Schizophrenia

Front 1

Which of the following is NOT true about schizophrenia?
a. People with schizophrenia are more likely to be harassed in public.
b. The annual cost of schizophrenia in the U.S. is over $65 billion.
c. Complete recovery from schizophrenia is common.
d. One in every 100 people will be affected by it at some time in their lives.

Back 1

c. Complete recovery from schizophrenia is common.

Front 2

What did Kraepelin contribute to the understanding of schizophrenia?
a. He combined symptoms of various types of insanity into one disorder, called dementia praecox.
b. He described the concept of associative splitting and introduced the term "schizophrenia."
c. He distinguished schizophrenia from schizophreniform disorder and delusional disorder.
d. He was the first to write about psychosis by describing several patients with such symptoms.

Back 2

a. He combined symptoms of various types of insanity into one disorder, called dementia praecox.

Front 3

Because the term "schizophrenia" is derived from Greek words that mean "split mind," schizophrenia is often confused with what other disorder?
a. Bipolar disorder
b. Dementia praecox
c. Dissociative fugue
d. Multiple personality disorder

Back 3

d. Multiple personality disorder

Front 4

Max has been receiving investment advice from his dog, who offers stock suggestions to Max using the voice of Max's deceased father. Max's experience with his dog is an example of what symptom of schizophrenia?
a. Anhedonia
b. Hallucination
c. Loose association
d. Delusion

Back 4

b. Hallucination

Front 5

Paul, who has schizophrenia, jumps from topic to topic when speaking. He also talks illogically. Paul's symptoms sound most like ________.
a. disorganized speech
b. alogia
c. flat affect
d. waxy flexibility

Back 5

Disorganized speech

Front 6

George is a person with schizophrenia who believes that he is a former government spy whose memory was erased by enemies of the government. He also believes that he is in danger of being killed by the government or the government's enemies. He shows significantly impaired judgment and unpredictable behavior. Which subtype of schizophrenia seems to best describe George?
a. Catatonic
b. Paranoid
c. Disorganized
d. Undifferentiated

Back 6

Paranoid

Front 7

For about three weeks, Terry experienced hallucinations, delusions, disorganized speech, and inappropriate affect and no other symptoms. Then, in addition to these symptoms, she also developed the symptoms of mania. All of these symptoms continued for several months. Which of the following diagnoses seem most appropriate for Terry?
a. Schizophrenia
b. Schizophreniform disorder
c. Schizoaffective disorder
d. Delusional disorder

Back 7

c. Schizoaffective disorder

Front 8

Noah believes that he has a special relationship with the actress Angelina Jolie and that she is secretly in love with him. Noah thinks that her relationship with Brad Pitt is just a way to hide the fact that she really loves Noah. Noah's beliefs persist, despite the fact that he has never actually met Angelina Jolie. Noah does not have any other symptoms. Which of the following best fits him?
a. Schizophrenia
b. Schizoaffective disorder
c. Schizophreniform disorder
d. Delusional disorder

Back 8

d. Delusional disorder

Front 9

Janelle and her mother believe that she has one fatal disease after another. Both believe that this has been caused by radiation surging through their house, despite the fact that their house has been checked several times by experts. They may be suffering from ________.
a. schizophrenia
b. delusional disorder
c. shared psychotic disorder
d. anxiety disorder

Back 9

c. shared psychotic disorder

Front 10

Which of the following is NOT true about schizophrenia?
a. Proportionately, more Caucasians than African Americans are diagnosed with schizophrenia in the U.S.
b. Differing rates of schizophrenia across ethnic groups in some countries may be due to misdiagnosis.
c. The course and outcome of schizophrenia vary across cultures.
d. Schizophrenia seems to affect all racial and cultural groups.

