Harper PSY230 Chapter 15 Quiz

Question 1Day hospitals first appeared in _____ when a shortage of hospital beds led to the premature release of many patients.

                Moscow

                Paris

                London

                Boston

Question 2As a result of institutionalization, many patients developed:

                severe depression.

                schizophrenia.

                social breakdown syndrome.

                diathesis-stress.

Question 3Use of at least one atypical antipsychotic, Clozapine, has been associated with the development of:

                tardive dyskinesia.

                akathisia.

                brain tumors.

                agranulocytosis.

Question 4Which is not an extrapyramidal effect of using first-generation antipsychotic medications to treat schizophrenia?

                Parkinsonian-type symptoms

                Huntington's-type symptoms

                neuroleptic malignant syndrome

                tardive dyskinesia

Question 5The first mental asylum was founded in:

                Egypt

                Switzerland

                England

                France

Question 6Approximately what percent of individuals who suffer from schizophrenia and other severe mental disorders are living in jails or prisons?

                6%

                9%

                12%

                15%

Question 7Many people who are recovering from schizophrenia and other severe mental disorders receive occupational training in a(n) _____ workshop, which is a supervised workplace for individuals who are not ready to work independently in competitive or complicated jobs.

                assisted

                sheltered

                halfway house

                probationary

Question 8Most people with schizophrenia who live in poorly supervised or unsupervised settings survive on:

                family support.

                community support.

                support from religious institutions.

                government disability payments.

Question 9The use of antipsychotic medication dates back to the 1940s, when _____ drugs were used to calm patients about to undergo surgery.

                antipsychotic

                antihistamine

                antidepressant

                opioid

Question 10The discovery of _____ revolutionized the treatment for schizophrenia.

                electroshock therapy

                antipsychotic drugs

                lobotomies

                leucotomies

Question 11Who received the Nobel Prize for research that led to the development of the lobotomy procedure?

                Walter Freeman

                Egas Moniz

                Phillipe Pinel

                Elliot Valenstein

Question 12The first generation antipsychotic drugs are referred to as _____ drugs because of their undesirable movement-related side effects.

                psychotic

                controlled

                neuroleptic

                neuropsychotic

Question 13The premise of _____ is that institutions need to promote productive activity, self-respect, and individual responsibility.

                social treatment

                token economy program

                milieu therapy

                rational-emotional-behavior therapy

Question 14Second-generation antipsychotic drugs reduce psychotic symptoms, at least in part, because they are received at fewer _____ receptors.

                dopamine D-1

                dopamine D-2

                dopamine D-3

                dopamine D-4

Question 15Research has repeatedly shown that:

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

                drugs are not as effective as milieu therapy.

                electroconvulsive therapy is more effective than drugs in treating schizophrenia.

                milieu therapy and token economies are more effective than drugs in treating schizophrenia.

Question 16Of the few psychotherapists who treated patients with schizophrenia before the discovery of antipsychotic drugs, most believed that the first task of therapy was to:

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

                get the patient to openly admit that their hallucinations were not real.

                challenge the delusions that so many patients held, so that they could treat the “real” person and not just the symptom.

                make the family members understand that schizophrenia had no real cure and that only a modicum of improvement could or should be expected.

Question 17The _____ requires that people with mental disorders receive treatment in their communities rather than being transported to institutions far from home.

                Civil Rights Act

                Mental Health Insurance Parity Act

                Community Mental Health Act

                Deinstitutionalization Act of 1963

Question 18Token economy programs relied on the systematic application of _____ techniques.

                operant conditioning

                classical conditioning

                social modeling

                cognitive restructuring

Question 19The move toward institutionalization of the mentally ill in hospitals where patients would be treated with kindness and sympathy rather than living in asylums began in:

                Egypt.

                Switzerland.

                England.

                France.

Question 20The milieu therapy approach to treating schizophrenia is based on _____ principles.

                sociocultural

                psychodynamic

                behavioral

                humanistic