AshleyVFINALPsych301

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New Jersey City University *

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301

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Psychology

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Oct 30, 2023

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Abnormal Psychology (PSYCH 301) Final Exam May 2020 Dr. Andrew R. Getzfeld Name: ___ _ Name: Directions: Answer ALL multiple choice questions on the attached answer sheet at the end; any questions answered on the exam itself will NOT be scored . All bonus questions are to be answered on the ANSWER SHEET AS WELL!!! . Each multiple-choice question is worth two (2) points. Good Luck and HAVE A GREAT BREAK!!! 1. Hiram's behavior is characterized by incoherence, loose associations, and vivid, frequent hallucinations. He suffers recurring delusions involving himself as a priest or as a sexual "Don Juan." He is often silly, giddy, and he giggles inappropriately and talks nonsensically. He neglects his appearance and often urinates and defecates while walking around in his pajamas. Hiram likely suffers from: a. bipolar I b. schizophrenia c. schizophrenogenesis d. None of the above 2. Those with schizophrenia who stop responding to their environment and remain motionless and silent for long periods of time are experiencing: ° a. catatonic stupor. ° b. catatonic rigidity. ° c. catatonic posturing. ° d. catatonic excitement. ° 3. Schizophrenia typically develops in _______. a. early to late childhood b. infancy to toddlerhood c. late adolescence to early adulthood d. early to middle adulthood 4. The MOST common type of hallucination in schizophrenia is: ° a. visual. ° b. tactile. ° c. olfactory. ° d. auditory. 5. A person with schizophrenia who is experiencing alogia is displaying: ° a. poverty of speech. ° b. loss of interest in previously pleasurable activity. ° c. blunted or flat affect. ° d. social withdrawal. 6. Parkinsonian-like side effects of antipsychotic medications most likely result from _________ activity in brain regions such as the ___________. a. anticholinergic; substantia nigra b. antihistamine; occipital cortex c. serotonin; amygdala d. dopamine; basal ganglia

7. The most common form of perceptual disturbances in schizophrenia are _______. a. obsessions b. delusions c. compulsions d. hallucinations 8. The finding that the highest rates of schizophrenia are found among people who are born during the winter supports which theory of schizophrenia? ° a. biochemical theory ° b. dopamine theory ° c. viral theory ° d. genetic theory ° 9. Downward drift is BEST reflected in which statement? ° a. Poverty and social disruption cause schizophrenia. ° b. Schizophrenia causes people to fall into poverty and social disruption. ° c. Genetic factors cause both schizophrenia and poverty. ° d. Schizophrenia causes marital disruption, which causes poverty. ° 10. Poverty of speech, blunted and flat affect, loss of volition, and social withdrawal are all examples of _____ symptoms of schizophrenia. ° a. positive ° b. hallucinatory ° c. negative ° d. psychomotor ° 11. Hallucinations seem to be related to abnormalities in the production of _______ in the brain. a. serotonin b. epinephrine c. dopamine d. acetylcholine 12. Regarding likelihood of recovery and types of symptoms exhibited, which is the diagnosis with the worst prognosis? ° a. Type I schizophrenia ° b. Type II schizophrenia ° c. Type III schizophrenia ° d. Type IV schizophrenia 13. Why are people who take medication for schizophrenia often given medication that helps control shaking and tremors? ° a. Schizophrenia often leads to the development of Parkinsonism. ° b. Dopamine is used to treat both schizophrenia and Parkinsonism. ° c. Too little or too much dopamine (an imbalance) leads to Parkinsonism and schizophrenia. ° d. Medication used to treat schizophrenia causes a side effect of Parkinsonian-like symptoms. °

14. Stan’s behavior is characterized by complex and systematic delusions and related auditory hallucinations. He believes voices are telling him to kill his enemies and he believes that most people are his enemies. He is extremely jealous of his wife and has set up elaborate schemes to catch her being unfaithful, even though there is no evidence that she has ever been unfaithful to him. He believes that soon the president is going to bring him to Washington, D.C. as a foreign policy expert, despite the fact he has never left the United States. Stan is best described as having schizophrenia with __________ symptoms. a. paranoid b. negative c. catatonic d. disorganized 15. Hiram believes he is Jesus Christ. He is convinced he has returned to pass judgment on the world and offer salvation to true Christians. Despite a complete lack of evidence to support his beliefs, he remains convinced that he is Christ and that he is all-powerful. Hiram's beliefs represent delusions of _______. a. grandeur b. persecution c. reference d. narcissism 16. If a patient's chart said the patient had extrapyramidal side effects, you would expect to see the patient showing primarily _____ dysfunction. ° a. language ° b. motor ° c. emotional ° d. cognitive 17. Josephine has schizophrenia. Some of her symptoms include hallucinations, delusions, bizarre behaviors, and thought disorder. These symptoms are classified as _______ symptoms. a. positive b. tertiary c. negative d. primary 18. The causes of schizophrenia are generally believed to be _______. a. exclusively biological in nature b. exclusively psychological in nature c. exclusively social and environmental in nature d. biological, psychological, social, and environmental in nature 19. Schizophrenia is a. more common than depression. b. very like dissociative identity disorder. c. probably most accurately thought of as a group of related disorders or diseases. d. only seen in the lower socioeconomic groups. 20. Sensory images or disturbances that occur in the absence of external stimulation are called _______. a. obsessions b. compulsions c. delusions d. hallucinations

