Deck 11: Disruptive, Impulse-Control, and Conduct Disorders

Question 1

An individual who is in a close relationship with someone who is experiencing psychotic features, and then develops similar symptoms, would most likely be diagnosed with which of the following disorders?

A) Shared psychotic disorder
B) Schizophrenia
C) Brief psychotic disorder
D) Schizophreniform disorder

Answer 1

Shared psychotic disorder

Question 2

Lawrence exhibited delusions and hallucinations for 2 weeks and also experienced a manic episode following this 2-week period. He continued to experience delusions and hallucinations. What disorder will Lawrence most likely be diagnosed with?

A) Mood disorder with psychotic features
B) Schizoaffective disorder
C) Shared psychotic disorder
D) Schizophrenia

Answer 2

Schizoaffective disorder

Question 3

Although she has never meet Chris Rock, June believes that he is in love with her. What is this an example of?

A) A hallucination
B) Paranoid thinking
C) Loss of reality
D) A delusion

Answer 3

A delusion

Question 4

What does psychosis refer to?

A) The inability to differentiate between right and wrong
B) The inability to differentiate between conscious and unconscious desires
C) The inability to differentiate between what is real and what is not real
D) The inability to differentiate between depression and anxiety

Question 5

Which of the following might explain gender differences in schizophrenia?

A) Women have a better prognosis because they have more social supports available to them
B) Women have a better prognosis than men because estrogen levels may act as a protective factor
C) Men have a better prognosis than women because testosterone levels reduce psychotic symptoms
D) Men have a worse prognosis than women because they are more likely to develop disorders with disruptive behaviours

Question 6

According to a study on schizophrenia conducted in British Columbia, which of the following findings is true?

A) Immigrants to Canada were more likely to develop schizophrenia than Canadian-born people
B) Canadian-born people were more likely to develop schizophrenia than immigrants to Canada
C) The rate of schizophrenia was the same for both immigrants and Canadian-born people
D) Immigrants to Canada and Canadian-born people had higher rates of schizophrenia than Aboriginal people

Question 7

What type of disorder do most theorists view schizophrenia as?

A) A biological disorder
B) A psychological disorder
C) A social disorder
D) A bipolar disorder

Question 8

Ken has been experiencing unusual symptoms for approximately 6 weeks. He heard voices through his television informing him that the provincial police were after him. He also experienced disorganized behaviour and thought disorder. This episode only lasted for 6 weeks and then his behaviour returned to his level of pre-morbid functioning. What disorder will Ken most likely be diagnosed with?

A) Schizophrenia
B) Schizophreniform disorder
C) Brief psychotic disorder
D) Schizoaffective disorder

Question 9

All of the following symptoms are common in schizophrenia, except:

A) Faulty perception of reality
B) Strange thought patterns
C) Olfactory hallucinations
D) Unusual behaviours

Question 10

Fred believes that the FBI has put a wire tap on his phone because they are trying to entrap him. What is this an example of?

A) Delusions of entrapment
B) Somatic delusion
C) Delusions of grandeur
D) Persecutory delusion

Question 11

What is the primary difference between schizophrenia and the other psychotic disorders?

A) Manifestation of the symptoms
B) Duration of the symptoms
C) Interference with functioning
D) Discomfort of the symptoms

Question 12

Which of the following terms refers to a belief that has no basis in reality?

A) Hallucination
B) Paranoia
C) Loss of reality
D) Delusion

Question 13

Which of the following is a positive symptom of schizophrenia?

A) Unusual perceptions
B) Flat or blunted affect
C) Memory loss
D) Fugue states

Question 14

Approximately what percentage of the population has received a diagnosis of a schizophrenia-spectrum disorder?

A) 0.5-2 percent
B) Less than 0.5 percent
C) 10-12 percent
D) 5-7 percent

Question 15

Which of the following is true of women with schizophrenia?

A) They tend to develop the disorder during their late teens or early 20s
B) They show fewer cognitive deficits than men with schizophrenia
C) They have worse pre-morbid histories than men with schizophrenia
D) They are less likely to have graduated from high school than men with schizophrenia

Question 16

What percentage of people with schizophrenia seeks treatment in a mental-health facility or general medical facility in a given year?

