Psych Exam 2 Chapter 14

A patient with schizophrenia who is mute, statue-like, and fails to participate in the hospital routine is MOST likely experiencing: A) Type I schizophrenia. B) Type II schizophrenia. C) schizoaffective disorder. D) delusional disorder.

B Type II

Regarding likelihood of recovery and types of symptoms exhibited, which would be the WORST disorder to have? A) Type I schizophrenia B) Type II schizophrenia C) Type III schizophrenia D) Type IV schizophrenia

B. Type II is the worst to have

People who attend to their own ideas and fantasies, who are unable to recognize other people's needs and emotions, and who also distance themselves from reality are displaying: A) poverty of speech. B) blunted or flat affect. C) loss of volition. D) social withdrawal.

D social withdrawal

delusion of reference

a tendency to take all sorts of messages personally ex. billboard meant just for them

loose associations

aka derailment The problem is insects. My brother used to collect insects. He's now a man of 5 foot 10 inches. You know, 10 is my favorite number"

Anna shows no emotions when people tell her happy or sad stories and complains of hearing voices in her head telling her that the TV is spying on her. At times, she remains motionless in her chair for hours. When she does get out of her chair, she poses like the statue in the town square. Which of these represents a positive symptom of schizophrenia? A) showing no emotions B) hearing voices in her head C) remaining motionless D) posing like a statue

b hearing voices in her head

Patients are more likely to recover from schizophrenia if they: A) had hallucinations but no delusions. B) showed delusions but no hallucinations. C) demonstrated good premorbid functioning. D) had primarily negative rather than positive signs.

c demonstrated good premorbid functioning

examples of positive symptoms

delusions disordered thinking speech hallucinations inappropriate effect

Most common type of delusion in schizophrenia

delusions of persecution

psychosis

loss of contact with reality

Type 1 schizophrenia

most common positive symptoms

categories schizophrenia

positive negative psychomotor

social withdrawal

with drawl from social enviorments

promodal phase

beginning phase symptoms not obvious

To be diagnosed with schizophrenia, symptoms must be present for _____, during which a person must have been _____ for at least one month. A) two months; delusional B) two months; in the active phase C) six months; delusional D) six months; in the active phase

D six months; in the active phase

Antonio believes that the anchor on the evening television news is speaking directly and personally to him. He then decides to go to the television studio to talk to the anchor. Antonio is suffering from: A) delusions of persecution. B) delusions of grandeur. C) delusions of reference. D) delusions of control.

c

The stage of the development of schizophrenia marked by deterioration of functioning and the display of some mild symptoms is called the: A) active phase. B) residual phase. C) prodromal phase. D) premorbid phase.

c

A person with schizophrenia who is experiencing alogia is displaying: A) poverty of speech. B) blunted or flat affect. C) loss of volition. D) social withdrawal.

A

Type I schizophrenia is to _____, as Type II schizophrenia is to _____. A) positive symptoms; negative symptoms B) negative symptoms; positive symptoms C) prodromal phase; acute phase D) acute phase; prodromal phase

A

Which statement is the LEAST supported based on what is known about the course of schizophrenia? A) People sometimes enter the active phase before entering the prodromal phase. B) Each phase can last for days or for years. C) Exposure to a stressful event can trigger a relapse if one is in the residual phase. D) Each phase is differentiated by the severity of the symptoms that are present.

A

Which two pairs MOST closely represent opposites in terms of the behavior you would observe in people with schizophrenia? A) catatonic stupor and catatonic excitement B) catatonic rigidity and catatonic stupor C) catatonic posturing and catatonic rigidity D) catatonic excitement and catatonic posturing

A

In general, the closer that people are genetically related to someone with schizophrenia, the more likely they are to be diagnosed with schizophrenia as well. This is evidence of _____ between a schizophrenia diagnosis and the degree of closeness of relationship. A) a positive correlation B) a negative correlation C) a causal relationship D) no clear relationship

A a positive relationship

_____ is a condition in which people show no emotions at all. A) Flat affect B) Blunted affect C) Avolition D) Anhedonia

A flat effect

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) the residual phase of schizophrenia. B) catatonic schizophrenia. C) paranoid schizophrenia. D) undifferentiated schizophrenia.

