Deck 7: Mood Disorders and Suicide

Question 1

Edward is in the midst of a major depressive episode.He has just learned that his best friend is going through a divorce and feels responsible for it, even though he had nothing to do with it.Which symptom of depression is this?

A)Hypersomnia
B)Feeling worthless and guilty
C)Melancholia.
D)Suicidal ideology

Answer 1

Feeling worthless and guilty

Question 2

Major depressive episode may involve severe changes in

A)appetite.
B)weight.
C)sleep.
D)all of these may change during a depressive episode.

Answer 2

all of these may change during a depressive episode.

Question 3

Major depressive disorder is also known as

A)long-lasting depression.
B)extensive depression.
C)unipolar depression.
D)bipolar depression.

Answer 3

unipolar depression.

Question 4

Bizarre ideas or hearing voices that are not real are referred to as

A)psychiatric dimensions.
B)dementia.
C)psychotic features.
D)psychoactive hypnosis.

Question 5

A period of time, typically at least two weeks but usually longer, during which a person experiences sad or empty moods most of the day, nearly every day, is

A)a normal state of awareness.
B)a major depressive episode.
C)hypersomnia.
D)bipolar disorder.

Question 6

Because Samuel has experienced very sad moods and a feeling of emptiness for periods of two weeks and longer (along with loss of the ability to experience pleasure and significant sleep difficulties), he will probably be diagnosed with a

A)moderate depressive episode.
B)major depressive disorder.
C)chronic unit polar disorder.
D)lingering or persistent melancholy.

Question 7

Depression and mania can occur in the same individual.When this happens, he/she is diagnosed as having a(n)

A)unipolar mood disorder.
B)bipolar mood disorder.
C)anxiety disorder.
D)depressive disorder.

Question 8

Mood disorder symptoms that occur on a continuum can be

A)normal, mild, moderate, less severe, and more severe.
B)normal range, moderate range, and severe range.
C)less than normal, normal, and more than normal.
D)individualized altogether.

Question 9

People experiencing a major depressive episode lose

A)their thought process.
B)pleasure doing things they used to enjoy.
C)their memory.
D)their family connections.

Question 10

John believes that he is especially powerful or talented when this is not actually true.He is experiencing

A)depression.
B)psychosis.
C)grandiosity.
D)hallucinations.

Question 11

Euphoria can be or for some people.

A)temporary; constant
B)stressful; calming
C)common; uncommon
D)lingering; ongoing

Question 12

When mood disorders are studied on a continuum, which three main features are described?

A)Interpersonal, extrapersonal, cognition
B)Emotions, cognitions, behaviors
C)Affect, intensity, debilitation
D)Physiological, psychological, medical

Question 13

The most serious symptom of a major depressive episode is thoughts or ideas about or .

A)academic failure; institutionalization
B)suicide or death; an actual suicide attempt
C)anxiety; panic attacks
D)commitment; relationships

Question 14

An intense state of happiness is

A)melancholy.
B)euphoria.
C)dysthymia.
D)depression.

Question 15

A key characteristic of a major depressive episode is a feeling of , or trouble gathering energy.

A)slowness
B)euphoria
C)paranoia
D)retardation

Question 16

When a person's depression or mania becomes so severe that it interferes with daily functioning, he/she could be diagnosed with a(n)

A)anxiety disorder.
B)depressive disorder.
C)mood disorder.
D)antisocial personality.

Question 17

The extreme slowness and withdrawal in one form of depression is referred to as

A)chronic depressive syndrome.
B)clinical unipolar disorder.
C)severe genetic disorder.
D)melancholia.

Question 18

Someone with depression only has a mood disorder.

A)unipolar
B)mild
C)bipolar
D)tertiary

Question 19

In major depressive disorder, symptoms may be or they may be .

A)short term; long term
B)chronic; postpartum
C)psychoactive; dysthymic
D)neonatal; acute

Question 20

In the case about Katey that opens Chapter 7 of your text, Katey would often compensate for mood changes by ____ and ____.

