test 5 psych 3230

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Transient psychotic symptoms are often seen in which of the following personality disorders?

schizoid and paranoid

The single best word for the person with paranoid personality disorder is:

mistrustful

The fear of ________ is a common issue for dependent and borderline personality disorders

abandonment

Individuals with schizoid and paranoid personality disorders differ significantly in their

level of emotionality

________ personality disorder is much more common in men than women and involves the exploitation of others without remorse

antisocial

Both a lack of parental indulgence and parental overindulgence have been proposed as explanations for ________ personality disorder

narcissistic

A lack of parental indulgence of a child's overconfidence might play a causal role in ________ personality disorder

narcissistic

Which of the following is most likely to be mistaken for schizophrenia?

schizotypal

The individual with avoidant personality disorder is unlikely to develop lasting relationships as a result of their

fear of rejection

Which of the following differentiates the borderline from antisocial personality?

self injurious behavior

Like many individuals with personality disorders, individuals with histrionic personality disorder are rarely able to maintain relationships over time. Why?

their need for attention is likely to drive others away

Which is NOT part of the clinical picture in antisocial personality and psychopathy?

careful planning of future activities that will help their families

Which best accounts for why women are more likely to be diagnosed with histrionic than men?

the symptoms tend to be exaggerations of traits normally seen in women

Which of the following is NOT a Cluster B personality disorder?

depressive

Which best explains why it is such a challenge to treat personality disorders?

by definition they are enduring patterns of thought and behavior

Which of the following is most typical of the IP attitudes and behaviors of someone with antisocial personality disorder?

cruel and callous exploitation of others for personal gain

The behavioral patterns of individuals with personality disorders...

are thought to be relatively consistent over time, with little adaptation to new kinds of experiences

Which personality disorders may be mistaken for anxiety disorders?

Cluster

Which is most typical of the IP attitudes and behaviors of someone with histrionic personality disorder?

repeated manipulation of others to gain attention

Unlike the person with paranoid schizophrenia, the person with paranoid personality disorder

experiences, at worst, transient psychotic symptoms

Hope believes that she is the 'star' of her graduate class and that others dislike her because they are jealous of her superior intelligence. She probably suffers from

narcissistic personality disorder

The "clusters" of personality disorders found in the DSM-IV-TR are grouped based on

symptom similarities

John has a great need for order and perfection. What personality disorder does this suggest?

obsessive compulsive

Why does the person with OCPD have problems in IP relationships?

they have no time for relationships

The histrionic seeks _________, while the narcissist needs________

attention;admiration

Which statement about personality disorders is accurate?

the category is broad and encompasses behavioral problems that vary widely in form and severity

Personality disorders were once known as

character disorders

Involvement in an abusive relationship would be most expected of the individual with _______ personality disorder

dependent

According to the DSM-IV-TR, which must be true for a diagnosis of a personality disorder?

the patient's behavior must not be explained by the presence of another disorder

After a single date, Glenn believed that Sam loved her and that she could not live without him. When he told her he did not want to see her again, she became violently angry and manipulated him to stay with her by threatening suicide. She probably has

borderline

James has 2 alcoholic parents. Research suggests that his risk for alcoholism is

greater than if he had one alcoholic parent

Emotional immaturity, low frustration tolerance, impulsivity, and aggressiveness are characteristics of

the pre-alcoholic personality

Which statement about alcohol abuse disorders and other psych disorders is accurate?

the personality disorder most often associated with alcohol abuse is antisocial personality disorder

One of the most frequent causes of divorce in the US is

excessive alcohol use

The most effective approach to alcohol treatment appears to be

a multidisciplinary approach that may also involve intensive treatment in an inpatient setting

Relapses and continued deterioration after treatment for alcohol abuse are generally associated with

a lack of close relationships with family or friends

Drug abuse and dependence are most common in what age group and in what type of community

adolescence and young adulthood; economically depressed communities

About 100 years ago, the drug ______ was hailed as a cure for morphine addiction; today, the drug ______ is used to treat people with a heroin addiction.

