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Which of the following defines the persecutory type of delusional disorder?


A) Believing that one is loved by an important person or celebrity
B) Falsely believing that one's sexual partner is unfaithful
C) Believing in one's inflated worth, identity, or special relationship
D) Believing one is being malevolently treated in some way

E) B) and D)
F) A) and B)

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The 1970s experiment in which behavioral (or social learning) principles were applied to a traditional inpatient environment in the form of a token economy resulted in


A) more patients able to be discharged.
B) fewer patients able to be discharged.
C) more patients recovering from schizophrenia.
D) fewer patients recovering from schizophrenia.

E) A) and B)
F) All of the above

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How do the delusions in delusional disorder differ from the delusions in paranoid schizophrenia?


A) In delusional disorder, the imagined events could really be happening but there is no evidence that they are happening.
B) In paranoid schizophrenia, the imagined events have actually happened or are now happening.
C) In delusional disorder, the imagined events are so bizarre that they could never have happened and never will happen.
D) There is no difference. Delusions are defined similarly for all conditions.

E) B) and C)
F) A) and B)

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In the textbook case of Arthur, he said that he had a "secret plan to save all the starving children in the world." After Arthur showed other bizarre behavior and also said he was going to climb the fence of a government building, his parents tried to have him admitted to a psychiatric hospital. They were not able to do that because


A) he was not considered a danger to himself or others.
B) he was given medication instead to calm him down.
C) the hospital staff didn't believe his parents.
D) his behavior was due to a substance abuse problem.

E) A) and C)
F) All of the above

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In the late 1800s, the German psychiatrist Emil Kraeplin made all of the following contributions to our knowledge of schizophrenia EXCEPT


A) distinguishing dementia praecox (schizophrenia) from manic-depressive illness.
B) noting that hallucinations, delusions, and negativism were symptoms of dementia praecox (schizophrenia) .
C) combining several symptoms of insanity (catatonia, paranoia, hebephrenia) that had usually been viewed as reflecting separate and distinct disorders.
D) conceptualizing a treatment for schizophrenic patients that is still being used today.

E) All of the above
F) A) and D)

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An integrated treatment approach to schizophrenia would include


A) collaborative psychopharmacology.
B) assertive community treatment.
C) family psychoeducation.
D) all of the above

E) A) and B)
F) None of the above

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The neuroleptic drugs introduced in the 1950s affect primarily the positive symptoms of schizophrenia, which include all of the following EXCEPT .


A) hallucinations
B) delusions
C) social deficits
D) agitation

E) None of the above
F) A) and B)

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Families with a high expressed emotion (EE) score view the symptoms of schizophrenia as .


A) controllable
B) uncontrollable
C) inevitable
D) inconvenient

E) A) and C)
F) None of the above

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Endophenotyping refers to looking for


A) a gene or genes that cause the symptoms or behaviors of schizophrenia.
B) basic processes that contribute to symptoms of the disorder.
C) basic processes that contribute to behaviors of schizophrenia.
D) all of the above

E) A) and D)
F) A) and C)

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Of the various genetic linkage and association studies, the one that seems to be a possible "marker" for schizophrenia involves .


A) eye-tracking
B) dopamine sites
C) unusual facial features
D) blood type

E) C) and D)
F) None of the above

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Which of the following is NOT one of the typical minor side effects of antipsychotic medications?


A) Grogginess
B) Blurred vision
C) Headaches
D) Dryness of the mouth

E) B) and C)
F) A) and D)

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Since the latter half of the 20th century, the policy of deinstitutionalization (time-limited hospital stays for psychotic patients) has resulted in


A) more patients remaining hospitalized.
B) former patients becoming productive members of the community.
C) many former patients becoming homeless.
D) greater patient compliance regarding medication.

E) A) and B)
F) A) and C)

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Making the diagnosis of schizophrenia is controversial because


A) the symptoms can vary as a function of culture or race.
B) the symptoms are similar across culture and race.
C) the symptoms simply reflect biases in the minds of mental health professionals.
D) the label is derogatory and has no clinical utility.

E) B) and C)
F) None of the above

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Mark was diagnosed with schizophrenia many years ago. Most recently, he has been exhibiting some bizarre behaviors. For example, he stands for hours in unusual postures. Mark's motor dysfunction is called __________________.


A) cognitive slippage
B) inappropriate affect
C) catatonic immobility
D) hebephrenia

E) A) and B)
F) A) and C)

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Toward the end of the 19th century, Emil Kraeplin, studying the disorder we now call schizophrenia, used the term because he observed that the onset of symptoms often occurred before adulthood.


A) adolescent insanity
B) folie à deux
C) catatonia previa
D) dementia praecox

E) B) and C)
F) A) and B)

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Research studies focusing on genetic factors in schizophrenia have found that


A) An individual with a schizophrenic identical twin has the highest risk factor (almost 50%) of developing schizophrenia.
B) In family studies of schizophrenia, the genetic influence can be separated from the environmental impact.
C) If one person in a family has a particular subtype of schizophrenia,
D) The more severe a parent's schizophrenic disorder, the less likely the children were to develop it.
E) g., paranoid, the other family members inherit a predisposition for that subtype only.

F) All of the above
G) A) and C)

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Which of the following is TRUE in regard to the genetic basis of schizophrenia?


A) Researchers have discovered the gene responsible for causing schizophrenia.
B) Genes are responsible for making some individuals vulnerable to schizophrenia.
C) Both of these statements are true
D) Neither of these statements is true

E) C) and D)
F) None of the above

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Which of the following is the best description of schizophrenia?


A) Schizophrenia is characterized by symptoms shared by everyone with the diagnosis.
B) Schizophrenia is characterized by multiple personalities.
C) Schizophrenia is characterized by behavior and symptoms that aren't necessarily common to everyone with the diagnosis.
D) The course of schizophrenia is always predictable.

E) All of the above
F) A) and B)

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James is a security guard at the mall who seems lost in his own world. Often, he feels the presence of his dead mother nearby. He knows it is an illusion and that she is not real. Her presence does give him comfort. James probably would be diagnosed with


A) schizoaffective disorder.
B) schizotypal disorder.
C) schizoid disorder.
D) brief psychotic disorder.

E) B) and C)
F) A) and D)

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The negative schizophrenic symptom called anhedonia is defined as


A) inability to initiate and persist in activities.
B) inability to experience pleasure.
C) lack of emotional response, blank facial expression.
D) lack of speech content and/or slowed speech response.

E) A) and D)
F) None of the above

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