Question 1

In the DSM-5:
A) binge eating is no longer considered an eating disorder.
B) autism is now considered an anxiety disorder.
C) severe grief associated with someone's death is now considered to be a type of malingering.
D) PTSD has been separated from other anxiety disorders.

Accepted Answer

In the DSM-5, PTSD has been separated from other anxiety disorders and is now classified as a separate disorder. Binge eating is still considered an eating disorder, and autism is not classified as an anxiety disorder, but rather as a neurodevelopmental disorder. Severe grief associated with someone's death is also not considered malingering, but rather a normal and expected response to loss.

Question 2

Many pharmaceutical companies are currently:
A) ramping up drug development.
B) expanding research into antidepressant drugs.
C) cutting back on research into antianxiety drugs.
D) reducing expenditures on psychotropic drug development.

Accepted Answer

D

Question 3

Evidence indicates that people with a mental illness who also use drugs are _____ times more likely to die from homicide than the general population.
A) 3
B) 7
C) 10
D) 16

Accepted Answer

People with a mental illness who also use drugs are 16 times more likely to die from homicide than the general population. This statistic highlights the significant risks and vulnerabilities faced by individuals at the intersection of mental health issues and substance use.

Question 4

The life expectancy of women with a mental illness is reported to be _____ years shorter than the general population.
A) 2
B) 8
C) 12
D) 16

Accepted Answer

Studies have shown that women with a mental illness have a 12-year shorter life expectancy than the general population. This is due to various factors, including higher rates of comorbid physical health conditions, lack of access to healthcare, poverty, and stigma. It is important to address these issues and provide equitable care for individuals with mental illness to improve their overall health outcomes and longevity.

Question 5

In terms of organization,the DSM-5 now:
A) includes a measure of severity within the disorder categories.
B) involves an alphabetical arrangement of disorders so they are easier to find in the text.
C) places personality disorders at the beginning of the text.
D) integrates projective tests into diagnostic categories.

Accepted Answer

The DSM-5 includes a measure of severity within the disorder categories. This allows for a more comprehensive understanding of the specific type and severity of the disorder being diagnosed. B is incorrect because the DSM-5 actually organizes disorders according to similarity, not in alphabetical order. C is incorrect because personality disorders are not placed at the beginning of the text. D is incorrect because projective tests are not integrated into diagnostic categories in the DSM-5.

Question 6

In 2010,a national survey on drug use and health suggested that _____ of the population may suffer from a serious mental illness.
A) 1%
B) 2%
C) 5%
D) 8%

Accepted Answer

According to the 2010 national survey on drug use and health, approximately 5% of the population may suffer from a serious mental illness. This translates to roughly 1 in 20 Americans who may be affected by a severe mental health disorder such as schizophrenia, bipolar disorder, or major depression.

Question 7

Numerous studies suggest that:
A) psychotropic medications are sufficient to treat mental illness.
B) there are limitations to the effectiveness of pharmacological therapy.
C) switch among psychotropic medications should be avoided.
D) the first drug used to treat a mental illness is generally the most effective.

Accepted Answer

Many studies suggest that while pharmacological therapy can be helpful, it is not always sufficient in treating mental illness. Limitations to the effectiveness of medication can include side effects, lack of response, and the need for combination therapies. Therefore, alternative or complementary therapies such as psychotherapy or lifestyle changes may also be necessary for successful treatment.

Question 8

The 2003 U.S.Presidential Commission on Mental Health report suggested that:
A) symptom reduction via pharmacology is a comprehensive approach to mental illness.
B) mental health services may be delivered in a piecemeal approach so long as there is a foundation of psychotropic medication for the patient.
C) mental health is an essential component of overall health.
D) counselors should have an extensive understanding of the physiological effects of psychotropic medications.

Accepted Answer

The 2003 U.S.Presidential Commission on Mental Health report suggested that mental health is an essential component of overall health. This highlights the importance of recognizing mental health issues as equally significant as physical health issues.

Question 9

In their 2010 paper,"The 7 Sins of Psychopharmacology," Salzman et al.suggest that all of the following variables are important to consider in the context of pharmacological therapy EXCEPT:
A) dose.
B) duration.
C) diagnosis.
D) development.

Accepted Answer

The paper by Salzman et al. emphasizes the importance of dose, duration, and diagnosis in psychopharmacology, but does not specifically highlight development as a key variable to consider.

Question 10

According to the text,the development of drugs may be spurred by:
A) longer patent lives.
B) revising FDA requirements.
C) an improved focus on the molecular biology of drug effects.
D) new legislation to regulate funding from companies.

Accepted Answer

The answer of According to the text,the development of drugs...

Question 11

Generally speaking,psychiatric drugs:
A) are always effective in treating psychological conditions.
B) have variable effects on psychological conditions,often with side effects.
C) are immediately beneficial as soon as they are taken.
D) take a couple of days to see the desire effects.

Accepted Answer

Psychiatric drugs have variable effects on psychological conditions and often come with side effects. They may take some time to be effective, and the specific outcomes can vary depending on the individual and the medication.

Question 12

Robert Whitaker,in his book Anatomy of an Epidemic: Magic Bullets,Psychiatric Drugs,and the Astonishing Rise in Mental Illness in America (2009)argues that:
A) mental illness is more prevalent in the Unites States due to improved diagnostic criteria.
B) improved attention to mental disorders in children has resulted in improved care.
C) mental illness has been exacerbated by pharmacological treatments.
D) psychiatrists need to be more aggressive in prescribing drugs to eliminate mental illness.