A the residual stage

A person with schizophrenia who hears all the animals around her making plans to get her ready for the ball, and comes to think of herself as Cinderella, is experiencing a(n) _____ hallucination and a delusion of _____. A) auditory; grandeur B) tactile; control C) olfactory; reference D) gustatory, persecution

A. auditory; grandeur

A person with schizophrenia says to you, "Insects make me itch. My brother collects them; he is 5 feet 10 inches tall. That's my favorite number. I dance and draw." This example illustrates which symptom of schizophrenia? A) delusions of reference B) derailment C) neologisms D) inappropriate affect

B

Currently, what is known about the relationship between hallucinations and delusions? A) There is no evidence to suggest that they are related to one another. B) It is likely that hallucinations and delusions occur together and feed one another. C) Physiological evidence indicates a physical correlate with delusions, but not hallucinations. D) Hallucinations cause delusions, but delusions do not cause hallucinations.

B

How is social withdrawal related to avolition? A) Both appear to be behaviorally different, but each has similar underlying features. B) Both are negative symptoms of schizophrenia. C) Both rely on similar structures in the motor cortex. D) Both of these appear at similar points during the time-course of schizophrenia.

B

In the middle of a calm conversation, a person with Tourette's syndrome might suddenly begin shouting and follow that with a string of obscenities. This is similar to the symptom of schizophrenia called: A) blunted and flat affect. B) inappropriate affect. C) poverty of speech. D) loss of volition.

B

The main difference between hallucinations and delusions is that hallucinations: A) are more serious than delusions. B) involve perception and delusions involve belief. C) are more common early in the disorder and delusions more common later. D) are auditory and delusions are visual.

B

How is catatonic stupor related to loss of volition? A) Both appear to be behaviorally similar, but each has different underlying features. B) Both are negative symptoms of schizophrenia. C) Both rely on similar structures in the motor cortex. D) Both of these appear at similar points during the time-course of schizophrenia.

B both appear to behave similarly but each has different underlying features

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: A) disturbances in affect. B) disturbances in volition. C) a disturbed sense of self. D) a disturbed relationship with the outside world.

B disturbances in volition

A person with schizophrenia who says, "I have 'triscatitis' because the angular shape of my foreffit is diskiltered," is experiencing: A) loose associations. B) neologisms. C) perseveration. D) clang.

B nelogisms aka made up words

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. A) active B) positive C) negative D) psychomotor

B positive

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: A) Type I. B) Type II. C) a mix of Type I and Type II. D) neither Type I nor Type II, because these types apply only to the prodromal phase.

C

What is the rate of concordance for schizophrenia in identical twins? A) 2-5 percent B) 15-18 percent C) 40-50 percent D) 60-70 percent

C 40-50%

Catatonic rigidity and catatonic posturing share all of the following characteristics EXCEPT: A) both involve behavior in which a person remains motionless for some time. B) both are psychomotor symptoms of schizophrenia. C) both are disruptive to those who display these symptoms. D) both are common among those diagnosed with schizophrenia.

D

Frederick has been diagnosed with schizophrenia. He remains standing for hours and resists efforts to be moved. Frederick is likely experiencing: A) catatonic stupor. B) catatonic excitement. C) catatonic rigidity. D) catatonic posturing.

D

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? A) prodromal B) active C) residual D) either prodromal or residual

D either prodromal or residual

Which statement is true regarding Type I versus Type II schizophrenia? A) Type I schizophrenia is significantly less common than Type II schizophrenia. B) Type I schizophrenia is slightly less common than Type II schizophrenia. C) Type I schizophrenia is slightly more common than Type II schizophrenia. D) Type I schizophrenia is significantly more common than Type II schizophrenia.

D. Type I is significantly more common then Type II

inappropriate affect

Display of emotions that are unsuited to the situation ex. smiling while making somber statement or become upset in situations that should make them happy

The _____ symptoms of schizophrenia include delusions, disorganized thinking and speech, heightened perceptions and hallucinations, and inappropriate affect. A) positive B) negative C) cognitive D) ineffective

a positive symptoms

alogia

aka poverty of speech reduction in speech or speech content can still say things but they convey little meaning

clang

aka using rhyme to express themselves

catatonic stupor

an immobile, expressionless, coma-like state associated with schizophrenia

_____ is defined as apathy, coupled with an inability to start or complete a course of action. A) Flat affect B) Blunted affect C) Avolition D) Anhedonia

c

negative symptoms examples

poverty of speech, blunted/flat effect loss of violation social withdrawal

catatonic excitement

purposeless and excessive motor activity ex. widely waving arms and legs

preservation

repeat words or statements again and again

Positive symptoms of schizophrenia are to _____, as negative symptoms are to _____. A) symptoms that can easily be treated; symptoms that are difficult to treat B) the presence of inappropriate behaviors; the absence of appropriate behaviors C) features that people consider to be good; features that people consider to be bad D) excess feelings of happiness and elation; excess feelings of sadness and depression

the presence of inappropriate behaviors; the absence of appropriate behaviors

. A person with schizophrenia who laughs when told sad news and screams in situations that most people see as warm and tender is experiencing: A) cognitive distortion. B) delusions of control. C) inappropriate affect. D) olfactory hallucination.

