Question 1

According to the American Psychiatric Association, which of the following is classified as a paraphilic disorder?

Accepted Answer

The American Psychiatric Association classifies transvestic disorder as a paraphilic disorder. A paraphilic disorder is a condition in which an individual's sexual arousal and gratification depend on fantasizing about and engaging in sexual behavior that is atypical and extreme. Catatonic disorder, delusional disorder, and dissociative amnesia are not classified as paraphilic disorders.

Question 2

According to the American Psychiatric Association, which of the following is considered an anxiety disorder?

Accepted Answer

Agoraphobia is classified as an anxiety disorder by the American Psychiatric Association. Encopresis is classified as an elimination disorder, delusional disorder is classified as a psychotic disorder, and anorexia nervosa is classified as an eating disorder.

Question 3

Which of the following is a medical treatment that is based on the notion that mental disorders are physiological?

Accepted Answer

C

Question 4

_____ is a psychotic condition characterized by disturbances of language and communication, thought, perception, affect, and behavior and lasting longer than six months.

Accepted Answer

The description matches the symptoms of schizophrenia, a serious mental disorder affecting how a person thinks, feels, and behaves. It often includes hearing voices, seeing things that aren't there, and having delusions. It lasts longer than six months and can be a lifelong condition. Down syndrome, hydrocephalus, and Huntington's disease are not psychotic conditions.

Question 5

In the past 50 years, one of the major developments in the treatment of the severely disturbed was the discovery and use of psychoactive drugs. The other was:

Accepted Answer

Deinstitutionalization refers to the widespread movement in the 1960s and 70s to close down large psychiatric institutions, releasing patients to community-based care. This helped to reduce the practice of warehousing people with mental illness and allowed for more humane and personalized treatment options.

Question 6

According to the American Psychiatric Association, which of the following is classified as obsessive-compulsive and related disorders?

Accepted Answer

Trichotillomania, which involves the repetitive pulling out of one's own hair, is classified as an obsessive-compulsive and related disorder by the American Psychiatric Association. Anorexia nervosa is classified as an eating disorder, agoraphobia is classified as a specific phobia, and catatonic disorder is classified as a psychotic disorder in the DSM-5.

Question 7

The major developments in the treatment of the severely disturbed include all of the following, except:

Accepted Answer

Long-term hospitalization was a major form of treatment for the severely disturbed in the past but it is no longer considered a viable option due to the negative effects of institutionalization. The other options, discovery and use of psychotropic drugs and deinstitutionalization, have been major developments in the treatment of the severely disturbed.

Question 8

According to the classification of emotional/behavioral disorders by Thomas Szasz, depression falls under the category of _____.

Accepted Answer

Szasz classified depression under "personal disabilities," which encompasses conditions that primarily affect the individual's internal experience and functioning rather than being outwardly directed or involving cognitive decline.

Question 9

Albert Ellis asserts that one can gain an understanding of what would have prevented offenders from committing unusual offenses, if:

Accepted Answer

According to Ellis, one can gain an understanding of what would have prevented offenders from committing unusual offenses by looking at what the offenders were thinking when they committed the crime. This is because Ellis believes that it is our thoughts and beliefs that lead to our behaviors, including criminal behaviors. Therefore, understanding the offender's thoughts and beliefs at the time of the offense can provide insight into what could have been done to prevent the crime.

Question 10

Health maintenance organizations (HMOs) serve the purpose of containing costs in the plans of managed mental health care, which is mainly done by restricting client benefits. An example of such restrictions is:

Accepted Answer

HMOs often limit the number of visits for outpatient psychotherapy as a way to contain costs in their managed mental health care plans. This means that clients may not be able to have as many therapy sessions as they would like or as recommended by their therapist. This can have a negative impact on the quality of care received by clients. The other choices (decreasing the use of medication, decreasing deductibles and copayments, and increasing the number of days covered for inpatient care) are not typically used by HMOs as cost containment strategies.

Question 11

Which of the following is true of managed mental health care?

Accepted Answer

Managed mental health care can involve complex confidentiality issues since information about a patient's mental health may need to be shared with the health insurance company and treatment providers.

Question 12

The _____ Act, passed in 1963, provided for transferring the care and treatment of the majority of mentally ill people from state hospitals to their home communities.

Accepted Answer

The Community Mental Health Centers Act, passed in 1963, provided for transferring the care and treatment of the majority of mentally ill people from state hospitals to their home communities. This act established federally funded community mental health centers to provide a range of mental health services to individuals in their own communities.

Question 13

All of the following are steps to becoming labeled mentally ill except:

Accepted Answer

Self-administering psychotropic drugs does not lead to becoming labeled mentally ill. The other options may contribute to someone being labeled as mentally ill by society or mental health professionals.

Question 14

​_____ means that a patient accepts treatment after receiving a full and understandable explanation of the treatment being offered and making a decision based on his or her own judgment of the risks and benefits of the treatment.

Accepted Answer

Informed consent involves the patient fully understanding their treatment options and giving their consent based on their own judgment, taking into account the possible risks and benefits. Confidentiality refers to keeping the patient's information private. Consensus refers to coming to an agreement or decision as a group, while self-containment is not a medical term.

Question 15

​According to _____, emotional problems were mental illnesses that resulted from early traumatic experiences, internal psychological conflicts, fixations at various stages of development, and unconscious psychological processes.

Accepted Answer

The statement describes the psychoanalytic perspective of emotional problems which was developed by Sigmund Freud. Freud believed that mental illnesses were rooted in early experiences, internal conflicts, and unconscious processes.

Question 16

Thomas Szasz categorizes all of the so-called mental illnesses into three types of emotional/behavioral disorders. In which of the following types does homicide fall?

Accepted Answer

Homicide is considered an antisocial act according to Thomas Szasz's categorization of emotional/behavioral disorders.

Question 17

Prior to the 19th century, the severely disturbed in the United States were confined in _____.

Accepted Answer

Prior to the 19th century, the severely disturbed were often housed in almshouses, which were public institutions for the poor and destitute. Mental illness was not yet fully understood, and many viewed it as a moral failing rather than a medical condition. It wasn't until later in the 19th century that mental asylums were established as a separate system for treating the mentally ill.

Question 18

In 1982, _____ was found innocent by reason of insanity for the attempted assassination of President Reagan.

Accepted Answer

Kenneth Bianchi was a serial killer known as the Hillside Strangler, Dan White assassinated San Francisco Mayor George Moscone and Supervisor Harvey Milk, but neither of them attempted to assassinate President Reagan. John Hinckley, Jr. was found innocent by reason of insanity for the attempted assassination of Reagan.

Question 19

​Thomas Scheff asserted Szasz's hypothesis of mental illness by:

Accepted Answer

Thomas Scheff agrees with Szasz's hypothesis that mental illness is not a medical condition but rather a social construction. He states that the symptoms of mental illness are often seen as violations of social norms, and he only uses the term "mental illness" to refer to those who have been labeled as such by professionals. He does not agree with the idea that labeling has no impact on mental illness, as he believes that the labeling process can contribute to stigma and further social isolation of individuals.

Question 20

Thomas Szasz categorizes all of the so-called mental illnesses into three categories of emotional/behavioral disorders. Which of the following used to be in the category of antisocial acts but was removed from the American Psychiatric Association's list of mental illnesses in 1974?

Accepted Answer

Homicide used to be classified as an antisocial act rather than a mental illness. The other options are not related to the category of emotional/behavioral disorders or are still classified as mental illnesses.

Quiz 5: Emotionalbehavioral Problems and Counseling