Nevid CH14 TB

Total Assessment Guide
Topic Factual Conceptual Applied

Learning Objective Multiple Choice 1, 2, 5, 7, 8, 9, 10 3, 4 6
14.1
True-False 217, 218, 219
Essay 296
Learning Objective Multiple Choice 11, 12, 13, 15, 16, 28, 38, 39, 40 14, 30, 32, 42, 43,
14.2 17, 18, 19, 20, 21, 44, 46, 48, 49, 50
22, 23, 24, 25, 26,
27, 29, 31, 33, 34,
35, 36, 37, 45, 47
True-False 220, 221, 222, 223
Essay 297, 298
Learning Objective Multiple Choice 51, 52, 53, 54, 55, 66, 67, 70 57, 61
14.3 56, 58, 59, 60, 62,
63, 64, 65, 68, 69,
71, 72, 73, 74, 75,
76, 77
True-False 224, 225, 226, 227,
228, 229, 230, 231
Essay 299
Learning Objective Multiple Choice 78, 79, 80, 81
14.4
True-False 232, 233, 234
Essay 300
Learning Objective Multiple Choice 82, 83, 84, 85, 86, 87, 92, 98 94, 95, 96, 97
14.5 88, 89, 90, 91, 93,
99, 100, 101, 102,
103, 104, 105, 106,
107
True-False 235, 236, 237, 238,
239, 240, 241, 242,
243, 244, 245, 246,
247
Essay 301, 302
Learning Objective Multiple Choice 108, 109, 110, 111, 113, 162, 176 124, 126, 127, 130,
14.6 112, 114, 115, 116, 132, 146, 149, 153,
117, 118, 119, 120, 157, 163, 179, 194
121, 122, 123, 125,
128, 129, 131, 133,
134, 135, 136, 137,
138, 139, 140, 141,
142, 143, 144, 145,
147, 148, 150, 151,
152, 154, 155, 156,
158, 159, 160, 161,
164, 165, 166, 167,
168, 169, 170, 171,
172, 173, 174, 175,
177, 178, 180, 181,
182, 183, 184, 185,
186, 187, 188, 190,
191, 192, 193
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
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Topic Factual Conceptual Applied
True-False 248, 249, 250, 251,
252, 253, 254, 255,
256, 257, 258, 259,
260, 261, 262, 263,
264, 265, 266, 267,
268, 269, 270, 271,
272, 273, 274, 275,
276, 277, 278, 279,
280, 282, 282, 283,
284
Essay 303, 304, 305, 306,
307, 308, 309, 310,
311
Learning Objective Multiple Choice 195, 196, 197, 198, 203
14.7 199, 200, 201, 202
True-False 285, 286, 287
Essay 312, 313
Learning Objective Multiple Choice 204, 205, 206, 207, 211 214
14.8 208, 209, 210, 212,
213
True-False 288, 289, 290, 291,
292
Essay 314
Learning Objective Multiple Choice 215, 216
14.9
True-False 293, 294, 295
Essay 315
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14
Neurocognitive Disorders and Disorders
Related to Aging
Multiple-Choice Questions
1. ______ disorders arise from injuries or diseases that affect the brain, including those that result from drug use or
withdrawal.
a. Learning c. Developmental
b. Neurocognitive d. Neurosurgical
ANSWER: B
Level of Difficulty (1-3): 1 Page: 537
Topic: Neurocognitive Disorders
Learning Objective: 14.1
Skill: Factual
2. Disorders involving deficits in cognitive functioning that represent a marked change from the individual’s prior
level of functioning and which are caused by physical or medical conditions that affect brain functions are called
______.
a. psychosomatic disorders c. neurocognitive disorders
b. adjustment disorders d. somatoform disorders
ANSWER: C
Level of Difficulty (1-3):2 Page: 537
Skill: Factual
3. Neurocognitive disorders differ from other psychological disorders in that they ______.
a. result in permanent loss of physical functioning because of psychological factors
b. affect men far more than women
c. involve deterioration in the functioning of one or more of the five sensory organs
d. have either known or presumed biological causes
ANSWER: D
Skill: Conceptual
4. Damage to the temporal lobe is associated with defects in ___________.

a. memory and attention
b. vision and seeing
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c. touch and proprioception
d. walking and balance
ANSWER: A
Skill: Conceptual
5. A disturbance of sensory perception, usually affecting visual recognition, is known as ______.

a. aphasia c. agnosia
b. amnesia d. delirium
ANSWER: C
Skill: Factual
6. A woman is unable to process any visual information in a sensible manner. Although her eyes work fine and her
brain processes the visual material so that she can "see," her brain processes the visual material in a fragmented
manner so she is unable to make any sense out of what she sees. This woman is suffering from ______.
a. Pick's disease c. agnosia
b. Wernicke's syndrome d. aphasia
ANSWER: C
Skill: Applied
7. Which of the following is one of the major types of neurocognitive disorders?

a. Mental retardation c. Autism spectrum disorder
b. Delirium d. Nonverbal communication disorder
ANSWER: B
Skill: Factual
8. The DSM-5 classifies disorders of neurocognitive functioning by organizing them into ____ types of disorders.
a. two c. four
b. three d. five
ANSWER: B
Skill: Factual
9. Which of the following is a general term used to describe a severe neurocognitive disorder in which there is
general deterioration of mental functioning?
a. Dementia
b. Dissociation
c. Cognitive slippage
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d. Secondary cognitive decline
ANSWER: A
Skill: Factual
10. Which of the following is a state of extreme mental confusion in which people have difficulty focusing their
attention, speaking clearly and coherently, and orienting themselves to the environment?
a. Delirium
b. Dissociation
c. Cerebral regression
d. Cerebral inflammation
ANSWER: A
Skill: Factual
11. The term ______ means straying from the line, or the norm, in cognition, perception, and behavior.
a. dementia c. aphasia
b. delirium d. agnosia
ANSWER: B
Skill: Factual
12. A state of mental confusion, disorientation, and inability to focus attention is known as ______.
a. amnesia c. delirium
b. dementia d. aphasia
ANSWER: C
Skill: Factual
13. There are ______ known causes of delirium.

