Deck 14: B: Psychological Disorders

Question 1

Reverend Johnson has come to believe that he is really Elijah and has been given a special mission from God to "smite" all the politicians who use the name of God and religion for political gain.The reverend appears to have which type of delusion?

A) somatic type
B) grandiose type
C) erotomanic type
D) jealous type

Answer 1

B

Question 2

A woman believes that she has noticeable curvature of the spine even though two doctors have examined her independently and found no problem.Delusions of this sort would be of which type?

A) erotomanic
B) somatic
C) grandiose
D) persecutory

Answer 2

B

Question 3

A man is spending large amounts of money on security equipment because he believes his neighbors are spying on him and plotting to harm him.Delusions of this sort would be of which type?

A) grandiose
B) somatic
C) harassment
D) persecutory

Answer 3

D

Question 4

A delusion that is marked by sensual delusions that one is loved by a famous person would be classified as which type?

A) erotomanic
B) grandiose
C) jealous
D) persecutory

Question 5

Harold has kept his wife a prisoner in their home for the last ten years.He disconnects the phone and locks her in the house everyday.Harold believes that his wife will be unfaithful if she ever leaves the house without him.Harold is suffering from which type of delusional disorder?

A) jealous
B) marital
C) erotomanic
D) persecutory

Question 6

After being told by two detective agencies that his wife of 30 years is not being unfaithful to him,Phil hires another detective to follow his wife around and install wire taps in her car and her phone.Phil is

A) a classic example of a possessive personality.
B) suffering from paranoid schizophrenia.
C) manifesting a jealous type delusion.
D) manifesting an erotomanic type delusion.

Question 7

Ron has many deeply held false beliefs.For instance,he believes he is the most famous psychologist in the world.He also believes that very sexy,intelligent,and beautiful women are vying for his attention and affection; when,in fact,they find him a nuisance.He often gets extremely jealous if these women speak or look at other men.It seems that Ron is most likely suffering from

A) dysthymic disorder.
B) catatonic schizophrenia.
C) delusional disorder.
D) dissociative identity disorder.

Question 8

Ralph,a college professor,believes that the administrators at his university are conspiring with other faculty and staff members to make his work more difficult and to make him look foolish in order to fire him.Every phone call or e-mail not returned promptly,or request that is not handled as perfectly as he would like,is evidence of this conspiracy against him.Delusions of this sort would be of which type?

A) grandiose
B) somatic
C) harassment
D) persecutory

Question 9

Persecutory,grandiose,erotomanic,jealous,and somatic are the five types of

A) delusional disorders.
B) dissociative disorders.
C) personality disorders.
D) schizophrenia.

Question 10

Sandy is a resident in a psychiatric facility,and she believes that she is Marilyn Monroe,wearing her hair and talking like this actress did.When other residents tell her that Marilyn Monroe died many years ago,she becomes very agitated and states that the government "faked her death" and put her in this institution to keep her away from the Kennedys.Sandy is exhibiting which type of delusional disorder?

A) erotomanic
B) persecutory
C) jealous
D) grandiose

Question 11

Regarding delusional disorders,which of the following statements is FALSE?

A) Compared to other types of psychoses, delusional disorders are rare.
B) Jealous type delusions are the most common type of delusional disorder.
C) People with delusional disorders usually do not suffer from hallucinations, emotional excesses, or personality disintegration.
D) Some celebrity stalkers suffer from erotomanic type delusions.

Question 12

A somatic type delusion involves the belief that

A) one's spouse or lover is being unfaithful.
B) one is being conspired against, spied on, maligned or harassed.
C) one's body is diseased or rotten, infected, or misshapen.
D) one is loved by another, especially someone famous.

Question 13

John believed that if he spray painted his favorite actress' name on every building in his small town,that this actress would see it on the news and would fall madly in love with him.John's delusion would be classified as which type?

