Donna has been treated with chlorpromazine for several years. Lately she seems to be chewing gum all the time and her arms are always in motion
Donna has been treated with chlorpromazine for several years. Lately she seems to be chewing gum all the time and her arms are always in motion. She has begun to display twitches and she has a facial tic. This is an example of:
dystonia. akathisia
tardive dyskinesia.
neuroleptic
malignant syndrome.
Question The proportion of patients taking antipsychotic medication who eventually develop tardive dyskinesia is closest to:
1%.
10%.
20%.
50%.
Question If a person with schizophrenia were making involuntary ticlike movements of the tongue, mouth, face, or whole body, smacking the lips, and making sucking and chewing movements, one would suspect the patient:
was taking too much antipsychotic medication.
was taking too little antipsychotic medication.
had been taking antipsychotic medication for a short time.
had been taking antipsychotic medication for a long time.
Question The most successful way to eliminate tardive dyskinesia is:
to stop the antipsychotic medication.
to use anti-Parkinsonian drugs to treat the side effects.
to ignore it; it will go away eventually.
to increase the dose of antipsychotic medication.
Question If you were working with a patient who displayed muscle tremors and rigidity, and tardive dyskenisia, you would suspect that the person was receiving:
electroconvulsive therapy.
antipsychotic drugs.
milieu therapy.
psychodynamic therapy.
Question Which of the following antipsychotic drugs appears to work at serotonin receptors?
Haldol
clozapine
chlorpromazine
the phenothiazines
Question The most widely used atypical antipsychotic drug is:
Clozaril.
Xanac.
Thorazine.
Prozac.
Question The lowest number of extrapyramidal side effects is seen after taking:
clozapine.
haloperidol.
thioridazine.
chlorpromazine.
Question “I want to maximize the antipsychotic effect of a drug while minimizing its undesirable side effects,” says a doctor. What’s the best advice you can give the doctor?
“Unfortunately, effective doses of conventional and atypical antipsychotic drugs both produce a lot of undesirable side effects.”
“Fortunately, effective doses of both conventional and atypical antipsychotic drugs do not produce a lot of undesirable side effects.”
“Use a conventional antipsychotic drug.”
“Use an atypical antipsychotic drug.”
Question Which of the following drugs has antipsychotic properties?
Prozac
Valium
Imipramine
haloperidol
Question Why do some therapists believe psychotherapy is unsuccessful in treating schizophrenia?
Schizophrenia increases the strength of most ego defense mechanisms.
Insurance does not cover psychotherapy for patients diagnosed as schizophrenic.
Unmedicated schizophrenics are too far removed from reality to form the relationship needed.
Excessive dopamine interferes with the process of free association that is requisite to the success of psychotherapy.
Question The Hearing Voices Network suggests that the best treatment for auditory hallucinations is “coping”—learning to listen to the “voices” without worrying—as opposed to trying to ignore or get rid of the voices. This coping strategy is closest to:
old-fashioned milieu therapy.
cognitive-behavioral therapy.
family therapy.
social therapy.
Question During psychotherapy, a person with schizophrenia is learning to interpret auditory hallucinations accurately, and is working on developing better social skills and problem- solving abilities. Most likely, this person is receiving a combination of which kinds of psychotherapy?
cognitive-behavioral and social therapies
family psychoeducation and community-oriented therapies
cognitive-behavioral and psychodynamic therapies
family psychoeducation and psychodynamic therapies
Question A family with a high level of expressed emotion would display a great deal of:
concern.
criticism.
joyfulness.
underinvolvement.
Question Family therapy is an important therapy option for people with schizophrenia because:
people with schizophrenia from families who display low levels of expressed emotion do comparatively poorly in therapy.
about a half of people recovering from schizophrenia live with family.
family members need to express very high expectations in order to promote recovery.
it works better in most cases than drug therapy.
Question You have just learned that an acquaintance who is diagnosed with schizophrenia will receive a combination of drug and family therapies. What do you think?
