Chapter 27: Drug Therapy for Psychiatric Problems

Chapter 27: Drug Therapy for Psychiatric Problems

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

BASIC CONCEPTS

1. What term means to have fixed false beliefs or opinions that are held despite a lack of supporting evidence?

ANS:  B

Common symptoms of psychosis include delusions (false ideas about what is occurring or personal identity). An example of a delusion is when an individual exaggerates his or her sense of self-importance and is convinced that he or she has special powers, talents, or abilities. The individual may believe that he or she is a famous movie star or a saint.

DIF:    Cognitive Level: Remembering        REF:   p. 443

2. Which statement about psychiatric disorders is true?

ANS:  D

Major mental illnesses are the most common cause of disability in the United States. About 26.2% of adults in the United States experience a clinically diagnosable mental illness each year.

DIF:    Cognitive Level: Remembering        REF:   p. 430

3. An imbalance of which type of naturally occurring substances in the brain is thought to be responsible for depression?

ANS:  C

Depression is an illness characterized by feelings of sadness, despair, loss of energy, and difficulty dealing with normal daily life. Research suggests that depression may be caused by an imbalance of brain chemicals called neurotransmitters (e.g., serotonin, dopamine, and norepinephrine). Communication between neurons in the brain occurs by the movement of these chemicals across a small gap called the synapse. Neurotransmitters are released from one neuron at the presynaptic nerve terminal and then cross the synapse, where they may be accepted by the next neuron at a specialized site called a receptor. When neurotransmitter levels decrease or become imbalanced, the neurons may be less able to communicate with each other, which may lead to depression and other mood changes.

DIF:    Cognitive Level: Remembering        REF:   pp. 433-434

4. Which antidepressant drug belongs to the tricyclic antidepressant (TCA) category?

ANS:  A

Amitriptyline (Elavil) is a TCA antidepressant. Bupropion and duloxetine are norepinephrine and dopamine reuptake inhibitors. Citalopram is an SSRI.

DIF:    Cognitive Level: Remembering        REF:   p. 436

5. Which problem can be a side effect of antidepressants in children and adolescents?

ANS:  A

SSRIs, TCAs, and other antidepressant drugs should be used with caution in depressed children and adolescents because the risk for suicidal thoughts or actions may increase while taking these drugs.

DIF:    Cognitive Level: Remembering        REF:   p. 438