Chapter13 - DOC by wanghonghx


									CHAPTER 13
1. George Fredrick Handel composed his Messiah during three weeks of intense creative
energy. These energetic periods alternated with periods of severe depression. Which
disorder did Handel most likely suffer from?
       a. Panic Disorder
       b. Schizophrenia
       c. Bipolar Disorder
       d. Major Depressive Disorder

2. Conduct Disorder must be addressed because it often develops into
      a. Antisocial Personality Disorder.
      b. Panic Disorder.
      c. Bipolar Disorder.
      d. Schizophrenia.

3. Mary has been diagnosed with Obsessive-Compulsive Disorder (OCD). She is
constantly thinking about how everything in her environment is “contaminated” with
germs. In response to this she washes her hands for 2-3 hours every day. Mary’s hand
washing is called a           ; Mary’s recurring thoughts are called
       a. obsession; compulsions
       b. compulsion; obsessions
       c. delusion; hallucinations
       d. hallucination; delusions

4. Robert comes to the emergency room complaining of a racing heart and chest pain.
He fears he is having a heart attack and feels as if he is going to die. He also complains
that this has happened before and he’s afraid it will happen when he’s driving or at work.
The doctors run numerous tests and concludes that his heart is perfectly healthy. Dr.
Rush then refers Robert to a local psychiatrist to help Robert with his
         a. obsessions.
         b. bipolar moods.
         c. generalized anxiety.
         d. panic attacks.

5. Daria has been diagnosed as schizophrenic. One of her symptoms is her well thought
out description of the CIA spying on her by implanting recording devices in her brain
when she is asleep. This symptom is called a
       a. delusion.
       b. hallucination.
       c. compulsion.
       d. material fabrication.

6. Lilly comes to Dr. Moon (a psychiatrist) because she is “always stressed out about
everything.” Dr. Moon begins weekly sessions with Lilly and prescribes tranquilizers.
Lilly’s most likely diagnosis is
       a.   Panic Disorder.
       b.   Generalized Anxiety Disorder.
       c.   Bipolar Disorder.
       d.   Schizophrenia.

7. Of the disorders we covered in class, which of the following have the strongest genetic
       a. Generalized Anxiety Disorder & Panic Disorder
       b. Obsessive-Compulsive Disorder & Major Depressive Disorder
       c. Bipolar Disorder & Schizophrenia
       d. Antisocial Personality Disorder & Conduct Disorder

8. Robert is a 40-year old who has been arrested for the 5th time for burglary and
attempted rape. As in the past, he shows no remorse for his actions. He has a history of
unsteady jobs and reckless behavior, and upon interviewing his parents, his psychiatrist
determines that there is evidence of Conduct disorder when Robert was a youth. What is
the most appropriate diagnosis for Robert?
       a. Paranoid Schizophrenia
       b. Antisocial Personality Disorder
       c. Obsessive Compulsive Disorder (OCD)
       d. Bipolar Disorder

9. Which of the following is not an anxiety disorder?
          a. Panic Disorder
          b. Obsessive Compulsive Disorder
          c. Specific Phobia
          d. Bipolar Disorder

10. Jabar, a 25-year-old auto mechanic, thinks he is Napoleon. He further believes he is
being imprisoned by “the rebels” in the mental hospital where his relatives have brought
him for treatment. Jabar is most likely suffering from
            a. schizophrenia.
            b. bipolar disorder.
            c. antisocial personality disorder.
            d. post-traumatic stress disorder.

11. Generalized anxiety disorder is characterized by
          a. a consistent diffuse anxiety.
          b. fear of certain social situations.
          c. flashbacks to a traumatic event.
          d. panic attacks.

12. Mary is a paranoid schizophrenic who has hallucinations and is delusional. Her
               is that the CIA is inserting thoughts into her head to control her behavior.
Her                     is that she hears voices commanding her to kill people in her
           a. delusion; hallucination
           b. hallucination; delusion
           c. major symptom; minor symptom
           d. minor symptom; major symptom

13. Post-traumatic stress disorder occurs in people who have experienced a traumatic
event and
          a. avoid situations which will evoke memories of the traumatic event.
          b. continue to re-experience the traumatic event.
          c. show increased physiological arousal.
          d. all of the above.

14. Schizophrenia appears to be related to excessive activity of
systems in the brain.
           a. hormonal
           b. serotonin
           c. dopamine
           d. cholinergic

15.The condition, often associated with panic disorder, in which a person avoids
situations in which seeking help or escaping may be difficult is called
        a. agoraphobia.
        b. situationally predisposed attacks.
        c. psychosis.
        d. panic phobia.

