| Question 1 |
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A _____ was developed by Walter Freeman as a treatment for various diagnosed mental illnesses.
split brain operation prefrontal lobotomy prefrontal leucotomy transorbital lobotomy |
| Question 2 |
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_____ effects are sometimes produced by conventional antipsychotic drugs. These include unwanted movements such as severe shaking, bizarre-looking grimaces, twisting of the body, and extreme restlessness.
Atypical Extrapyramidal Prodromal Residual |
| Question 3 |
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Milieu therapy is designed to promote all of the following EXCEPT:
self-respect. individual responsibility. productive activity. independent living |
| Question 4 |
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_____ is a life-threatening drop in white blood cells caused by taking clozapine.
Amenorrhea Agranulocytosis Tardive dyskinesia Metabolic syndrome |
| Question 5 |
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Token economies have been criticized for their lack of effectiveness as well as for:
legal and ethical concerns. only modifying behavior. creating gambling issues. giving residents too much control over the therapy process. |
| Question 6 |
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All of the following are true regarding conventional and atypical antipsychotics EXCEPT that:
the maximum benefits are seen by six months. both conventional and atypical antipsychotics reduce levels of dopamine. conventional antipsychotics have the highest risk of unwanted side effects. they both work on the neurotransmitter serotonin. |
| Question 7 |
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All of the following are acceptable behaviors rewarded by a token economy program EXCEPT:
making their bed. caring for one's possessions. reading and writing. caring for oneself. |
| Question 8 |
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The atypical antipsychotics include all of the following EXCEPT:
Clozaril. Abilify. Risperdal. Thorazine. |
| Question 9 |
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Marcel has been hospitalized for two years for schizophrenia. Since his hospitalization, he has become extremely withdrawn, has become aggressive toward other individuals, and has lost interest in maintaining his personal appearance. Marcel MOST likely is suffering from:
antisocial personality disorder. deinstitutionalization. social anxiety disorder. social breakdown syndrome. |
| Question 10 |
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Which class of side effects, often produced by conventional antipsychotic drugs, includes severe shaking, bizarre-looking grimaces, twisting of the body, and extreme restlessness?
neuroleptic malignant syndrome Parkinsonian symptoms tardive dyskinesia extrapyramidal effects |
| Question 11 |
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According to the text, which patient with schizophrenia is MOST likely to be the first to be released into a sheltered-care program?
Robin, who has been receiving medication and custodial care Ricardo, who is receiving only custodial care, but has frequent family visits Emily, who has been receiving medication and has been in a milieu therapy program the last two years Tasha, who has been receiving medication and has been in a token economy program the last two years |
| Question 12 |
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In 1954, _____ was approved for sale in the United States.
fluphenazine chlorpromazine loxapine perphenazine |
| Question 13 |
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You are watching a film of Walter Freeman performing a surgery on a patient who is diagnosed with schizophrenia. The surgeon inserts what looks like an ice pick into the eye socket. Dr. Freeman then takes a hammer and hits this instrument through the bone, moves it until he breaks the bone, then proceeds to move the instrument into the brain, and rotates it in a circular motion. The procedure you were observing is a:
split brain operation. prefrontal leucotomy. transorbital lobotomy. prefrontal lobotomy. |
| Question 14 |
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Fairhaven Psychiatric Hospital refers to their patients as "residents," and the staff is instructed and trained to treat the residents with respect. Residents are viewed as capable of making their own decisions and having input into the daily schedule and programs offered by the hospital. Fairhaven is employing _____ therapy.
community outpatient milieu social |
| Question 15 |
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Hector is hospitalized to treat chronic schizophrenia. When he entered a facility, he was referred to as a resident, treated with respect, and viewed as a person capable of making decisions. He was told that he would have input into his daily schedule and would be part of a therapeutic community. This therapeutic approach is called _____ therapy.
