Exam 3: Chapter 15 (Multiple Choice)

The FDA required that people who take _______________ undergo periodic drug testing to monitor for agranulocytosis. A. Haldol B. Clozaril C. Prolixin D. Mellaril

Clozaril

The ______________ requires that people with mental disorders receive treatment in their communities rather than being transported to institutions far from home. A. Civil Rights Act B. Mental Health Insurance Parity Act C. Community Mental Health Act D. Deinstitutionalization Act of 1963

Community Mental Health Act

Who received the Nobel Prize for research that led to the development of the lobotomy procedure? A. Walter Freeman B. Egas Moniz C. Phillipe Pinel D. Elliot Valenstein

Egas Moniz

What do family support groups and family psychoeducational programs have in common? A. Family members of patients with schizophrenia are subjected to the same treatments as the patient so that they can understand what it is like to have the illness. B. Family members meet with others in the same situation to share thoughts and emotions, provide mutual support, and learn about schizophrenia. C. Family members are instructed to keep quiet while the patients with schizophrenia gives a presentation on their plan to recovery. D. Family members work collaboratively with therapists on ways to convince the patient with schizophrenia to voluntarily agree to long-term hospitalization.

Family members meet with others in the same situation to share thoughts and emotions, provide mutual support, and learn about schizophrenia.

Day hospitals first appeared in _______________ when a shortage of hospital beds led to the premature release of many patients. A. Moscow B. Paris C. London D. Boston

Moscow

The ___________________ has become a powerful force lobbying legislatures for services for people with severe mental disorders. A. National Association of Mental Illness B. National Alliance on Mental Illness C. American Association of Mental Illness D. National Institute of Mental Health

National Alliance on Mental Illness

______________ is a severe, potentially fatal reaction to antipsychotic drugs consisting of muscle rigidity, fever, altered consciousness, and improper functioning of the autonomic nervous system. A. Neuroleptic malignant syndrome B. Tardive dyskinesia C. Neurogenesis imperfecta D. Huntington's chorea

Neuroleptic malignant syndrome

Which criticism has not been made about token economy programs in the treatment of the mentally ill? A. The programs raise legal and ethical concerns. B. The quality of the improvement is questioned. C. There is no evidence of improvement as a result of these programs. D. Some of the studies used to laud the effectiveness of these programs were uncontrolled.

There is no evidence of improvement as a result of these programs.

The first medication approved for the sale in the United States as an antipsychotic was: A. Melarin. B. Haldol. C. Thorazine. D. Zyprexa.

Thorazine.

Which is not mentioned as being a useful form f psychotherapy for people suffering from schizophrenia? A. insight therapy B. cognitive-behavioral therapy C. family therapy D. social therapy

cognitive-behavioral therapy

Which of the following receives the least amount of federal and state funds? A. social security disability income B. state hospitals C. community treatment programs for people with severe mental disorders D. services for people with mental disorders who live in nursing homes and general hospitals

community treatment programs for people with severe mental disorders

Of the following living circumstances, _____________ describes approximately one-third of those who suffer from schizophrenia and other severe mental disorders. A. unsupervised living B. living with a family member C. jail or prison D. living in a hospital

unsupervised living

The milieu therapy approach to treating schizophrenia is based on ______________ principles. A. sociocultural B. psychodynamic C. behavioral D. humanistic

humanistic

Which of the following trends with regard to the treatment of schizophrenia in people of different racial backgrounds is not true? A. African Americans with schizophrenia are less likely than white Americans to be prescribed atypical antipsychotic drugs. B. African Americans are more likely to experience tardive dyskinesia and extrapyramidal effects than white Americans. C. African Americans are more likely to have a family physician rather than a treating psychiatrist prescribe their psychotropic drugs. D. African American patients are more likely to be noncompliant with the directions on how often to take their medication that white Americans.

African American patients are more likely to be noncompliant with the directions on how often to take their medication that white Americans.

The move toward institutionalization of the mentally ill in hospitals rather than asylums began in: A. Belgium. B. the United States. C. France. D. Germany.

France.

Which is not an extrapyramidal effect of using antipsychotic medications to treat schizophrenia? A. Parkinsonian-type symptoms B. Huntington's-type symptoms C. neuroleptic malignant syndrome D. tardive dyskinesia

Huntington's-type symptoms

Posthospitalization follow-up care and treatment in the community is known as: A. acute care. B. aftercare. C. day care. D. halfway care.

aftercare

Use of at least one atypical antipsychotic, Clozapine, has been associated with the development of: A. tardive dyskinesia. B. akathisia C. brain tumors. D. agranulotocytosis.

agranulocytosis.

