Abnormal Psychology- Chapter 15

Chapter 15

Chapter 15

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

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

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

were schizophrenics

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

They were overcrowded and understaffed

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:

social breakdown syndrome

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

social breakdown syndrome

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

milieu therapy

Milieu therapy is based primarily on the principles of ________ psychology

humanistic

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

milieu

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

Egas Moniz

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

transorbital lobotomy

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

The inventors of this procedure were gifted and dedicated physicians

Tokens:

can be exchanged for a variety of rewards

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

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

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

They are successful at changing the patient’s behavior

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

antihistamines

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

Thorazine

Which of the following drugs has antipsychotic properties?

haloperidol

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

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

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

delusions

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

tardive dyskinesia

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:

tardive dyskinesia

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

neuroleptic malignant syndrome

The most successful way to eliminate tardive dyskinesia is:

to stop the antipsychotic medication

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:

antipsychotic drugs

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

clozapine

The MOST widely used atypical antipsychotic drug is:

Clozaril

"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?

"Use an atypical antipsychotic drug."

Advantages of atypical antipsychotic drugs over conventional medications include:

newer medications produce fewer extrapyramidal effects

Compared to African Americans, white Americans are:

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

Why do sometherapists belive psychotherapy is unsuccessful in treating schizophrenia?

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

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?

cognitive-behavioral

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:

cognitive-behavioral therapy

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:

interpreting their hallucinations

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

Acceptance and Commitment Therapy

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

a member of the Hearing Voices Network

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

criticism

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

family therapy

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

family psychoeducational programs

Social therapy appears to play the STRONGEST role in:

lessening the possibility of relapse in those recovering from schizophrenia

Deinstituionalization:

was aimed at returning patients with mental disorders to their communities

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:

partial hospitalization

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

partial hospitalization

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

halfway house services

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:

sheltered workshop

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:

case manager

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?

likely; although the coordination of those services is a problem

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

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

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

biological treatments and psychological treatments