Treatment of Schizophrenia

In one study of patients who had been receiving antipsychotic medication for at least five years, _____ percent of them relapsed within a year when they were switched to a placebo. a. 75 c. 40 b. 68 d. 27

a. 75

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

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

Day hospitals first appeared in _____________ when a shortage of hospital beds led to the premature release of many patients. a. Moscow c. London b. Paris d. Boston

a. moscow

__________ 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 c. Neurodegensis Imperfecta b. Tardive Dyskinesia d. Huntington's Chorea

a. neuroleptic malignat syndrome

How many people typically reside in a halfway house? a. One to two dozen c. Only one person lives a a halfway house at a time b. Between 4 and 6 d. Anywhere between 25 and 50

a. one to two dozen

Token economy programs relied on the systematic application of __________ techniques. a. Operant conditioning c. Social Modeling b. Classical conditioning d. Cognitive Restructuring

a. operant conditioning

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 relationship with them. c. challenge the delusions that so many patients held, so that they could treat the "real" person and not just the symptom. b. Get the patient to openly admit that their hallucinations were not real d. make the family members understand that schizophrenia had no real cure, and that only a modicum of improvement could or should be expected.

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

Which drug can exacerbate the symptoms of psychosis and intensify the symptoms of schizophrenia? a. Alcohol c. Cocaine b. Marijuana d. Oxycoting

c. cocaine

Between ____ and ____ percent of all people with chronic mental disorders may be mentally ill chemical abusers (MICAs). a. 10;20 c. 50;70 b. 20;50 d. 40;60

b. 20;50

Who received the Nobel Prize for research that led to the development of the lobotomy procedure? a. Walter Freeman c. Phillipe Pinel b. Egas Moniz d. Elliot Valenstein

b. 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. c. Family members are instructed to keep quiet while the patient with schizophrenia gives a presentation on their plan for recovery. b. Family members meet with others in the same situation to share thoughts and emotions, provide mutual support, and learn about schizophrenia. d. Family members work collaboratively with therapists on ways to convince the patient with schizophrenia to voluntarily agree to long-term hospitalization.

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

The new atypical antipsychotic drugs are considered atypical because they are received at all of the following neurotransmitter receptors except _____________? a. Dopamine D-1 c. Dopamine D-4 b. GABA d. Seratonin

b. GABA

Which is not an extrapyramidal effect of using antipsychotic medications to treat schizophrenia? a. Parkinsonian type symptoms c. Neuroleptic Malignant syndrome b. Huntington's type symptoms d. Tardive Dyskinesia

b. Huntington's type symptoms

Follow-up care and treatment in the community posthospitalization is known as: a. Acute Care c. Day Care b. Aftercare d. Halfway Care

b. aftercare

The use of antipsychotic medication dates back to the 1940s, when ___________ drugs were used to calm patients about to undergo surgery. a. Beta Blocking c. Anticholinergenic b. Antihistamine d. Opioid

b. antihistamine

The discovery of ___________ revolutionized treatment for schizophrenia. a. Milieu Therapy c. Token Economies b. Antipsychotic Drugs d. Leucotomy

b. antipsychotic drugs

Which is not mentioned as being a useful form of psychotherapy for people suffering from schizophrenia? a. Insight Therapy c. Family Therapy b. Behavioral Therapy d. Social Therapy

b. behavioral therapy

The FDA required that people who take ____________ undergo periodic drug testing to monitor for agranulocytosis. a. Haldol c. Prolixin b. Clozaril d. Mellaril

b. clozaril

The _______________ has become a powerful force lobbying legislatures for services for people with severe mental disorders. a. National Association of Mental Illness c. American Association of Mental Illness b. National Alliance for the Mental Ill d. National Institute of Mental Health

b. national alliance for the mental ill

About ____ percent of patients with schizophrenia experience "much improvement" when treated with antipsychotic drugs. a. 20 c. 75 b. 48 d. 82

