Deck 5: Understanding Major Psychotic Disorders

Question 1

Globally, ________ are presently diagnosed with schizophrenia.

A) about 1,000 people
B) about 2 million people
C) about 20 million people
D) about 10 thousand people

Answer 1

C

Question 2

The lifetime prevalence of schizophrenia in the United States is approximately:

A) 0.1%.
B) 0.3-0.7%.
C) 10%.
D) more than 20%.

Answer 2

B

Question 3

After a very discordant divorce, Mr. A develops intense paranoia, begins to hear the voice of his estranged ex-wife, and feels that people are trying to hurt him. He is admitted to an acute care psychiatric hospital. Within 12 hours of the development of these symptoms, he shows complete resolution of all his symptoms. What is his diagnosis?

A) Delusional disorder
B) Shared psychotic disorder (folie à deux)
C) Brief psychotic disorder
D) Substance-induced psychotic disorder

Answer 3

C

Question 4

What does ACT stand for?

A) Assertive community treatment
B) Active communications treatment
C) Assertive communications treatment
D) Active community treatment

Question 5

A set of deeply discrediting attributes, related to negative attitudes and beliefs toward a group of people, that are likely to affect a person's identity and thus lead to a damaged sense of self through social rejection, discrimination, and social isolation is termed:

A) social stigma.
B) racism.
C) negative bias.
D) None of these is correct.

Question 6

Persons with schizophrenia have a mortality rate approximately ______ times higher than that of the general population.

A) 2 to 3
B) 10 to 20
C) 10 to 20
D) 30 to 40

Question 7

Arranged according to its contribution to the overall burden in terms of disability-adjusted life years, where is schizophrenia ranked?

A) 5th
B) 26th
C) 50th
D) 100th

Question 8

Which of the following terms correctly describes a reduction in the normal range of facial expressions?

A) Thought blocking
B) Thought broadcasting
C) Flat or blunted affect
D) Social withdrawal

Question 9

All of the following are true regarding the epidemiology of schizophrenia, except:

A) in 2016, the age-standardized point prevalence of schizophrenia around the world was estimated to be 0.28% (95% uncertainty interval: 0.24-0.31).
B) globally, prevalent cases of schizophrenia increased from 13.1 million in 1990 to 20.9 million in 2016.
C) studies have consistently shown an association between higher social class and schizophrenia in urban areas of developed countries.
D) genetic determinants of schizophrenia are important among the predisposing factors.

Question 10

Statement A: Preventive strategies for schizophrenia have been advocated recently with the help of models using a psychosocial approach. Statement B: It is important to focus on preventive strategies given that the treatment lag in first-episode schizophrenia has been estimated at 1 year or even more.

A) Statement A is true and statement B is false.
B) Statement A is false and statement B is true.
C) Statements A and B are both true.
D) Statements A and B are both false.

Question 11

An episode of schizophrenia lasting more than 1 month but less than 6 months is called:

A) schizophreniform disorder.
B) brief psychotic disorder.
C) schizoaffective disorder.
D) prodromal stage of schizophrenia.

Question 12

___________ refers to the feeling that one's thoughts are being broadcast into the environment.

A) Thought withdrawal
B) Thought broadcasting
C) Visual hallucination
D) Auditory hallucination

Question 13

Which of the following is not a component of community-based care models for schizophrenia?

A) Services are provided preferably in the users' social environment.
B) Continuity of care across treatment settings and over time is attempted.
C) An attempt is made to offer services in the least restrictive setting.
D) Long-term hospitalization is encouraged and recommended liberally.

Question 14

________________, ________________, and ______________ are the three arms of the ACT model.

A) Treatment, rehabilitation, support services
B) Hospitalization, medications, therapy
C) Counseling, medications, hospitalization
D) None of these is correct.

Question 15

All of the following are cognitive symptoms of schizophrenia, except:

A) memory and attention deficits.
B) language difficulties.
C) problems with executive functioning.
D) thought blocking.

Question 16

Most antipsychotic medications work better for positive symptoms, whereas their effect on negative symptoms is less than clear cut.

Question 17

As is the case for most psychiatric illnesses, treatment adherence remains a major factor limiting therapeutic success in schizophrenia and related psychotic disorders.

Question 18

A prodromal period refers to the later stages of an illness, characterized by the fully developed signs and symptoms of the illness.

Question 19

For first-episode (also called first-break psychosis) patients who achieve full remission, some clinicians suggest that medication should be tapered or discontinued within a period of 6 months to 2 years.

Question 20

The cognitive approach focuses on an individual's subjective response to dysfunctional thoughts or perceptions.

Question 21

Persons diagnosed with schizophrenia have a life expectancy 50% shorter than that of the general population.

Question 22

For a child with two schizophrenic parents, the lifetime risk of being diagnosed with schizophrenia is close to 100%.

Question 23

Therapy with medications can help avoid the risk of future relapses of schizophrenia.

Question 24

Family interaction patterns characterized by unclear or fragmented communication, negative affective style, criticism, hostility, and overinvolvement are strong predictors of relapse in schizophrenia.

Question 25

The acronym ACT stands for assertive community treatment.

Question 26

All models of community-based care discourage long-term hospitalization.

Question 27

The ability to differentiate between the external world and the internal world and to accurately judge the relation between the self and the environment is known as reality testing.

Question 28

Discuss the major diagnostic criteria of schizophrenia.

Question 29

Define social stigma. How can social stigma serve as a barrier for mental health?

Question 30

What is ACT? Discuss the three arms of the ACT model.

Question 31

The following phrases describe the different symptoms identifiable in psychotic disorders. Match the description with the correct term used to describe that symptom.
-A false belief based on incorrect inferences about reality, at odds with the person's social and cultural background

A) Delusion
B) Hallucination
C) Insight
D) Disorganized speech

Question 32

The following phrases describe the different symptoms identifiable in psychotic disorders. Match the description with the correct term used to describe that symptom.
-A false sensory perception occurring in the absence of any relevant external stimulation of the sensory modality involved

A) Delusion
B) Hallucination
C) Insight
D) Disorganized speech

Question 33

The following phrases describe the different symptoms identifiable in psychotic disorders. Match the description with the correct term used to describe that symptom.
-A conscious recognition of one's own condition (in psychiatry, refers to the conscious awareness and understanding of one's own symptoms of maladaptive behavior; highly important in effecting changes in the personality and behavior of a person)

A) Delusion
B) Hallucination
C) Insight
D) Disorganized speech

Question 34

The following phrases describe the different symptoms identifiable in psychotic disorders. Match the description with the correct term used to describe that symptom.
-Loss of the orderliness of one's speech characterized by impairments in speech production, tempo, lucidity, and content

A) Delusion
B) Hallucination
C) Insight
D) Disorganized speech