Lesson 4.3.5.3
4.3.5.3 Treating schizophrenia: drug therapy, CBT and family therapy Quiz: AQA Psychology, Unit 3
20 questions
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Lesson 4.3.5.3, Treating schizophrenia: drug therapy, CBT and family therapy: 20 multiple choice questions for the AQA Psychology (7182), Unit 3: Issues and options in Psychology, written with Revision Ninja.
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The 20 questions
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What is a typical antipsychotic?
- A drug that increases dopamine activity to treat delusions
- A first-generation drug that mainly blocks dopamine receptors
- A second-generation drug that acts only on serotonin receptors
- A sedative that is used only to help people sleep
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What is an atypical antipsychotic?
- A second-generation drug that acts on both dopamine and serotonin systems and usually causes fewer movement side effects
- A first-generation drug that blocks only dopamine receptors
- A drug that increases the release of dopamine in every brain area
- A drug that is used only for children with developmental disorders
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Which side effect is commonly associated with typical antipsychotics?
- Movement problems such as tardive dyskinesia
- Increased appetite for sugary food only
- A rise in body temperature for several days
- Loss of hearing in both ears
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What is tardive dyskinesia?
- A form of schizophrenia that affects only older adults
- A rise in blood pressure caused by a family therapy session
- A type of cognitive therapy used for delusions
- Involuntary, repetitive movements that can develop after long-term use of typical antipsychotics
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What is the main aim of cognitive behaviour therapy (CBT) for schizophrenia?
- To remove all dopamine from the brain through talking
- To prevent any contact with family members
- To make the person accept every belief without question
- To help the person challenge and test their delusional beliefs and coping with hallucinations
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What is the aim of family therapy in the treatment of schizophrenia?
- To replace all other treatments with family discussion alone
- To remove the family from all contact with the person
- To give the family responsibility for prescribing medication
- To reduce high expressed emotion and improve communication within the family, which can lower relapse risk
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What is the diathesis-stress model?
- The idea that stress has no link with the onset of schizophrenia
- The idea that a person's vulnerability, such as a genetic predisposition, combines with stress to trigger schizophrenia
- The idea that schizophrenia is caused only by childhood trauma
- The idea that schizophrenia is determined entirely by diet
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Why is an interactionist approach important for explaining and treating schizophrenia?
- It denies that biology has any role in schizophrenia
- It states that only social treatments can ever work
- It recognises that biological vulnerability and environmental stress interact, so treatment can combine drugs and psychological support
- It states that treatment is unnecessary because the disorder is always genetic
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Which treatment is most directly linked to the dopamine hypothesis?
- Antipsychotic drugs that block dopamine receptors
- Behaviour modification using token rewards only
- Psychoanalysis focused on early childhood memories
- Family therapy focusing on communication
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A patient taking a typical antipsychotic develops involuntary movements of the face. Which concern does this raise?
- Extrapyramidal side effects, such as tardive dyskinesia
- A need for more family therapy sessions
- A diagnosis of avolition
- An increase in cognitive dissonance
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Why might an atypical antipsychotic be preferred over a typical one for some patients?
- It acts only on serotonin and has no effect on dopamine
- It cures schizophrenia permanently after one dose
- It tends to cause fewer movement side effects, which can improve adherence to treatment
- It is always cheaper and has no side effects at all
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How does CBT help with hallucinations in schizophrenia?
- It uses electric shocks to stop the hallucinations
- It removes hallucinations completely after a single session
- It requires the person to stop all social contact
- It helps the person consider alternative explanations and develop coping strategies, reducing their distress
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What is an advantage of combining drug therapy with psychological treatment for schizophrenia?
- It removes the need for any monitoring of the patient
- It makes it unnecessary to explain the illness to the family
- It addresses both biological and psychological or social factors, which can improve outcomes
- It guarantees that the person will never relapse
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Which evaluation of antipsychotic drug therapy is most appropriate?
- It is perfectly safe and cures the disorder for every patient
- It is only useful for negative symptoms and never for positive symptoms
- It has no effect on symptoms in any patient
- It is effective in reducing many symptoms, but side effects and the limits of the dopamine model must be considered
-
Which evaluation of CBT for schizophrenia is most appropriate?
- It is always ineffective for every patient because schizophrenia is biological
- It can help patients manage symptoms and distress, but its effectiveness may depend on the person's engagement and access to therapy
- It cures schizophrenia in every case without need for medication
- It has no evidence base at all
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A clinician is planning treatment for a patient whose relapses follow high levels of family criticism. Which combination is most sensible?
- Antipsychotic medication together with family therapy to reduce expressed emotion
- Removing all family contact without any other treatment
- Only a change to the patient's diet with no medical input
- Only an increase in the dose of a sedative
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Why might a diathesis-stress explanation be helpful when planning treatment?
- It proves that only genetic counselling is needed
- It shows that treatment cannot affect the course of the disorder
- It suggests that reducing stress and supporting coping can lower the chance of relapse, alongside medication
- It shows that stress has no effect on symptoms
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Which statement best describes the role of typical antipsychotics compared with atypical antipsychotics?
- Typical drugs act only on serotonin, while atypical drugs act only on dopamine
- Atypical drugs are older than typical drugs and have no effect on dopamine
- Typical and atypical drugs have identical mechanisms and side effects
- Typical drugs mainly block dopamine receptors, while atypical drugs also act on serotonin and tend to cause fewer movement side effects
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What is a potential disadvantage of long-term typical antipsychotic use?
- Involuntary movement problems, such as tardive dyskinesia, which may not fully reverse
- Increased confidence in social situations that lasts for life
- A reduction in the need for any other form of treatment
- A permanent improvement in memory for past events
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Which factor in the interactionist approach means that treatment can target more than one cause?
- Schizophrenia is seen as caused only by genes, so only genetic treatment is possible
- Schizophrenia is seen as caused only by stress, so only rest is needed
- Schizophrenia is seen as unrelated to any cause, so no treatment is needed
- Schizophrenia is seen as the result of vulnerability and stress acting together, so drugs and psychological support can both be used
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