A) 60 percent
B) 75 percent
C) 82 percent
D) 90 percent

Question 17

In Canada, what is the total economic burden or cost associated with schizophrenia?

A) 609 million dollars
B) 445 million dollars
C) 2.67 billion dollars
D) 6.85 billion dollars

Question 18

Which of the following is the most common type of delusion?

A) Persecutory delusions
B) Somatic delusions
C) Delusions of grandeur
D) Thought insertion

Question 19

Julia had symptoms of delusions, hallucinations, and disorganized speech that lasted only 3 days. What disorder will Julia most likely be diagnosed with?

A) Schizoaffective disorder
B) Schizophreniform disorder
C) Delusional disorder
D) Brief psychotic disorder

Question 20

Which of the following is the most common psychotic disorder?

A) Major depression with psychotic features
B) Bipolar disorder with psychotic features
C) Brief psychotic disorder
D) Schizophrenia

Question 21

Jeff believes that aliens from a parallel universe are controlling his thoughts. What type of delusion is Jeff exhibiting?

A) Persecutory delusion
B) Delusion of thought insertion
C) Delusion of grandeur
D) Delusion of reference

Question 22

Judith was experiencing sleep deprivation and she thought that spiders were crawling on her skin. What type of hallucination is Judith experiencing?

A) Visual hallucination
B) Auditory hallucination
C) Olfactory hallucination
D) Tactile hallucination

Question 23

What are hallucinations?

A) Unreal perceptual experiences
B) Beliefs that have no basis in reality
C) Odd ways of thinking
D) A form of thought disorder

Question 24

Which of the following terms refers to words that mean something only to the person speaking them?

A) Neologisms
B) Incoherency
C) Word salad
D) Language deficits

Question 25

Harry has difficulty remembering information. He cannot hold information in his memory long enough to manipulate and process the information. What aspect of memory is Harry having difficulty with?

A) Long-term memory
B) Retrograde amnesia
C) Working memory
D) Sensory register memory

Question 26

Delusions are to _____________ as hallucinations are to _____________.

A) Perceptions; thoughts
B) Thoughts; feelings
C) Thoughts; perceptions
D) Perceptions; feelings

Question 27

Which of the following terms refers to a severe reduction or complete absence of response to the environment, which is seen in some patients with schizophrenia?

A) Inappropriate affect
B) Anhedonia
C) Blunted affect
D) Clang associations

Question 28

T.J. was asked if he liked the song that was playing on the radio. His response was, "song too long, long to wrong, wrong not right, right not fight." What is this type of speech called?

A) Word salad
B) Neologisms
C) Alogia
D) Clang associations

Question 29

Sebastian believes his neighbour is watching him and waiting for the chance to steal his stamp collection. What type of delusion is Sebastian exhibiting?

A) Thought broadcasting delusion
B) Delusion of reference
C) Persecutory delusion
D) Grandiose delusion

Question 30

Ethel's conversation is hard to follow. She doesn't stay on the same topic and there is no transition. Which of the following terms best describes Ethel's speech?

A) Derailment
B) Perseveration
C) Neologisms
D) Avolition

Question 31

Faith believes that she is the soul mate to Jesus Christ. What type of delusion is Faith exhibiting?

A) A persecutory delusion
B) A delusion of thought control
C) A grandiose delusion
D) A delusion of reference

Question 32

Which of the following terms refers to an extreme lack of responsiveness to the external world, which is seen in some patients with schizophrenia?

A) Disorganization
B) Catatonia
C) Disassociation
D) Withdrawal

Question 33

Jerry hears voices accusing him of being a serial rapist. What type of hallucination is Jerry experiencing?

A) Visual
B) Auditory
C) Persecutory
D) Paranoid

Question 34

Donald stands motionless for several hours and rarely responds when someone speaks to him. Which subtype of schizophrenia does Donald appear to have?