C

"The TV is making me think of the number 7" is to _____, as "Nobody believes that I am Saint Michael" is to _____. A) delusions of persecution; delusions of grandeur B) delusions of grandeur; delusions of persecution C) delusions of persecution; delusions of control D) delusions of control; delusions of grandeur

D

Based on family pedigree studies, which relative of an individual with a diagnosis of schizophrenia would be MOST at risk for developing the disorder? A) niece B) sister C) child D) fraternal twin

D

neologisms

made up words only person understands

catatonic rigidity

maintain a rigid, upright posture for hours and resist efforts to be moved

full recovery more likely in people

With good premorbid functioning Whose disorder was triggered by stress With abrupt onset With later onset (during middle age) Who receive early treatment

catatonic posturing

assuming awkward, bizarre positions for long periods of time

Avolotion

apathy and inability to start or complete course of action lack of motivation

catatonia

psychomotor symptoms taking extreme forms four types

The DSM-5 requires that continuous signs of schizophrenia be present for at least _____ month(s) for a diagnosis of schizophrenia to be warranted.

six

The term schizophrenia is a combination of the Greek words that mean "_____ mind."

split

active phase

symptoms become apparent

Poverty of speech, blunted and flat affect, loss of volition, and social withdrawal are all _____ symptoms of schizophrenia. A) positive B) negative C) hallucinatory D) psychomotor

B

negative symptoms

pathological deficits

The MOST common type of hallucination in schizophrenia is: A) visual. B) tactile. C) auditory. D) olfactory.

c auditory

ambivalence

conflicted feelings about most things

Each phase of the disorder may last for

days or years

102. 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. B) people with certain psychosocial stressors will develop schizophrenia in the absence of a biological predisposition. C) biological predispositions for schizophrenia override any evidence for the importance of psychosocial stressors. D) people with certain biological predispositions will develop schizophrenia in the absence of psychosocial stressors.

A

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. B) ahedonia. C) inappropriate affect. D) flat affect.

A

The decrease in the fluency and productivity of speech that is seen in schizophrenia is specifically termed: A) alogia. B) blocking. C) avolition. D) catatonia.

A

A strange false belief that is firmly held despite evidence to the contrary is called a: A) hallucination. B) maladaptive attitude. C) delusion. D) loss of volition.

C

A woman proclaims, "I am the Virgin Mary, and I've come to give birth to a new savior." This person is MOST likely experiencing: A) delusions of reference. B) delusions of persecution. C) delusions of grandeur. D) delusions of control.

C

Which is NOT related to a fuller recovery from schizophrenia? A) treatment during the prodromal phase B) schizophrenia initially triggered by stress C) schizophrenia developing during late adolescence D) an abrupt beginning to the disorder

C

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: A) delusions of grandeur. B) delusions of reference. C) delusions of control. D) delusions of persecution.

D

The inability to move limbs in catatonic schizophrenia illustrates _____ symptoms of schizophrenia. A) active B) positive C) negative D) psychomotor

D

Holding an awkward and bizarre position for a long period of time defines: A) catatonic stupor. B) catatonic excitement. C) catatonic rigidity. D) catatonic posturing.

D catatonic posturing

Schizophrenia

Psychotic disorder in which personal, social, and occupational functioning deteriorate as a result of unusual perceptions, odd thoughts, disturbed emotions, and motor abnormalities

delusion of persecution

a false belief that one is being mistreated, abused, or harassed being plotted or discriminated against

flat affect

a lack of emotional responsiveness

delusions of grandeur

belief that you enjoy greater power and influence than you do believe themselves to be great religious savors, inventors...

Schizophrenia usually first appears between the

late teens to mid 30s

Type II schizophrenia

negative symptoms

positive symptoms

pathological excesses

residual phase

return to promodal phase of acting