Download Final Exam: Due Friday, April 2

MCP 5107-30
FINAL EXAM
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PSYCHOPHARMACOLOGY II (Online)
3/26/10
NAME: ___________________________
Certain mental disorders are either caused or accompanied by neurochemical abnormalities.
True or False: T F
Biologic effects may secondarily affect psychological functioning in a number of ways, among
them:
a. Altered perception
b. Increased emotional sensitivity and reduced emotional controls
c. Decreased energy and arousal
d. All of the above
Assessing how a client will respond if medications are suggested is not an important
consideration for a psychotherapist. True or False: T F
When neurotransmitters are released, they are released into where?
a. The synapse
b. The terminal bouton
c. The axon
d. The cell body
Biochemical adaptation seen in response to changes in the external environment is known as:
a. Neuronal malfunction
b. Gene espression
c. Biologic flexibility
d. Intracellular actions
The part of the brain responsible for circadian rhythm, sleep cycles, and appetite (among
others) is known as:
a. The prefrontal cortex
b. The basal ganglia
c. The hypothalamus
d. The brain stem
The part of the brain known as the “emotional brain” is also known as:
a. The basal ganglia
b. The hypothalamus
c. The limbic brain
d. The cortex
The peripheral nervous system is made up of the autonomic and somatic nervous system,
whereas the central nervous system is made up of the brain and spinal cord.
True or False: T F
Personal rates of metabolism have a very small role in the effects of psychiatric medications on
the body. True or False: T F
Someone who stops taking medications “cold turkey” and without the advise of a doctor may
experience what kind of medication effect? _________________________________________
11. Antidepressant medications are typically medications that block specific neurotransmission
receptor actions. True or False: T F
12. Separation stress, excessive worry, or feelings of helpless may indicate what two kinds or types
of disorders?
a. .
b. .
13. Substance abuse can cause or contribute to a wide array of psychiatric symptoms.
True or False: T F
14. Head injuries, CNS infections, Alzheimer’s disease, AIDS/HIV, and metabolic disorders all have
the potential to create what kind of syndromes? ______________________________________
15. You have been seeing a client for 4 months. One day, your client presents with some observable
(and notable) psychiatric symptoms (anxiety, depression, sleeplessness, etc.), but reports no
specific stressors having caused those symptoms. What will be the 1st intervention you will
consider? _______________________________________________________________
16. “Characterological, Acute Reactive, and Biologic.” What do these three words refer to?
17. How might you know if your client’s grief response has transitioned into a clinical depression?
a. The client’s self-esteem plummets
b. The client, typcially an “A” student, get’s a B- on an exam
c. The client reports “eating out” more frequently
d. All of the above
18. Which of the following are true?
a. The suicide rate of someone with Bipolar Disorder is 15-20%
b. Twice as many women as men are diagnosed with Bipolar II Disorder
c. 60-65% of client’s diagnosed with Bipolar Disorder screen positive for a family history of
Bipolar Disorder
d. The average recovery time for someone in a depressed state is 9 weeks
e. Only A & B
f. Only A and C
g. All of the Above
19. Your client has bounced three checks this month, as they have for each of the past three
months. The checks were written to Nordstrom, Macy’s, and Bannana Republic. The client is
taking Elavil (an anti-depressant medication) to help manage depression they have been feeling
for the past six months. The client’s problem is likely attributed to poor judgment and impaired
record-keeping skills. You need not complete any further assessment of the situation, but may
begin skills-training and anxiety management techniques with your client.
True or False: T F
Why? _____________________________________________________
(You must get BOTH of these answers correct to receive full credit.)
20. Please briefly explain Dysregulation Theory.
______________________________________________________________________________
______________________________________________________________________________
21. What is the first-line treatment (intervention) for a client diagnosed with Bipolar Disorder?
______________________________________________________________________________
22. The average panic attack lasts 1-30 minutes. True or False: T F
23. Your client arrives at the counseling center reporting depression and difficulties with
concentration. What would be one of the most important interventions you would make during
your first session with this client? ____________________________________________
24. Your client reports they were just in a car accident before arriving to your office.
a. What is the name of some of the organs in the body that are likely being impacted
during the course of this event?
b. What chemicals/hormones are present in the client’s blood during this event?
c. What interventions might you make with this client?
25. Your client has a history of alcohol abuse, struggles with ongoing anxiety, and also reports
taking a certain class of anxiolytic medications. You have some concerns about this, and request
the client sign a release of information for you to speak with their psychiatrist.
a. Why do you want to speak with the
psychiatrist?_____________________________________________________________
b. What class of drugs might cause this level of concern for your client?
________________________________________________________________________
26. What class of medications might a client take if they are struggling with hyperarousal
(associated with PTSD)?
______________________________________________________________________________
27. What class of medications might a client take if they have been diagnosed with Borderline
Personality Disorder?
______________________________________________________________________________
28. Your client is in a medical-detox facility and is put on a variety of medications. Why?
a. To manage anxiety
b. To manage depression
c. To reduce cravings
d. To prevent suicide
29. Your client exhibits impulsive/explosive traits. Please list 4 appropriate short-term outlets that
your client might use for dealing with the feelings that cause his impulsive behavior:
a. .
b. .
c. .
d. .
30. Your client has a psychotic disorder. List four types of mental health professionals that might
be involved in your client’s care.
a. .
b. .
c. .
d. .
31. Your client is diagnosed with Bipolar Disorder, and is worried about finding a love relationship.
Your response might be:
a. “I don’t know what the future holds.”
b. “Anxiety can definitely be a factor in what’s going on here…”
c. “So life feels kind of hopeless right now?”
d. All of the above
e. None of the above
32. Your client has a substance use disorder. One of your comments might be:
a. “It’s really important that we start our sessions on time.”
b. “Have you thought of checking out Dual Recovery Anonymous?”
c. “Are you suicidal?”
d. All of the above
e. None of the above
33. You work at a Community Mental Health outpatient clinic. Your client was just placed on a
5150. This is the first time you’ve ever had a client of yours involuntarily hospitalized. What is
one person you will be most likely to talk with about this event? ________________________