a. three c. five
b. four d. many
ANSWER: D
Skill: Factual
14. Molly has a cognitive disorder. Her mind wanders. She can't shift attention to new tasks. Her thinking is
disorganized and marked by incoherent speech. She is often disoriented, has difficulty staying awake, and
sometimes misinterprets sensory stimuli. Her disorder is most likely ______.
a. dementia c. intoxication
b. delirium d. amnestic disorder
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ANSWER: B
Skill: Applied
15. Viral encephalitis is ____________.

a. a prion disease
b. a hardening of brain arteries with a viral origin
c. a type of brain infection
d. a swelling of the brain resulting from a B vitamin deficiency
ANSWER: C
Skill: Factual
16. Lack of awareness of the date, time, place, and identity is known as ______.
a. dementia c. confabulation
b. disorientation d. amnesia
ANSWER: B
Skill: Factual
17. Dr. Jones, after conducting an interview with Patrick’s grandfather (who has delirium), indicates that the
grandfather is experiencing “Disorientation to person.” This phrase means that Patrick’s grandfather doesn’t know
__________.
a. who Patrick is
b. who he is
c. who the doctor is
d. he exists
ANSWER: B
Skill: Factual
18. The severity of symptoms with delirium___________.

a. steadily becomes more severe over the course of a day
b. becomes severe only in the evening
c. fluctuates throughout the course of a day
d. remains constant for the remainder of the patient’s life
ANSWER: C
Skill: Factual
19. Visual hallucinations can be a part of ______.
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a. dementia c. delirium
b. amnesia d. senility
ANSWER: C
Skill: Factual
20. Which of the following can be a symptom of delirium?

a. Increased appetite c. Headache
b. Disorientation d. Depression
ANSWER: B
Skill: Factual
21. The prevalence of delirium is estimated at about ______in the general community.
a. 1% to 2%
b. 5% to 10%
c. 10% to 20%
d. 30% to 50%
ANSWER: A
Skill: Factual
22. Among people over the age of 85, the prevalence rate of delirium rises to about ____percent.
a. 6
b. 14
c. 20
d. 50
ANSWER: B
Skill: Factual
23. Delirium most often affects which of the following?

a. Elderly hospitalized patients following surgical operations
b. Husbands just before marriage
c. Adolescents during puberty
d. Athletes during sporting event
ANSWER: A
Skill: Factual
24. According to the textbook, delirium may also occur due to exposure to which of the following?
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a. Toxic substances such as eating certain poisonous mushrooms
b. Music played at a subliminal level
c. Excessive color
d. An extreme monotone voice for an extended period of time
ANSWER: A
Skill: Factual
25. A key feature in delirium is disturbances of _______.

a. appetite
b. perception
c. IQ
d. sex drive
ANSWER: B
Skill: Factual
26. Delirium can be caused by a deficiency in ______.

a. vitamin A c. vitamin C
b. the B vitamin thiamine d. vitamin D
ANSWER: B
Skill: Factual
27. Which of the following is a common cause of delirium?

a. Brain infection c. Vitamin C deficiencies
b. Spider bite d. Iron deficiencies
ANSWER: A
Skill: Factual
28. Among young people, delirium is most commonly the result of which of the following?
a. Abrupt withdrawal from psychoactive drugs
b. A side-effect of medication
c. Hospitalization
d. The pressure of adolescence
ANSWER: A
Skill: Conceptual
29. Among older persons, delirium is most likely to be a sign of_____________.
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a. psychoactive substance use
b. alcohol withdrawal
c. the onset of Alzheimer’s disease
d. a life-threatening medical condition
ANSWER: D
Skill: Factual
30. Fran’s boyfriend Mark has been brought to the hospital in a delirious state. Mark, age 18, is a first-year college
student and has no known psychiatric or medical problems. He seemed fine before going out with his fraternity
brothers and he has not been involved in any accident. What might the doctors evaluating Mark initially consider as
a possible cause of his delirium?
a. Psychoactive drugs
b. An underlying serious medical condition
c. Liver disease
d. A seizure disorder
ANSWER: A
Skill: Applied
31. The most common cause of delirium among young people is ______.
a. brain infection c. severe head trauma
b. abrupt withdrawal from drugs d. ingestion of drugs
ANSWER: B
Skill: Factual
32. Ed, a chronic alcoholic, has not had a drink in over 24 hours. Ed feels as though there are cockroaches crawling
all over him. He is experiencing terrifying hallucinations as well. It is possible Ed is experiencing _______.
a. a psychotic break
b. a manic episode
c. alcohol poisoning
d. DTs
ANSWER: D
Skill: Applied
33. People with chronic alcoholism who abruptly stop drinking may experience a form of delirium called______.
a. delirium tremens
b. alcohol reverberation
c. intoxication rebound
d. synergy aria
ANSWER: A
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Skill: Factual
34. The course of delirium tremens usually runs for about a ______.
a. day c. month
b. week d. year
ANSWER: B
Skill: Factual
35. The best treatment setting for delirium tremens would be ________.
a. a hospital
b. an outpatient clinic
c. a nursing home
d. at home
ANSWER: A
Skill: Factual
36. Delirium involves ___________, possibly resulting from______________.