community outpatient milieu social |
| Question 16 |
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Elsie has been hallucinating and suffering from delusions. In addition to schizophrenia, she MOST likely would be diagnosed with:
bipolar disorder. obsessive-compulsive disorder. Alzheimer's disease. attention deficit hyperactivity disorder. |
| Question 17 |
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Nefti is currently undergoing treatment for schizophrenia. Her therapist creates a climate that promotes self-respect and requires her to be responsible for her own behavior as well as maintain meaningful activity. Nefti is MOST likely undergoing:
milieu therapy. a lobotomy. cognitive therapy. token economy program. |
| Question 18 |
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All of the following are potential side effects of second-generation antipsychotics EXCEPT:
dizziness. high blood pressure. metabolic problems. weight gain. |
| Question 19 |
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As a patient in a psychiatric hospital, Ted can earn poker chips for engaging in adaptive behaviors, such as arriving to group therapy on time, maintaining proper grooming, and using appropriate communications. When he collects enough chips, he can exchange them for rewards, such as soda, computer time, food, passes, and other privileges. This approach is called:
milieu therapy.
community therapy. psychoanalytic therapy. a token economy. |
| Question 20 |
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Angelina is currently hospitalized. As part of her program, she participates with staff members in defining the roles of residents and to determine sanctions. The staff and residents create an atmosphere of mutual respect, support, and openness. Angelina is MOST likely participating in:
milieu therapy. cognitive therapy. psychosurgery. antipsychotic drug therapy. |
| Question 21 |
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Fernando has been participating in a token economy program while he is hospitalized. He has improved enough to be released. Where is Fernando MOST likely going to go upon his release?
independent living a homeless shelter a sheltered-care facility a jail |
| Question 22 |
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Thomas has been hospitalized with paranoid schizophrenia for the last year. The hospital uses a token economy to promote behavioral change. Thomas's paranoid delusions center on the belief that he had a chip placed in his brain by aliens, which causes him to refer to himself as a "carbon-based life form" and only talks to others if they do the same. Because of the system of rewards in the token economy, he has stopped the behavior and has become more social on the ward. Critics of the changes produced by token economies would agree with these statements EXCEPT:
Thomas's behavior change is only an imitation of correct behavior so he can continue to get the rewards. Thomas may have stopped the behavior, but he probably still has the delusion. Thomas's behavior change may not continue outside of the hospital. Thomas has learned to keep his delusion to himself; this may be a step toward changing his private thinking. |
| Question 23 |
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Ross has been prescribed an antipsychotic to help control his schizophrenic symptoms. If the drug works, Ross would expect to see the maximum benefits within:
2 weeks. 2 months. 6 months. 1 year. |
| Question 24 |
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Felix has been taking Thorazine, a conventional antipsychotic drug, as a treatment for his paranoid schizophrenia. He began taking the drug last week and has begun demonstrating involuntary shaking, restlessness, discomfort in the limbs, muscle rigidity, and involuntary movements of his face. Felix has developed symptoms of _____, a side effect of the drug.
amenorrhea Alzheimer's disease Parkinson's disease agranulocytosis |
| Question 25 |
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Claire makes her bed on a daily basis and bathes and dresses herself without assistance. All of these behaviors are rewarded. For each behavior she completes, she is given a gold marker. Once she has collected a certain number of gold markers, she will be allowed to purchase amenities from the local store such as food. Claire is participating in:
a token economy. rational-emotive therapy. cognitive restructuring. milieu therapy. |
| Question 26 |
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Lee is experiencing numerous symptoms of schizophrenia. Specifically, he suffers from hallucinations and delusions. Lee's doctors decide to try medication. Which medication would be MOST successful in helping Lee's symptoms?
antidepressants mood stabilizers antipsychotics selective serotonin reuptake inhibitors |
| Question 27 |
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Tobias has been taking antipsychotic medication for 3 years for undifferentiated schizophrenia. Lately, Tobias has been experiencing a life-threatening drop in his white blood count. Tobias is MOST likely taking a(n) _____ antipsychotic drug.
neuroleptic extrapyramidal conventional atypical |
| Question 28 |
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Lou and Salvador are both diagnosed schizophrenics. Lou's clinical presentation includes more positive symptoms, a combination of hallucinations and delusions. Salvador's clinical presentation include more negative symptoms. Salvador would MOST likely be treated with a(n) _____ antipsychotic.