16. Which type of schizophrenia is associated with more negative symptoms and a bleak
      a. Chronic
      b. Acute
      c. Sudden onset
      d. Late onset

17. Which of the following disorders is associated with the highest rate of suicide?
      a. Panic disorder
      b. Bipolar disorder
      c. Major depression
      d. Obsessive-compulsive disorder (OCD)

18. A psychotherapist is most likely to use the DSM-IV in order to
various psychological disorders.
       a. cure
       b. prevent
       c. excuse
       d. diagnose
19. Insanity is most clearly characterized by
       a. a selective loss of memory.
       b. hallucinations and delusions.
       c. a hyperactive, wildly optimistic state of emotion.
       d. an inability to appreciate the wrongfulness of one's own destructive actions.

20. Phobias are most likely to be characterized by
      a. a persistent, irrational fear of a specific object or situation.
      b. offensive and unwanted thoughts that persistently preoccupy the person.
      c. the misinterpretation of normal physical sensations as signs of a disease.
      d. a continuous state of tension, apprehension, and autonomic nervous system

21. An anxiety disorder characterized by unwanted repetitive thoughts and actions is
       a. bipolar disorder.
       b. obsessive-compulsive disorder.
       c. panic disorder.
       d. post-traumatic stress disorder.

22. Compulsions are best described as
      a. persistent fears.
      b. repetitive behaviors.
      c. suicidal thoughts.
      d. false beliefs.

23. Two years after being brutally beaten and raped, Brianna still experiences anxiety
and has trouble sleeping and experiences vivid flashbacks of her assault. Brianna is most
clearly showing signs of
        a. a dissociative disorder.
        b. post-traumatic stress disorder.
        c. obsessive-compulsive disorder.
        d. bipolar disorder.

24. Post-traumatic stress disorder could be best described as a(n)
       a. psychotic
       b. dissociative
       c. personality
       d. anxiety

25. Bipolar disorder is most likely to be characterized by
       a. a massive dissociation of self from ordinary consciousness.
       b. the simultaneous experience of delusions of persecution and delusions of
       c. alternations between extreme hopelessness and unrealistic optimism.
       d. a chronic lack of guilt feelings.

26. Norby, an 18-year-old college freshman, has missed almost all his classes during the
past month. He spends most of his time in his bedroom, frequently not even bothering to
get dressed or eat meals. He thinks his whole life has been a failure and blames himself
for being a social misfit. Norby is most likely suffering from
        a. major depressive disorder.
        b. antisocial personality disorder.
        c. dissociative disorder.
        d. panic disorder.

27. Compared with men, women are much more likely to be diagnosed as suffering from
      a. antisocial personality disorder.
      b. bipolar disorder.
      c. alcoholism.
      d. depression.

28. After several weeks of feeling very apathetic and dissatisfied with his life, Mark has
suddenly become extremely cheerful and so talkative he can't be interrupted. He seems
to need less sleep and becomes irritated when his friends tell him to slow down. Mark's
behavior is indicative of
       a. obsessive-compulsive disorder.
       b. schizophrenia.
       c. bipolar disorder.
       d. a dissociative disorder.

29. The major characteristic of dissociative disorders is a disturbance of
      a. sleep.
      b. mood.
      c. memory.
      d. perception.

30. False beliefs of persecution that may accompany psychotic disorders are called
       a. obsessions.
       b. compulsions.
       c. delusions.
       d. hallucinations.

31. Hallucinations and delusions are most likely to be experienced by those who suffer
      a. dissociative identity disorder.
      b. schizophrenia.
      c. major depressive disorder.
      d. borderline personality disorder.
32. Psychological disorders characterized by inflexible, enduring, and socially
maladaptive behavior patterns are called                            disorders
       a. psychotic
       b. dissociative
       c. psychotic
       d. personality

33. The hallucinations experienced by those who suffer from schizophrenia are most
likely to involve                    things that are not there.
        a. seeing
        b. feeling
        c. hearing
        d. smelling

34. The chances for recovery from schizophrenia are considered to be greatest when the
disorder develops
       a. rapidly in response to a stressful life situation.
       b. slowly over a period of years.
       c. in reaction to abnormalities in brain chemistry.
       d. during adolescence or early adulthood.

35. Evidence suggests that                   contribute(s) to schizophrenia
       a. the internalization of anger
       b. depressed serotonin levels
       c. a pessimistic explanatory style
       d. prenatal viral infections

36. Which of the following is true of Agoraphobia?
      a. Agoraphobia and Panic Disorder can not be diagnosed together.
      b. All people who have Panic Disorder also have Agoraphobia.
      c. Some people who have Panic Disorder also have Agoraphobia.
      d. None of the above are true.