A) histrionic
B) erotomanic
C) jealous
D) persecutory

Question 14

A person who is absolutely convinced,against all evidence,that his or her spouse is having an affair is

A) a classic example of a possessive personality.
B) suffering from paranoid schizophrenia.
C) manifesting a jealous type delusion.
D) manifesting an erotomanic type delusion.

Question 15

Which type of delusional disorder involves the belief that you are being conspired against,cheated,spied on,followed,poisoned,maligned,or harassed?

A) grandiose
B) jealous
C) erotomanic
D) persecutory

Question 16

A delusion that one has some great talent or insight,or has special connections to important people would be classified as which type?

A) erotomanic
B) grandiose
C) jealous
D) persecutory

Question 17

April writes love letters to Brad Pitt everyday.Although she has never met him,she believes that he has read all of her letters and that one day this movie star will marry her.April is exhibiting which type of delusional disorder?

A) bipolar
B) histrionic
C) erotomanic
D) persecutory

Question 18

Although they do not suffer from the hallucinations,emotional excesses,or personality disintegration seen in other psychoses,people who experience deeply held false beliefs about experiences that could occur in real life would be diagnosed with

A) schizophrenia.
B) a delusional disorder.
C) a paraphilia.
D) bipolar disorder.

Question 19

Jake makes repeated visits to his doctor because he thinks that parasitic insects are crawling under his skin and are causing massive infections in his body.He refuses to accept the doctor's assurances that there are no insects,and he just has dry skin.Jake is suffering from

A) a somatic type of delusional disorder.
B) delusions of influence.
C) delusions of reference.
D) catatonic schizophrenia.

Question 20

Bob has never met Lady Gaga,but he is convinced that she is deeply in love with him.Bob is suffering from

A) grandiose delusions.
B) jealous delusions.
C) obsessive-compulsive disorder.
D) erotomanic delusions.

Question 21

Regarding paranoid psychosis,which of the following statements is FALSE?

A) Persons with paranoid psychosis are rarely treated because they often do not believe that they need help.
B) Persons with paranoid psychosis frequently lead lonely, isolated, and humorless lives dominated by constant suspicion and hostility.
C) The delusions of persons with paranoid psychosis are usually more bizarre and unrealistic than those delusions experienced by persons with paranoid schizophrenia.
D) Although they are not necessarily dangerous, people with paranoid psychosis could be moved to violence by their irrational fears to defend themselves.

Question 22

The most common form of psychosis is

A) paranoid psychosis.
B) schizophrenia.
C) bipolar disorder.
D) multiple personalities.

Question 23

A person who does not show any hallucinations and whose delusions are about experiences that could occur in real life would most likely be diagnosed with

A) multiple personalities.
B) schizophrenia.
C) a delusional disorder.
D) a dissociative disorder.

Question 24

People diagnosed with paranoid psychosis often include those who are

A) elderly and withdrawn.
B) uninhibited and use profanity.
C) given to emotional excess and hear voices.
D) self-styled reformers and "UFO abductees."

Question 25

Fernando's parents are very worried about him.In the last month,he has withdrawn from contact with friends and lost interest in any outside activities.There has been a breakdown of his hygiene and personal habits and he has not been going to his college classes or his part-time job.His brother who went to see him said that his thinking and speech was "jumbled" and his emotions ranged from blunted to totally inappropriate; and subsequently,insisted that Fernando go with him to a psychologist,who will most likely diagnose Fernando with

A) a conversion disorder.
B) obsessive-compulsive disorder.
C) multiple personalities.
D) schizophrenia.

Question 26

Schizophrenia may be described as a split

A) between thought and emotion.
B) in personality.
C) between delusion and hallucination.
D) in intellect.

Question 27

Many self-styled reformers,crank letter writers,conspiracy theorists,and "UFO abductees," suffer from

A) paranoid psychosis.
B) schizophrenia.
C) multiple personalities.
D) bipolar disorder.