a. an allergic reaction; dehydration
b. widespread disruption of brain activity; imbalances in the levels of certain neurotransmitters
c. widespread neurotransmitter excess; undetected tumors
d. underactivity of neural firing; cognitive decline
ANSWER: B
Skill: Factual
37. Which of the following differentiates delirium from dementia or other forms of major neurocognitive disorder?
a. It develops rapidly, generally in a few hours to a few days.
b. It is characterized by states of confusion.
c. It results in increased need for sleep.
d. It only affects those with lower cholesterol levels.
ANSWER: A
Skill: Factual
38. Muscle spasms, seizures and tremors are features of delirium which fall into which of the following domains?
a. Emotion
b. Cognition and perception
c. Behavior
d. Autonomic nervous system activity
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ANSWER: C
Skill: Conceptual
39. Apprehension, fear and panic are features of delirium which fall into which of the following domains?
a. Emotion
c. Behavior
ANSWER: A
Skill: Conceptual
40. Confusion, meaningless mumbling, and wild hallucinations are some of the major and minor features of
delirium in which of the following domains?
a. Emotion
c. Behavior
ANSWER: B
Skill: Conceptual
41. During the course of delirium, the person’s mental state often fluctuates between periods of clarity (“lucid
intervals”), which are most common in the __________, and periods of confusion and disorientation.
a. morning
b. afternoon
c. early evening
d. middle of the night
ANSWER: A
Skill: Factual
42. Carl is suffering from delirium. He experiences apprehension, confusion, racing thoughts, tremors, and an
abnormally fast heartbeat. His delirium is best described as ______.
a. chronic c. moderate
b. mild d. severe
ANSWER: B
Skill: Applied
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43. Carl is suffering from delirium. He experiences fear, delusions, some disorientation, muscle spasms, but not
seizures, and perspires heavily. His delirium is best described as ______.
b. mild d. severe
ANSWER: C
Skill: Applied
44. Maria is suffering from delirium. She mumbles incoherently, experiences episodes of panic with vivid and
frightening hallucinations, seizures, and high fever. Her delirium is best described as ______.
b. mild d. severe
ANSWER: D
Skill: Applied
45. Which of the following is a symptom of severe delirium?

a. Meaningless mumbling c. Muscle spasms
b. Delusions d. Apprehension
ANSWER: A
Skill: Factual
46. Marcus exhibits panic, fever, seizures, meaningless mumbling, and vivid hallucinations. His behavior is best
described as ______.
a. dementia c. Alzheimer’s disease
b. schizophrenia d. delirium
ANSWER: D
Skill: Applied
47. Which of the following represent the feature of autonomic activity with delirium?
a. Abnormally fast heartbeat
b. Muscle spasms
c. Disorientation, delusions
d. Vivid hallucinations
ANSWER: A
Skill: Factual
48. Lisa suffers from delirium. She is most likely to have moments of clarity ______.
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a. in the morning c. in the evening
b. in the afternoon d. late at night
ANSWER: A
Skill: Applied
49. Ryan suffers from delirium. He is most likely to have his worst periods of confusion following ______.
a. episodes of binge eating c. a sleepless night
b. a night in which he overslept d. a stressful day
ANSWER: C
Skill: Applied
50. Angel suffers from delirium. He is most likely to have his worst periods of confusion in ______.
a. the evening, after dark c. the presence of bright lights
b. the morning d. a large crowd
ANSWER: A
Skill: Applied
51. ____________represents a profound decline or deterioration in mental functioning characterized by significant

impairment of memory, thinking processes, and judgment and by specific cognitive deficits.
a. Stupor
b. Dissociation
c. Agnosia
d. Dementia
ANSWER: D
Skill: Factual
52. Which of the following is another word for major neurocognitive disorder?
a. Dementia
b. Korsakoff’s syndrome
c. Mental retardation
d. Delirium
ANSWER: A
Skill: Factual
53. ______ involves a profound deterioration in mental functioning, characterized by gross memory impairment
and cognitive deficits such as aphasia, apraxia, or agnosia, and deficits in executive functioning.
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a. Major neurocognitive disorder c. Anhedonia
b. Delirium d. Amnestic disorder
ANSWER: A
Skill: Factual
54. Most dementias are ______ and ______.

a. episodic; reversible c. episodic; irreversible
b. progressive; reversible d. progressive; irreversible
ANSWER: D
Skill: Factual
55. Which of the following is a known cause of dementia?

a. Febrile convulsions c. Headaches
b. HIV infection d. Aluminum
ANSWER: B
Skill: Factual
56. The most common form of dementia is ______.

a. vascular dementia c. dementia due to Alzheimer's disease
b. dementia due to Pick's disease d. dementia due to Parkinson's disease
ANSWER: C
Skill: Factual
57. Sally has a cognitive disorder. She has memory deficits in recalling newly learned information, past personal
information, and common knowledge. She also exhibits deficiencies in abstract thinking, impaired judgment,
aphasia, and apraxia. Finally, she exhibits personality changes in which she seems almost the opposite of her normal
self. Her disorder is most likely ______.
a. dementia c. anencephaly
b. delirium d. amnestic disorder
ANSWER: A
Skill: Applied
58. A form of dementia that results from neurosyphilis is ______.

a. AIDS c. delirium
b. general paresis d. Creutzfeldt-Jacob
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ANSWER: B
Skill: Factual
59. General paresis is caused by ______.