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21. Research evidence indicates that dopamine plays _______. a. little or no role in either positive or negative symptoms of schizophrenia b. a greater role in the development of positive symptoms than negative symptoms of schizophrenia c. a greater role in the development of negative symptoms than positive symptoms of schizophrenia d. an equal role in the development of both positive and negative symptoms of schizophrenia 22. Tyrion is in treatment for schizophrenia. His therapist says that his schizophrenia results from his ego being overwhelmed by primitive, normally unconscious urges and retreating to a pattern of infantile behavior typical of a two-month-old. Tyrion’s therapist is most likely a _______. a. behavioral therapist b. humanistic therapist c. social learning therapist d. psychodynamic/psychoanalytic therapist (e.g., Freudian) 23. The idea that schizophrenia results from being raised by a schizophrenogic mother is _______. a. not supported by research b. partially supported by research c. strongly supported by research, yet still controversial in the psychological community d. conclusively supported by research 24. Most people with schizophrenia in organized mental health settings are treated with _______. a. antipsychotic medication b. electroconvulsive therapy c. psychosurgery d. sociocultural therapy 25. _______ symptoms appear to represent the more enduring and persistent characteristics of schizophrenia. a. Neither positive nor negative b. Positive c. Negative d. Both positive and negative 26. “If one receives a good deal of attention for unusual behaviors, is it any surprise those behaviors are strengthened?” is a question MOST likely asked by what kind of theorist? ° a. cognitive ° b. behavioral ° c. psychodynamic ° d. sociocultural 27. A potentially permanent side effect from taking medications such as Thorazine (chlorpromazine) that leaves the patient with fine motor tremors (as Etta had in the film) is called _______. a. tardive dyskinesia b. Huntington's Diarrhea c. agranulocytosis d. Klinefelter's syndrome

28. What was the dominant way of treating people with schizophrenia during the first half of the twentieth century? ° a. institutionalization ° b. treatment with neuroleptic drugs ° c. outpatient services ° d. individual psychotherapy ° 29. Millie sees pretty colored butterflies on all the walls. She also hears gentle music, which is not actually there. The presence of these behaviors illustrates _____ symptoms of schizophrenia. ° a. active ° b. psychomotor ° c. positive ° d. negative ° 30. Which is the BEST example of a double-bind communication? ° a. saying “Get away from me” while frowning and crossing one's arms ° b. saying “I love you” to a child but refusing to allow that child in your lap ° c. saying “Get away from me. You are not my child when you act like that” ° d. saying “I love you” to a child and cuddling that child 31. A person with schizophrenia who is experiencing anhedonia is displaying: ° a. poverty of speech. ° b. loss of interest in previously pleasurable activities. ° c. social withdrawal. ° d. blunted or flat affect. ° 32. Psychosis means: a. brain seizures. b. drug abuse. c. split personality. d. loss of contact with reality. ° 33. Q believes he is Martin Luther King Jr. Even though he is white, he is alive, and he has never been involved in the civil rights movement, he is absolutely convinced that he is Martin Luther King Jr. Q's beliefs represent _______. a. an obsession b. a compulsion c. a hallucination d. a delusion 34. A token economy approach to treatment is based on principles from which view of behavior? ° a. cognitive ° b. humanistic ° c. biological ° d. behavioral 35. The prevailing view today about the causes of schizophrenia is the _______ model. a. single gene b. social learning c. cognitive behavioral d. diathesis-stress 36. Evidence for a genetic contribution to the development of schizophrenia is _______. a. nonexistent b. weak c. moderate d. increasing yearly

