Name : Clas S Dat e: Chapter 12 55. Schizophrenia is associated with "negative symptoms" that include all of the following EXCEPT a. an inability to initiate and persist in activities. b. flat affect. C. poverty of speech (alogia). d. hallucinations and delusions. ANSWER: 56. Which of the following defines the somatic type of delusional disorder? a. Believing that one is loved by an important person or celebrity b. Falsely believing that one's sexual partner is unfaithful c. Believing one is afflicted by a physical defect or general medical condition d. Believing one is being malevolently treated in some way ANSWER: 57. Schizophrenia is associated with "positive symptoms" that include a. hallucinations and delusions. b. good mood. c. avolition. d. catatonia. ANSWER: d a 58. In working with schizophrenic patients, mental health professionals typically distinguish between symptoms (an excess or distortion of normal behavior) and symptoms (deficits in normal behavior). a. positive; negative b. negative; positive C. manic; depressive d. dysmorphic; dysfunctional ANSWER: 59. Which of the following is NOT accurate regarding statistical data on schizophrenia? a. The lifetime prevalence rate is 1%. b. Life expectancy is less than average due to suicides and accidents. c. Men with schizophrenia have a better prognosis than women with schizophrenia. d. More women than men develop schizophrenia later in life. ANSWER: 60. In the United States, proportionately than African Americans receive the diagnosis of schizophrenia a. more; Latinos Name Clas S Dat e: Chapter 12 b. less; Caucasians с. more: Caucasians d. less; Latinos ANSWER: 61. Up to % of people who later develop schizophrenia go through a prodromal stage. a. 65 b. 75 с. 85 C d. 95 ANSWER: 62. The Genain quadruplets Nora, Iris, Myra, and Hester showed us that a. the course, symptoms, and prognosis of schizophrenia can vary even among quadruplets raised in the same household. b. the course, symptoms, and prognosis of schizophrenia can be determined by birth weight. c. schizophrenia is almost entirely genetic in its etiology. d. having the same family environment largely ensures the same outcome in schizophrenia. ANSWER: 63. Research studies focusing on genetic factors in schizophrenia have found that a. an individual with a schizophrenic identical twin has the highest risk factor (almost 50%) of developing schizophrenia. a b. in family studies of schizophrenia, the genetic influence can be separated from the environmental impact. c. if one person in a family has a particular subtype of schizophrenia, for example, paranoid, the other family members inherit a predisposition for that subtype only. d. the more severe a parent's schizophrenic disorder, the less likely the children are to develop it. ANSWER: a 64. The famous case of the Genain sisters, identical quadruplets all diagnosed with schizophrenia, points out that siblings raised in the same household may experience their environment very differently, a concept called a(n) ANSWER: a. variable home structure. b. unshared environment. с. environmental phenomenon. d. unique perceptive interpretation. b 65. An ongoing research study in Finland is focusing on children of mothers with schizophrenia who were adopted into other families. To date, researchers have determined that % of these children have developed Name : Clas S Dat e: Chapter 12 skills programs that teach them all of the following EXCEPT a. medication management. b. how to identify signs that warn of a relapse. c. how to maintain eye contact when interacting with others. d. how to help others who are mentally ill. ANSWER: d 107. Mr. P is laughing uncontrollably after hearing the news of his sister's death, and his laughter is punctuated by rapid and off-topic speech. What type of symptoms of schizophrenia is he struggling with? a. Positive b. Negative C. Disorganized d. Combined ANSWER: 108. Social skills training programs for patients with schizophrenia have been a. very successful. b. not at all successful. c. somewhat successful while the program is in effect. d. only successful when the patient is on medication. ANSWER: C 109. Recently, treatment for people with schizophrenia has expanded to include self-help and self-advocacy groups. These psychosocial clubs a. provide a person-centered approach. b. focus on getting positive experiences through employment opportunities. c. provide friendship and empowerment. d. all of these are correct ANSWER: 110. Which of the following is NOT recommended as a helpful addition to biological treatment for schizophrenia? d a. Social skills training b. Family intervention c. High levels of expressed emotion d. Programs in vocational rehabilitation ANSWER: 111. The assertive community treatment (ACT) program grew out of work by researches in a. Madison, WI b. Washington, DC C Name Clas S Dat e: a Chapter 12 C. Savannah, GA d. New York, NY ANSWER: 112. Psychosocial "clubs" or "clubhouses" for patients with schizophrenia have been formed as a part of some rehabilitation programs. Research indicates that participation in these clubs may help prevent relapses. However, it is difficult to interpret the improvement in these patients because a. some patients are on medication and some aren't. b. only the most psychotic patients participate. c. patients who participate may be significantly different from those who don't. d. a significant number of patients drop out before completing the program. ANSWER: C 113. One explanation for the differences between the Genain sisters in their experience of schizophrenia is a. the deterioration of the uteral environment. b. de novo mutations in the fertilized egg or germ cells. c. birth order. d. being raised in different households. ANSWER: 114. The Chinese rely on more on medicine to treat schizophrenia. b a. agonistic b. antagonistic C. alternative d. advanced forms of experimental ANSWER: 115. Discuss the characteristics of attenuated psychosis syndrome and explain why it is a "proposed" disorder. ANSWER: Sample Answer: Some individuals who start to develop psychotic symptoms such as hallucinations or delusions are often sufficiently distressed to seek help from mental health professionals. They can be at high risk for developing schizophrenia and may be at an early stage of the disorder (called prodromal). Although they may not meet the full criteria for schizophrenia, they may be good candidates for early intervention in an effort to prevent symptoms from worsening. To focus attention on these individuals, DSM-5 proposes that APS be studied further. Further study can lead to the development of a body of evidence to support the entrance of APS into the DSM. 116. Explain why the common misconception that schizophrenia means split personality is not correct. ANSWER: Sample Answer: Schizophrenia, which comes from the combination of the Greek words for "split" (skhizein) and "mind" (phren), reflected beliefs that underlying all the unusual behaviors shown by people with this disorder is an associative splitting of the basic functions of personality. This concept emphasized the "breaking of associative threads," or the destruction of the forces that connect one function to the next. Unfortunately, the concept of "split mind" inspired the common but incorrect use of the term schizophrenia to mean split or multiple personality.