A)drinking alcohol; working hard
B)working hard; vacationing
C)complaining; drinking alcohol
D)complaining; vacationing

Question 21

Wayne experiences one or more full manic episodes alternating with episodes of major depression.He most likely has

A)borderline personality.
B)bipolar I disorder.
C)bipolar II disorder.
D)continuous cycling disorder.

Question 22

Depression that may occur following the birth of a child is

A)seasonal depression.
B)childbirth depression.
C)sensational depression.
D)postpartum depression.

Question 23

Jan has episodes of hypomania that alternate with episodes of major depression.She is most likely experiencing

A)bipolar I disorder.
B)bipolar II disorder.
C)bipolar III disorder.
D)manic depressive disorder type I.

Question 24

Javier is a migrant worker in a California orchard, and has been sad ever since he left his home in Central America two years ago.Although he believes he can provide more for his family by continuing the work he has, he feels down all the time, has trouble sleeping, and has no appetite at all.He can't concentrate at anything.Given that his symptoms have lasted for two years, Javier probably has

A)dysthymia.
B)cyclothymia.
C)major depressive disorder.
D)bipolar I disorder.

Question 25

Mixed features in bipolar I disorder involve

A)both mood and anxiety symptoms.
B)mania with symptoms of depression that do not rise to the level of a major depressive episode.
C)depression with symptoms of mania that do not rise to the level of a manic episode.
D)neurotransmitter cycling.

Question 26

Elizabeth is in the midst of a manic episode.Her mind seems to be racing so quickly she can't even express her thoughts because her mouth cannot keep up.Elizabeth is experiencing a symptom of mania known as

A)grandiosity.
B)flight of ideas.
C)distractibility.
D)hypomania.

Question 27

Depression in some people occurs more in fall or winter months, a condition called

A)fall depression disorder.
B)postpartum depression.
C)seasonal affective disorder.
D)situational affective disorder.

Question 28

A major distinction between bipolar I disorder and bipolar II disorder is

A)hypomania occurs in bipoloar II but mania occurs in bipolar I.
B)hypomania occurs in bipolar I but mania occurs in bipolar II.
C)major depression occurs in bipolar I but not in bipolar II
D)rapid cycling occurs in bipolar II but not bipolar I.

Question 29

Paul has been repeatedly cutting himself and occasionally burning himself with a lighter.He is demonstrating

A)attempted suicide.
B)parasuicidal behavior.
C)suicidal ideation.
D)attention-getting behavior.

Question 30

During a manic episode when highly euphoric, if someone feels as though he/she can do something impossible, it is called

A)delusional.
B)irrational fantasy.
C)grandiosity.
D)unbounded belief.

Question 31

A disorder that is similar to major depression and involves chronic feelings of depression for at least two years is

A)dysthymia.
B)chronic mood disorder.
C)long-term depression disorder.
D)none of these conditions fits this definition.

Question 32

Some people with bipolar disorder experience , which means they frequently switch from depression to mania and back again with little or no period of abnormal mood.

A)bipolar change
B)manic cycling
C)rapid cycling
D)continuous cycling

Question 33

Individuals with changes in mood toward depression or mania occurring almost daily for a certain period of time, especially in women, have

A)rapid cycling.
B)continuous cycling.
C)bipolar cycling.
D)manic-depressive cycling.

Question 34

People with do not have full-blown episodes of depression, mania, or hypomania, but the symptoms of hypomania and depression have lasted over at least a two-year period.

A)hypomania type I
B)bipolar type I
C)cyclothymia
D)borderline type I

Question 35

The presence of dysthymia and a major depressive episode at the same time is

A)double jeopardy.
B)depression comorbidity.
C)double depression.
D)hypersensitivity depression.

Question 36

A period of time during which a person feels highly euphoric or extremely irritable is

A)mania.
B)hyperactivity.
C)hyposomnia.
D)hyperirritability.

Question 37

Sharon has been experiencing thoughts about death, killing herself, funerals, and other morbid ideas related to her death.Her therapist indicates that she is experiencing

A)suicide.
B)parasuicidal behavior.
C)suicidal ideation.
D)suicide attempt.

Question 38

An episode that comprises the same symptoms as a manic episode but may not cause severe impairment in daily functioning is a

A)hypermanic episode.
B)hypomanic episode.
C)postpartum episode.
D)peripartum episode.