a. an auto-immune disorder c. neurosyphilis
b. encephalitis d. meningitis
ANSWER: C
Skill: Factual
60. Syphilis is caused by a(n) ______.

a. bacterial infection c. viral infection
b. auto-immune disorder d. environmental toxin
ANSWER: A
Skill: Factual
61. Al suffers from late-stage syphilis. He has slurred speech, impaired motor coordination, and is steadily
developing motor paralysis. He is irritable, but lacks normal responsiveness to joyous or upsetting events. He has
deteriorated intellectually, and has completely abandoned personal grooming and hygiene. His condition is called
______.
a. Huntington's disease c. general paresis
b. Addison's disease d. meningitis
ANSWER: C
Skill: Applied
62. Late-stage syphilis once accounted for upward of ______ percent of admissions to psychiatric hospitals.
a. 10 c. 50
b. 30 d. 70
ANSWER: B
Skill: Factual
63. In cases of severe tissue damage resulting from neurosyphilis, antibiotics can ______.
a. do little to slow the pace of deterioration
b. slow down the pace of deterioration but cannot stop it
c. stop the deterioration but cannot restore former levels of functioning
d. stop the deterioration and eventually restore former levels of functioning
ANSWER: C
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Skill: Factual
64. A form of dementia caused by a bacterium that had historical significance in the development of the medical
model of mental disorders was known as which of the following?
a. General paresis
b. Delirium
c. Apraxia
d. Agnosia
ANSWER: A
Skill: Factual
65. The form of dementia called general paresis resulted from a form of the later stages of which sexually
transmitted disease?
a. HIV
b. Chlamydia
c. Syphilis
d. Herpes
ANSWER: C
Skill: Factual
66. The finding that the form of dementia known as general paresis was caused by a bacterium was important for
the development and strengthening of which of the following?
a. The medical model
b. The psychodynamic model
c. The cognitive model
d. The psychological model
ANSWER: A
Skill: Conceptual
67. The 19th-century discovery of the connection between _____ and a concrete physical illness, syphilis,
strengthened the medical model and held out the promise that organic causes would eventually be found for other
abnormal behavior.
a. general paresis
b. chlamydia
c. Alzheimer’s disease
d. vascular neurocognitive disorder
ANSWER: A
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Skill: Conceptual
68. The effectiveness of treatment for general paresis through the use of antibiotics is dependent upon which of the
following?
a. When they are introduced and the extent of the brain damage
b. The time of day the antibiotics are given and the type of antibiotics
c. Whether the chlamydia is comorbid with depression
d. The type of chlamydia and the diet of the user
ANSWER: A
Skill: Factual
69. Why did the developers of the DSM-5 decide to no longer use the term dementia as a diagnostic label?
a. It is a pejorative term that carries an unfortunate stigma.
b. The term is too specific and descriptive.
c. The term only applies to young people.
d. Prevalence rates of dementia are very low.
ANSWER: A
Skill: Factual
70. Which of the following is true?

a. Dementia is an inevitable and normal part of the aging process.
b. Dementia is a sign of degenerative brain disease.
c. The risk of dementia decreases after age 70.
d. There are relatively few causes of dementia.
ANSWER: B
Skill: Conceptual
71. Most dementias occur in people ______.

a. under age forty c. between the ages of 60 and 80
b. between the ages of 40 and 60 d. over age 80
ANSWER: D
Skill: Factual
72. The form of dementia that begins at or before the age of 65 is called ______.
a. early-onset dementia c. presenile dementia
b. progressive dementia d. episodic dementia
ANSWER: A
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Skill: Factual
73. The form of dementia that begins after age 65 is called ______.
a. late-onset dementia c. post-senile dementia
b. progressive dementia d. episodic dementia
ANSWER: A
Skill: Factual
74. Impaired ability to comprehend or produce speech is called ______.

a. agnosia c. disturbance in executive functioning
b. apraxia d. aphasia
ANSWER: D
Skill: Factual
75. Impaired ability to perform purposeful movements despite an absence of any defect in motor functioning is
called ______.
ANSWER: B
Skill: Factual
76. Inability to recognize objects, despite an intact sensory system is called ______.
ANSWER: A
Skill: Factual
77. Deficits in planning, organizing, or sequencing activities or in engaging in abstract thinking is called ______.
ANSWER: C
Skill: Factual
78. Which of the following is a newly recognized disorder in DSM-5 that applies to people who suffer a mild or
modest decline in cognitive functioning from their prior level?
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a. Parkinson’s disease
b. Mild neurocognitive disorder
c. Dementia
d. Delirium tremens
ANSWER: B
Skill: Conceptual
79. Regarding mild neurocognitive disorder, which of the following is a true statement?
a. It first appeared in the DSM-IV-TR.
b. The decline is not of sufficient magnitude to justify a diagnosis of major neurocognitive disorder.
c. Concerns alone about the decline are sufficient for a diagnosis.
d. It is an new name for what was once a mood disorder.
ANSWER: B
Skill: Conceptual
80. Mild neurocognitive disorder is a new name for a clinical syndrome widely identified as ____________.
a. mild cognitive impairment
b. delirium
c. agnosia
d. major neurocognitive disorder
ANSWER: A
Skill: Conceptual
81. Mild impairment of cognitive functioning frequently occurs in the ____ of neurodegenerative diseases like AD
and other conditions affecting the brain, such as traumatic brain injury, HIV infection, substance-use-related brain
disorders, and diabetes.
a. early stages
b. middle stages
c. late stages
d. end stage
ANSWER: A
Skill: Conceptual
82. Which of the following is a degenerative brain disease that leads to progressive and irreversible dementia and is
characterized by memory loss and deterioration of other cognitive functions, including judgment and ability to
reason?
a. Korsakoff’s syndrome c. Dementia
b. Alzheimer’s disease d. Parkinson’s disease
ANSWER: B
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Skill: Factual
83. As the U.S. population continues to grow in the number of older adults, Alzheimer’s disease in the U.S. is
expected to affect as many as _________ people by the year _____.
a. 5 million; 2040
b. 16 million; 2050
c. 3 million; 2070
d. 1 million; 2020
ANSWER: B
Skill: Factual
84. Ninety-nine percent of Alzheimer’s patients are ________.

