Unit 3 Test

Question 1

Define schizophrenia

Answer 1

Serious chronic mental illness;involve psychosis, impaired cognitive processes, unusual or disorganized motor behavior and uncommon behaviors affecting

Question 2

Define hallucinations; different types and which is most common

Answer 2

False personal beliefs, consistently held despite evidence or logic, lack of insight common
Paranoid ideation
Capers delusio

Question 3

What are positive symptoms? What are the negative symptoms?(5 A’s)

Answer 3

Positive symptoms:delusions,hallucinations, disordered thinking, incoherent communication, bizarre behavior, poor insight

Negative symptoms: avalition(inability to take action or become goal oriented,alogia(lack of meaningful speech) asociality(mini mal interest in social relationships) anhedonia( reduced ability to experience pleasure)

Question 4

What are some cognitive symptoms of schizophrenia?

Answer 4

Disorganized thinking, communication, and speech

Question 5

Define prodromal phase; active phase and residual phase

Answer 5

Prodromal phase: onset and buildup
-social withdrawal and isolation - inappropriate affect - poor communication patterns - neglect of personal grooming
Active phase:full-blown symptoms
Residual phase: symptoms no longer prominent

Question 6

What factors influence recovery?

Answer 6

Gender( mainly women),higher education level; being married, higher premorbid level of functioning, intervention early in course of the illness, peer support, work opportunities

Question 7

What is the dopamine hypothesis?

Answer 7

Excess dopamine activity in certain brain areas

Question 8

What role does enlarged ventricles play in schizophrenia?

Answer 8

Rapid loss of brain cells over 6 year period; ineffective communication between different brain regions

Question 9

What are some social factors associated with schizophrenia?

Answer 9

Maltreatment during childhood, chronic bullying,relationships within the home; expressed emotion

Question 10

What is expressed emotion? What is the relationship between expressed emotion and symptoms of schizophrenia?

Answer 10

Negative communication pattern among relatives of individuals with schizophrenia.

Question 11

Typical treatment for schizophrenia

Answer 11

Antipsychotic medication with some type of psychosocial therapy

Question 12

What are antipsychotics?

Answer 12

Medications that reduce the intensity of symptoms

Question 13

What are extrapyramidal side effects?

Answer 13

Muscle tremors, shakiness, immobility, involuntary muscle contractions in limbs and tongue, motor restlessness

Question 14

Explain the role of cognitive behavioral therapy and family therapy in reducing the symptoms and frequency of hospitalizations in schizophrenic patients

Answer 14

Cognitive behavioral therapy:teach coping skills that allow clients to manage their positive and negative
Family therapy:normalize family experience

Question 15

Define psychactive substances

Answer 15

Alter moods, thought processes or other psychological states

Question 16

Define addiction

Answer 16

Compulsive drug-seeking behavior and loss of control over drug use

Question 17

Dsm5 criteria for substance use disorder

Answer 17

Occur within a 12-month period and cause significant impairment or distress

Question 18

3 main types of drugs people are addicted to:

Answer 18

Prescription medications, legal substances and illegal substances

Question 19

Commonly abused substances, the effects, the category, and addictive potential

Answer 19

Alcohol, marijuana, pain relievers, and cocaine

Question 20

Define depressant drugs

Answer 20

Cause nervous system to slow down

Question 21

Define stimulant drugs

Answer 21

Speed up central nervous system activity, produce feelings of euphoria and well being

Question 22

Define hallucinogens and mixed property drugs

Answer 22

Produces vivid sensory awareness

Question 23

What is a synergistic effect

Answer 23

Interactions between the substances intensify effects
Can create unique side effects

Question 24

What is poly substance abuse?

Answer 24

Abuseing multiple substance

Question 25

Typical progression from initial drug use to addiction

Answer 25

-individual decides to experiment with drugs
-Drug begins to serve important purpose consumption continues
-Brain chemistry becomes altered from chronic use
- lifestyle changes occur due to chronic use

Question 26

Most common treatment for the most commonly abused drugs

Answer 26

Delirium tremens

Question 27

Define confidentiality

Answer 27

Ethical standard that protects clients from disclosure of informationwithout their consent

Question 28

Define privilege

Answer 28

Protect a client’s privacy and to prevent the disclosure of confidential communications without a clients permission

Question 29

Criteria for civil commitment

Answer 29

-clear and imminent danger to self or others
-inability to care for oneself or lack of social network to provide such care
-inability to name responsible decisions about appropriate treatment or hospitalization
-unmanageable state of Fright or panic

Question 30

How does a judge determine competency to stand trial?

Answer 30

Must have a factual and rational understanding of the proceedings, must be able to rationally consult with counsel in presenting his or her own defense

Question 31

Know the basic principles:The in sanity defense, the Durham test, M’Naghten rule;American law institute test; irresistible impulse test

Answer 31

-The insanity defense:based onthe individual’s ability to understand what he or she did
-person is not responsible if the act was the product of mental disease or detect
-the defendant had detective reasoning and was unable to comprehend that the act was wrong
- mental disease or defect
-not criminally responsible if they lack the will power to control their behavior

Question 32

Guilty but mentally ill - how does this help with prosecution of those who are mentally ill?

Answer 32

They are sent to hospitals rather than prisons

Question 33

Number one predictor of dangerousness

Answer 33

Past criminal conduct or history of violence or aggression

Question 34

Do clients have the right to refuse treatment?

Answer 34

Yes,rennie v. Klein/rogers v. O kin

Question 35

What is the right to the least intrusive treatment?

Answer 35

Psychotherapy

Question 36

What is the duty to warn and how is this related to the tarasoff case?

Answer 36

Obligates professionals to break confidentiality when clients pose clear and imminent danger to other person

Question 37

What is the apa’s view on relationships with clients?

Answer 37

Prohibited for a minimum of 2 years after termination