Question 39

Severe problems in functioning at school or work can result from extreme that many people experience during a manic episode.

A)distractibility
B)slowness
C)desire to socialize
D)anxiety

Question 40

Thinking about suicide but not necessarily being driven toward the act is

A)morbid curiosity.
B)suicidal fantasy.
C)suicidal ideation.
D)death wish.

Question 41

Adolescent and adult females are depressed at the rate of males.

A)one-half
B)one-fourth
C)three times
D)twice

Question 42

The lifetime prevalence of dysthymia is %.

A)2.5
B)1.0
C)2.0
D)5.2

Question 43

Shortly after the birth of her daughter, Pat experienced a major depressive episode that was referred to as

A)post-menstrual depression.
B)pre-partum depression.
C)postpartum depression.
D)manic depressive disorder.

Question 44

A controversial condition that refers to depressive symptoms that occur during most menstrual cycles in the past year is

A)post-menstrual dysphoria.
B)premenstrual dysphoric disorder.
C)post-menstrual disorder.
D)premenstrual disorder.

Question 45

Higher risk factors for suicide include

A)advanced age, lower job satisfaction, and alienation.
B)cult membership, delusional beliefs, and discontent.
C)African ancestry, genetic predisposition, and poverty.
D)adolescence, unemployment, and social isolation.

Question 46

When a person feels oppressed by society and believes that his or her only means of escape is through death, he or she may be predisposed to

A)altruistic suicide.
B)fatalistic suicide.
C)egotistical suicide.
D)anomic suicide.

Question 47

Suicide attempts are more common in than in .

A)educated people; uneducated people
B)country people; city people
C)men; women
D)women; men

Question 48

A severe condition that affects about 13% of women after they give birth is called

A)hormonal mood syndrome.
B)after birth reality shock.
C)postpartum depression.
D)unipolar hormonal depression.

Question 49

Generally speaking, women suicide often than men.

A)attempt; more
B)attempt; less
C)complete; more
D)complete; as

Question 50

Alcohol and stressful life events are

A)unrelated.
B)related to each other but not to suicide.
C)implicated in some mood disorders.
D)closely linked to suicide.

Question 51

Compared to , Caribbean and African-American groups are less likely to experience depression but more likely to experience psychotic symptoms prior to mania.

A)Caucasian Americans
B)Hispanic Americans
C)Caucasian Europeans
D)Hispanic Europeans

Question 52

The lifetime prevalence of major depressive disorder is %.

A)6.16
B)1.66
C)16.6
D)61.6

Question 53

Compared to United States, Taiwan, Korea, Japan, China, and Canada, suicide rates are highest in

A)Eastern Europe.
B)Western Europe.
C)Southern Europe.
D)Northern Europe.

Question 54

Rates of depression are relatively high in

A)Lebanon and France.
B)China and Japan.
C)Turkey and Iran.
D)Egypt and Morocco.

Question 55

When a soldier sacrifices their life to save his/her comrades, he/she has committed

A)altruistic suicide.
B)fatalistic suicide.
C)egoistic suicide.
D)anomic suicide.

Question 56

Severe depression and dysthymia are highly comorbid with many other mental disorders, particularly

A)anxiety disorders.
B)somatic symptom disorders.
C)schizophrenia.
D)all of the above are often comorbid with depression and dysthymia.

Question 57

Depression in females increases significantly around the beginning of

A)menopause.
B)adolescence.
C)pregnancy.
D)senility.

Question 58

Most suicides come from

A)firearms.
B)hanging.
C)jumping from a bridge or other high place.
D)all of the above are common means of suicide.

Question 59

African Americans, Hispanics, and Asian/Pacific islanders tend to have the rates of suicide.

A)highest
B)lowest
C)middle
D)top

Question 60

Suicide is the leading cause of death overall, third among young adults, and quite common among the elderly.

A)top
B)second
C)tenth
D)fifth

Question 61

People with depression move to which stage of sleep more quickly than normal?

A)I
B)II
C)III
D)REM

Question 62

An environmental risk factor closely related to mood disorders is negative thought patterns, or

A)automatic thoughts.
B)hopefulness theory.
C)cognitive distortions.
D)delusions.