extrapyramidal atypical conventional neuroleptic |
| Question 29 |
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Carlo is taking clozapine to treat his schizophrenic symptoms. Carlo should be aware that:
clozapine has a side effect causing a dangerous or life-threatening drop in white blood cells. clozapine can sometimes cause tardive dyskinesia. he will only see the benefits of using clozapine within the first few weeks of taking it. he will need to be monitored for high blood pressure. |
| Question 30 |
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Marguerite is currently institutionalized for schizophrenia. She regularly needs bloodwork to monitor changes in her white blood cell count. Marguerite is MOST likely taking _____ to treat her schizophrenia.
Haldol Risperdal clozapine Thorazine |
| Question 31 |
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Malik has been taking Haldol, a conventional antipsychotic drug, as a treatment for his paranoid schizophrenia. He began taking the drug last week and has begun shaking involuntarily, experiencing discomfort in his limbs, muscle rigidity, and displaying involuntary movements of his face. Malik has developed which side effect of the drug?
neuroleptic malignant syndrome tardive dyskinesia extrapyramidal symptoms |
| Question 32 |
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Juliana has been taking Thorazine to treat her schizophrenic symptoms. After taking the medication for almost a year, she is now experiencing trembling of her limbs and involuntary movements of her face and lips. Her doctor decides to change her medication to reduce and/or eliminate these motor movement issues. The doctor is MOST likely to prescribe:
fluphenazine. Haldol. Tindal. clozapine. |
| Question 33 |
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Juliana has been taking Thorazine to treat her schizophrenic symptoms. After taking the medication for almost a year, she is now experiencing trembling of her limbs and involuntary movements of her face and lips. Her doctor decides to change her medication to reduce and/or eliminate these motor movement issues. The doctor is MOST likely to prescribe:
Parkinsonian symptoms neuroleptic malignant syndrome extrapyramidal symptoms tardive dyskinesia |
| Question 34 |
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Iris has been taking Thorazine for several years. She has never really responded well to it, so she still struggles with her symptoms. Her doctor is MOST likely to try _____ instead of Thorazine.
perphenazine loxapine an atypical antipsychotic haloperidol |
| Question 35 |
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Tamika has recently been diagnosed with schizophrenia and was prescribed Clozaril. The drug seems to be improving her symptoms, but she does need to have frequent blood tests for early detection of _____, which can develop in about 1 percent of those who take the medication.
agranulocytosis Parkinsonian symptoms neuroleptic malignant syndrome extrapyramidal symptoms |
| Question 36 |
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Michelle is a diagnosed schizophrenic. Michelle's doctor is looking at treating her symptoms with a new medication that has been successful in creating calming effects. This new medication is MOST likely:
electroconvulsive therapy. an antipsychotic. an antidepressant. a mood stabilizer. |
| Question 37 |
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Thirty-one-year-old Hector has been taking Prolixin, a conventional antipsychotic drug, since he was 18 years old. While his positive symptoms have been reduced, lately he has begun to display some unpleasant side effects such as tic-like movements of his tongue, involuntary lip smacking, jerky movements of his arms and legs, and memory difficulties. Hector is showing the symptoms of:
extrapyramidal symptoms. neuroleptic malignant syndrome. tardive dyskinesia. Parkinsonian symptoms. |
| Question 38 |
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David has been taking antipsychotic medication for three years for schizophrenia. Lately, David's hands have been involuntarily shaking. He has been experiencing restlessness and muscle rigidity and walks slowly with a shuffling gait. Which medication is MOST likely to cause these side effects?
Mellaril Geodon Abilify Zyprexa |
| Question 39 |
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Esther has recently been diagnosed with schizophrenia. Her primary symptoms involve a mixture of hallucinations, delusions, social withdrawal, and flat affect. Of the medications available to treat Esther's symptoms, which is MOST likely to provide her the most relief?
fluphenazine Haldol chlorpromazine clozapine |