The use of antipsychotic medication dates back to the 1940s, when _________ drugs were used to calm patients about to undergo surgery. A. beta blockers B. antihistamine C. anticholinergenic D. opioid

antihistamine

The discovery of ___________ revolutionized treatment for schizophrenia. A. milieu therapy B. antipsychotic drugs C. token economies D. leucotomy

antipsychotic drugs

Research has repeatedly shown that: A. antipsychotic drugs reduce symptoms in the majority of patients with schizophrenia. B. drugs are not as effective as milieu therapy. C. electroconvulsive therapy is more effective than drugs in treating schizophrenia. D. milieu therapy and token economies are more effective than drugs in treating schizophrenia.

antipsychotic drugs reduce symptoms in the majority of patients with schizophrenia.

A growing number of community therapists have become ____________ for people with schizophrenia and other severe mental disorders. A. social workers B. court advocates C. case managers D. psychologists

case managers

The Parkinsonian and related symptoms that may be a side effect of taking antipsychotic medications seemed to be related to the reduction of _____________ activity in the brain. A. serotonin B. GABA C. dopamine D. norepinephrine

dopamine

Antipsychotic drugs reduce psychotic symptoms, at least in part, because thy block excessive activity of neurotransmitters at the brain's ____________ receptors. A. dopamine D-2 B. GABA C. dopamine D-3 D. serotonin

dopamine D-2

Most people with schizophrenia who live in poorly supervised settings survive on: A. family support. B. community support. C. support from religious institutions. D. government disability payments.

government disability payments.

Which symptom of schizophrenia is most quickly reduced by taking antipsychotic medications? A. flat affect B. poverty of speech C. loss of volition D. hallucinations

hallucinations

The premise of _____________ was that institutions needed to promote productive activity, self-respect, and individual responsibility. A. social treatment B. token economy program C. milieu therapy D. rational-emotional-behavioral therapy

milieu therapy

Conventional antipsychotic drugs are referred to as _______________ drugs because of their undesirable movement-related side effects. A. dangerous B. controlled C. neuroleptic D. neuropsychotic

neuroleptic

Today, psychosurgery is used only in severe cases of: A. schizophrenia. B. bipolar disorder. C. delusional disorder. D. obsessive-compulsive disorder and depression.

obsessive-compulsive disorder and depression.

How many people technically reside in a halfway house? A. one to two dozen B. between four and six C. only one person lives at a halfway house at a time D. anywhere between 25 and 50

one to two dozen

Token economy programs relied on the systematic application of ____________ techniques. A. operant conditioning B. classical conditioning C. social modeling D. cognitive restructuring

operant conditioning

Generally speaking, persons with schizophrenia who feel ______________ toward their relatives do better in treatment. A. dependent B. apathetic C. detached D. positively

positively

Many people who are recovering from schizophrenia and other severe mental disorders receive occupational training in a(n) ____________ workshop, which is a supervised workplace for individuals who are not ready to work independently in competitive or complicated jobs. A. assisted B. sheltered C. halfway D. probationary

sheltered

As a result of institutionalization, many patients developed: A. severe depression. B. schizophrenia. C. social breakdown syndrome. D. diathesis-stress.

social breakdown syndrome.

The Parkinsonian and movement-related side effects of certain antipsychotic medications seem to be caused by reductions of specific transmitters in the basal ganglia and _____________ regions of the brain. A. pia mater meninx B. corpus callosum C. substantia nigra D. putamen

substantia nigra

In a(n) _______________ patients are rewarded when they behave acceptably and are not rewarded when they behave unacceptably. A. community mental health clinic B. state hospital C. milieu therapy D. token economy

token economy

Of the few psychotherapists who treated schizophrenic patients before the discovery of antipsychotic drugs, most believed that the first task of therapy was to: A. win the trust of patients and build a close friendship with them. B. get the patient to openly admit that their hallucinations were not real. C. challenge the delusions that so many patients held, so that they could treat the "real" person and not just the symptom. D. make the family members understand that schizophrenia had no real cure, and that only a modicum of improvement could or should be expected.

win the trust of patients and build a close friendship with them.