Question 63

Stressful life events seem to have a triggering effect on

A)only major depressive episodes or reactions.
B)coping skills reaction building.
C)both depressive and manic episodes.
D)only manic type episodes.

Question 64

One's internal sleep-wake clock is referred to as

A)circadian rhythms.
B)ultradian rhythms.
C)infradian rhythms.
D)sleep-wake rhythms.

Question 65

A cognitive theory of depression that is referred to as focuses on attributions people make about an event.

A)cognitive theory
B)cognitive factor theory
C)hope for the future theory
D)hopelessness theory

Question 66

Genetic predisposition toward a mood disorder seems

A)stronger for depression than for bipolar disorder.
B)stronger for bipolar disorder than for depression.
C)about the same for depression and bipolar disorder.
D)to be based on instability.

Question 67

Which of the following is NOT an example of stigma against someone with major depressive disorder?

A)Linda's family tells her she needs to "snap out of it" and thinks she just isn't trying hard enough to do so.
B)Marley's employer decides not to promote her because she is worried that moving to a position of management will be too stressful for someone with a history of depression.
C)Jacques' doctor tells her that her sadness really is not that big of a deal, and that she probably just needs to get out more, not seek intensive treatment.
D)Kyla's sister studies websites about depression so that she can identify symptoms of depression in Kyla and point her to the right avenues for treatment.

Question 68

According to the permissive hypothesis, if Gena has levels of serotonin and levels of dopamine and norepinephrine, she may experience depression.

A)low; high
B)high; low
C)low; low
D)high; high

Question 69

People with bipolar disorder have reduced levels of but higher than normal levels of .

A)serotonin; norepinephrine
B)norepinephrine; serotonin
C)epinephrine; serotonin
D)serotonin; epinephrine

Question 70

Several genes for depression have been implicated, especially those on chromosome that may be involved with serotonin.

A)5
B)10
C)17
D)21

Question 71

When cognitive factors are examined in mood disorders and designated as being about oneself, the world, and the future, this is called the

A)hopelessness and helplessness syndrome.
B)you're okay, but I'm not mentality.
C)attribution theory.
D)negative cognitive triad.

Question 72

When determining why some people develop depression after a stressful life event, or why others do not, we must examine the and of the event.

A)severity; meaning
B)duration; type
C)cultural aspects; diagnosis
D)cognitive distortion; severity

Question 73

Twin studies suggest that mood disorders have a basis.

A)psychogenic
B)psychoactive
C)genetic
D)biogeneric

Question 74

A key thyroid hormone that interacts significantly with serotonin and works well with antidepressants to relieve depression is

A)thyroxine.
B)thyrodine.
C)triiodothyronine.
D)trithyroxine.

Question 75

Nicole feels like she is completely without talent and has nothing to offer the world.She is sure other people see her as a failure and a waste.She doesn't see any future for herself since she believes these things.These three beliefs about herself, her world view, and her future illustrate that Nicole has a risk factor for depression known as the

A)negative cognitive triad.
B)distorted cognitive triad.
C)automatic cognition triad.
D)cognitive delusion triad.

Question 76

Brain circuit functioning problems between depression and bipolar are

A)similar, except depression involves the limbic-thalamic-cortical circuits, as opposed to cortical-limbic circuits.
B)virtually identical.
C)similar, except bipolar involves the limbic-thalamic-cortical circuits, as opposed to cortical-limbic circuits.
D)variable by individual.

Question 77

People with severe depression and cognitive deficits such as memory problems often have increased levels of

A)cortisone.
B)epinephrine.
C)cortisol.
D)norepinephrine.

Question 78

About % of individuals with depression also have suicidal ideation.

A)10
B)26
C)48
D)70

Question 79

Those with mood disorder often show a(n) activity in the brain areas.

A)increased; overall
B)average; mid
C)reduced; prefrontal and other cortical
D)intermittent; limbic system

Question 80

The amygdala, hippocampus, caudate nucleus, and anterior cingulated cortex are all implicated in

A)personality disorders.
B)mood disorders.
C)schizophrenia.
D)anxiety disorders.