Psy 350 Final Exam

What is an accurate statement about treatment for narcissistic personality disorder? A. "Cognitive therapy works best." B. "Behavioral therapy works best." C. "Drug therapy works best." D. "No form of therapy is clearly better than the others."

"No form of therapy is clearly better than the others."

An alcoholic got into a bar fight and killed his opponent. Which legal test would MOST likely have been used to find him not guilty by reason of insanity? A. Durham test B. American Law Institute guidelines C. M'Naghten rule D. irresistible impulse test

Durham test

If you engage in excessive and dysfunctional tweeting, texting, blogging, and Internet shopping, you are in danger of developing a disorder called: A. social networking disorder. B. Internet exhibitionism. C. isolationistic disorder. D. Internet addiction.

Internet addiction.

If a person with a mental illness committed murder, but was convicted of committing manslaughter, that person probably lived in a state that had a: A. guilty but mentally ill option. B. guilty with diminished capacity option. C. not guilty by reason of insanity option. D. guilty by reason of insanity option.

guilty with diminished capacity option.

biologically speaking, if one wanted to treat antisocial personality disorder, one would want to ______ the individual with the disorder. A. reduce the degree of interpersonal sensitivity in B. identify those who are modeling antisocial personality disorder for C. increase the anxiety level of D. decrease the rewards available for the antisocial behavior in

increase the anxiety level of

People with avoidant personality disorder have difficulty _____ relationships, while people with dependent personality disorder have difficulty _____ relationships. A. initiating; ending B. ending; initiating C. ending; beginning D. seeking; initiating

initiating; ending

What was the dominant way of treating people with schizophrenia during the first half of the twentieth century? A. institutionalization B. outpatient services C. individual psychotherapy D. treatment with neuroleptic drugs

institutionalization

Therapists who teach clients to 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: A. education about the biological causes of hallucinations. B. ways of coping with unpleasant sensations. C. interpreting their hallucinations. D. challenging ideas about the power of hallucinations.

interpreting their hallucinations.

A man beat another man nearly to death. In court the assailant claimed that he was forced to do what he did. He just exploded and was not in control of himself. Under which "insanity" standard might he be found not guilty by reason of insanity? A. Durham test B. M'Naghten rule C. organic deficiency test D. irresistible impulse test

irresistible impulse test

If a psychologist wanted to write a newspaper column on mental health issues in the community, what would that psychologist need to do to comply with professional ethical standards? A. Psychologists can't give advice in newspapers, only face to face. B. The psychologist would need to make sure the advice was based on sound research. C. The psychologist would have to be supervised by a psychiatrist who oversaw the work. D. The psychologist could not give information about medication in the articles.

The psychologist would need to make sure the advice was based on sound research.

The Wyatt v. Stickney decision forced state hospitals to provide: A. care in a mental patient's home community. B. public advocates for mental patients. C. adequate treatment. D. periodic review of treatment plans and progress for mental patients

adequate treatment

Psychodynamic theorists explain obsessive-compulsive personality disorder as a fixation at the: A. oral stage. B. anal stage. C. phallic stage. D. genital stage.

anal stage

Where would you find about one-third of people who have schizophrenia? A. living on their own, unsupervised B. in halfway houses C. on the street D. in jail

living on their own, unsupervised

A therapist who is worried that her clients will receive short-term care rather than more promising long-term treatment, and that confidential treatment reports will be read by others, is concerned about: A. employee assistance programs. B. stress inoculation treatment. C. managed care programs. D. problem-solving seminars.

managed care programs

Which therapy is based on the premise that when you change the social environment, you can change the patient? A. milieu therapy B. insight therapy C. family therapy D. the token economy

milieu therapy

"There's nothing out there for me. I can't stand other people, and I can't stand myself, either. I'm just really mad right now." Such a statement would most likely be made by someone with which personality disorder? A. borderline B. antisocial C. narcissistic D. paranoid

borderline

The principle of parens patriae (parent of the country) permits the state to make decisions that promote an individual's best interest. It has been used to support the process of: A. police power. B. civil commitment. C. criminal commitment. D. guilt by reason of insanity.

civil commitment

One useful approach to treating enuresis employs: A. insight therapy. B. stimulant drugs. C. operant conditioning. D. classical conditioning.

classical conditioning

Which antipsychotic drug appears to work at serotonin receptors? A. Haldol B. clozapine C. chlorpromazine D. the phenothiazines

clozapine

Defendants who are actively hallucinating and experiencing delusions during the time of their trials are MOST likely to be: A. judged not guilty of the crime by reason of insanity. B. judged not guilty of the crime due to severe mental instability. C. committed for treatment until they improve enough to be released. D. committed for treatment until they improve enough to defend themselves.

committed for treatment until they improve enough to defend themselves.