a. male
b. Caucasian
c. poor
d. over the age of 65
ANSWER: D
Skill: Factual
85. Alzheimer’s disease affects about _____ percent of people between the ages of 65 and 74; and about ____
percent of people between the ages of 75 and 84.
a. 30; 35
b. 7; 51
c. 14; 25
d. 10; 75
ANSWER: B
Skill: Factual
86. Alzheimer’s is _______ not a ______.

a. a form of delirium; permanent condition
b. an emotional response to aging; biologically-based disorder
c. a degenerative form of brain disease; normal sign of aging
d. a normal part of aging; preventable disorder
ANSWER: C
Skill: Factual
87. Women have been found to be at higher risk than men for Alzheimer’s disease. This may be because ______.
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a. of the effects of estrogen
b. the older generation of women have not exercised their brains at work as much as men
c. they live longer than men
d. they have not exercised as much as men
ANSWER: C
Skill: Conceptual
88. Which symptom would be expected in advanced cases of Alzheimer’s disease?

a. Feeling as though they have a special power over others
b. Delusions that special messages from the president are being transmitted to the individual through
the pet cat’s water bowl.
c. Delusions of grandeur that they are someone with great power like God or the president
d. Forgetting their own names
ANSWER: D
Skill: Factual
89. Alzheimer’s disease was first described by a ______.

a. German physician c. American psychiatrist
b Swiss psychologist d. Dutch nurse
ANSWER: A
Skill: Factual
90. Brain plaques and neurofibrillary tangles are common symptoms of ______.
a. Korsakoff's syndrome c. Alzheimer's disease
b. Wernicke's disease d. Parkinson's disease
ANSWER: C
Skill: Factual
91. In 2012, a new technology became available that allows doctors to diagnose Alzheimer’s disease based on
________associated with the disease together with clinical evidence of memory loss.
a. examination of glucose levels
b. brain scans showing plaques
c. a complete review of behavioral and neuromuscular deficits
d. inspection of brain tissue by a biopsy or autopsy
ANSWER: B
Skill: Factual
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92. Early stages of Alzheimer’s disease have people that are generally __________.
a. uncooperative c. more intelligent than usual
b. socially inappropriate d. cooperative and socially appropriate
ANSWER: B
Skill: Conceptual
93. Limited memory problems and subtle personality changes are early signs of ______.
a. Korsakoff’s syndrome c. Wernicke’s disease
b. Alzheimer’s disease d. ataxia
ANSWER: B
Skill: Factual
94. Ben has Alzheimer's disease. Currently, he is having memory problems such as remembering his zip code,
telephone numbers, and the names of some of his grandchildren. He also has difficulty managing his finances
because he no longer can add two numbers correctly. Although he keeps himself neatly groomed, Ben, who used to
be quite outgoing, now stays at home most of the time. Ben's Alzheimer's disease is now at the ______ level of
development.
a. early c. moderately severe
b. moderate d. severe/advanced
ANSWER: A
Skill: Applied
95. Bob has Alzheimer's disease. Currently, he requires some assistance managing everyday affairs. He is unable to
select clothes that are proper for the season or occasion. He is also unable to recall the names and addresses of
family members. He shouldn't drive because he forgets which pedal is for the brakes and which one is for the gas.
He also forgets what traffic lights and stop signs mean. Bob's Alzheimer's disease is at the ______ level of
development.
b. moderate d. severe
ANSWER: C
Skill: Applied
96. Tim has Alzheimer's disease. Currently, he cannot remember the names and addresses of friends and family
members. He also has large gaps in his memory for recent events and experiences. He cannot remember his
complete address and he sometimes forgets the name of his spouse, upon whom he is completely dependent. He
needs assistance with bathing and toileting. He paces, walking in short, slow steps, and he rarely talks in complete
sentences anymore. He is often agitated to the point of acting out his emotions. Tim's Alzheimer's disease is at the
______ level of development.
a. mild/early c. moderately severe
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ANSWER: C
Skill: Applied
97. Ron has Alzheimer's disease. Currently, he is incontinent, unable to walk or speak and requires assistance in
toileting and feeding. Most times he is entirely mute and inattentive to his environment. Ron's Alzheimer's disease is
at the ______ level of development.
ANSWER: D
Skill: Applied
98. “Attending a funeral that never ends” is ______.

a. the title of a book about a victim of Parkinson’s disease
b. the title of a book about a woman who was in a coma from an auto accident for 30 years
c. a description of the experiences of the family who cares for an Alzheimer’s patient
d. a description of the chronic cognitive and emotional impairment from Korsakoff’s syndrome
ANSWER: C
Skill: Conceptual
99. Caregivers of Alzheimer’s patients have been found to have higher ______.
a. levels of stress hormones c. scores on an empathy scale
b. incidents of memory loss d. suicide rates
ANSWER: A
Skill: Factual
100.The plaques that characterize Alzheimer's disease are composed of ______.

