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Which of the following is NOT one of the criticisms that has been raised concerning the impact of managed care on mental health care?


A) Delays in providing service result in spontaneous remission of psychological disorders in nearly 25 percent of cases.
B) Mental health care has seen severe service cuts because the question of what is medically necessary can be subjective.
C) Patients who are denied psychotherapy services are relatively unlikely to complain.
D) Cost containment may cause physicians to prescribe older, less-expensive drugs that are less effective.

E) C) and D)
F) All of the above

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Clinical psychologists are medical doctors who specialize in the diagnosis and treatment of psychological disorders.

A) True
B) False

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The newest drug treatments for bipolar disorder use mood stabilizers such as


A) alprazolam.
B) setraline.
C) haloperidol.
D) valproic acid.

E) C) and D)
F) A) and C)

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D

Which of the following is NOT a criticism of drug therapy?


A) The side effects may be worse than the illnesses they are supposed to cure.
B) The therapy is typically expensive.
C) They temporarily relieve symptoms without addressing the real problem.
D) Many drugs are overprescribed, and many patients are overmedicated.

E) All of the above
F) A) and C)

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In the 1960's disenchantment with the public mental hospital system inspired the ____________________ movement that emphasizes prevention, local care, and a reduced dependence on hospitalization.

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community ...

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You are watching a television documentary that shows a patient who is undergoing electroconvulsive therapy (ECT) . If this documentary is depicting psychotherapy in the late 1930s or early 1940s, you should conclude that


A) the patient is being treated for severe depression that has not responded to medication.
B) the patient is being treated for epilepsy.
C) the doctor is using a form of aversion therapy to reduce compulsive behaviors in a patient with obsessive-compulsive disorder (OCD) .
D) the patient is being treated for schizophrenia.

E) C) and D)
F) A) and B)

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Critics suggest that the negative effects of psychiatric drugs are not fully appreciated because the pharmaceutical industry has gained undue influence over


A) marketing of psychiatric drugs.
B) physicians who prescribe psychiatric drugs.
C) publicity concerning psychiatric drugs.
D) research concerning psychiatric drugs.

E) All of the above
F) None of the above

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In recent surveys of psychologists as to their theoretical orientation researchers found that a majority of respondents reported using a(n) ____________________ approach.

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With regard to a therapist's sex,


A) it is generally better to choose a therapist the same sex as yourself.
B) it is generally better to choose a therapist the opposite sex as yourself.
C) you should feel free to look for a therapist of one sex or the other if it is personally important to you.
D) both men and women report better outcomes when seeing female therapists.

E) B) and C)
F) All of the above

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The trend toward deinstitutionalization mainly came about because large mental institutions


A) were becoming too expensive
B) were actually worsening the condition of many patients
C) were overstaffed
D) were becoming too political

E) All of the above
F) A) and D)

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B

Lithium is a chemical used to treat


A) major depression.
B) schizophrenia.
C) multiple-personality disorders.
D) bipolar mood disorders.

E) A) and B)
F) A) and C)

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D

What percentage of psychiatric inpatient admissions are readmission of former patients?


A) approximately 1 percent
B) less than 15 percent
C) over 66 percent
D) approximately 95 percent

E) A) and B)
F) None of the above

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Electroconvulsive therapy (ECT) is now primarily used to treat patients suffering from


A) anxiety
B) phobias
C) severe mood disorders
D) psychosis

E) A) and D)
F) B) and C)

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Ethel is 75 years old and is a member of an ethnic minority group; for the past six months she has been coping with major depression. Based on the data on how cultural factors influence the process and outcomes of psychotherapy you should predict that Ethel will


A) take a tricyclic antidepressant.
B) receive informal assistance from family members and clergy that share her cultural heritage.
C) participate in organized group therapy combined with antipsychotic medication.
D) participate in individual interpersonal psychotherapy with a private counselor.

E) A) and B)
F) C) and D)

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Antipsychotic drugs are used primarily in the treatment of ____________________.

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Ariana's doctor has recently prescribed a drug that slows the reuptake process at serotonin synapses. Her doctor is most likely treating Ariana for symptoms of


A) schizophrenia.
B) bipolar disorder.
C) a somatoform disorder.
D) depression.

E) B) and C)
F) A) and D)

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Zachary has been very depressed for several weeks. He just started therapy and went to his therapist for the first time yesterday. Today he says that while he is still a "little down", he feels much less depressed than he was. Which of the following pairs of factors are MOST likely to have contributed to his improved mood?


A) placebo effect and regression toward the mean
B) regression toward the mean and spontaneous recovery
C) placebo effect and therapy
D) regression toward the mean and therapy

E) A) and D)
F) All of the above

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Which of the following statements concerning electroconvulsive therapy (ECT) is false?


A) memory loss is a common short-term side effect
B) objective evidence has shown that ECT causes structural damage to the brain
C) use of ECT peaked in the 1940s and 1950s
D) ECT is used to treat major depression

E) B) and C)
F) A) and B)

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Lithium is a


A) chemical used to control mood swings in patients with bipolar disorder.
B) drug that generally elevates mood in patients with bipolar disorder.
C) drug that gradually reduces psychotic symptoms.
D) drug that reduces tension, apprehension, and nervousness.

E) B) and C)
F) C) and D)

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The community health movement emphasizes all of the following EXCEPT


A) reduced dependence on medication to treat psychological disorders.
B) reduced dependence on hospitalization for psychological disorders.
C) locally provided treatment for psychological disorders.
D) programs designed to prevent the onset of psychological disorders.

E) B) and C)
F) A) and D)

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