Psychotic Disorders Ch.7 Test Bank Docx

Chapter 07 Test Bank
 

1. In psychosis, negative symptoms include: 

A. hallucinations.

B. lack of drive, motivation, emotional expression and spontaneous speech.

C. delusions.

D. mistrust of others.

E. anxiety.

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 7.1 Outline the defining symptoms of psychosis.
Topic: Symptoms of Schizophrenia
 

2. The hallucinations reported by people with schizophrenia are most often: 

A. auditory (hearing).

B. visual (sight).

C. olfactory (smell).

D. tactile (touch).

E. gustatory (taste).

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 7.1 Outline the defining symptoms of psychosis.
Topic: Symptoms of Schizophrenia
 

3. Negative symptoms in psychosis are easily confused with: 

A. symptoms of depression.

B. adverse medication effects.

C. laziness.

D. All of the given options are correct.

E. None of the given options is correct.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 7.2 Describe the symptoms of the various DSM-5 psychotic disorders and the problems associated with psychosis.
Topic: Symptoms of Schizophrenia
 

4. The use of 'schizophrenia' as a diagnosis has been challenged because: 

A. it leads to stigma and distress in clients.

B. there is a large overlap between schizophrenia and other mental disorders.

C. psychotic phenomena occur in the general population.

D. All of the given options are correct.

E. None of the given options is correct.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 7.3 Describe the evolution in the diagnostic criteria for schizophrenia and the controversies in the field regarding this diagnosis.
Topic: Historical and Current Conceptualisations of Psychotic Disorders
 

5. Which of the following best describes the prodromal phase of a psychotic disorder? 

A. the period of normality before any mental problems occur

B. the gradual period of deterioration in mental status, before the onset of acute symptoms of psychosis

C. the period during which acute symptoms of psychosis occur

D. the early recovery period

E. the relapse period

Blooms: Analysis
Difficulty: Medium
Learning Objective: 7.4 Outline the prevalence, age of onset and stages of psychosis.
Topic: Symptoms of Schizophrenia
 

6. The Zubin and Spring stress vulnerability model of causes of psychosis suggests that vulnerability to psychotic illness: 

A. is biological but not psychosocial.

B. is psychosocial but not biological.

C. can include both psychosocial and biological factors.

D. is independent of psychosocial and biological factors.

E. None of the given options is correct.

Blooms: Comprehension
Difficulty: Hard
Learning Objective: 7.5 Describe the range of factors implicated in the aetiology of psychosis.
Topic: Historical and Current Conceptualisations of Psychotic Disorders
 

7. Psychotic disorders are often misperceived as involving the presence of only: 

A. manic episodes.

B. thought disorder.

C. hallucinations and delusions.

D. disorganised behaviour.

E. negative symptoms.

Blooms: Comprehension
Difficulty: Medium
Learning Objective: 7.2 Describe the symptoms of the various DSM-5 psychotic disorders and the problems associated with psychosis.
Topic: Symptoms of Schizophrenia
 

8. Eugen Bleuler invented the term 'schizophrenia', referring to: 

A. the loosening of connections between thought structures.

B. split personality, which he believed was common in this illness.

C. the social stigma that is commonly experienced.

D. All of the given options are correct.

E. None of the given options is correct.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 7.3 Describe the evolution in the diagnostic criteria for schizophrenia and the controversies in the field regarding this diagnosis.
Topic: Historical and Current Conceptualisations of Psychotic Disorders
 

9. Large-scale surveys suggest that psychotic experiences are: 

A. very rare in the general population.

B. normally distributed across the general population.

C. very common in the general population.

D. common among those of higher socioeconomic status.

E. None of the given options is correct.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 7.3 Describe the evolution in the diagnostic criteria for schizophrenia and the controversies in the field regarding this diagnosis.
Topic: Epidemiology and Prognosis of Schizophrenia and Other Psychotic Disorders
 

10. Which of the following is true of individuals who return home to a family with high expressed emotion after a psychotic episode? 

A. They are more likely than others to relapse.

B. They receive high levels of emotional support from their families.

C. They are more likely than others to relapse and they receive high levels of emotional support from their families.

D. They are neither more likely than others to relapse nor to receive high levels of emotional support from their families.

