Exam #4

Question 1

Dyssomnias

Answer 1

Problems falling asleep

Question 2

Parasomnias

Answer 2

Abnormal behaviors during sleep

Question 3

Insomnia

Answer 3

Trouble getting to/staying asleep

Question 4

Narcolepsy

Answer 4

• muscle atonia: muscles turn off during sleep
• cataplexy: loss of muscle tone

Question 5

Sleep apnea

Answer 5

-Central: short periods w/o respiratory activity
-obstructive: short periods w/o airflow

Question 6

Sleep walking

Answer 6

Does not occur during REM

Question 7

Sleep terrors

Answer 7

Flailing, screaming while asleep
Doesn’t occur during REM

Question 8

REM behavior disorder

Answer 8

Dream-enactment behaviors emerging during loss of REM sleep atonia

Question 9

Cause of sleep problems

Answer 9

Anxiety & mood disorders, PTSD, OCD, & pain

Question 10

Sleep hygiene

Answer 10

Going to bed a waking up at the same time every day

Question 11

Paranoid Pd

Answer 11

Reluctant to confide in others
Reads into hidden meanings in benign remarks
Bears grudges
Expects to be harmed

Question 12

Schizoid Pd

Answer 12

-No close relationships
- no strong emotions
-Indifference

Question 13

Schizotypical Pd

Answer 13

-Suspicious/paranoid ideation
-Social discomfort
-magical thinking
- eccentric

Question 14

Histrionic Pd

Answer 14

-Demands reassurance
- overly seductive
- overly concerned w/ physicality & attention

Question 15

Borderline Pd

Answer 15

Unstable & intense emotions & relationships
Damagingly impulsive
Inappropriate behavior
Avoiding abandonment

Question 16

Narcissistic Pd

Answer 16

Strong response to criticism
Grandiosity
Interpersonally exploitative
Entitled
Lack of empathy

Question 17

Antisocial Pd (aspd)

Answer 17

• violates social norms
• irritability & aggression
• reckless behavior
• lack of remorse

Question 18

Avoidant Pd

Answer 18

Avoids activities outside their routine
Few close friends
Fear rejection & social situations

Question 19

Dependent Pd

Answer 19

Requires excessive reassurance before doing anything
Goes thru great lengths to not be alone

Question 20

Obsessive compulsive Pd

Answer 20

• perfectionism that interferes W/ task completion
• insist others submit to their way of doing things
• indecisiveness

Question 21

Cluster A Pd

Answer 21

Dysfunctional thinking reflecting suspicion or lack of interest in others

Question 22

Cluster B Pd

Answer 22

Dysfunctional pattern of dramatic, overly emotional or unpredictable behavior

Question 23

Cluster C Pd

Answer 23

Dysfunctional pattern of anxious thinking / behavior

Question 24

Conduct disorder & aspd

Answer 24

Conduct must be diagnosed in adolescence before diagnosing aspd

Question 25

Underarousal hypothesis

Answer 25

Low levels of arousal cause individuals to engage in stimulation-seeking activities

Question 26

Dialectical behavior therapy

Answer 26

Stage 1: life threatening behaviors Stage 2: therapy interfering behaviors Stage 3: quality of life interfering behaviors Stage 4: improve overall quality of life

Question 27

Legal definition of mental illness

Answer 27

Varies by state

Question 28

Not guilty by reason of insanity (ngri)

Answer 28

Cannot recognize behavior as wrong

Question 29

Diminished capacity

Answer 29

Unable to understand the nature of their behavior so can not be guilty of the intent to cause harm or break the law

Question 30

Outcome for ngri's

Answer 30

Involuntary inpatient treatment facility until no longer pose a threat to themselves or others

Question 31

Civil commitment

Answer 31

Voluntary or involuntary if present risk to self or others

Question 32

Criminal commitment

Answer 32

Accused of committing a crime & are being assessed for fitness to stand trial or they are ngri

Question 33

How often is the insanity defense used in court?

Answer 33

Less than 1%

Question 34

Competency to stand trial

Answer 34

Cannot understand what/why/when/how of court trials due to cognitive impairment Goes to a mental health facility until competent