A) Undifferentiated subtype
B) Disorganized subtype
C) Catatonic subtype
D) Paranoid subtype

Question 35

Akura described how during Obon she guided her grandmother back to their home. Akura is from Japan, which is where this annual Festival of the Dead occurs. Which of the following best explains Akura's experience?

A) She is having visual hallucinations about her grandmother
B) She is grieving the recent loss of her grandmother
C) She is engaging in delusional thinking
D) She is describing an event in its cultural context

Question 36

It is difficult to understand Carter because he tends to jumble his words together. What is Carter most likely experiencing?

A) Clang associations
B) Formal thought disorder
C) Word salad
D) Alogia

Question 37

Tabitha believes that an alien being is growing inside of her. What type of hallucination is Tabitha experiencing?

A) Visual
B) Somatic
C) Olfactory
D) Tactile

Question 38

Which of the following is the most common type of hallucination?

A) Visual
B) Auditory
C) Olfactory
D) Tactile

Question 39

Which of the following is a reason why the general public tends to be frightened of people with schizophrenia?

A) The behaviours and mannerisms of people with schizophrenia are often disorganized
B) People with schizophrenia tend to be violent and aggressive
C) The public has a very distorted view of psychopathology
D) People with schizophrenia have poor social skills

Question 40

According to the text, David Zelt experienced all of the following delusions, except:

A) Delusion of control
B) Persecutory delusion
C) Delusion of reference
D) Grandiose delusion

Question 41

Which of the following terms refers to the loss of interest in pleasurable activities?

A) Alogia
B) Avolition
C) Anhedonia
D) Akathesis

Question 42

Who was credited with identifying dementia praecox?

A) Alfred Adler
B) Emil Kraepelin
C) Joseph Breuer
D) Jean Charcot

Question 43

Emil Kraepelin is credited with deriving the first comprehensive and accurate description of which of the following disorders?

A) Mood disorders
B) Anxiety disorders
C) Schizophrenia
D) Cognitive disorders

Question 44

Which of the following is not a subtype of schizophrenia?

A) Paranoid subtype
B) Undifferentiated subtype
C) Negative symptom subtype
D) Residual subtype

Question 45

Which of the following is a type of schizophrenia characterized by prominent delusions and hallucinations involving themes of persecution and grandiosity?

A) Paranoid subtype
B) Disorganized subtype
C) Catatonic subtype
D) Residual subtype

Question 46

Who is credited with deriving the first comprehensive and accurate description of schizophrenia?

A) Sigmund Freud
B) Emil Kraepelin
C) Anna Freud
D) Emile Durkheim

Question 47

In addition to Emil Kraeplin, who was another important figure in the early history of schizophrenia?

A) Eugen Bleuler
B) Sigmund Freud
C) Anna Freud
D) Emile Durkheim

Question 48

Why did Kraeplin originally give the name "dementia praecox" to schizophrenia?

A) He believed the disorder resulted from premature neurotransmitters in the brain
B) He believed the disorder resulted from brain trauma
C) He believed the disorder resulted from premature deterioration of the brain
D) He believed the disorder resulted from alcohol dementia

Question 49

Which of the following statements is true?

A) People diagnosed with schizophrenia show a wide range of impaired social skills
B) Difficulties in social skills seen in schizophrenia may be due to lack of family support
C) Medication can reduce the effect of negative symptoms in schizophrenia thus allowing improvement of social skills
D) Blunted or flattened affect in schizophrenia influences interpersonal relationships but not social skills

Question 50

Stanley's parents do not understand why he has not spoken for several weeks. They are concerned that something is seriously wrong, but Stanley seems unable to communicate with them. What is Stanley most likely experiencing?

A) Emotional deficit
B) Affective flattening
C) Emotional blunting
D) Alogia

Question 51

A lack of emotional responses is to _____________, as lack of speech is to ____________.

A) Alogia; avolition
B) Avolition; anhedonia
C) Flat affect; alogia
D) Akathesis; alogia

Question 52

When are prodromal symptoms of schizophrenia most evident?

