonstrated all of the following EXCEPT: |
C) movement of the oval window of the cochlea. |
Which of the following is a somatic hallucination? |
D) My intestines are a mass of wiggling worms. |
Which of the following is a tactile hallucination? |
C) There are invisible bugs crawling under my tingling skin. |
When Janice drinks her milk, she is sure from the taste that someone put salt in it. Janice is most likely experiencing a(n) _______ hallucination. |
D) gustatory |
A person with schizophrenia who laughs when told sad news and screams in situations that most people see as warm and tender is experiencing: |
C) inappropriate affect. |
Poverty of speech, blunted and flat affect, loss of volition, and social withdrawal, are all examples of ______ symptoms of schizophrenia. |
B) negative |
In the middle of a normal, calm conversation, a person with Tourette’s syndrome might suddenly begin shouting, and then follow that with a string of obscenities. This is similar to the symptom of schizophrenia called: |
B) inappropriate affect. |
A person with schizophrenia who is experiencing alogia is displaying: |
A) poverty of speech. |
The decrease in the fluency and productivity of speech that is seen in schizophrenia is specifically termed: |
A) alogia. |
An emergency medical technician (EMT) arrives at the scene of a bad car accident, and calmly prepares a severely injured passenger for transport to a hospital while others at the scene are screaming and crying with fear and grief. The EMT’s training has resulted in behavior similar to the symptom of schizophrenia called: |
C) blunted affect. |
I sit staring at a blank page, unable to make myself write a new multiple-choice test item; I just don’t seem to care. My behavior is like that of people with schizophrenia displaying the symptom called: |
A) avolition. |
Martin is a person with schizophrenia who feels ambivalent about most issues. He has no goals and does not seem to have the energy or interest to think about them. He certainly cannot make decisions. He is MOST likely suffering from: |
B) disturbances in volition. |
A person with schizophrenia who is experiencing anhedonia is displaying: |
B) blunted or flat affect. |
A person with schizophrenia who is feeling apathetic, drained, and unable to start or follow through on any projects is displaying: |
C) loss of volition. |
Those with with schizophrenia who are unable to recognize other people’s needs and emotions and who also distance themselves from reality are displaying: |
D) social withdrawal. |
The inability to move limbs in catatonic schizophrenia illustrates ______ symptoms of schizophrenia. |
D) psychomotor |
Those with schizophrenia who stop responding to their environment and remain motionless and silent for long periods of time are experiencing: |
A) catatonic stupor. |
Noreen has been diagnosed with schizophrenia. She is totally unresponsive to her environment. She does not move for hours on end and never responds to contacts from others. This is an example of: |
A) catatonic stupor. |
Those with schizophrenia who hold awkward and bizarre positions for long periods of time are experiencing: |
D) catatonic posturing. |
Those with schizophrenia who remain standing for hours and resist efforts to be moved are experiencing: |
C) catatonic rigidity. |
Which of the following two pairs MOST closely represent opposites in terms of the behavior you would observe in people with schizophrenia? |
A) catatonic stupor and catatonic excitement |
People with schizophrenia who wave their arms around in wild motions and make kicking motions with their legs are experiencing: |
B) catatonic excitement. |
The stage of the development of schizophrenia marked by deterioration of functioning and the display of some mild symptoms is called the: |
C) prodromal phase. |
A person is socially withdrawn, speaks in odd ways, has strange ideas, and expresses little emotion, but she is not displaying full-blown schizophrenic symptoms. What phase of schizophrenia is this person in? |
D) either prodromal or residual |
Patients are MORE likely to recover from schizophrenia if they: |
C) demonstrated good premorbid functioning |
Delia does not display all the full-blown schizophrenia symptoms anymore. Occasionally, a shadow of a symptom appears. She is a bit withdrawn and not entirely clear all the time, but she can marginally function in the world. This is an example of: |
A) residual schizophrenia. |
Which of the following is NOT related to a fuller recovery from schizophrenia? |
C) schizophrenia developing in early life |
A person with schizophrenia who is mute, statuelike, and fails to participate in the hospital routine is MOST likely experiencing _______ schizophrenia. |
B) catatonic |
A person with schizophrenia demonstrates poverty of speech, and experiences auditory hallucinations. According to the "Type I-Type II" evaluation categorization, this person would be: |
C) a mix of Type I and Type II |
Regarding likelihood of recovery and types of symptoms exhibited, which of the following would be the WORST disorder to have? |
B) Type II schizophrenia |
While Type I schizophrenia is dominated by ______ symptoms, Type II schizophrenia is dominated by ______ symptoms. |
C) positive; negative |
According to the diathesis-stress model of schizophrenia: |
A) people with a biological predisposition for schizophrenia will develop it if certain psychosocial stressors are also present. |
Based on family pedigree studies, which relative of an individual with a diagnosis of schizophrenia would be MOST at risk for developing the disorder? |
B) sister |
What is the rate of concordance for schizophrenia in identical twins? |
C) 40-60 percent |