Question 28

Unlike other psychoses,such as schizophrenia,delusional disorders tend to involve

A) numerous hallucinations, particularly hearing voices.
B) a complete personality disintegration and emotional excesses.
C) disturbed communication patterns that can deteriorate into "word salads."
D) delusions that are less bizarre and are about experiences that could occur in real life.

Question 29

Dan has bizarre,unconvincing delusions of persecution and grandeur as well as auditory hallucinations.He would most likely be diagnosed with

A) multiple personalities.
B) schizophrenia.
C) delusional disorder.
D) dissociative disorder.

Question 30

How do persons with paranoid psychosis usually respond to suggestions that they need treatment?

A) They would be grateful to find someone who agrees that they have a problem.
B) They would argue about it, but they would soon consent to treatment.
C) They would agree to treatment, but they would be unable to find a therapist that they approved of.
D) They would assume that the person making the suggestion is part of the conspiracy against them.

Question 31

At various times over the years,Jarmon has told his doctors that "aliens" have inserted or removed thoughts from his mind and that they are broadcasting these thoughts so others can hear them.Jarmon most likely would be diagnosed with

A) paranoid psychosis.
B) schizophrenia.
C) multiple personalities.
D) somatization disorder.

Question 32

Timmon has been diagnosed with paranoid psychosis.The distinguishing feature of this disorder that led to Timmon's diagnosis would be the presence of

A) delusions of persecution.
B) auditory hallucinations.
C) disturbed emotions.
D) personality disintegration.

Question 33

Which of the following is a psychosis characterized by delusions,hallucinations,apathy,and a "split" between thought and emotion?

A) paranoid psychosis
B) schizophrenia
C) dissociative fugue
D) multiple personalities

Question 34

Johann has the most common type of delusional disorder,which is

A) the erotomanic type.
B) the jealous type.
C) paranoid psychosis.
D) disorganized schizophrenia.

Question 35

Marta believes that her husband has been replaced by a space alien,while Tanya believes against all evidence that her husband is unfaithful.Marta would most likely be diagnosed with

A) schizophrenia, while Tanya would have a delusional disorder.
B) multiple personalities, while Tanya would have schizophrenia.
C) delusional disorder, while Tanya would have a conversion disorder.
D) a conversion disorder, while Tanya would have multiple personalities.

Question 36

Ted believes that space aliens have replaced all of his internal organs with electronic monitoring devices,while Jeff believes that an FBI agent is following him.Regarding their most likely diagnoses,Ted would most likely be diagnosed with

A) schizophrenia, while Jeff would have a delusional disorder.
B) multiple personalities, while Jeff would have schizophrenia.
C) delusional disorder, while Jeff would have a conversion disorder.
D) a conversion disorder, while Jeff would have multiple personalities.

Question 37

Hallucinations and bizarre,unconvincing delusions are typical of

A) delusional disorders.
B) schizophrenia.
C) both schizophrenia and delusional disorders.
D) neither schizophrenia nor delusional disorders.

Question 38

Jack believes that the FBI has wire tapped his phone.He regularly checks his house for bugging devices.When he leaves the house,he always checks each window and takes a different route to his destination.Jack buys bottled water because he believes the FBI may try to poison his water.Jack is exhibiting the most common delusional disorder,which is

A) paranoid psychosis.
B) schizophrenia.
C) the erotomanic type.
D) the histrionic type.

Question 39

Mel believes that people are spying on him and plotting against him.A stranger that comes to his door asking for directions is "really trying to get information," while static sounds during a telephone conversation is "really someone recording the phone call." So,Mel feels like he must be on guard at all times.Mel is suffering from

A) schizophrenia.
B) paranoid psychosis.
C) the erotomanic type.
D) the histrionic type.

Question 40

Which of the following is NOT a characteristic of schizophrenia?

A) blunted or very inappropriate emotions
B) withdrawal from contact with others and a loss of interest in external activities.
C) the presence of two or more personalities that alternate in consciousness.
D) a breakdown in personal habits and an inability to deal with daily events.