Accepted Answer

Robert Whitaker's book argues that the rise in mental illness in America is due to the exacerbation of mental illness by pharmacological treatments, suggesting that psychiatric drugs may not be the "magic bullets" they are often portrayed to be. He examines research that suggests that these drugs may actually worsen long-term outcomes for patients with mental illness.

Question 13

Government subsidized medication and outpatient services for the mentally ill have been shown to be:
A) too expensive to maintain.
B) of little value to reducing arrest rates in schizophrenics.
C) a cost effective means for reducing arrests in this population.
D) more expensive than placing individuals in jail.

Accepted Answer

Studies have shown that government subsidized medication and outpatient services for the mentally ill can reduce the rate of arrests in individuals with schizophrenia, making it a cost-effective means of reducing criminal justice expenses.

Question 14

The STAR*D study suggested that the efficacy of medications used for the treatment of depression may be:
A) augmented by switching drugs on several occasions.
B) improved with the addition of behavioral therapy.
C) combined with antipsychotics to reduce side effects.
D) augmented with benzodiazepines to improve overall efficacy.

Accepted Answer

The answer of The STAR*D study suggested that the efficacy...

Question 15

Some research suggests that individuals with a mental disorder are _____ times more likely to die from homicide than the general population.
A) 3
B) 7
C) 10
D) 16

Accepted Answer

According to research, individuals with a mental disorder are 7 times more likely to die from homicide than the general population. This may be due to factors such as increased vulnerability and difficulty in defending oneself, homelessness, and substance abuse.

Question 16

Behavioral pharmacology is considered to be in a state of crisis because:
A) pharmaceutical companies have reduced their budget for research and development.
B) the usefulness of antianxiety drugs has been the subject of intense scrutiny.
C) drugs that have been developed for Alzheimer's disease have not been very successful.
D) there have been no fundamentally new drugs developed in nearly 30 years that effectively treat mental illness.

Accepted Answer

The statement "there have been no fundamentally new drugs developed in nearly 30 years that effectively treat mental illness" highlights the crisis in behavioral pharmacology. This lack of progress in developing new drugs for mental illness hampers the ability to effectively treat and manage these conditions.

Question 17

The DSM will be available:
A) as a large glossy magazine.
B) as a book.
C) in an electronic format.
D) as a book as well as in an electronic format.

Accepted Answer

The DSM is available both as a book and in electronic format. This allows for flexibility in access and distribution of the information contained within the DSM.

Question 18

Perhaps one of the most important changes to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)is:
A) a decrease in the number of diagnostic categories.
B) an increased compatibility with the International Classification of Diseases (ICD)System.
C) a decreased emphasis on intellectual and personality disorders.
D) an increased emphasis on attachment issues as a source of all psychopathology.

Accepted Answer

The increased compatibility with the International Classification of Diseases (ICD) system allows for greater communication and understanding between mental health professionals across different countries and regions. This means that diagnoses are more consistent and accurate, leading to better treatment and outcomes for individuals with mental health conditions.

Question 19

The STEP-BD study found that:
A) medication compliance in schizophrenics may be improved with the use of second generation antipsychotics.
B) while 60% of patients achieve remission of bipolar symptoms,50% of those responders experience relapse.
C) the addition of cognitive-behavioral therapies augmented the pharmacological treatment of depression.
D) glutamate agonists are particularly effective for the treatment of bipolar disease.

Accepted Answer

The STEP-BD study found that while 60% of patients achieve remission of bipolar symptoms, 50% of those responders experience relapse. The study did not address medication compliance in schizophrenics, the use of cognitive-behavioral therapies to augment pharmacological treatment of depression, or the effectiveness of glutamate agonists for the treatment of bipolar disease.

Question 20

A 2003 mental health report from a U.S.Presidential Commission suggested that care for the mentally ill should:
A) be a secondary goal to treating contagious diseases.
B) primarily involve crisis management.
C) include the prescription of medication to treat the immediate illness.
D) involve prescription medication as well as focus on helping patients live a fuller life.

Accepted Answer

The report suggests that care for the mentally ill should involve prescription medication as well as focus on helping patients live a fuller life, indicating that treatment should be more comprehensive than simply managing symptoms or focusing solely on medication. Options A and B are not mentioned in the report, and option C suggests a focus solely on medication without consideration for overall care.

Quiz 17: Integration

In the DSM-5:

Many pharmaceutical companies are currently:

Evidence indicates that people with a mental illness who also use drugs are _____ times more likely to die from homicide than the general population.

The life expectancy of women with a mental illness is reported to be _____ years shorter than the general population.

In terms of organization,the DSM-5 now:

In 2010,a national survey on drug use and health suggested that _____ of the population may suffer from a serious mental illness.

Numerous studies suggest that:

The 2003 U.S.Presidential Commission on Mental Health report suggested that:

In their 2010 paper,"The 7 Sins of Psychopharmacology," Salzman et al.suggest that all of the following variables are important to consider in the context of pharmacological therapy EXCEPT:

According to the text,the development of drugs may be spurred by:

Generally speaking,psychiatric drugs:

Robert Whitaker,in his book Anatomy of an Epidemic: Magic Bullets,Psychiatric Drugs,and the Astonishing Rise in Mental Illness in America (2009) argues that:

Government subsidized medication and outpatient services for the mentally ill have been shown to be:

The STAR*D study suggested that the efficacy of medications used for the treatment of depression may be:

Some research suggests that individuals with a mental disorder are _____ times more likely to die from homicide than the general population.

Behavioral pharmacology is considered to be in a state of crisis because:

The DSM will be available:

Perhaps one of the most important changes to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is:

The STEP-BD study found that:

A 2003 mental health report from a U.S.Presidential Commission suggested that care for the mentally ill should: