Deck 17: Integration

Question 1

In the DSM-5:

A) binge eating is no longer considered an eating disorder.
B) autism is now considered an anxiety disorder.
C) severe grief associated with someone's death is now considered to be a type of malingering.
D) PTSD has been separated from other anxiety disorders.

Answer 1

D

Question 2

Many pharmaceutical companies are currently:

A) ramping up drug development.
B) expanding research into antidepressant drugs.
C) cutting back on research into antianxiety drugs.
D) reducing expenditures on psychotropic drug development.

Answer 2

D

Question 3

Evidence indicates that people with a mental illness who also use drugs are _____ times more likely to die from homicide than the general population.

A) 3
B) 7
C) 10
D) 16

Answer 3

D

Question 4

The life expectancy of women with a mental illness is reported to be _____ years shorter than the general population.

A) 2
B) 8
C) 12
D) 16

Question 5

In terms of organization,the DSM-5 now:

A) includes a measure of severity within the disorder categories.
B) involves an alphabetical arrangement of disorders so they are easier to find in the text.
C) places personality disorders at the beginning of the text.
D) integrates projective tests into diagnostic categories.

Question 6

In 2010,a national survey on drug use and health suggested that _____ of the population may suffer from a serious mental illness.

A) 1%
B) 2%
C) 5%
D) 8%

Question 7

Numerous studies suggest that:

A) psychotropic medications are sufficient to treat mental illness.
B) there are limitations to the effectiveness of pharmacological therapy.
C) switch among psychotropic medications should be avoided.
D) the first drug used to treat a mental illness is generally the most effective.

Question 8

The 2003 U.S.Presidential Commission on Mental Health report suggested that:

A) symptom reduction via pharmacology is a comprehensive approach to mental illness.
B) mental health services may be delivered in a piecemeal approach so long as there is a foundation of psychotropic medication for the patient.
C) mental health is an essential component of overall health.
D) counselors should have an extensive understanding of the physiological effects of psychotropic medications.

Question 9

In their 2010 paper,"The 7 Sins of Psychopharmacology," Salzman et al.suggest that all of the following variables are important to consider in the context of pharmacological therapy EXCEPT:

A) dose.
B) duration.
C) diagnosis.
D) development.

Question 10

According to the text,the development of drugs may be spurred by:

A) longer patent lives.
B) revising FDA requirements.
C) an improved focus on the molecular biology of drug effects.
D) new legislation to regulate funding from companies.

Question 11

Generally speaking,psychiatric drugs:

A) are always effective in treating psychological conditions.
B) have variable effects on psychological conditions,often with side effects.
C) are immediately beneficial as soon as they are taken.
D) take a couple of days to see the desire effects.

Question 12

Robert Whitaker,in his book Anatomy of an Epidemic: Magic Bullets,Psychiatric Drugs,and the Astonishing Rise in Mental Illness in America (2009)argues that:

A) mental illness is more prevalent in the Unites States due to improved diagnostic criteria.
B) improved attention to mental disorders in children has resulted in improved care.
C) mental illness has been exacerbated by pharmacological treatments.
D) psychiatrists need to be more aggressive in prescribing drugs to eliminate mental illness.

Question 13

Government subsidized medication and outpatient services for the mentally ill have been shown to be:

A) too expensive to maintain.
B) of little value to reducing arrest rates in schizophrenics.
C) a cost effective means for reducing arrests in this population.
D) more expensive than placing individuals in jail.

Question 14

The STAR*D study suggested that the efficacy of medications used for the treatment of depression may be:

A) augmented by switching drugs on several occasions.
B) improved with the addition of behavioral therapy.
C) combined with antipsychotics to reduce side effects.
D) augmented with benzodiazepines to improve overall efficacy.

Question 15

Some research suggests that individuals with a mental disorder are _____ times more likely to die from homicide than the general population.

A) 3
B) 7
C) 10
D) 16

Question 16

Behavioral pharmacology is considered to be in a state of crisis because:

A) pharmaceutical companies have reduced their budget for research and development.
B) the usefulness of antianxiety drugs has been the subject of intense scrutiny.
C) drugs that have been developed for Alzheimer's disease have not been very successful.
D) there have been no fundamentally new drugs developed in nearly 30 years that effectively treat mental illness.

Question 17

The DSM will be available:

A) as a large glossy magazine.
B) as a book.
C) in an electronic format.
D) as a book as well as in an electronic format.

Question 18

Perhaps one of the most important changes to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)is:

A) a decrease in the number of diagnostic categories.
B) an increased compatibility with the International Classification of Diseases (ICD)System.
C) a decreased emphasis on intellectual and personality disorders.
D) an increased emphasis on attachment issues as a source of all psychopathology.

Question 19

The STEP-BD study found that:

A) medication compliance in schizophrenics may be improved with the use of second generation antipsychotics.
B) while 60% of patients achieve remission of bipolar symptoms,50% of those responders experience relapse.
C) the addition of cognitive-behavioral therapies augmented the pharmacological treatment of depression.
D) glutamate agonists are particularly effective for the treatment of bipolar disease.

Question 20

A 2003 mental health report from a U.S.Presidential Commission suggested that care for the mentally ill should:

A) be a secondary goal to treating contagious diseases.
B) primarily involve crisis management.
C) include the prescription of medication to treat the immediate illness.
D) involve prescription medication as well as focus on helping patients live a fuller life.

Question 21

Within mentally ill populations,males generally have a longer life expectancy than females.

Question 22

In the DSM-5,Autism Spectrum Disorder now encompasses conditions such as autistic disorder and Asperger disorder.

Question 23

When patients are prescribed a medication,an important consideration is whether they can afford to purchase it.

Question 24

As a general rule,it is a wise practice to keep up with developments in the field of pharmacology to improve patient care.

Question 25

The chances of dying from homicide are significantly lower for people with a mental illness than they are for the general population.

Question 26

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5)has been revised so that it is more compatible with the International Classification of Diseases (ICD)System.

Question 27

The overall use of psychotropic medications increased by more than 20 percent from 2001-2010.

Question 28

The new version of the Diagnostic and Statistical Manual of Mental Disorders organizes psychological issues into families of disorders.

Question 29

According to a 2010 national survey,over a one year period,adult females are more likely to experience mental illness than males.

Question 30

Evidence from studies indicates that depression is best treated with:

A) psychotherapy.
B) pharmacotherapy.
C) a combination of psychotherapy and pharmacotherapy.
D) psychotherapy followed by pharmacotherapy.

Question 31

According to a 2010 national mental health survey,about 1 in 5 adults experienced a mental illness during the survey period.

Question 32

Antidepressants are equally effective for mild,moderate,and severe depression.

Question 33

Patients must now report craving in order to be diagnosed with a Substance Use Disorder.

Question 34

Numerous research studies indicate that medication alone is sufficient to resolve most mental health issues.

Question 35

Grief associated with severe bereavement is not considered a type of depression in the DSM-5.

Question 36

The life expectancy of the mentally ill has improved substantially in the last two decades.

Question 37

Psychologists need not have a fundamental understanding of pharmacology since those types of issues are handled by other mental health professionals.

Question 38

According to a U.S.Presidential Commission on Mental Health report,mental health is a secondary concern to overall health.

Question 39

In the context of patient care,polypharmacy is generally a recommended approach.

Question 40

Pharmaceutical companies are increasing expenditures on research and drug development.

Question 41

Research shows that the mortality for mentally ill women is reduced by about _____ years in comparison to the general population.

A) 2
B) 10
C) 12
D) 16

Question 42

Medication compliance may be affected by all of the factors EXCEPT:

A) cost of the medication.
B) if the drug causes dry mouth.
C) if the drug causes weight gain.
D) cognitive effects associated with the medication.

Question 43

Salzman et al.,in their 2010 paper,"The 7 Sins of Psychopharmacology," suggest that:

A) patients may require at least two medications to resolve their mental health issues.
B) treatment providers should assess other diagnoses and treatments that have been used or the patient may be taking.
C) understanding psychological factors is not an important variable-it is more important to understand the biology of a disorder.
D) a standard dose will typically treat most patients.