Question 41

Disorganized schizophrenia is sometimes referred to as

A) hebephrenic schizophrenia.
B) paranoid psychosis.
C) catatonic schizophrenia.
D) bipolar disorder.

Question 42

Regarding the rate of occurrence of schizophrenia,what proportion of the population will have schizophrenia in any given year?

A) one in 100
B) one in 1,000
C) one in 5,000
D) one in 10,000

Question 43

When the psychologist asks Darcey about her mother's recent death,she giggles and begins making the sign of the "cross" numerous times in the air.Darcey's speech also resembled a jumbled "word salad" as well as being frequently peppered with screams and obscenities.Her diagnosis is probably __________ schizophrenia.

A) paranoid
B) borderline
C) catatonic
D) disorganized

Question 44

Many symptoms of schizophrenia seem to arise from

A) abnormalities in controlling anger.
B) impairment in selective attention.
C) drug usage.
D) exaggerated emotion.

Question 45

Regarding schizophrenia,which of the following statements is FALSE?

A) Schizophrenia involves a "split personality," in which a person has two distinct personalities, one normal and one abnormal.
B) One person in 100 has schizophrenia in any given year.
C) Disorganized, catatonic, paranoid, and undifferentiated are currently the four major subtypes of schizophrenia, although these subtypes may be removed from the DSM-V.
D) Many schizophrenic symptoms appear to be related to problems with selective attention.

Question 46

Hal is a resident at a psychiatric facility.He often remains motionless in an odd posture for hours and sometimes days at time.There are also occasional periods when he exhibits agitated outbursts.From which subtype of schizophrenia is Hal probably suffering?

A) paranoid
B) hebephrenic
C) catatonic
D) disorganized

Question 47

Disorganized schizophrenia typically develops in

A) young toddlers and preschool children.
B) elementary school-age children.
C) adolescents and young adults.
D) the middle-aged and elderly adults.

Question 48

In which subtype of schizophrenia do individuals appear to be struggling desperately to control their inner turmoil through their mutism and rigid posturing,which resembles the tendency to "freeze" at times of great emergency or panic?

A) catatonic
B) paranoid
C) disorganized
D) undifferentiated

Question 49

Regarding disorganized schizophrenia,which of the following statements is FALSE?

A) Disorganized schizophrenia typically develops in adolescence or young adulthood.
B) Disorganized schizophrenia is marked by mutism, posturing, stupor, and rigidity.
C) The chances of improvement for disorganized schizophrenia are limited with social impairment usually being extreme.
D) Disorganized schizophrenia comes closest to matching the stereotyped images of "madness" seen in movies.

Question 50

As long as the psychiatric nurse remains very quiet,she can move Jacob's arms and legs and shift his body position.Once he has been moved,he will remain so until someone moves him again.The unusual stupor state is sometimes observed in __________ schizophrenia.

A) borderline
B) disorganized
C) catatonic
D) paranoid

Question 51

Mutism,stupor,and a marked decrease in responsiveness to the environment make patients with which subtype of schizophrenia difficult to "reach"?

A) paranoid
B) catatonic
C) hebephrenic
D) disorganized

Question 52

Gene's personality disintegration is extreme.He is experiencing fragmented delusions and auditory hallucinations and engages in silly laughter,bizarre mannerisms,and obscene behaviors and speech.Gene's diagnosis is most likely __________ schizophrenia.

A) disorganized
B) borderline
C) catatonic
D) paranoid

Question 53

Which of the following subtypes of schizophrenia is characterized by the patient maintaining odd body positions for hours or even days?

A) disorganized
B) catatonic
C) paranoid
D) undifferentiated

Question 54

Grace's actions resemble movie stereotypes of "crazy" behavior.Her personality disintegration is extreme.She engages in silly laughter,bizarre mannerisms,and obscene behavior.Her diagnosis is probably __________ schizophrenia.