heroin; methadone

A person who has just "mainlined" heroin will experience

a euphoric spasm that lasts for about one minute

Which of the following statements about opiate addiction is true?

addiction involves both tolerance and withdrawal

Withdrawal from heroin

is not always a very painful and sometimes a dangerous process

Judd is ready to begin treatment for heroin addiction. Which offers the best chance of success?

methadone in combination with psychotherapy

What is buprenorphine?

a new medication that is an equally effective sub for methadone but with fewer side effects and no withdrawal symptoms when discontinued

Unlike opiates, cocaine

stimulates the cortex of the brain and induces excitement and sleeplessness

Impaired memory and concentration, sluggishness, lack of motor coordination, and brain damage are side effects associated with

barbiturates

An involuntary reoccurrence of perceptual distortions can occur weeks or months after taking a particular drug. This phenomenon is called ______; the drug is called _________.

a flashback; LSD

The hemp plant, Cannabis sativa, is the source of two psychoactive drugs:

marijuana and hashish

Bertha has been drinking to excess for many years. She is malnourished. This is because

although alcohol is full of calories, it has no nutritional value; alcohol impairs the body's ability to utilize nutrients

Dr. Tong says, "Alcohol abuse stems from a desire by the individual to bring about changes in mood, to feel less stress, and to gain peer approval." These comments illustrate the ______ of drinking

sociocultural viewpoint

The first stage in the treatment of alcoholism includes

treating physical withdrawal symptoms

An extensive four-year follow up of treated alcoholics found that

regardless of the treatment used, alcoholics are difficult to treat

The abstinence violation effect is

the effect that physiologically addicting drugs have in making continued abstinence difficult

The most frequently cited reason given by addicts for beginning to use heroin is

pleasure

If Gus is like most cocaine-dependent patients, his chances of effective treatment will be reduced because

he has severe antisocial personality disorder, too.

The combination of barbiturates and _________ is a potentially lethal one because each drug potentiates the depressant action of the other.

alcohol

The central feature of alcohol amnestic disorder is

a memory defect for recent events

Many alcohol treatment programs now include

biofeedback to teach individuals to reduce their alcohol cravings

Less than 20% of the world's population consumes 80% of the world's alcohol. This 20% comes from one culture:

European

Janet participates in a treatment program in which she receives alcohol after an intramuscular injection of emetine hydrochloride, which induces nausea and vomiting. This is designed to

Induce aversive conditioning

Barbiturate withdrawal

is far MORE severe than opiate withdrawal

Individuals with personality disorders

are unable to live up to societal expectations

What core belief might explain the behavior of an individual with dependent personality disorder?

"I am helpless"

The central problem of schizoid personality disorder is

an inability to form attachments to other people

Symptoms of what Axis I disorder are present in individuals who develop ASPD?

conduct disorder

Helen is suspicious and doubts the loyalty of even her friends. She is unwilling to forgive perceived insults and never forgets a grudge. She most likely has

paranoid personality disorder

Antisocial personality disorder differs from the other Cluster B disorders in that

a need for approval or attention is not displayed

Charlie has a tendency to be dramatic, emotional, and erratic. He acts impulsively and has been arrested several times. Which disorder does he most likely have?

borderline

Hattie has a dependent personality disorder. This means that she

has acute discomfort when she is alone

Conventional antipsychotics

work by blocking dopamine receptors

Others are needed for self-definition in ________ personality disorder

borderline

Helena has avoidant personality disorder. She is likely to

be hypersensitive to any sign of criticism or rejection

Once called character disorders, ________ disorders stem from the gradual development of inflexible and distorted patterns of behavior.

personality

Schizophrenic disorders seem to be most strongly linked genetically to _________ personality disorder

schizotypal

Children of parents with antisocial personality disorder who were adopted into other families

developed antisocial personality disorder at higher rates only if their adoptive parents had problems, such as marital conflict

The individual with __________ personality disorder is likely to be described as rigid and cold

obsessive-compulsive

Histrionic personality disorder is most likely to be diagnosed in people who

are attention seeking and overly emotional

Henry was a charming middle-aged man who came to the attention of authorities of bigamy charges. He had a long history of courting and supposedly marrying elderly widows, then absconding with their money.