a. aluminum c. cholesterol
b. fatty triglycerides d. beta amyloid
ANSWER: D
Skill: Factual
101.fMRI scans have shown that patients with __________ have less well-connected neural networks in their brains.
a. Parkinson’s c. Korsakoff’s
b. Huntington’s d. Alzheimer’s
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ANSWER: D
Topic: A Closer Look: Taking a Page from Facebook: Neuroscientists Examine Brain Networks in
Alzheimer’s Patients
Skill: Factual
102.People with a genetic variant called the _____ gene stand a much higher risk of developing AD.
a. Beta amyloid
b. Plaque-B
c. ApoE4
d. SSRI
ANSWER: C
Skill: Factual
103.Donepezil, a drug used to treat Alzheimer’s disease, increases levels of ______, a neurotransmitter.
a. serotonin c. acetylcholine
b. dopamine d. cortisol
ANSWER: C
Skill: Factual
104.______ is a drug aimed at treating moderate to severe Alzheimer’s disease by blocking glutamate.
a. Leptin c. Knowitine
b. Niacatil d. Memantine
ANSWER: D
Skill: Factual
105.Patients with Alzheimer’s disease tend to have abnormally ______ levels of acetylcholine and abnormally
______ levels of glutamate.
a. low; low c. high; low
b. low; high d. high; high
ANSWER: B
Skill: Factual
106.________ in the brain appears to play a key role in the development of AD.
a. Inflammation
b. Growth of new neurons
c. An enlarged frontal lobe
d. Increased corpus callosum activity
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ANSWER: A
Skill: Factual
107.Identify the behavior that has been found to delay the development of Alzheimer’s disease.
a. Maintaining a daily diary
b. Participation in mentally challenging tasks
c. Reducing stress
d. Taking week-long vacations at least three times per year
ANSWER: B
Skill: Factual
108.A cerebrovascular accident in the brain is commonly known as a(n) ______.

a. aneurysm c. laceration
b. hemorrhage d. stroke
ANSWER: D
Skill: Factual
109.When part of the brain becomes damaged because of a disruption of blood supply, it is called a(n) ______.
a. aphasia c. contusion
b. cerebrovascular accident d. concussion
ANSWER: B
Skill: Factual
110.Vascular dementia refers to what we now call ______.

a. amnestic disorder c. vascular neurocognitive disorder
b. delirium d. substance-induced dementia
ANSWER: C
Skill: Factual
111.Which statement is true of vascular neurocognitive disorder?

a. It is the most common form of dementia.
b. It occurs typically at a later age than Alzheimer’s disease.
c. It affects more women than men.
d. It results from a series of repeated strokes.
ANSWER: D
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Skill: Factual
112.Single strokes may produce ______.

a. generalized cognitive declines c. aphasia
b. vascular dementia d. Alzheimer’s disease
ANSWER: C
Skill: Factual
113.Vascular neurocognitive disorder is most similar in its symptoms to ______.

a. Parkinson’s disease c. delirium
b. Alzheimer’s disease d. Huntington’s disease
ANSWER: B
Skill: Conceptual
114.As compared to Alzheimer’s dementia, vascular neurocognitive disorder ______.

a. does not involve memory impairment
b. comes on more abruptly
c. comes on more gradually
d. does not result in an inability to care for oneself
ANSWER: B
Skill: Factual
115.Vascular neurocognitive disorder usually results from ______.

a. Parkinson’s disease c. a high fever
b. a single stroke d. multiple strokes
ANSWER: D
Skill: Factual
116.Vascular neurocognitive disorder accounts for about one in ______ cases of dementia.
a. two c. four
b. three d. five
ANSWER: D
Skill: Factual
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117.A disorder that causes Alzheimer's-like symptoms and cognitive deterioration, as well as flagrant sexual
behavior and a loss of modesty, but does not involve the presence of plaques and neurofibrillary tangles in the brain
is ______.
a. Parkinson's disease c. frontotemporal neurocognitive disorder
b. Wernicke's syndrome d. Huntington's disease
ANSWER: C
Skill: Factual
118.Frontotemporal neurocognitive disorder is most similar in its symptomology to ______.

a. Parkinson’s disease c. Alzheimer’s disease
b. a cerebral hemorrhage d. Huntington’s disease
ANSWER: C
Skill: Factual
119.Frontotemporal neurocognitive disorder was once called which of the following?

a. Parkinson's disease c. Pick’s disease
b. Wernicke's syndrome d. Huntington's disease
ANSWER: C
Skill: Factual
120.A behavioral symptom of frontotemporal neurocognitive disorder is ______.

a. loss of modesty c. anger displays
b. social withdrawal d. fidgeting
ANSWER: A
Skill: Factual
121.Frontotemporal neurocognitive disorder disease accounts for about ______ percent of dementias.
a. 6 to 12 c. 26 to 32
b. 16 to 22 d. 36 to 42
ANSWER: A
Skill: Factual
122.A person is most likely to first show symptoms of frontotemporal neurocognitive disorder during ______.
a. childhood c. middle age
b. adolescence d. late adulthood
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ANSWER: C
Skill: Factual
123.The risk of contracting frontotemporal neurocognitive disorder declines with age after age ______.
a. 40 c. 60
b. 50 d. 70
ANSWER: D
Skill: Factual
124.Which of the following people is MOST likely to have Pick’s disease?

a. A 40-year-old man c. A 65-year-old woman
b. A 95-year-old man d. A 95-year-old woman
ANSWER: A
Skill: Applied
125.Which of the following is true of frontotemporal neurocognitive disorder?