37. The DSM-5 requirements for a diagnosis of schizophrenia include the requirement that signs of the disorder must be present for at least _______ months. a. 3 b. 6 c. 9 d. 12 38. Vladimir’s behavior is characterized by markedly impaired motor activity that slows to a stupor but then switches abruptly into an agitated phase. He sometimes "freezes" in bizarre, uncomfortable-looking postures which he maintains for hours, even as his limbs become stiff and swollen. He acts mute during these periods and displays waxy flexibility. He is best described as having schizophrenia with a. paranoia b. confusion c. catatonia d. onomonopeia 39. A patient who is called a resident, who lives in a therapeutic community and actively works with staff members to create a life that is as much like that outside the hospital as possible, is probably receiving _____ therapy. ° a. lobotomy ° b. token economy ° c. milieu ° d. custodial ° 40. According to the diathesis-stress model of schizophrenia: ° a. people with certain psychosocial stressors will develop schizophrenia in the absence of a biological predisposition. ° b. people with certain biological predispositions will develop schizophrenia in the absence of psychosocial stressors. ° c. people with a biological predisposition for schizophrenia will develop it if certain psychosocial stressors are also present. ° d. biological predispositions for schizophrenia override any evidence for the importance of psychosocial stressors. ° 41. The term "affect" refers to observable _______. a. actions b. emotion c. behavior d. thoughts 42. Recently, the dopamine hypothesis for schizophrenia has been challenged because it has been discovered that: ° a. excessive dopamine activity contributes to only some kinds of schizophrenia. ° b. atypical antipsychotic drugs work exclusively on dopamine receptors. ° c. effective new drugs suggest abnormal neurotransmitter activity of serotonin as well as dopamine. ° d. those with catatonic schizophrenia respond better to atypical than to traditional antipsychotic drugs. ° 43. Schizophrenia is found in all socioeconomic classes. However, it is MOST likely to be diagnosed in someone from a: ° a. professional socioeconomic level. ° b. middle socioeconomic level. ° c. lower socioeconomic level. ° d. privileged (wealthy) socioeconomic level.

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44. The major source of evidence supporting the dopamine model of schizophrenia comes from observing the effects of _______. a. antipsychotics b. barbiturates c. L-Dopa d. hallucinogenics 45. The main difference between hallucinations and delusions is that: ° A. hallucinations involve perception and delusions involve belief. ° B. hallucinations involve belief and delusions involve perception. ° C. hallucinations are auditory and delusions are visual. ° D. hallucinations are more serious than delusions. 46. I sit staring at a blank page, unable to make myself write a new multiple-choice test item; I just don't seem to care. My behavior is like that of people with schizophrenia displaying the symptom called: ° a. avolition. ° b. anhedonia. ° c. flat affect. ° d. inappropriate affect. ° 47. The first antipsychotic drug to be approved for use in the United States was: ° a. Prozac (fluoxetine). ° b. Mellaril (thioridazine). ° c. Haldol (haloperidol). ° d. Thorazine (chlorpromazine). ° 48. Cognitive-behavioral therapy (CBT) for psychosis involves: a. teaching clients about the biological basis of hallucinations b. teaching clients coping skills c. challenging clients’ irrational thoughts and behaviors that are associated with their delusions and/or hallucinations d. all of the above ° 49. Compared to African Americans, White Americans are: ° a. more likely to receive a diagnosis of schizophrenia and more likely to be institutionalized. ° b. less likely to receive a diagnosis of schizophrenia and less likely to be institutionalized. ° c. more likely to receive a diagnosis of schizophrenia but less likely to be institutionalized. ° d. less likely to receive a diagnosis of schizophrenia but more likely to be institutionalized. 50. Slash suffers from hallucinations and delusions, but they are totally unfocused. He exhibits incoherent speech patterns and thought disruptions. He is often confused and disorganized but his motor activity is unimpaired and he displays no silliness or nonsensical behavior. He is best described as having _______. a. residual schizophrenia b. schizophrenia c. schizophrenia with catatonia d. unspecified schizophrenia spectrum and other psychotic disorder ° ° ° ° °

° BONUS!!! ° ° 1. For three points, tell me the name of one of the antipsychotic medications we mentioned in class (spelling is NOT penalized!!). ° ° ° ° 2. For five points, this class was (circle the correct response): ° a. Too easy ° b. Analogous to being drawn and quartered ° c. As painful as hooking up with Kim Kardashian, or Chris Christie ° d. Just right and quite enjoyable 3. For two points what is the color of George Washington’s white horse? ° °

° Answer Sheet ° Multiple Choice Answers Go next to the numbers on this sheet. Bonus question replies go on this answer sheet!! ° ° ° 1. B 26.B ° 2. C 27.A ° 3. C 28.A ° 4. D 29.C ° 5. A 30.B ° 6. D 31.D ° 7. D 32.D ° 8. C 33.D ° 9. B 34.D ° 10.C 35.D ° 11.C 36.C ° 12.B 37.B ° 13.D 38.C ° 14.B 39.C ° 15.A 40.C ° 16.D 41.B ° 17.A 42.C ° 18.D 43.C ° 19.C 44.A ° 20.D 45.A ° 21.B 46.A ° 22.B 47.D ° 23.A 48.B ° 24.A 49.A ° 25.C 50.D ° ° ° ° BONUS QUESTION 1: Chlorpromazine (Thorazine ° ° ° BONUS QUESTION 2: D ° ° ° BONUS QUESTION 3: White ° ° ° ° ° ° ° °

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