LearningCurve 15d: Schizophrenia; Dissociative, Personality, and Eating Disorder

Rowena is a 15-year-old adolescent who has become shockingly thin. She barely eats and, when she does, she compensates by exercising excessively. Rowena is MOST likely suffering from _____ nervosa.

anorexia

Mimi works in a hospital psychiatric unit. She cares for a patient with schizophrenia who often stands motionless in a corner for several hours. This _____ usually ends abruptly and then the patient becomes quite agitated.

catatonia

Marcus' twin brother and maternal grandmother both have previously been diagnosed with schizophrenia. This means that Marcus' risk for developing schizophrenia:

is much higher than average.

Susan's mother suffered from the flu during her pregnancy with Susan. Statistically, this increases Susan's risk of later developing schizophrenia. Maternal influenza is an example of a(n) _____ factor because it may influence the expression of a genetic predisposition to schizophrenia.

epigenetic

Which example BEST illustrates negative symptoms of schizophrenia?

expressionless faces and toneless voices

Flat affect (lack of emotional response), toneless voices, and expressionless faces are examples of _____ symptoms associated with schizophrenia.

negative

Raquel was initially excited to make the cheerleading squad. However, her parents noticed that she stopped eating dinner with them, wanted to help make most meals, and had a list of good and bad foods. She began portioning the amount of food she ate and weighing food. Most concerning was the significant weight drop from a healthy 115 pounds to 90 pounds. This case demonstrates symptoms of:

anorexia nervosa

Although she is underweight, Lindsey is extremely afraid of becoming obese. She often checks her body in the mirror for any signs of fat and refuses to eat most foods because she insists they are fatty or high in calories. Lindsey MOST clearly demonstrates symptoms of:

anorexia nervosa.

Harold has never been able to keep a job. He has been in and out of jail for theft, sexual assault, and spousal abuse. Harold would MOST likely be diagnosed as having _____ personality disorder.

antisocial

Bobby stole money from the local grocery store on the corner to buy beer. He later assaulted a 72-year-old woman and stole her purse. In the alley, he dumped the purse, went to Starbucks for a cup of coffee, and proceeded to take the train over to the south side. On the train, someone stepped on his shoes, and Bobby threw the hot coffee in the person's face and laughed. Bobby would be considered to have:

antisocial personality disorder.

Mr. James incorrectly believes that people are constantly laughing at him and that FBI agents are trying to steal his savings. Mr. James is MOST clearly demonstrating:

delusions.

Thirty-year-old Nellie has been diagnosed with schizophrenia. Her selective attention is deficient, she is unable to ignore irrelevant stimuli, and she often gives her undivided attention to minute stimuli such as a spotlight shining in a window. This type of attention problem contributes to:

disorganized thoughts.

In _____ disorders, awareness becomes separated from past feelings, thoughts, and memories.

dissociative

Jared has not read the chapter on psychological disorders, so he misunderstands some basic facts. For example, he believes that schizophrenia refers to a multiple personality split, rather than a:

split from reality.

Regarding the treatment of schizophrenia, _____-blocking drugs lessen positive symptoms such as hallucinations

dopamine

Kyle is extremely manipulative. He can look anyone in the eye and lie convincingly. His deceit often endangers the safety and well-being of those around him, but he is indifferent to their suffering as a result of his actions. His behavior BEST illustrates _____ disorder.

antisocial personality

Artie (or Angel) has been arrested for grand theft auto. He claims that it was not him and that he knows nothing about the crime, as another one of his personalities must have done it. The court-appointed psychiatrist knows immediately that Artie does not suffer from _____, as the original personality generally denies awareness of the others.

dissociative identity disorder

Michael complains that threatening voices are constantly telling him he is so evil he should kill himself. Michael is experiencing:

hallucinations.

According to the textbook, brain scans of clients with dissociative identity disorder show "shrinkage in areas that aid memory and detection of threat." These areas are MOST likely the _____ and the _____, respectively.

hippocampus; amygdala

Nearly 1 in _____ people will develop schizophrenia.

100

Which is the MOST likely reason that African women have been found to rate their ideal body type as being significantly closer to their actual shape as compared to European and North American women?

In much of Africa, plumpness is equated with prosperity and thinness can signal illness, poverty, and hunger.

Donald is a 35-year-old man with schizophrenia. He has struggled with mental illness since childhood, when he had anxiety and impaired judgment. He began experiencing psychotic symptoms at age 19, which have been only partially controlled by medication. What is Donald's prognosis?

His condition is likely to deteriorate over time.

Marcus is a young male recently diagnosed with schizophrenia. His symptoms, however, developed over a long period of time. According to the research available on schizophrenia, what are the chances that he will recover?

Not good; the slow progression of symptom development suggests he will probably never fully recover.

Last week, Tate went into the hospital for a painful medical procedure. Amazingly, he did not seem worried beforehand, and he showed no signs of autonomic nervous system arousal. In addition, Tate seems to lack a conscience for wrongdoing. It is possible that Tate would be diagnosed as having:

antisocial personality disorder.

Del sometimes eats nearly 2000 calories in a single sitting. However, he neither purges nor engages in excessive exercise. Del may have:

binge-eating disorder.

Belinda appears to be a typical 14-year-old. She socializes with her friends and spends her time listening to music and watching movies. Unknown to her parents and friends, Belinda will sometimes binge on large amounts of food and then either vomit or use laxatives to purge herself of the extra calories. Belinda MOST likely suffers from:

bulimia

In an attempt to lose some of the weight gained by binge eating, Claire uses laxatives and exercises until she is exhausted. Claire MOST clearly demonstrates symptoms of _____ nervosa.

bulimia

Over the past 50 years, the incidence of anorexia nervosa has steadily increased. This is probably attributable to:

cultural ideals of beauty that increasingly encourage thinness.

Frank was seen laughing inappropriately in the library as if he were responding to internal stimuli. On the bus home, he was crying uncontrollably and suddenly became angered when a fellow passenger offered him a tissue. His excess of inappropriate behavior reflects the _____ symptoms of schizophrenia.

positive

With respect to schizophrenia, delusion is to flat affect as _____ symptom is to _____ symptom.

positive; negative

Schizophrenia is an example of a(n) _____ disorder.

psychotic

Spencer has been diagnosed with schizophrenia. His parents have a difficult time understanding him because his speech is fragmented and bizarre. He jumps from one idea to another, sometimes within sentences, creating a word _____.

salad

Mrs. Higgins believes that aliens from another planet have removed her stomach and are watching to see how long it takes her to grow another. Mrs. Higgins is MOST likely suffering from:

schizophrenia.

Victor's mother is frustrated because she cannot get Victor involved in any activities. Although he has been diagnosed with schizophrenia, she still expects him to do things around the house. But most days, he sits in a chair with no expression on his face. This type of absence of appropriate behavior reflects the _____ symptoms of schizophrenia.

negative