c. 75

A growing number of community therapists have become __________ for people with schizophrenia and other severe mental disorders. a. Social Workers c. Case Managers b. Court Advocates d. Psychologists

c. case managers

The move toward institutionalization of the mentally ill in hospitals rather than asylums began in: a. Belgium c. France b. United States d. Germany

c. France

The premise of _________ was that institutions needed to promote productive activity, self-respect, and individual responsibility. a. Social Treatment c. Milieu Therapy b. Token Economy Program d. Rational Emotional Behavior Therapy

c. Milieu Therapy

The ______________ requires that people with mental disorders receive treatment in their communities rather than being transported to institutions far from home. a. Divil Rights Act c. Community Mental Health Act b. Mental Health Insurance Party Act d. Deinstitutionalization Act of 1963

c. community mental health act

Which of the following receives the least amount of federal and state funds? a. Social Security Disability Income c. Community treatment programs for people with severe mental disorders b. State Hospitals d. services for people with mental disorders who live in nursing homes and general hospitals

c. community treatment programs for people with severe mental disorders

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. Serotoning c. Dopamine b. GABA d. Norepinephrine

c. dopamine

Conventional antipsychotic drugs are referred to as _________________ drugs because of their undesirable movement-related side effects. a. Dangerous c. Neuroleptic b. Controlled d. Neuropsychotic

c. neuroleptic

In most cases, antipsychotic drugs produce the maximum level of improvement within the first _____ of treatment. a. Month c. Six months b. Week d. Nine Months

c. six months

As a result of institutionalization, many patients developed: a. Severe Depression c. Social Breakdown Syndrome b. Schizophrenia d. Diathesis Stress

c. social breakdown 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. c. There is no evidence of improvement as a result of these programs. b. The quality of the improvement is questioned. d. Variables other than participation may be accounting for reports of improvement.

c. there is no evidence of improvement as a result of these programs

The first medication approved for sale in the United States as an antipsychotic was: a. Melarin c. Thorazine b. Haldol d. Zyprexa

c. thorazine

__________ percent of people with schizophrenia are homeless. a. Five c. Twenty b. Ten d. Sixteen

c. twenty

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. c. African American patients are more likely to have a family physician rather than a psychiatrist prescribe their psychotropic drugs. b. African Americans are more likely to experience tardive dyskinesia and extrapyramidal effects than white Americans d. African American patients are more likely to be noncompliant with the directions on how often to take their medication than white Americans.

d. african american patients are more likely to be noncompliant with the directions on how often to take their medication than white americans

Use of at least one atypical antipsychotic, Clozapine, has been associated with the development of: a. Tardive Dyskinesia c. Brain Tumors b. Akathisia d. Agranulocytosis

d. agranulocytosis

Most people with schizophrenia who live in poorly supervised or unsupervised settings survive on: a. Family Support c. Support from religious institutions b. Community Support d. Government disability payments

d. government disability payments

Which symptom of schizophrenia is most quickly reduced by taking antipsychotic medications? a. Flat Affect c. Loss of Volition b. Poverty of Speech d. Hallucinations

d. hallucinations

The milieu therapy approach to treating schizophrenia is based on ___________ principles. a. Sociocultural c. Behavioral b. Psychodynamic d. Humanistic

d. humanistic

Today, psychosurgery is used only in severe cases of: a. Schizophrenia c. Delusional Disorder b. Bipolar Disorder d. Obsessive Compulsive Disorder and Depression

d. obsessive compulsive disorder and depression

Generally speaking, persons with schizophrenia who feel ___________ toward their relatives do better in treatment. a. Dependent c. Detached b. Apaathetic d. Positively

d. positively

In (a) ___________ patients are rewarded when they behave acceptably and are not rewarded when they behave unacceptably. a. Community Health Clinic c. Milieu Therapy b. State Hospital d. Token Economy

d. token economy