antisocial personality disorder

In research studies, in addition to failing to learn to avoid punishments, psychopaths

did not show normal fear potential startle responses

Which basic personality traits from the 5 factor model seem most important in the development of obsessive compulsive personality disorder?

high conscientiousness and low compliance

What basic personality traits from the 5 factor model seem most important in the development of paranoid personality disorder?

antagonism and neuroticism

The borderline personality differs from histrionic disorder in that

the central role of sexuality is not present

Tina has been using cocaine for many months. She decides to stop. She can expect

to have depression, fatigue, disturbed sleep, and increased dreaming

The tension-reduction model of alcoholism

does not explain why some excessive drinkers are able to maintain control over their drinking while others are not

Why does it make sense to view addiction as a mental disorder?

the symptoms are behavioral

Which type of treatment for alcoholism has been found to be most effective?

none

Binge drinking in college

can lead to many alcohol related health and life problems

The main difference between borderline and antisocial personality disorders is that

both exploit others but the person with borderline does it due to an angry reaction to disappointments and the person with antisocial does it for gain and without guilt

In contrast to schizoid individuals, those with avoidant personality disorder

are extremely upset by their lack of social relationships

Bill is an alcoholic. His wife, Marge, has a lot of ready excuses she uses to explain to his boss, their friends, and their children to explain his frequent absences. This is an example of

why treatment need to include identifying factors that may encourage drinking

Which parenting skill or parental behavior is most associated with adolescent substance use?

lack of monitoring the adolescent's activities

The fear of abandonment is seen in both borderline and dependent personality disorder. A key difference is their reaction to it:

the person with borderline gets angry, and the person with dependent becomes submissive

The presence of psychopathy

is the single best predictor of future violence and crime recidivism

Which basic personality traits from the 5 factor model seem most important in the development of narcissistic personality disorder?

low agreeableness and high fantasy proneness

Donna has borderline personality disorder. She is in therapy, but progress is slow. Some days her therapist is the best person in the world, and other days he is the worst. This type of thinking is called

splitting

The individual with avoidant personality disorder behaves most similarly to someone with ______

schizoid personality disorder

Who is most likely to develop antisocial personality disorder?

a child with ADHD

Sam shows little emotion and is a loner. He has no social relationships, other than his family, and he seems to experience little pleasure, if any. What might he have?

schizoid

The 5 factor model

is a model of normal personality that includes an expanded description of the 5 basic personality dimensions

What "border" did the term "borderline" in borderline personality refer to?

because people with borderline personality disorder behave normally much of the time, they were thought to only be on the edge of mental illness

What do all Cluster A disorders have in common?

social dysfunction

The key causal factor in borderline personality disorder seems to be

failure to develop an articulated self-identity

102) Which basic personality traits from the 5 factor model seem most important in the development of borderline personality disorder?

high impulsivity and affective instability

Why is the use of medication for borderline personality disorder controversial?

because it is frequently associated with suicidal behavior

Which distinguishes narcissistic personality disorder from the other Cluster B disorders?

grandiosity

According to DSM-IV-TR, which must be true for a personality disorder diagnosis?

the person's behavior must cause them distress or impairment

Loretta has long history of first idealizing men, and then feeling they have abandoned her. Feelings of emptiness change into reckless acts of sexual promiscuity, gambling, and suicide attempts. She probably has ______

borderline

Carl has psychopathy. You would expect him to

be very interested in rewards and to continue his behavior even when they don't come as often as they used to

What is it that people with narcissistic personality disorder are unlikely to seek treatment?

they think they are nearly perfect and in no need of change

Alcoholic blackouts

can occur with just moderate drinking

Which is not a diagnosis found in the DSM?

alcoholism

According to the tension-reduction explanation for alcoholism

all those who experience stress-reduction following consumption are at an increased risk for alcoholism

Your text describes two commonly recognized psychotic reactions to alcohol. They are

what used to be called "delirium tremens" and "Korsakoff's psychosis"

In 2000, which of the following accounted for 16% of all drug-relate emergency room admissions?