In general, the closer people are genetically related to someone with schizophrenia, the MORE likely they are to be diagnosed with schizophrenia as well. This is evidence of: |
A) a positive correlation between a schizophrenia diagnosis and closeness of relationship. |
Which of the following groups of relatives of someone diagnosed with schizophrenia shows the correct sequence from having the highest concordance rate for schizophrenia to having the lowest concordance rate for schizophrenia? |
C) sibling, parent, first cousin |
Which of the following statements about genetic factors in schizophrenia is accurate? |
A) Close relatives of those with schizophrenia are more likely to be diagnosed with schizophrenia than distant relatives of those with schizophrenia. |
Recent research shows that if one identical twin develops schizophrenia, there is about a 50 percent chance the other twin will develop schizophrenia. If future research confirms this finding, we will have evidence of: |
C) strong environmental and strong genetic components of schizophrenia. |
If schizophrenia depended solely on genetic make-up, then compared to rates of schizophrenia in siblings in general, "fraternal" twins should have: |
C) the same concordance rate for schizophrenia. |
The data from studies of the biological and adoptive parents of children who receive a diagnosis of schizophrenia as adults show that the concordance rate of schizophrenia with biological relatives is: |
B) higher than with adoptive relatives. |
Which of the following statements BEST fits the evidence for the biological basis of schizophrenia? |
B) Schizophrenia is a polygenetic disorder, probably impacting brain structure and chemical activity. |
For the first two weeks after starting college, a student can’t seem to talk coherently and is generally unresponsive to the moods of other students in the same dorm. Soon, the student resumes normal patterns of speaking and social interaction. This is an example of: |
D) brief psychotic disorder. |
A middle-aged individual shows many of the negative symptoms of schizophrenia, and at the same time often appears profoundly depressed. The symptoms have lasted almost a year. This is an example of: |
D) schizoaffective disorder. |
A person acts extremely jealous all the time, and complains bitterly whenever other people appear to be getting more attention. This has been going on for a couple of months, and the person shows no other substantial symptoms. The BEST diagnosis, assuming the extreme jealousy has no basis in fact, is: |
A) delusional disorder. |
A young adult who still lives at home has a parent who frequently exhibits delusions of grandeur, so much so that the young adult eventually develops delusions of grandeur, as well. The young adult’s psychotic disorder is called: |
B) shared psychotic disorder. |
A mother experiences "baby blues" shortly after delivering a child. The chances that she later will develop postpartum psychosis are closest to: |
D) 1 in 1,000. |
A woman has just been diagnosed with postpartum depression. MOST likely, she will: |
A) neither progress to postpartum psychosis, nor physically harm her child. |
Postpartum psychosis occurs: |
A) in 1-2 percent of women, beginning soon after childbirth. |
Symptoms of postpartum psychosis appear to be triggered by: |
D) a large shift in hormones occurring just after childbirth |
Andrea Yates, showing symptoms of postpartum psychosis, drowned her five children in 2001. Assuming she was suffering from postpartum psychosis, her actions were: |
D) atypical; less than 10 percent of women with postpartum psychosis harm or attempt to harm their offspring. |
Which of the following is the BEST example of a finding from genetic linkage and molecular biology studies? |
C) Gene defects on certain chromosomes predispose one to schizophrenia. |
Does research support the thinking that there is a "schizophrenia gene"? |
A) No: schizophrenia is probably a polygenic disorder, and researchers have not pinpointed the exact gene yet. |
Why are people taking medication for schizophrenia often given medication that helps control shaking and tremors? |
B) Medication used to treat schizophrenia leads to Parkinson-like symptoms. |
Which of the following best supports the dopamine hypothesis for schizophrenia? |
B) Antipsychotic drugs often produce Parkinson-like symptoms. |
Researchers found that phenothiazines reduced psychotic symptoms but also caused Parkinsonian symptoms, like tremors. This discovery suggests that: |
B) schizophrenia is tied to excessive dopamine. |
If a person receives the chemical L-dopa, a precursor of dopamine, it reduces the symptoms of Parkinson’s disease. However, L-dopa may increase symptoms of schizophrenia. What might one reasonably conclude from this? |
B) Excessive dopamine produces schizophrenic symptoms. |
The link between dopamine and schizophrenia is supported by the finding that: |
A) lower dopamine activity helps remove schizophrenic symptoms. |
A new medication for schizophrenia appears to work because it blocks dopamine from binding to a receptor. The new medication functions as: |
B) a dopamine antagonist. |
Recently the dopamine hypothesis for schizophrenia has been challenged because it has been discovered that: |
A) effective new drugs suggest abnormal neurotransmitter activity of serotonin as well as dopamine. |
You have found enlarged ventricles during a postmortem analysis on a sample of brain tissue. This is MOST likely to be evidence of: |
C) schizophrenia involving mainly negative symptoms. |
Chemically speaking, why do people who are methamphetamine addicts sometimes display schizophrenic-like behavior? |
B) Amphetamines increase dopamine in the brain, leading to a schizophrenic-like response. |