37. Which of the following characterize a Manic Episode?
      a. Depressed mood most of the day nearly every day.
      b. Depressed mood with psychotic features.
      c. Elated mood during which the person is overtalkative and requires little sleep.
      d. The person’s mood swings between highs and lows.

38. Someone diagnosed with Antisocial Personality Disorder must have had symptoms
of which disorder before age 15?
       a. ADHD (Attention Deficit Hyperactivity Disorder)
       b. Conduct Disorder
       c. Generalized Anxiety Disorder
       d. Major Depressive Disorder
39. Andy is a 25-year-old single man. During his adolescence and young adulthood,
      Andy had no close friends and usually preferred to be by himself. When he
      entered college, he formed several close friendships, but became “super self-
      conscious” when speaking to strangers, classmates, and sometimes even to
      friends. When a classmate spoke to him, he sometimes “couldn’t hear” what the
      classmate was saying because of his nervousness. Outside class, Andy began to
      feel increasingly uncomfortable in social situations. “I think that I was afraid of
      saying or doing something stupid.” He began to turn down invitations to parties
      and to withdraw from other social activities. Eventually, he dropped out of
      college entirely. Andy now works as a mail sorter at the post office, a job he
      chose because it does not require him to deal with people. Andy is suffering from
      which disorder?
      a. Antisocial Personality Disorder
      b. Generalized Anxiety Disorder
      c. Panic Disorder
      d. Social Phobia

   40. Emilio is a 40-year-old man who is brought to the hospital, his twelfth
   hospitalization, by his mother because she is afraid of him. He is dressed in a ragged
   overcoat, bedroom slippers, and a baseball cap, and wears several medals around his
   neck. His speech and manner have a childlike quality, and he prances around with
   exaggerated hip movements. His mother reports that he stopped taking his
   medication about a month ago, and has since begun to hear voices and to look and act
   more bizarrely. When asked what he has been doing, he says “Eating wires and
   lighting fires.” His speech is often incoherent and marked by frequent rhyming.
   Emilio’s first hospitalization occurred after he dropped out of school at age 16, and
   since that time he has never been able to attend school or hold a job. He lives with
   his elderly mother, but sometimes disappears for several months at a time, and is
   eventually picked up by the police as he wanders in the streets. There is no known
   history of drug or alcohol abuse. Emilio is suffering from which disorder?
       a.   Antisocial Personality Disorder
       b.   Bipolar Disorder
       c.   OCD (Obsessive-Compulsive Disorder)
       d.   Schizophrenia

   41. Mindy is an attractive, stylishly dressed, 25-year-old, art director for a trade
   magazine. She complains of “spells” that have occurred with increasing frequency
   over the past year, often 2 or 3 times a day. These spells begin with a sudden intense
   wave of “horrible fear” that seems to come out of nowhere, sometimes during the
   day, sometimes waking her from sleep. She begins to tremble, is nauseated, sweats
   profusely, feels as though she is choking, and fears that she will lose control and do
   something crazy, like run screaming into the street. Whether she has a spell on the
   subway, in a supermarket, or at home by herself, she says, “I just tough it ou t.”
   Mindy is suffering from which disorder?
       a. Bipolar Disorder
       b. Generalized Anxiety Disorder
       c. Panic Disorder
       d. Schizophrenia

42. Tony is 39-years-old and separated. He was admitted to a psychiatric day program in
the shelter where he lived when he complained of sudden impulses to stab other
residents. The staff in the shelter described him as either “manipulative” or “charming,”
depending on who you asked. He has had several arrests for felonies, including armed
robbery and kidnapping, for which he always seems to have an explanation that
minimizes his own responsibility. Tony entered the city shelter system 2 years ago when
the woman he was living with threw him out because she couldn’t tolerate his temper.
Tony’s childhood was turbulent. His mother had nine children, each with a different
father. When Tony was 3, his mother turned him over to a succession of reluctant
caretakers on both sides of the family. He was physically abused by some of his
mother’s boyfriends. He dropped out of school in the 7 th grade and began drinking
heavily at age 16. At age 19, after an argument with his wife, he cut his wrists, and was
hospitalized for 6 months. Over the ensuing 20 years there have been multiple
hospitalizations when he was suicidal or had violent impulses. At one point he jumped
off a bridge, sustaining multiple fractures. Tony is suffering from which disorder?
        a. Antisocial Personality Disorder
        b. Bipolar Disorder
        c. Major Depressive Disorder
        d. Schizophrenia

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