A therapist who broke confidentiality with a patient without the patient's consent because of fears that the person would harm someone else was acting according to the ethical principle of: A. confidentiality. B. duty to protect. C. right to treatment. D. compassionate concern.

duty to protect

One speech problem displayed by many children with autism spectrum disorder is that they repeat everything said to them. This is called: A. echolalia. B. neologism. C. nominal aphasia. D. pronominal reversal.

echolalia.

Which parents would be LEAST likely to have children who receive effective treatment for ADHD? A. white Americans with private health insurance B. African Americans with private health insurance C. white Americans who are Medicaid-insured D. African Americans who are Medicaid-insured

African Americans who are Medicaid-insured

What should I look for in an effective ADHD treatment program?" a friend asks. Your BEST answer is: A. "Psychodynamic therapy works best, with or without drugs." B. "Cognitive therapy outperforms even Ritalin." C. "Drugs work best." D. "Drugs, combined with behavior therapy, work best."

Drugs work best."

If you believe that personality disorders are BEST understood as a matter of degree in difference from typical personality rather than as a specific diagnosis, you agree with: A. the dimensional approach. B. the categorical approach. C. the symptomatic approach. D. the cluster approach.

the dimensional approach.

The typical child may not realize that the thoughts and beliefs of others are different from theirs or be able to anticipate future negative events. Therefore: A. the symptoms of childhood anxiety tend to be different from adult symptoms. B. children do not experience phobias. C. a child cannot fully experience an anxiety disorder. D. anxiety is not diagnosed until adolescence.

the symptoms of childhood anxiety tend to be different from adult symptoms.

The MOST important similarity among the personality disorders listed in the text is that: A. disorders of thought, perception, and attention are present. B. the personality traits are limited to discrete periods of illness. C. they are inflexible, maladaptive, and related to impaired functioning or distress. D. they are social in that they involve an inability to form lasting relationships with other people.

they are inflexible, maladaptive, and related to impaired functioning or distress.

The MOST common diagnosis of those found not guilty by reason of insanity is: A. boderline personality disorder. B. schizophrenia. C. bipolar disorder. D. antisocial personality disorder.

schizophrenia.

Digressive and vague language with loose associations accompanied by attention and concentration problems are characteristic of: A. schizoid personality disorder. B. avoidant personality disorder. C. paranoid personality disorder. D. schizotypal personality disorder.

schizotypal personality disorder.

Which statement is accurate, in terms of current research findings? A. "Odd" personality disorders cause schizophrenia. B. "Odd" personality disorders are caused by schizophrenia. C. "Odd" personality disorders and schizophrenia are related to one another. D. "Odd" personality disorders and schizophrenia are not related to one another.

"Odd" personality disorders and schizophrenia are related to one another.

"My seven-year-old needs to get help for conduct disorder. What do you recommend?" Which is your BEST answer? A. "Video modeling works especially well with elementary school children." B. "Treatment foster care is best, as long as the program is well established." C. "Parent management training should work best." D. "Parent-child interaction therapy would be my recommendation."

"Parent management training should work best."

An infant is diagnosed with a biological disorder. As she ages, her physical and mental conditions deteriorate steadily so that she loses vision and motor control, and, at the age of 3, she dies. Most likely, she was suffering from: A. Tay-Sachs disease. B. Down syndrome. C. fragile X syndrome. D. phenylketonuria (PKU).

Tay-Sachs disease.

Which statement reflects current research about the biological causes of autism spectrum disorder? A. So far, researchers have found no biological causes for autism spectrum disorder. B. The problem is much more likely to be with the brain's anatomy rather than with brain functioning. C. There are probably multiple biological causes. D. Neurotransmitter dysfunction explains problems in the cerebellum, but not the brain stem.