This is good; family therapy works well along with drug therapy.
It’s wasting money; only the drug therapy will be effective.
It’s wasting money; either form of therapy alone is as effective as the combination.
The drug therapy is good, but would work better with milieu therapy.
Question The goal of family therapy is to:
help the family better support the schizophrenic patient.
help the patient move out of the family home and live on his or her own.
help the family display higher levels of expressed emotion.
help patients return to the hospital more quickly.
Question
Therapy for those with schizophrenia and their families has been shown to:
increase tension and relapse rates.
work only in the absence of drug treatment.
increase feelings of guilt for family members.
help the schizophrenic avoid troublesome interactions with family members.
Question If you and your family were receiving support, encouragement, and advice from other families with schizophrenic members, you would most likely be participating in:
family psychoeducational
programs. family milieu therapy.
joint drug treatment.
All the s are correct.
Question What’s the focus of social therapy in treating schizophrenia?
placing the patient in a halfway house finding work and housing for the patient
finding a community mental health center for the patient
helping the patient interact more effectively in the family environment
Question A patient who receives help in finding work, in finding a place to live, and in taking medication correctly is probably receiving:
milieu therapy.
social therapy.
family therapy.
insight therapy.
Question
If relatives of a schizophrenic come to have more realistic expectations, reduce their guilt, and work on establishing better communication, they are probably receiving:
milieu therapy.
social therapy.
family therapy.
insight therapy.
Question The Community Mental Health Act stipulated that patients with mental disorders should receive all of the following except without leaving their communities.
inpatient treatment
preventive care
outpatient therapy
research opportunities
Question Since the 1950s, deinstitutionalization has led to a significant change in the number of patients in state institutions. The approximate number is now:
60,000.
250,000.
600,000.
1,000,000.
Question The approximate number of patients in state mental institutions in the mid 1950s was about:
80,000.
250,000.
600,000.
1,000,000.
Question Deinstitutionalization:
did not reduce substantially the number of people in state mental hospitals.
was aimed at returning patients with mental disorders to their communities.
resulted in a high level of community care being offered throughout the U.S. provided medication to schizophrenics, but not to other mental patients.
Question
The “revolving door” syndrome in the treatment of mental illness refers to:
deinstitutionalization.
repeatedly releasing and readmitting patients.
the inability to treat mental patients effectively.
an open door policy in which patients may come and go as they please.
Question Of the following alternatives, which would be most effective for schizophrenic patients who have been hospitalized and released to avoid being re-hospitalized?
see their family physician monthly
take their medication and attend social therapy
go to church
exercise and eat healthily
Question Programs designed to help people recovering from schizophrenia to handle daily pressures, make proper decisions, handle social situations, and make residential and vocational adjustments are called:
deinstitutionalization programs.
assertive community treatment.
rehabilitation services.
re-hospitalization programs.
Question According to your textbook, which of the following is a key feature of effective community care programs?
long term hospitalization
self-help groups for family members
occupational training
exercise programs
Question In the original Community Mental Health Act, the coordinating agency was supposed to be the:
day center.
halfway house.
sheltered workshop.
community mental health center.
Question Community mental health centers are designed to provide all of the following except:
inpatient emergency care.
medication and psychotherapy. vocational rehabilitation.
coordination of other community services.
Question Tory lives at home but spends his day at a mental health facility. The facility might be described as providing:
aftercare.
coordinated services.
partial hospitalization.
short-term hospitalization.
Question MICA stands for:
mentally ill child or adult.
mentally ill chronic alcoholic.
mentally ill chemical abuser.
mentally ill cocaine addict.
Question The staff that work in halfway houses are usually:
psychiatrists.
psychologists.
social workers.
paraprofessionals.
Question Those with schizophrenia who receive 24-hour supervision in a community setting, usually following a milieu approach, are receiving:
coordinated services.
partial hospitalization.
halfway house services.
occupational training.