Question 44

All of the following drugs are associated with drug-induced cognitive dysfunction,EXCEPT:

A) antidepressants.
B) lithium.
C) benzodiazepines.
D) ADHD medications.

Question 45

A 2010 national survey on drug use suggests that _____ were more likely to experience mental health issues in the last year.

A) adult females
B) adult males
C) adolescent females
D) adolescent males

Question 46

From 2001-2010,the largest overall increase in prescriptions in the U.S.was for:

A) antidepressants.
B) ADHD medications.
C) antianxiety medications.
D) antipsychotics.

Question 47

The largest increase in prescriptions for U.S.adults from 2001-2010 was for:

A) antidepressants.
B) ADHD medications.
C) antianxiety medications.
D) antipsychotics.

Question 48

Survey evidence suggests that the mentally ill are more than _____ times as likely to meet the criteria for substance dependence or abuse in comparison to those without a mental illness.

A) two
B) three
C) four
D) five

Question 49

All of the following were important organizational changes to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5),EXCEPT:

A) Disorders are arranged so that mental illnesses seen in infants and children come before those see in adults.
B) A severity measure has been added within categories of disorders.
C) An increased emphasis on axes as an essential part of diagnostic categories.
D) Objective test results are now included as part of the diagnostic criteria.

Question 50

In 2003,a U.S.Presidential Commission on Mental Health report suggested that mental health is:

A) essential to physical health and well-being.
B) a secondary concern to overall health.
C) not an important consideration for communities.
D) important,but not essential to living a health life.

Question 51

The research literature suggests that antidepressants are most useful for:

A) long-term treatment of mild depression.
B) short-term treatment of mild depression.
C) long-term treatment of moderate depression.
D) short-term treatment of severe depression.

Question 52

All of the following statements summarize the current state of psychotropic drugs for the treatment of psychiatric disorders,EXCEPT:

A) These drugs are often effective for nearly all patients.
B) We lack a suitable pharmacological approach to treat some disorders.
C) Patients taking drugs will almost certainly experience undesirable side effects.
D) Some drugs may take weeks to have the desired effect.

Question 53

Research indicates that antidepressants are primarily useful for treating:

A) mild depression.
B) moderate depression.
C) severe depression.
D) schizophrenia.

Question 54

Evidence suggests that mortality for men with a mental illness is about _____ years less than for the general population.

A) 2
B) 10
C) 12
D) 16

Question 55

An important goal of the 2003 U.S.Presidential Commission on Mental Health report was:

A) that the mentally ill should have access to some care during their lifetime.
B) for the mentally ill to make all decisions about their treatment.
C) for patients to be able to cope with their mental illness.
D) that the mentally ill should be provided with resources leading to recovery and a cure.

Question 56

All of the following represent specific changes to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5),EXCEPT:

A) a new diagnostic category was developed for children who present with persistent severe temper tantrums.
B) substance use disorders now require a self-report of craving from the patient.
C) people may be diagnosed with Severe bereavement grief as a type of major depression.
D) posttraumatic stress disorder has been better integrated with other anxiety disorders.

Question 57

Experimental evidence strongly suggests that the combination of pharmacological and psychological therapy result in better patient outcomes.

Question 58

The criminal justice system:

A) is less likely to see mentally ill patients.
B) deals with a disproportionately large number of patients that suffer from mental illness.
C) routinely spends time and money on mentally ill patients that are taking their medication.
D) rarely sees mentally ill patients other than for minor offenses.

Question 59

The only recently FDA approved antipsychotic is:

A) fluoxetine (Prozac).
B) lurasidone (Latuda).
C) haloperidol (Haldol).
D) vilazodone (Viibryd).

Question 60

Based on a 2010 National Survey on Drug Use and Health,the rate of mental illness is highest among those:

A) under 18 years of age.
B) between 18-25 years old.
C) between 30-35 years old
D) over 50 years of age.

Question 61

Evidence suggests that depression is best treated via:

A) psychotherapy.
B) pharmacological approaches.
C) pharmacological treatment followed by psychological treatment.
D) concurrent pharmacological and psychological therapy.