heroin

Why might opiate antagonists be used in the treatment of alcoholism?

to minimize cravings

Both alcohol and barbiturate withdrawal

can be minimized by administering another drug

One limitation on the findings of genetic influences on alcoholism is that

there have not been enough studies of the majority of children of alcoholics (those who do not become alcoholics)

Benzadrine is a(n)

amphetamine

The behavioral patterns of individuals with personality disorders

are thought to be relatively consistent over time, with little adaptation to new kinds of experiences

According to Paris' multidimensional theory of BPD, people with high levels of impulsivity and affective instability

are likely to develop BPD if they are exposed to trauma

Cirrhosis of the liver

is caused by overworking the liver trying to assimilate large amounts of alcohol

The individual with which Axis I disorder is most likely to also abuse alcohol?

depression

A cognitive explanation for schizoid personality disorder proposes that the individual with this disorder believes that

they are basically alone

Which of the following is most typical of the interpersonal attitudes and behaviors of someone with borderline personality disorder?

vacillation between overidealization and bitter disappointment

Hattie has a dependent personality disorder. This means that she

has acute discomfort when she is alone

Which basic personality traits from the 5 factor model seem momst important in the development of narcissistic personality disorder?

low agreeableness and high fantasy prone

An employee evaluation: "He takes what he wants rather that earns it. He hates routine and boredom more than anything else. Thrill-seeking and impulsive actions have gotten him fired a this job. It will get him fired at many others." What kind of disorder does the employee illustrate?

psychopathy

According to Paris' multidimensional theory of borderline personality disorder (BPD), people with high levels of impulsivity and affective instability

are likely to develop BPD if they are exposed to trauma

The best single-word description for the person with paranoid personality disorder is

mistrustful

Helen is suspicious and doubts the loyalty of even her friends. She is unwilling to forgive perceived insults and never forgets a grudge. She is most likely to be diagnosed with ___ personality disorder

paranoid

Which of the following is the most typical of the interpersonal attitudes and behaviors of someone with histrionic personality disorder?

repeated manipulation of other to gain attention

Impulsivity and extreme instability in interpersonal relationships, self-image, and mood best characterizes

borderline personality disorder

Both a lack of parental indulgence and parental overindulgence have been proposed as explanations for ___ personality disorders

narcissistic

Helena has avoidant personality disorder. She is likely to

be hypersensitive to any sign of criticism or rejection

Children of mother who use crack

main risk is of being mistreated by their mothers

Concerning the ceases of alcoholism,

there are probably several different patterns of causes associated with several different types of alcohol dependence

Men who are at high risk for becoming alcoholics

experience less stress reduction after alcohol consumption than nonalcoholic men

Betty was admitted to the hospital in a state of withdrawal from alcohol. She was diagnosed with alcohol withdrawal delirium (formerly known as delirium tremens). She most likely showed which of the following behaviors?

disorientation from time and place and vivid hallucinations

Which statement about crack cocaine use is accurate?

Chronic users develop sexual dysfunctions and a disinterest in sex

Which of the following personality disorders is most likely to be mistaken for schizophrenia?

schizotypal

Which basic personality traits from the 5 factor model seem most important in the development of paranoid personality disorder?

antagonism and neuroticism

Which parenting skill or parental behavior is most associated with adolescent substance use?

lack of monitoring the adolescent's activities

Because they are regarded as being different from standard psychiatric syndromes, the personality disorders are

coded on Axis II

Binge drinking in college

can lead to many alcohol related health and life problems

Which is not true of treating personality disorders?

People with both an Axis I and Axis II diagnosis are easier to treat than someone with just an Axis II disorder because they have more distress

Involvement in an abusive relationship would be most expected of the individual with _______

Dependent

The finding that temperament may play a role in the etiology of personality disorders suggests that

A susceptibility to the development of a personality disorder may be inherited

Schizotypal disorder is

One of the least successful to treatment

Helena has avoidant personality disorder. She is likely to

Be hypersensitive to any sign of criticism or rejection

Misdiagnoses are common when looking at potential personality disorders b/c

Many of the personality disorders share common features

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