There are probably multiple biological causes.

Which BEST describes the effectiveness of token economy strategies? A. They are ineffective in the long run. B. They reverse the progress of schizophrenia. C. They are successful at changing the patient's behavior. D. They are successful in altering the patient's distorted thinking.

They are successful at changing the patient's behavior.

Results from TADS (Treatment for Adolescents with Depression Study) BEST support which conclusion? A. Second-generation antidepressants should not be used with adolescents because the risk for harm is too high. B. Treatment that works for one category of people may not be effective for another category of people. C. Cognitive-behavior therapy alone is the best treatment for adolescents. D. Cognitive-behavioral therapy cannot be used with adolescents because of their cognitive limitations.

Treatment that works for one category of people may not be effective for another category of people.

A friend says to you, "He must have antisocial personality disorder; look how careful he is about his own well-being but how careless he is about others' safety." Your MOST accurate reply would be: A. "You're right; those are classic characteristics of antisocial personality disorder." B. "You're partly right; most people with antisocial personality disorder are careful about the safety of family members." C. "You're partly right; most people with antisocial personality disorder are careless about their own safety, as well as the safety of others." D. "You've got it backward; most people with antisocial personality disorder are careless of their own safety but show at least some concern for others' safety."

You're partly right; most people with antisocial personality disorder are careless about their own safety, as well as the safety of others."

A person who has been criminally committed has been: A. found guilty of a crime but mentally ill. B. found guilty of a crime but developmentally disabled. C. accused of a crime and sent to a psychiatric institution for mental health treatment. D. accused of a crime and unable to cooperate in mental health treatment.

accused of a crime and sent to a psychiatric institution for mental health treatment.

Pat does not follow what the teacher is doing and has difficulty focusing on the task at hand. His behavior in class is disruptive because he cannot sit still, which leads to poor grades in school. These symptoms MOST likely indicate: A. conduct disorder. B. separation anxiety disorder. C. intellectual disability. D. attention-deficit/hyperactivity disorder (ADHD).

attention-deficit/hyperactivity disorder (ADHD).

Elena can't seem to establish social ties because she is afraid of being embarrassed or appearing foolish. She is easily hurt by criticism and is not willing to go into unfamiliar situations. She may be experiencing: A. paranoid personality disorder. B. avoidant personality disorder. C. histrionic personality disorder. D. narcissistic personality disorder.

avoidant personality disorder.

Defendants who are judged mentally unstable at the time when they are said to have committed the crimes are MOST likely to: A. be released into the community for treatment. B. be judged not guilty by reason of insanity. C. be committed to a mental hospital until they are able to defend themselves. D. be sent to prison until they are able to defend themselves

be judged not guilty by reason of insanity.

A pattern of severe temper outbursts that are out of proportion to the triggering situations would likely be diagnosed as: A. oppositional defiant disorder. B. attention-deficit/hyperactivity disorder (ADHD). C. conduct disorder. D. disruptive mood dysregulation disorder.

disruptive mood dysregulation disorder.

If a person with schizophrenia were making involuntary ticlike movements of the tongue, mouth, face, or whole body, smacking the lips, and making sucking and chewing movements, one would suspect the patient: A. was taking too much antipsychotic medication. B. was taking too little antipsychotic medication. C. had been taking antipsychotic medication for a short time. D. had been taking antipsychotic medication for a long time.

had been taking antipsychotic medication for a long time.

People with schizophrenia who receive 24-hour supervision in a community setting, usually following a milieu approach, are receiving: A. coordinated services. B. partial hospitalization. C. halfway house services. D. occupational training.

halfway house services.

A therapist treating a client diagnosed with borderline personality disorder came up with the following analysis: the parents probably did not want children in the first place; the child just was not accepted; the child developed low self-esteem, dependency, and an inability to cope with separation. The therapist's theoretical orientation is probably: A. behavioral. B. cognitive. C. object relations theory. D. humanistic.

humanistic.