A) During the acute phase of the disorder
B) Following remission of the disorder
C) Following the acute phase of the disorder
D) Prior to the acute phase of the disorder

Question 53

Tom and his wife were attending a social engagement with his business associates. His wife started laughing hysterically without provocation. What type of affect is Tom's wife exhibiting?

A) Inappropriate affect
B) Blunted affect
C) Flat affect
D) Labile affect

Question 54

What was schizophrenia formerly known as?

A) Psychotic mania
B) Dementia praecox
C) Multiple personalities
D) Psychotic neurosis

Question 55

Which of the following is true of negative symptoms of schizophrenia?

A) They are typically only seen in the acute phase of schizophrenia
B) They are most prominent in the prodromal and residual phases of schizophrenia
C) They manifest themselves during pre-morbid functioning
D) They are present only in the disorganized subtype of schizophrenia

Question 56

Which of the following terms describes a person who laughs when things are sad and cries when things are joyous?

A) Inappropriate affect
B) Blunted affect
C) Flat affect
D) Labile affect

Question 57

Ruth starts yelling at her daughter for missing her curfew. However, her daughter showed no emotional response. Which of the following terms describes her daughter's response?

A) Blunted affect
B) Inappropriate affect
C) Promising affect
D) Indifferent affect

Question 58

When are residual symptoms of schizophrenia most evident?

A) During the acute phase of the disorder
B) During the catatonic phase of the disorder
C) Following the acute phase of the disorder
D) Prior to the acute phase of the disorder

Question 59

Which of the following is not a negative symptom of schizophrenia?

A) Avolition
B) Alogia
C) Affective flattening
D) Hallucination

Question 60

Affective flattening is to _____________ as a hallucination is to ____________.

A) Positive symptom; negative symptom
B) Negative symptom; positive symptom
C) Prodromal symptom; residual symptom
D) Residual symptom; prodromal symptom

Question 61

Which of the following is not a typical symptom of the catatonic subtype of schizophrenia?

A) Stupor
B) Echopraxia
C) Echolalia
D) Anhedonia

Question 62

Uriah and Byron are roommates at the psychiatric hospital. Uriah tends to fluctuate between periods of excitement and remaining motionless for hours. Byron tends to have bizarre speech and thought patterns as well as odd behaviours. Which diagnoses would be most appropriate for Uriah and Byron?

A) Uriah-disorganized schizophrenia; Byron-schizoaffective disorder
B) Uriah-residual schizophrenia; Byron-delusional disorder
C) Uriah-undifferentiated schizophrenia; Byron-brief psychotic disorder
D) Uriah-catatonic schizophrenia; Byron-disorganized schizophrenia

Question 63

Henry was diagnosed with schizophrenia when he was 17 years old. His symptoms include disorganized speech, blunted and flat affect, and odd behaviour. Which subtype of schizophrenia does Henry likely have?

A) Residual subtype
B) Undifferentiated subtype
C) Paranoid subtype
D) Disorganized subtype

Question 64

Erin has auditory hallucinations. Her symptoms are prominent but they did not manifest until she was in middle adulthood. Which subtype of schizophrenia does Erin likely have?

A) Disorganized subtype
B) Catatonic subtype
C) Paranoid subtype
D) Residual subtype

Question 65

Which of the following best describes the onset and course of the disorganized subtype of schizophrenia?

A) An early onset, continuous course, unresponsive to treatment
B) A late onset, continuous course, responsive to treatment
C) An early onset, inconsistent course, unresponsive to treatment
D) A late onset, inconsistent course, responsive to treatment

Question 66

Which of the following is false concerning the catatonic subtype of schizophrenia?

A) It has some of the most distinct features of all the subtypes of schizophrenia
B) Patients with this subtype are often responsive to the environment
C) It is one of the most common forms of schizophrenia
D) It has received the greatest research attention of all the subtype of schizophrenia

Question 67

Who would be most likely to receive a diagnosis of the residual subtype of schizophrenia?

