Deck 12: Other Psychiatric Considerations

Question 1

Alcohol dependency is:

A) a psychiatric disorder
B) not a psychiatric disorder
C) always caused by psychiatric disorders
D) easy to distinguish from psychiatric disorders

Answer 1

a psychiatric disorder

Question 2

Mark is 53, never married, alcohol dependent, and recently laid off from his job as a crane operator at a steel mill. In terms of suicide, he is likely to be:

A) an attempter
B) a completer
C) parasuicidal
D) a threatener

Answer 2

a completer

Question 3

Which of the following client characteristics is most indicative of the need for the therapist to ask questions about suicide?

A) anger
B) confusion
C) denial
D) depression

Answer 3

depression

Question 4

To provide information to a mental-health specialist, the alcohol counselor does a mental-status examination. To assess thought processes, the therapist:

A) asks, "How do you feel today?"
B) makes deductions based on the client's appearance
C) evaluates the logic and order of what the client says
D) asks, "What does 'a rolling stone gathers no moss' mean?"

Question 5

If a client has alcohol dependency and a psychiatric disorder:

A) the alcohol dependency should be treated first
B) the psychiatric condition should be treated first
C) the alcohol dependency and psychiatric condition should be treated at the same time
D) the approach to treatment should be gradual because the client is in a fragile state

Question 6

Mania:

A) is the most common mood disorder
B) is often linked to suicidal thoughts
C) responds well to talking therapy
D) creates chaos for the manic individual and his family

Question 7

Alcohol dependence is linked with depression in all ways EXCEPT:

A) alcohol use can produce depression
B) alcohol dependency can cause life to deteriorate, which then causes depression
C) men are more likely than women to be depressed when they begin alcohol treatment
D) about half the clients in alcohol treatment are depressed

Question 8

If a person has alcohol dependency and is feeling depressed, usually:

A) the alcohol dependency should be treated first
B) the depression should be treated first
C) the alcohol dependency and depression should be treated at the same time
D) medications for depression should be avoided because they can be addictive

Question 9

Which of the following is considered a formal thought disorder and is always marked by psychosis?

A) alcohol hallucinosis
B) depression
C) schizophrenia
D) Wernicke-Korsakoff syndrome

Question 10

Which of the following is definitively an anxiety disorder?

A) bipolar disorder
B) mania
C) obsessive-compulsive disorder
D) schizophrenia

Question 11

Steve is 56 and alcohol dependent. His employees frequently talk among themselves about Steve's unpredictable behavior and forgetfulness. Unbeknownst to Steve's employees, Steve recently had a CAT scan that showed brain shrinkage. Steve likely has:

A) bipolar mood disorder
B) alcoholic dementia
C) cognitive deficits related to the aging process
D) attention deficit hyperactivity disorder

Question 12

Which of the following conditions is less likely to be associated with alcohol-dependent women than alcohol-dependent men?

A) anorexia nervosa
B) depression
C) gambling addiction
D) homelessness

Question 13

If alcohol were classified as a drug, to which drug class would it be assigned?

A) stimulants
B) antidepressants
C) anti-anxiety agents
D) antipsychotic agents

Question 14

Which of the following has high abuse potential?

A) a mood stabilizer
B) an antipsychotic medication
C) an anti-anxiety agent
D) an antidepressant medication

Question 15

Which of the following may be used in alcohol detoxification?

A) a mood stabilizer
B) an antipsychotic medication
C) an anti-anxiety agent
D) an antidepressant medication

Question 16

The suicide rate for alcoholics is about 50 times that of the general population.

Question 17

The acute effects of alcohol can promote suicide attempts.

Question 18

It is useless to attempt to discuss reasons for living with a client who is thinking about suicide.

Question 19

The therapist's sympathy may reinforce for the client that suicide is the solution.

Question 20

Alcohol dependency can mask coexisting psychiatric disorders.

Question 21

Alcohol dependency is called "the great mimicker"
because its symptoms resemble those of other diseases.

Question 22

A severely depressed person is exhausted and unable to sleep.

Question 23

The co-occurrence of schizophrenia and alcohol dependency makes the prognosis less hopeful.

Question 24

Anxiety disorders produce major disturbances in thought and judgment.

Question 25

The prognosis for treatment of a person with alcohol dependency and antisocial personality disorder is good.

Question 26

Delirium is not reversible; dementia is reversible.

Question 27

Psychotropic medications affect behavior or mood.

Question 28

Neuroleptics are anti-psychotic medications.

Question 29

Selective serotonin reuptake inhibitors are antidepressant medications.

Question 30

Over-the-counter, nonprescription medications have no abuse potential.