E. They are less likely than others to relapse.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 7.5 Describe the range of factors implicated in the aetiology of psychosis.
Topic: Epidemiology and Prognosis of Schizophrenia and Other Psychotic Disorders
 

11. Morrison (2001) proposed a cognitive model for the development of positive symptoms of psychosis. The key component is: 

A. social learning in stressful environments.

B. cognitive impairment leading to poor problem-solving abilities.

C. negative feedback of stress hormones in the brain.

D. how intrusions into consciousness are interpreted.

E. problems with emotion recognition.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 7.5 Describe the range of factors implicated in the aetiology of psychosis.
Topic: Historical and Current Conceptualisations of Psychotic Disorders
 

12. During treatment of an acute episode of psychosis, medication is likely to: 

A. eliminate positive symptoms.

B. eliminate negative symptoms.

C. eliminate tardive dyskinesia.

D. result in weight loss.

E. All of the given options are correct.

Blooms: Comprehension
Difficulty: Medium
Learning Objective: 7.6 Describe the main treatment priorities in relation to the phases of psychosis and the range of evidence-based treatment options.
Topic: Treatment of Schizophrenia and Other Psychotic Disorders
 

13. For people with long-term psychosis and persistent positive symptoms, provision of cognitive behaviour therapy (CBT) as well as medication is likely to: 

A. reduce psychotic symptoms during CBT treatment.

B. have long-term benefits after CBT treatment ceases.

C. reduce psychotic symptoms during CBT treatment and have long-term benefits after CBT treatment ceases.

D. neither reduce psychotic symptoms during CBT treatment nor have long-term benefits after CBT treatment ceases.

E. reduce psychotic symptoms but have no long-term benefits after CBT treatment ceases.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 7.6 Describe the main treatment priorities in relation to the phases of psychosis and the range of evidence-based treatment options.
Topic: Treatment of Schizophrenia and Other Psychotic Disorders
 

14. The consumer recovery model of psychosis and serious mental illness focuses on the: 

A. need for consumers to 'shop around' until they have the right doctor.

B. need for more information about antipsychotic medication.

C. need for 24-hour access to mobile crisis teams.

D. importance of doctors' decision making in the treatment process.

E. rights, choices and individuality of people with mental illnesses.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 7.6 Describe the main treatment priorities in relation to the phases of psychosis and the range of evidence-based treatment options.
Topic: Treatment of Schizophrenia and Other Psychotic Disorders
 

15. Psychotic delusions are usually categorised in terms of their: 

A. sensory modality.

B. content and bizarreness.

C. persistence.

D. response to treatment.

E. frequency.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 7.1 Outline the defining symptoms of psychosis.
Topic: Diagnosis of Various Types of Schizophrenia
 

16. Thought disorder is: 

A. found only in psychotic disorders.

B. rare in psychotic disorders.

C. belief in mind-reading ability.

D. the belief that one's thoughts can be heard by others.

E. a disturbance in the logical sequencing of thoughts.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 7.1 Outline the defining symptoms of psychosis.
Topic: Historical and Current Conceptualisations of Psychotic Disorders
 

17. Use of cannabis by people with psychosis: 

A. increases their rate of relapse.

B. reduces their symptoms of psychosis.

C. increases their rate of relapse and reduces their symptoms of psychosis.

D. does not increase their rate of relapse nor reduce their symptoms of psychosis.

E. does not increase their rate of relapse but does reduce their symptoms of psychosis.

Blooms: Comprehension
Difficulty: Easy
Learning Objective: 7.5 Describe the range of factors implicated in the aetiology of psychosis.
Topic: Epidemiology and Prognosis of Schizophrenia and Other Psychotic Disorders
 

18. Which of these is not a first-rank symptom of schizophrenia, according to Schneider's classification system? 

A. bizarre delusions including passivity phenomena

B. elevated mood

C. hearing voices arguing

D. hearing voices commenting on the individual's actions

E. disorganised speech

Blooms: Analysis
Difficulty: Medium
Learning Objective: 7.1 Outline the defining symptoms of psychosis.
Topic: Historical and Current Conceptualisations of Psychotic Disorders
 