If a person with schizophrenia were taking antipsychotic medications, he or she could expect the drugs to: A. be most effective against negative symptoms of schizophrenia. B. be most effective against positive symptoms of schizophrenia. C. be given in higher doses to women than to men. D. need to be taken even after symptoms have been alleviated.

need to be taken even after symptoms have been alleviated

Advantages of atypical antipsychotic drugs over conventional medications include: A. newer medications are cheaper and more easily available. B. newer medications treat Type I symptoms better. C. newer medications produce fewer extrapyramidal effects. D. newer medications focus better on dopamine receptor sites in the brain.

newer medications produce fewer extrapyramidal effects.

One similarity of those experiencing paranoid personality disorder and those experiencing schizoid personality disorder is that they tend: A. not to have close ties to others. B. to distrust others. C. to be described by others as arrogant and angry. D. not to score well on typical intelligence tests.

not to have close ties to others.

You have witnessed a crime and are testifying for the prosecution. What type of question should the defense attorney ask you to invalidate your testimony? A. one that requires you to retell the events from beginning to end B. one that uses inaccurate information in the question C. one that emphasizes the importance of correct eyewitness testimony D. one that asks you to remember only the important details

one that uses inaccurate information in the question

Which person would be diagnosed correctly with intellectual disability? A. one with an IQ of 85 and significant difficulty communicating B. one with an IQ of 85 but no other significant difficulties C. one with an IQ of 65 but functioning well in life D. one with an IQ of 69 having problems coping with life

one with an IQ of 69 having problems coping with life

A patient receiving dialectical behavior therapy (DBT) for borderline personality disorder experiences an emotion that he or she realizes is inappropriate. Immediately after, the patient acts in a very different, appropriate, way. This DBT procedure is called: A. reactive correction. B. counterbalancing. C. opposite action. D. "fine tuning."

opposite action.

A child will not obey her mother. When threatened with punishment, she swears, throws things, and threatens to break everything in the house. Her outbreaks seem to be restricted to her parents, but she is almost completely unmanageable. This is an example of: A. conduct disorder. B. juvenile delinquency. C. attention-deficit/hyperactivity disorder (ADHD). D. oppositional defiant disorder.

oppositional defiant disorder.

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: A. partial hospitalization. B. a sheltered workshop. C. a residential center. D. a support group.

partial hospitalization.

A child does almost everything with her mother and seems extremely anxious at school, getting frequent stomachaches and wanting to go home. If the child has an anxiety disorder, it is MOST likely: A. agoraphobia B. oppositional defiant disorder. C. disruptive mood dysregulation disorder. D. separation anxiety disorder.

separation anxiety disorder.

A patient who receives help in finding work, in finding a place to live, and in taking medication correctly is probably receiving: A. milieu therapy. B. social therapy. C. family therapy. D. insight therapy.

social therapy.

"The client scores low on extraversion and agreeableness but high on neuroticism. Looks like schizoid personality disorder to me." The therapist being quoted is using what instrument/procedure to make the diagnosis? A. the "Big Five" personality test B. "supertrait" theory C. DSM-5 D. an unstructured interview

the "Big Five" personality test

The goal of family therapy is: A. to help the family better support the patient with schizophrenia. B. to help the patient move out of the family home and live on his or her own. C. to help the family display higher levels of expressed emotion. D. to help patients return to the hospital more quickly.

to help the family better support the patient with schizophrenia.

During a _____ a needle is inserted into the brain through the eye socket and is then rotated to destroy brain tissue. A. prefrontal lobotomy B. transorbital lobotomy C. singular nigra lobotomy D. facial-cranial lobotomy

transorbital lobotomy

Temporary commitment in an emergency situation is possible if: A. the family requests it. B. both parents request it. C. the M'Naghten rule is applied. D. two physicians certify it (two-physician certificates,"2 PCs").

two physicians certify it (two-physician certificates,"2 PCs").

The LEAP program for treating children with autism spectrum disorder is unique because it involves the use of: A. reinforcement principles. B. medication. C. MMR vaccinations. D. typical children as models and "teachers."

typical children as models and "teachers."

Deinstitutionalization: A. did not reduce substantially the number of people in state mental hospitals. B. was aimed at returning patients with mental disorders to their communities. C. resulted in a high level of community care being offered throughout the United States. D. provided medication to people with schizophrenia but not to other mental patients.

was aimed at returning patients with mental disorders to their communities.