Back 10

a. Proportionately, more Caucasians than African Americans are diagnosed with schizophrenia in the U.S

Front 11

The search for the gene or genes that cause schizophrenia is known as ________.
a. endophenotyping
b. the genome project
c. endogens
d. gene mapping

Back 11

a. endophenotyping

Front 12

What type of brain abnormality appears to be associated with schizophrenia?
a. Deficient activity in the frontal lobes
b. Unusually small brain ventricles
c. Unusually quick reaction time
d. Abnormally low levels of cerebrospinal fluid

Back 12

a. Deficient activity in the frontal lobes

Front 13

Which of the following family communication styles is NOT associated with increased risk of relapse among people with schizophrenia?
a. Criticism
b. Hostility
c. Intrusiveness
d. Underinvolvement

Back 13

d. Underinvolvement

Front 14

Which statement is true about antipsychotic medications and the treatment of schizophrenia?
a. Antipsychotic medications are not as effective as psychosocial treatments.
b. Most patients benefit equally well from antianxiety medication and antipsychotic medication.
c. All antipsychotic medications appear to be equally effective for all patients.
d. Different medications are effective with different people and to a different degree.

Back 14

d. Different medications are effective with different people and to a different degree.

Front 15

The text lists a variety of reasons for noncompliance with antipsychotic medication. Which of the following is NOT one of those reasons?
a. Negative side effects
b. Poor social support
c. Cost of medication
d. Not effective for schizophrenia

Back 15

d. Not effective for schizophrenia

Front 16

Which type of psychosocial treatment has been most effective for treating the behavioral problems seen in schizophrenia?
a. Moral treatment
b. Psychodynamic psychotherapy
c. Psychosurgery
d. Token economies

Back 16

d. Token economies

Front 17

One of Emil Kraepelin's contributions to the diagnosis of schizophrenia was differentiating it from what other disorder?
One of Emil Kraepelin's contributions to the diagnosis of schizophrenia was differentiating it from what other disorder?
a. Somatization disorder
b. Conversion disorder
c. Bipolar disorder
d. Alzheimer's disease

Back 17

c. Bipolar disorder

Front 18

The case of the Genain quadruplets illustrates the importance of ________ on the development of schizophrenia.
a. prenatal development
b. genetics
c. adoption
d. unshared environments

Back 18

d. unshared environments

Front 19

Several pieces of evidence support the dopamine theory of schizophrenia. Which of the following is NOT one of these pieces of supporting evidence?
a. Amphetamines, which activate dopamine, make psychotic symptoms worse.
b. Effective antipsychotic drugs partially block the actions of dopamine in the brain.
c. The drug L-dopa, which increases dopamine, produces schizophrenia-like symptoms.
d. Antipsychotics block dopamine immediately, but symptoms decrease days or weeks later.

Back 19

d. Antipsychotics block dopamine immediately, but symptoms decrease days or weeks later.

Front 20

Newer antipsychotics, such as risperidone and olanzapine, hold promise for helping people
a. with shared psychotic disorder and schizophreniform disorder.
b. who previously discontinued their use of antipsychotic medication.
c. who are in the prodromal stage in the development of schizophrenia.
d. who were previously unresponsive to antipsychotic medication.

Back 20

d. who were previously unresponsive to antipsychotic medication.

Front 21

Which two psychosocial interventions appear to be most helpful for people with schizophrenia?
a. Psychoanalytic psychotherapy and expressed emotion management
b. Hypnosis and psychosurgery
c. Family education and vocational rehabilitation
d. ECT and social skills training

Back 21

c. Family education and vocational rehabilitation

Front 22

Kraepelin identified ________, which involves silly and immature emotionality, as part of schizophrenia.
a. paranoid
b. catatonia
c. hebephrenia
d. associative splitting

Back 22

c. hebephrenia

Front 23

Which of the following statements best describes the relationship between schizophrenia and violence?
a. People with schizophrenia are never violent.
b. People with schizophrenia are much more likely to be violent than the general population.
c. People with schizophrenia are slightly less likely to be violent than the general population.
d. People with schizophrenia are slightly more likely to be violent than the general population.

Back 23

d. People with schizophrenia are slightly more likely to be violent than the general population.

Front 24

Delusions and hallucinations are known as ________ symptoms of schizophrenia, while avolition, alogia, and flat affect are known as ________ symptoms.
a. disorganized; positive
b. positive; negative
c. negative; disorganized
d. negative; positive

Back 24

b. positive; negative

Front 25

Conventional antipsychotic medications are most effective at reducing ________ symptoms.
a. negative
b. disorganized
c. negative and disorganized
d. positive

Back 25

d. positive