18 Oct What was the dominant way of dealing with patients with schizophrenia for more than half of the 20th century?

Question 1What was the dominant way of dealing with patients with schizophrenia for more than half of the 20th century?

 

                institutionalization

 

                outpatient services

 

                individual psychotherapy

 

                treatment with neuroleptic drugs

 

Question 2Many professionals now believe that effective and successful care of patients with schizophrenia requires ___________:

 

                short term hospitalization

 

                occupational training and support.

 

                case management.

 

                all of the above.

 

Question 3Extrapyramidal effects which are disturbing movement problems that can be caused by first-generation antipsychotic drugs include all of the following except:

 

                neuroleptic malignant syndrome

 

                epilepsy

 

                tardive dyskinesia

 

                Parkinsonian symptoms

 

Question 4The most successful way to eliminate tardive dyskinesia is:

 

                to immediately stop the antipsychotic medication.

 

                to use anti-Parkinsonian drugs to treat the side effects.

 

                to ignore it; it will go away eventually.

 

                to immediately increase the dose of the antipsychotic medication.

 

Question 5The usual way of dealing with troublesome or violent patients with schizophrenia in institutions in the first half of the 20th century was to:

 

                use drugs.

 

                beat them.

 

                ignore them.

 

                use physical restraint.

 

Question 6What is the token in behavioral terms?

 

                a stimulus

 

                motivation

 

                a reinforcer

 

                punishment

 

Question 7While there is much written about successful programs to care for patients with schizophrenia in the U.S, in actuality studies show there is a general failure of these programs.  This is reinforced by the facts that:

 

                There are more people with schizophrenia in jails and prisons than there are in all hospitals.

 

                The largest mental health institution in the United States is:  Cook County Jail.

 

                40% of patients with schizophrenia receive no treatment at all.

 

                All of the above.

 

Question 8While the second-generation antipsychotic drugs are more effective in treating schizophrenia, they can cause one life-threatening side effect which is:

 

                anemia

 

                agranulocytosis

 

                Huntington’s chorea

 

                leukemia

 

Question 9From the options listed below, the MOST widely used second-generation antipsychotic drug is:

 

                Xanax

 

                Risperdal

 

                Thorazine

 

                Prozac

 

Question 10The main contribution of Philippe Pinel to the care of those with severe mental illnesses was to:

 

                develop state hospitals for those who couldn’t afford private care.

 

                use antipsychotic drugs in highly controlled settings.

 

                treat patients with sympathy and kindness.

 

                promote deinstitutionalization.

 

Question 11Most patients who lived on the back wards of state mental hospitals in the mid-1900’s:

 

                were patients with schizophrenia.

 

                were given individual “talk” therapy to no avail.

 

                interacted well with each other but not with staff members.

 

                were in fact violent criminals.

 

Question 12The lowest number of extrapyramidal side effects is seen after taking:

 

                Thorazine

 

                Abilify

 

                Tindal

 

                Haldol

 

Question 13Milieu therapy is based primarily on the principles of ______ psychology.

 

                cognitive

 

                behavioral

 

                humanistic

 

                psychodynamic

 

Question 14The schizophrenic symptom most likely to be relieved by first-generation antipsychotic drugs is:

 

                delusions.

 

                flat affect.

 

                alogia.

 

                avolition.

 

Question 15Who was the first physician responsible for developing the prefrontal leucotomy for use on human patients?

 

                Egas Moniz

 

                Eliot Valenstein

 

                Walter Freeman

 

                Carlyle Jacobsen

 

Question 16A person who is experiencing a potentially fatal reaction to an antipsychotic drug involving muscle rigidity and autonomic nervous system dysfunction is displaying:

 

                Parkinson-like symptoms.

 

                neuroleptic malignant syndrome.

 

                tardive dyskinesia.

 

                akathisia.