Question Helen was just discharged from a public mental health facility. She went to live with a group of other former patients in a group-living arrangement. There were staff members to help out but the former patients controlled most of the day-to-day activities. Helen’s living arrangement is a:
day center.
halfway house.
short-term hospital.
sheltered workshop.
Question “I’m a paraprofessional, working mostly with people with schizophrenia,” an undergraduate said while describing a junior-year internship. Most likely, the setting that undergraduate was working in was:
an inpatient long-term hospital.
a facility for mentally ill chemical abusers (MICAs).
a halfway house.
a community mental health setting as a supervisor of case managers.
Question
Several people with schizophrenia work at a recycling center, where on-time behavior is expected, and payment is made solely for work completed. The people do not compete with each other. Most likely, this work takes place at a:
halfway house.
community mental health center.
sheltered workshop.
community employment center.
Question Those with schizophrenia who are working in a sheltered workshop are receiving:
coordinated services.
partial hospitalization.
halfway house services.
occupational training.
Question According to the research, what should be done to improve community treatment for people with schizophrenia? Your best is:
“Nothing much, really; almost everybody has access to the services they need.”
“Provide more services, and do a better job of getting them to those who need them.”
“Provide more services; we have adequate infrastructure to get the services to those who need them.”
“Provide better infrastructure; we have the services people need already.”
Question Those with schizophrenia who also have substance-abuse disorders are assigned a case worker who makes sure they know about and can use whatever is available to support them. They are receiving:
coordinated services.
partial hospitalization.
halfway house services.
occupational training.
Question About what percent of those with schizophrenia receive treatment in a given year?
25%–40%
40%–60%
60%–80%
80%–100%
Question The person most responsible for coordinating community service and providing practical help with problem-solving social skills and medication is a:
psychiatrist.
clinical psychologist.
nurse practitioner.
case manager.
Question A friend asks you, “What can we do to provide better community-based treatment for people with schizophrenia?” Based upon current conditions, your best is:
“If it ain’t broke, don’t fix it—the system actually works pretty well.”
“Actually, there are plenty of services available, we just have to coordinate them better.”
“We coordinate services pretty well now, but we need more services.”
“We need more services, and we need to coordinate them better.”
Question Today the financial burden of providing community treatment for persons with long-term severe disorders often falls on:
local governments and nonprofit agencies.
the federal government.
state government.
international organizations.
Question Which of the following provides the best support for the statement that “people with schizophrenia are now dumped in the community rather than warehoused in institutions?”
Almost all schizophrenics are medicated, even though many experience serious side effects.
Many schizophrenics live in single-room occupancy hotels or are homeless.
Government disability payments support many schizophrenics.
Most institutions are now closed or used for other types of patients.
Question SRO—“standing room only”—may be a good thing for a play producer on opening night, but to many people with schizophrenia, SRO means:
living alone in a single room.
having a job involving doing the same thing over and over again.
having access to a safe place to exercise outdoors.
a building housing only those with schizophrenia.
Question A person with schizophrenia is living in a halfway house. This person’s experience is:
very rare—only 1-2% of those with schizophrenia live in halfway houses, or other supervised living.
rare—between 5% and 10% of those with schizophrenia live in halfway houses, or other supervised living.
uncommon—between 10% and 20% of those with schizophrenia live in halfway houses, or other supervised living.
the norm—almost half of those with schizophrenia live in halfway houses, or other supervised living.
Question A homeless person approaches you on a city street corner. The chance it is a person with schizophrenia is about:
50%
33%
15%
5%
Question What proportion of homeless persons are estimated to suffer from severe mental disorders?
most
about half
about a third
about a quarter
Question If you went to a meeting of a group lobbying for better care for the mentally ill and made up primarily of family members of people with severe mental disorders, you would probably be attending:
the National Alliance on Mental Illness.
the Association for Retarded Citizens.
the Society for Social Workers and Case Managers.
the Halfway House Paraprofessional Affiliates.
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