19. Psychotic illnesses are more prevalent: 

A. in developed nations.

B. in people born in rural settings.

C. in women.

D. All of the given options are correct.

E. None of the given options is correct.

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 7.4 Outline the prevalence, age of onset and stages of psychosis.
Topic: Epidemiology and Prognosis of Schizophrenia and Other Psychotic Disorders
 

20. The strongest research support for the existence of familial genetic factors for schizophrenia comes from: 

A. twin studies.

B. family studies.

C. research into the role of neurotransmitters.

D. research into structural brain abnormalities.

E. adoption studies.

Blooms: Evaluation
Difficulty: Medium
Learning Objective: 7.5 Describe the range of factors implicated in the aetiology of psychosis.
Topic: Aetiology of Schizophrenia and Psychosis
 

21. The DSM-5 includes ‘other specified’ and ‘unspecified’ psychotic disorder. It is controversial because: 

A. there is no research to support it as a diagnosis.

B. some clinicians may raise their threshold for prescribing antipsychotic medication.

C. if symptoms fall below a threshold, then a disorder is not warranted.

D. it could overlap with other disorders such as bipolar.

E. All of the given options are correct.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 7.2 Describe the symptoms of the various DSM-5 psychotic disorders and the problems associated with psychosis.
Topic: Diagnosis of Various Types of Schizophrenia
 

22. Which of the following is a change for psychotic disorders in the DSM-5? 

A. the addition of a new catatonic subtype

B. the addition of Schneider's concept of first-rank symptoms

C. the addition of the schizoaffective disorder diagnosis

D. the removal of the schizoaffective disorder diagnosis

E. the removal of all of the subtypes

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 7.2 Describe the symptoms of the various DSM-5 psychotic disorders and the problems associated with psychosis.
Topic: Diagnosis of Various Types of Schizophrenia
 

23. Which of the following is not true of catatonia? 

A. It is less responsive to treatment for schizophrenia.

B. It is more responsive to treatment for schizophrenia.

C. It may have an underlying neurobiological basis separate from other psychotic symptoms.

D. Catatonic symptoms may have been decreasing in prevalence over the past 50 years.

E. The presence of catatonic symptoms is associated with an earlier age of onset and poorer overall functioning.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 7.2 Describe the symptoms of the various DSM-5 psychotic disorders and the problems associated with psychosis.
Topic: Diagnosis of Various Types of Schizophrenia
 

24. Longitudinal research has supported the theory that cannabis may: 

A. trigger psychosis in young people with a specific genetic profile.

B. trigger ongoing use of cannabis in young people with a specific genetic profile.

C. trigger psychosis in young people regardless of their genetic profile.

D. reduce the risk of psychosis in young people with a specific genetic profile.

E. None of the given options is correct.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 7.5 Describe the range of factors implicated in the aetiology of psychosis.
Topic: Aetiology of Schizophrenia and Psychosis
 

25. During the early recovery phase of psychosis: 

A. problems with depression and social anxiety may emerge.

B. patients may express that they were traumatised by their experience of psychosis.

C. patients may either respond defensively to the past experience of psychosis or try to make sense of their experiences.

D. family members may remain distressed and worried.

E. All of the given options are correct.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 7.4 Outline the prevalence, age of onset and stages of psychosis.
Topic: Aetiology of Schizophrenia and Psychosis
 

26. Which is not a typical symptom of catatonia? 

A. catalepsy

B. echolalia

C. echopraxia

D. anhedonia

E. waxy flexibility

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 7.1 Outline the defining symptoms of psychosis.
Topic: Diagnosis of Various Types of Schizophrenia
 

27. Some research suggests that excessive dopaminergic activity in schizophrenia is linked with: 

A. positive symptoms.

B. negative symptoms.

C. waxy flexibility.

D. anhedonia.

E. All of the given options are correct.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 7.5 Describe the range of factors implicated in the aetiology of psychosis.
Topic: Aetiology of Schizophrenia and Psychosis
 

28. Formal thought disorder includes the following except: 

A. lack of coherence of thought.

B. circumstantiality.

C. catalepsy.

D. derailment.

E. echolalia.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 7.1 Outline the defining symptoms of psychosis.
Topic: Symptoms of Schizophrenia
 