a. It runs in families.
b. It is more common in women than in men.
c. It is marked by the presence of neurofibrillary tangles.
d. Its diagnosis is confirmed by an fMRI.
ANSWER: A
Skill: Factual
126.Bradley just suffered a severe electric shock. Which of the following cognitive disorders is he MOST likely to
develop?
a. Delirium c. Amnesia
b. Dementia d. Organic hallucinosis
ANSWER: C
Skill: Applied
127.In the text’s excerpt describing the reaction of a male medical student after he awoke from a coma following a
head injury, he did not recognize his ______.
a. mother c. wife
b. father d. daughter
ANSWER: C
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Skill: Applied
128.There are ______ general types of amnesia.

a. two c. four
b. three d. five
ANSWER: A
Skill: Factual
129.Loss of memory for personal information and past events is known as ______ amnesia.
a. reactive c. anterograde
b. pathogenic d. retrograde
ANSWER: D
Skill: Factual
130.Angie has amnesia. She retains her general intellectual functioning and can learn new information as quickly as
ever, but she cannot remember where she lives or anything from her past before she suffered the head injury that left
her with amnesia. Her symptoms are most similar to someone with ______ amnesia.
ANSWER: D
Skill: Applied
131.Inability or difficulty forming or storing new memories is known as ______ amnesia.

ANSWER: C
Skill: Factual
132.Angie has amnesia. While she remembers everything about her past, she cannot retain memories of any new
experiences for more than 10 to 15 minutes. The new memories just seem to “disappear” and she must learn it all
over again. Her symptoms are most similar to someone with ______.
ANSWER: C
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Skill: Applied
133.People with amnestic disorder are most likely to experience disorientation of ______.
a. place, but not time or self c. place and time, but not self
b. time, but not place or self d. place and self, but not time
ANSWER: C
Skill: Factual
134.In amnesia, people’s memory ______ and intellectual functioning ______.

a. deteriorates; deteriorates c. deteriorates; remains normal
b. remains normal; deteriorates d. remains normal; remains normal
ANSWER: C
Skill: Factual
135.In testing someone with amnesia, the examiner might ask the patient to repeat back a series of numbers that the
examiner calls out. This exercise is evaluating___________.
a. long-term memory
b. orientation to place
c. immediate memory
d. retroactive memory
ANSWER: C
Skill: Factual
136.Immediate memory, as measured by ability to repeat back a series of numbers, seems to be ________ in states
of amnesia.
a. delayed but available after a period of contemplation
b. unimpaired
c. significantly impaired
d. mildly impaired
ANSWER: B
Skill: Factual
137.Which of the following cognitive symptoms is someone with amnesia most likely to experience?
a. Not knowing the day, month, and year
b. Not knowing how to drive a car
c. Having delusions of grandiosity
d. Experiencing intense paranoia
ANSWER: A
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Skill: Factual
138.Amnesia patients may suffer profound memory losses and their general intelligence tends to __________.
a. deteriorate to the level of borderline intellectual functioning
b. remain within a normal range
c. temporarily be deficient but return to normal in one to two years
d. never recover well enough for the person to live independently
ANSWER: B
Skill: Factual
139.Sudden loss of oxygen to the brain is called ______.

a. infarction c. hemiplegia
b. hypoxia d. anaerobia
ANSWER: B
Skill: Factual
140.Blockage of the blood vessels supplying the brain is called ______.

a. anoxia c. hemostasis
b. cirrhosis d. infarction
ANSWER: D
Skill: Factual
141.A common cause of amnestic disorder due to alcohol abuse is ______ deficiency.
a. niacin c. thiamine
b. iodine d. beta carotene
ANSWER: C
Skill: Factual
142.Alcohol-induced irreversible memory loss due to brain damage resulting from deficiency of vitamin B1 is
another name for ______.
a. Cushing's syndrome c. Korsakoff's syndrome
b. Addison's disease d. Broca's syndrome
ANSWER: C
Skill: Factual
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143.Korsakoff's syndrome is most closely associated with ______.
a. automobile accidents c. chronic alcohol abuse
b. posttraumatic stress disorder d. cerebro-vascular accidents
ANSWER: C
Skill: Factual
144.Long-term thiamine deficiencies may cause an irreversible form of brain damage called ______.
a. Korsakoff's syndrome c. Wernicke's syndrome
b. Broca's syndrome d. Klinefelter's syndrome
ANSWER: A
Skill: Factual
145.The memory impairment in Korsakoff’s syndrome ______.

a. only involves short-term memory loss
b. is reversible as soon as alcohol is out of the patient’s bloodstream
c. is caused exclusively by chronic alcoholism
d. persists for years after the person stops drinking
ANSWER: D
Skill: Factual
146.Miles is suffering from Korsakoff’s syndrome. Which memory deficit is most likely?
a. Vocabulary c. Past experiences
b. Immediate memory d. Faces
ANSWER: C
Skill: Applied
147.Korsakoff's syndrome often follows an acute attack of ______.

a. Cushing's syndrome c. Wernicke's disease
b. Addison's disease d. Broca's syndrome
ANSWER: C
Skill: Factual
148.A brain disorder that is associated with chronic alcoholism and characterized by confusion, disorientation, and
difficulty maintaining balance while walking is ______.
a. Korsakoff’s syndrome c. Klinefelter’s syndrome
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b. Wernicke’s disease d. dementia
ANSWER: B
Skill: Factual
149.Shawn suffers from confusion, disorientation, ataxia, and paralysis of the muscles that control eye movements.
He is suffering from ______.
a. Korsakoff's syndrome c. Wernicke's disease
ANSWER: C
Skill: Applied
150.If one with Wernicke's disease wants to avoid developing Korsakoff’s syndrome, (s)he should be treated with
major doses of ______.
a. niacin c. carotene
b. vitamin B1 d. acetaminophen
ANSWER: B
Skill: Factual
151.Difficulties in maintaining balance while walking is called ______.