A) Alonzo, who has suffered from several episodes of avolition and formal thought disorder, but now experiences only auditory hallucinations
B) Barnard, who has suffered two acute episodes of schizophrenia which involved delusions and hallucinations, but now experiences only flat affect
C) Cyrus, who has suffered from alogia and affective flattening for years, but now experiences only formal thought disorder
D) Dudley, who has suffered from at least one episode of acute positive symptoms of schizophrenia, but now experiences only visual hallucinations and loosening of associations

Question 68

Which of the following is true of people diagnosed with the disorganized subtype of schizophrenia?

A) They are prone to delusions and paranoia
B) They experience stupor and cataplexy
C) In extreme cases, they will not bathe or eat if left alone
D) They demonstrate emotional stability

Question 69

Which of the following is true of psychotic episodes in paranoid schizophrenia?

A) They are present in pre-morbid functioning
B) They are masked by disorganized behaviours
C) They are confused for alters seen in dissociative identity disorder
D) They are triggered by stress

Question 70

Lee's response to the news that the family was moving was, "Who moves you move? (Sigh) Sad, sad (giggle). Let's swim at the park. (Sigh). Walking home, can we walk home from school? NO run home from the store (giggle)." Which subtype of schizophrenia is Lee's response most characteristic of?

A) Paranoid subtype
B) Catatonic subtype
C) Disorganized subtype
D) Residual subtype

Question 71

Which subtype of schizophrenia is characterized by disorganized thought and behaviours and emotional disturbances?

A) Disorganized subtype
B) Undifferentiated subtype
C) Paranoid subtype
D) Residual subtype

Question 72

Which of the following is not one of the biological theories of schizophrenia discussed in the text?

A) Birth complications
B) Genetic transmission
C) Visible physical deformities
D) Structural and functional brain abnormalities

Question 73

The onset of Joseph's psychotic episodes has been linked to his stressful lifestyle. He developed delusions and became irritated with anyone who disagreed with his delusions. Which subtype of schizophrenia does Joseph likely have?

A) Disorganized subtype
B) Catatonic subtype
C) Paranoid subtype
D) Residual subtype

Question 74

Which of the following subtypes of schizophrenia is rare and has not been well researched?

A) Residual subtype
B) Undifferentiated subtype
C) Catatonic subtype
D) Disorganized subtype

Question 75

Summer developed chronic symptoms of schizophrenia at age 22. Thus far her symptoms include disorganized behaviours, thought disruptions, and inappropriate affect. She has been unresponsive to treatment. Which subtype of schizophrenia does Summer most likely have?

A) Disorganized subtype
B) Catatonic subtype
C) Paranoid subtype
D) Residual subtype

Question 76

How does the prognosis for people with paranoid schizophrenia compare to the prognosis for people with other subtypes of schizophrenia?

A) People with paranoid schizophrenia have a better prognosis
B) People with paranoid schizophrenia have a similar prognosis
C) People with paranoid schizophrenia have a poorer prognosis
D) People with paranoid schizophrenia have a more unpredictable prognosis

Question 77

Which of the following is true of the undifferentiated subtype of schizophrenia?

A) The symptoms are similar to the catatonic subtype
B) It has an early onset and is chronic and resistant to treatment
C) The symptoms are less problematic compared to the disorganized subtype
D) It is more resistant to treatment if there is a late onset of the symptoms

Question 78

Compared to individuals with other subtypes of schizophrenia, which of the following statements is true of individuals with paranoid schizophrenia?

A) They exhibit the most prominent disorganized behaviour and thoughts
B) They have the most prominent delusions and hallucinations
C) They present with the most prominent catatonic behaviours
D) They must have delusions and hallucinations that are on the same persecutory theme

Question 79

Berta experiences delusions of being controlled by the voices in her computer. She insists that her husband take the computer out of the house. He refuses and insists that she needs to get some help for her problem. Which subtype of schizophrenia does Berta likely have?

A) Residual subtype
B) Undifferentiated subtype
C) Paranoid subtype
D) Disorganized subtype

Question 80

Kari acts like a child, speaks in word salads, and does not bathe, dress, or eat if left alone. Which subtype of schizophrenia does Kari most likely have?

A) Paranoid subtype
B) Catatonic subtype
C) Residual subtype
D) Disorganized subtype