29. The risk of further episodes of psychosis within the first five years after treatment is associated with all of the following except: 

A. discontinuation of medication.

B. alogia.

C. poor premorbid history.

D. high expressed emotion in interpersonal relationships.

E. substance abuse.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 7.6 Describe the main treatment priorities in relation to the phases of psychosis and the range of evidence-based treatment options.
Topic: Treatment of Schizophrenia and Other Psychotic Disorders
 

30. An individual with two parents diagnosed with schizophrenia may have a greater risk of developing the disorder. This suggests that: 

A. the disorder is genetically determined.

B. the disorder is the result of learned behaviour.

C. the disorder may be an interaction between genetics and learning.

D. All of the given options are correct.

E. None of the given options is correct.

Blooms: Evaluation
Difficulty: Medium
Learning Objective: 7.5 Describe the range of factors implicated in the aetiology of psychosis.
Topic: Aetiology of Schizophrenia and Psychosis
 

31. An individual with schizophrenia who believes that the television newsreader is sending coded messages to him/her is demonstrating what type of delusion? 

A. grandiose delusion

B. narcissistic delusion

C. delusion of reference

D. paranoid delusion

E. nihilistic delusion

Blooms: Analysis
Difficulty: Medium
Learning Objective: 7.1 Outline the defining symptoms of psychosis.
Topic: Symptoms of Schizophrenia
 

32. The dimensional approach to psychosis argues that: 

A. psychotic diagnoses represent arbitrarily defined categories.

B. psychotic experiences are normally distributed across the population.

C. there is no clear cut-off point between those diagnosed with schizophrenia and those who are not.

D. All of the given options are correct.

E. None of the given options is correct.

Blooms: Evaluation
Difficulty: Hard
Learning Objective: 7.3 Describe the evolution in the diagnostic criteria for schizophrenia and the controversies in the field regarding this diagnosis.
Topic: Historical and Current Conceptualisations of Psychotic Disorders
 

33. A serious side effect of neuroleptic medication is: 

A. anhedonia.

B. worsening of positive symptoms.

C. worsening of negative symptoms.

D. tardive dyskinesia.

E. All of the given options are correct.

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 7.6 Describe the main treatment priorities in relation to the phases of psychosis and the range of evidence-based treatment options.
Topic: Treatment of Schizophrenia and Other Psychotic Disorders
 

34. Some evidence suggests that the risk of suicide may have increased in people diagnosed with schizophrenia over the past 100 years. Which of the provided options is not a reason for this: 

A. a move away from institutionalisation.

B. side effects of antipsychotic medications.

C. effects of withdrawal from antipsychotic medication.

D. high levels of anxiety in people with schizophrenia.

E. brief hospital admissions as opposed to long-term admissions as occurred in the past.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 7.6 Describe the main treatment priorities in relation to the phases of psychosis and the range of evidence-based treatment options.
Topic: Treatment of Schizophrenia and Other Psychotic Disorders
 

35. A neologism is: 

A. a type of delusion.

B. a type of disorganised behaviour.

C. a false word.

D. a new symptom.

E. a clang association.

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 7.1 Outline the defining symptoms of psychosis.
Topic: Symptoms of Schizophrenia
 

36. What are the criteria for identifying individuals in the prodromal phase of psychosis? 

A. less severe features, such as suspicious thinking

B. transient psychotic features

C. deterioration in general psychological health

D. family history of psychosis

E. All of the given options are correct.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 7.4 Outline the prevalence, age of onset and stages of psychosis.
Topic: Aetiology of Schizophrenia and Psychosis
 

37. With regard to treatment during the acute phase of psychosis, research trials have indicated which of the following treatment options results in symptom reduction? 

A. 24-hour support in a home-like setting (Soteria model)

B. pharmacological approaches

C. cognitive behaviour therapy and antipsychotic medication

D. cognitive behaviour therapy with no antipsychotic medication

E. All of the given options are correct.

Blooms: Evaluation
Difficulty: Hard
Learning Objective: 7.4 Outline the prevalence, age of onset and stages of psychosis.
Topic: Aetiology of Schizophrenia and Psychosis
 

Chapter 07 Test Bank Summary