A) paranoid
B) borderline
C) catatonic
D) disorganized

Question 55

Disorganized schizophrenia is characterized by

A) attacks of fear or panic.
B) silliness, laughter, and bizarre or obscene behavior.
C) delusions of persecution and grandeur.
D) severe depression.

Question 56

Which subtype of schizophrenia is marked by stupor,rigidity,unresponsiveness,posturing,mutism,and,sometimes,agitated,purposeless behavior?

A) catatonic
B) paranoid
C) disorganized
D) undifferentiated

Question 57

In which of the following disorders is a person overwhelmed by a jumble of thoughts,sensations,images,and feelings that cannot be filtered out because of an impairment in selective attention?

A) a dissociative fugue state
B) post-traumatic stress disorder
C) schizophrenia
D) the psychopathic personality

Question 58

The subtype of schizophrenia marked by incoherence,grossly disorganized behavior,bizarre thinking,and a flat affect or grossly inappropriate emotions is called

A) disorganized.
B) paranoid.
C) catatonic.
D) undifferentiated.

Question 59

Currently,the four major subtypes of schizophrenia are

A) borderline, histrionic, paranoid, and atypical.
B) disorganized, catatonic, paranoid, and undifferentiated.
C) depressive, manic, dysthymic, and cyclothymic.
D) stuporous, agitated, acute, and chronic.

Question 60

Which of the following is sometimes called hebephrenic schizophrenia and closely matches the stereotyped images of "madness" seen in movies?

A) disorganized schizophrenia
B) paranoid psychosis
C) catatonic schizophrenia
D) multiple personalities

Question 61

Because there is considerable overlap among the types of schizophrenia and because patterns of behavior shift over time,many patients are simply classified as suffering from __________ schizophrenia.

A) generalized
B) atypical
C) disorganized
D) undifferentiated

Question 62

Schizophrenia in which there are prominent psychotic symptoms,but none of the specific features of catatonic,disorganized or paranoid types would be classified as a(n)__________ schizophrenia.

A) generalized
B) atypical
C) hebephrenic
D) undifferentiated

Question 63

Mothers who contracted either rubella or influenza during the middle of their pregnancies,or who experienced malnutrition during pregnancy or complications at the time of birth have children with a higher risk of developing

A) a bipolar disorder.
B) an organic mental disorder.
C) schizophrenia.
D) a conversion disorder.

Question 64

Paranoid schizophrenia is characterized by auditory hallucinations and

A) delusions of grandeur and persecution.
B) severe depression.
C) silliness and bizarre behavior.
D) mutism.

Question 65

The LEAST prone to violence would be a person who

A) is young, male, poor, and intoxicated but does not have a mental disorder.
B) is a former mental patient who is not actively psychotic.
C) has a psychotic mental disorder and is also involved with substance abuse.
D) is actively experiencing delusions and hallucinations, but is not showing any anxiety.

Question 66

Women who are exposed during the middle of pregnancy to which of the following have children who are more likely to become schizophrenic?

A) toxoplasmosis or cytomegalovirus
B) a flu virus or to rubella
C) phenothiazines or alcohol
D) X-rays or other types of radiation

Question 67

Ginny's mother was exposed to the influenza virus midway through her pregnancy as well as being malnourished during much of her pregnancy.Due to these prenatal factors,Ginny is more likely to

A) show increased serotonin and acetylcholine production.
B) have an incomplete development of the corpus callosum.
C) develop ADD or ADHD, which, in turn, increases the risk of bipolar disorder.
D) have a disturbance in brain development, leaving her more vulnerable to a psychotic break with reality during adolescence or young adulthood.

Question 68

Emily has barricaded herself in her home.She believes that aliens are trying to take over her mind and body.She has wrapped herself in aluminum foil in order to prevent the penetration of the cosmic rays that she has "seen" coming down through her ceiling.Emily believes that she alone has been given the power by God to tell real humans from aliens pretending to be humans so she can destroy them.Emily would most likely be diagnosed as having

A) paranoid psychosis.
B) disorganized schizophrenia.
C) dissociative disorder.
D) paranoid schizophrenia.