Regarding brain structure, those with schizophrenia have been found to have all of the following EXCEPT: |
C) larger amounts of cortical gray matter. |
The finding that the HIGHEST rates of schizophrenia are found among people who are born during the winter supports which theory of schizophrenia? |
A) viral theory |
The viral explanation for schizophrenia suggests that brain abnormalities, and therefore schizophrenia, result from viral exposure: |
A) before birth. |
Since 1950, interest in psychological explanations for schizophrenia, as opposed to genetic and biological explanations have: |
A) decreased, then increased. |
According to Freud, people with schizophrenia: |
C) regress to a pre-ego state of primary narcissism. |
According to Freudian psychodynamic interpretation, people who develop schizophrenia regress to a state of: |
B) primary narcissism. |
According to Frieda Fromm-Reichmann (1948), schizophrenia is caused by: |
B) a schizophrenogenic mother. |
A psychodynamic theorist of the twenty-first century is MOST likely to say: |
D) "Biological abnormalities can lead to extreme regression." |
Most contemporary psychodynamic theorists would agree with which of the following statements? |
B) Schizophrenogenic mothers, if they do exist, don’t create schizophrenic children. |
The behavioral view of schizophrenia: |
C) provides a partial explanation for the origins and symptoms of schizophrenia. |
"If one receives a good deal of attention for unusual behaviors, is it any surprise those behaviors are strengthened?" is a question MOST likely asked by what kind of theorist? |
B) behavioral |
In many cases, people with schizophrenia make at least modest gains when they receive behavioral therapy. These findings MOST likely indicate that: |
C) some symptoms of schizophrenia may be learned. |
A person begins exhibiting early symptoms of schizophrenia; for example, hearing voices. Family members decide to discuss the voices with the person, to try to understand what is going on. This action by family members should: |
C) increase the likelihood of future symptoms, according to the behavioral viewpoint only. |
The cognitive view of schizophrenia is based on the assumption that those with schizophrenia experience strange and unreal sensations: |
A) then tell their friends and family, who deny the reality of the sensations. |
Occasionally, you see or hear things. Your friends tell you it’s your imagination, but eventually, you come to think your friends are hiding something and you develop delusions of persecution to explain their behavior. This thinking leads you down the "rational path to madness." This scenario is consistent with the: |
A) cognitive view. |
The "rational path to madness" is MOST consistent with a: |
D) cognitive orientation. |
Which of the following MOST accurately represents the "rational path to madness?" |
A) I experience disturbing symptoms. I talk them over with others. Others say I am imagining things. I decide others are lying to me. |
Compared to African Americans, white Americans are: |
C) less likely to receive a diagnosis of schizophrenia, and less likely to be institutionalized. |
Compared to those diagnosed with schizophrenia who live in developing countries, those diagnosed with schizophrenia who live in developed countries are: |
A) less likely to recover fully, and more likely to be hospitalized. |
A particular country has almost a 3 percent prevalence for schizophrenia. That country: |
C) has a higher-than-average schizophrenia prevalence. |
A person diagnosed with schizophrenia is not hospitalized, yet eventually shows complete remission of symptoms. This pattern is: |
A) typical of what happens in developing countries. |
Studies relating rates of diagnosis of schizophrenia to poverty and race show: |
C) a connection between diagnosis of schizophrenia and both race and poverty. |
The complete remission rate for those diagnosed with schizophrenia is: |
C) higher in developing countries than in undeveloped countries, possibly because of better family and social support. |
A person is labeled "schizophrenic" by the community. Based on available evidence, it is MOST likely that: |
A) community members, and the person, will have a more negative view of the person. |
People around those who have been diagnosed with schizophrenia begin to treat them as if they are "crazy," expecting and overreacting to odd behaviors that they might not even notice in others. This observation is MOST consistent with the ______ understanding of schizophrenia. |
D) sociocultural |
David Rosenhan (1973) sent eight normal people to various psychiatric hospitals. All eight complained of hearing voices that said "empty," "hollow," and "thud." After being admitted to one of the hospitals, each person acted normally, yet all were diagnosed as schizophrenic. One of the conclusions from this study is that: |
B) the expectations produced by labeling can alter perception. |
Which of the following is the BEST example of a double-bind communication? |
B) saying "I love you" but refusing to allow the child in your lap |
Families that display high levels of expressed emotion do all of the following EXCEPT: |
D) approve of one another’s actions. |
If observations of a relationship between "expressed emotion" in families and recovery from schizophrenia demonstrate cause-and-effect, one would predict that relapse would be LEAST common in schizophrenics whose families: |
D) infrequently express criticism, and allow a good deal of privacy. |
Schizophrenia researchers have been: |
B) more successful in identifying biological origins than psychological origins of schizophrenia. |
Abnormal Psychology Chapter 14
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