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How is milieu therapy related to social breakdown syndrome?


A) Milieu therapy incorporates institutional practices that are likely to prevent social breakdown syndrome.
B) Milieu therapy is more likely to produce social breakdown syndrome than institutional practices that were used prior to the 1950s.
C) Milieu therapy is costlier to implement than other approaches, which is why it is rarely used to prevent social breakdown syndrome.
D) Milieu therapy uses institutional practices that neither cause nor prevent social breakdown syndrome.

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

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Antipsychotic drugs have all the following in common EXCEPT:


A) they typically work by decreasing dopamine activity.
B) they are generally more effective in treating schizophrenia than any other method used alone.
C) they produce unwanted side effects, but with varying levels of severity.
D) they increase the risk of future substance abuse and chemical dependency.

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

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Antipsychotic drugs reduce psychotic symptoms, at least in part, because they block excessive activity of neurotransmitters at the brain's _____ receptors.


A) dopamine D-2
B) GABA
C) dopamine D-4
D) serotonin

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

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Which second-generation antipsychotic drug is the LEAST likely to cause tardive dyskinesia?


A) Zyprexa
B) Clozapine
C) Risperdal
D) Abilify

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

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Which drug has antipsychotic properties?


A) Prozac (fluoxetine)
B) Valium (diazepam)
C) imipramine
D) haloperidol

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

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If you are being treated for schizophrenia and are learning to distract yourself from the voices you hear and to reinterpret them as just a symptom of your disorder rather than reality, you are MOST likely receiving:


A) psychotherapy.
B) newer antipsychotic drugs.
C) family therapy.
D) cognitive-behavioral therapy.

E) All of the above
F) None of the above

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People with schizophrenia who are working in a sheltered workshop are receiving:


A) coordinated services.
B) partial hospitalization.
C) halfway house services.
D) occupational training.

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

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It was thought that lobotomies could effectively treat the symptoms of schizophrenia and other disorders because:


A) cutting the nerve pathways that produce abnormal thinking should prevent such thinking from occurring.
B) animal studies showed that this procedure calmed animals that were easily agitated.
C) therapists were desperate to try anything that might help those with the most severe symptoms.
D) they could be performed quickly and easily with almost no side effects.

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

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Which of the following is NOT a valid reason why community programs should include multiple properly integrated client services when treating and supporting those with schizophrenia?


A) People with schizophrenia often have unique needs that cannot be accommodated by a single service or by a few services.
B) Implementing comprehensive community programs requires more resources than approaches that are less comprehensive.
C) Comprehensive community approaches produce better outcomes for clients than other, less comprehensive approaches.
D) Comprehensive community programs are better able to fill gaps in services that are present in less comprehensive community programs.

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

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Why were lobotomies so enthusiastically accepted by the medical community in the 1940s and 1950s?


A) They were based on sound experimental studies with animals.
B) The inventors of this procedure were gifted and dedicated physicians.
C) There were relatively few of them and side effects were mild.
D) They could be used to control criminals as well as mental patients.

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

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The first mental asylum was founded in:


A) Egypt.
B) Greece.
C) England.
D) France.

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

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The term neuroleptic is applied to drugs that:


A) cure psychosis.
B) cure schizophrenia.
C) have potency against depression.
D) can produce symptoms of neurological disorders.

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

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Which of these was NOT a major problem facing state hospitals during the mid-1900s?


A) overcrowding
B) inadequate state funding
C) administration of treatments by those with insufficient knowledge and experience
D) protocol of releasing "difficult" patients even though they still required treatment

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

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Research on the relationship between schizophrenia and family interactions has shown that:


A) the rate of schizophrenia is the lowest in families that display the highest levels of expressed emotion.
B) most people with schizophrenia were raised by parents who were emotionally cold and distant.
C) interactions among family members for those with schizophrenia is unrelated to the rate of relapse.
D) the rate of relapse is lower in families with lower levels of expressed emotion and higher levels of support.

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

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Which statement BEST describes the effectiveness of token economy strategies?


A) They are ineffective in the long run.
B) They reverse the progress of schizophrenia.
C) They are successful at changing the patient's behavior.
D) They are successful in altering the patient's distorted thinking.

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

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A token economy approach to treatment is based on principles from the _____ view of abnormal behavior.


A) psychodynamic
B) biological
C) behavioral
D) humanistic

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

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A person with schizophrenia who receives assistance with finding a job and ongoing psychological support once employed is receiving _____.

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Which statement accurately reflects current thinking about psychosis and schizophrenia?


A) Psychotic behavior is best labeled as schizophrenia.
B) Schizophrenia and psychosis are two distinctly different syndromes.
C) People with different diagnoses can exhibit psychosis; it is not limited to schizophrenia.
D) People with bipolar disorder or major depression don't exhibit psychosis; only people with schizophrenia do.

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

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The Community Mental Health Act stipulated that patients with mental disorders should receive all EXCEPT _____ without leaving their communities.


A) inpatient treatment
B) preventative care
C) outpatient therapy
D) research opportunities

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

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Which statement about medication and schizophrenia is the LEAST accurate?


A) Medication is very helpful for some, moderately helpful for others, and ineffective for the remainder of those suffering from schizophrenia.
B) Medication can alleviate some problems, but it can also create new ones.
C) The approaches to treating schizophrenia have vastly improved over the last several decades.
D) Medication is the only effective way to treat schizophrenia.

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

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