Question 69

James Huberty,who killed 21 people at a fast-food restaurant in San Ysidro,California,felt persecuted and cheated by life.Shortly before he went to the fast-food restaurant,he announced to his wife that he was "going hunting humans." Huberty had been hearing hallucinated voices for some time.Huberty would most likely be diagnosed with which disorder?

A) paranoid schizophrenia
B) disorganized schizophrenia
C) paranoid psychosis
D) dissociative disorder

Question 70

Regarding schizophrenia,which of the following statements is FALSE?

A) Diagnosing types of schizophrenia is fairly subjective, which is why the proposed DSM-V may no longer make those distinctions.
B) The most common schizophrenic subtype is disorganized schizophrenia.
C) Mentally ill individuals who are substance abusers and currently experiencing psychotic symptoms would have an increased risk of violence.
D) Patients may shift from one pattern to another at different times, so many patients are simply classified as suffering from undifferentiated schizophrenia.

Question 71

Children who were exposed to psychological trauma or deviant communication patterns have a higher risk of developing

A) autism.
B) an organic mental disorder.
C) schizophrenia.
D) a conversion disorder.

Question 72

Regarding the mentally ill and violence,which of the following statements is/are TRUE?

A) Former mental patients are more likely to be violent than people in general.
B) People who are actively psychotic are too disturbed to be violent.
C) A young intoxicated poor male is more likely to be violent than a mental patient.
D) All of these statements are true.

Question 73

Which of the following prenatal situations has NOT been shown to increase the risk of the developing child being more vulnerable to having schizophrenia later in life?

A) mother contracting influenza during the middle of her pregnancy
B) mother contracting rubella during the middle of her pregnancy
C) malnutrition during pregnancy
D) having an extra chromosome at pair 16

Question 74

Which major subtype of schizophrenia has become rare in Europe and North America?

A) disorganized schizophrenia
B) catatonic schizophrenia
C) paranoid schizophrenia
D) undifferentiated schizophrenia

Question 75

Frequent auditory hallucinations and bizarre,unconvincing delusions of persecution and grandeur are typical of

A) paranoid psychosis.
B) paranoid schizophrenia.
C) paranoid delusional disorder.
D) disorganized paranoia.

Question 76

Regarding violence and psychoses,which of the following statements is FALSE?

A) Sensationalized media reports tend to exaggerate the connection between mental illness and violence.
B) People who are young, male, poor, and intoxicated are much more prone to violence than the average mental patient.
C) People who are actively psychotic and currently experiencing psychotic symptoms are too disturbed to be violent.
D) Mentally ill individuals who are substance abusers have an increased risk for violence.

Question 77

Sara believes that she is the daughter of Jesus Christ.Every room in her apartment is adorned with crosses; and she wears three around her neck at all times to prevent evil spirits from entering her body.Sara also hears "voices," which tell her to "get down on her knees," which she readily obeys even if she is in the middle of the street.The "voices" have also commanded her to throw rocks at two of the neighborhood boys because they are the sons of Satan.Sara would most likely be diagnosed as having

A) paranoid psychosis.
B) disorganized schizophrenia.
C) dissociative disorder.
D) paranoid schizophrenia.

Question 78

During childhood,individuals who develop schizophrenia seem to have

A) experienced psychological trauma.
B) had a great deal of intellectual stimulation.
C) learned to use defense mechanisms excessively.
D) developed precocious physical or mental abilities.

Question 79

Under what circumstances do mental problems represent an elevated risk of violence?

A) when a person has experienced a mood disorder in the past
B) when a person currently has a somatoform disorder
C) when a person is currently experiencing delusions and hallucinations
D) in none of these situations since mental problems never represent an elevated risk for violence

Question 80

The most common type of schizophrenia is the __________ subtype.

A) undifferentiated
B) paranoid
C) catatonic
D) disorganized