a. aphasia c. agnosia
b. ataxia d. anhedonia
ANSWER: B
Skill: Factual
152.Ataxia is ______.
a. a disturbance of sensor perception
b. impairment in receptive and expressive speech
c. difficulty in maintaining balance while walking
d. an impaired ability to perform purposeful movements despite an absence of any defect in motor
functioning
ANSWER: C
Skill: Factual
153.Anthony suffers from substantial losses in short-term and long-term memory, although he retains his general
level of intelligence. He is superficially friendly but lacks insight and is unable to discriminate between actual events
and the wild, implausible stories he invents to fill the gaps in his memory. He is most likely suffering from ______.
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a. Korsakoff's syndrome c. Wernicke's disease
ANSWER: A
Skill: Applied
154.Which of the following are abnormal protein deposits that form within the nucleus of cells in parts of the brain,
disrupting brain processes that control memory and motor control?
a. Lewy bodies
b. Antibodies
c. Korsakoff’s bodies
d. Ataxias bodies
ANSWER: A
Skill: Factual
155.In addition to profound cognitive decline, the distinguishing features of neurocognitive disorder due to Lewy
body disease, is ________________ marked by frequent periods of drowsiness and staring to space, as well as
recurrent visual hallucinations and rigid body movements and stiff muscles typical of Parkinson’s disease.
a. the appearance of fluctuating alertness and attention,
b. increased episodes of hunger
c. episodes of extreme depression
d. episodes of aggression
ANSWER: A
Skill: Factual
156.Neurocognitive disorder due to Lewy body disease accounts for about _____ of dementias in older adults.
a. 10%
b. 25%
c. 50%
d. 70%
ANSWER: A
Skill: Factual
157.Mark suffers from shaking, tremors, loss of control of fine motor movements, rigidity, and disturbances in
posture. He walks laboriously in a crouch and has sluggish reflexes. He usually looks expressionless, as if he were
wearing a mask. Mark is probably suffering from ______.
a. Parkinson's disease c. Pick's disease
b. Alzheimer's disease d. Huntington's disease
ANSWER: A
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Skill: Applied
158.Parkinson's disease afflicts between ______ people in the United States.

a. 1,000 to 5,000 c. 100,000 to 150,000
b. 10,000 to 15,000 d. 500,000 to 1,000,000
ANSWER: D
Skill: Factual
159.Muhammad Ali and actor Michael J. Fox suffer from ______.

a. Alzheimer’s disease c. Parkinson’s disease
b. Pick’s disease d. Amnestic disorder
ANSWER: C
Skill: Factual
160.A woman is ______ as likely as a man to get Parkinson's disease.

a. half c. twice
b. equally d. four times
ANSWER: B
Skill: Factual
161.A person is most likely to develop Parkinson's disease between the ages of ______.
a. 10 to 29 c. 50 to 69
b. 30 to 49 d. 70 to 89
ANSWER: C
Topic: Dementias Due to General Medical Conditions
Skill: Factual
162.Which statement is true of the incidence of dementia in Parkinson’s patients?

a. Dementia is not a symptom of Parkinson’s disease.
b. All Parkinson’s patients develop dementia.
c. Dementia occurs in as many as 80% of Parkinson’s patients.
d. If dementia occurs, it will occur in the early stages of the disease.
ANSWER: C
Skill: Conceptual
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163.What activity would probably be very difficult for the actor Michael J. Fox?
a. Reading a computer monitor c. Sleeping
b. Signing an autograph d. Listening to music
ANSWER: B
Skill: Applied
164.Parkinson’s patients have a greater than average risk of becoming ______.

a. hypertensive c. mute
b. infertile d. socially withdrawn
ANSWER: D
Skill: Factual
165.Sufferers of Parkinson's disease are particularly prone to developing ______.

a. depression c. schizotypal personality
b. generalized anxiety d. conversion disorder
ANSWER: A
Skill: Factual
166.Parkinson's disease involves destruction of neurons in the ______.

a. cochlea c. caudate nucleus
b. reticular formation d. substantia nigra
ANSWER: D
Skill: Factual
167.The substantia nigra is an area of the brain that helps regulate ______.
a. short-term memory c. body movement
b. long-term memory d. attention and concentration
ANSWER: C
Skill: Factual
168.In most cases of Parkinson's disease, the underlying causes are ______.
a. drug-induced c. atherosclerosis
b. viral infection d. unknown
ANSWER: D
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Skill: Factual
169.Parkinson's disease may be related to deficiencies in ______.

a. dopamine c. acetylcholine
b. serotonin d. cholinesterase
ANSWER: A
Skill: Factual
170.L-dopa is a drug used primarily to treat ______.

b. Alzheimer's disease d. Korsakoff's syndrome
ANSWER: A
Skill: Factual
171.Most Parkinson's patients treated with L-dopa show ______.

a. steady improvement and eventual recovery
b. stabilization of functioning with few further declines
c. temporary improvement followed by gradual deterioration
d. temporary improvement followed by rapid deterioration
ANSWER: C
Skill: Factual
172.Investigators report which of the following helps block tremors in some Parkinson patients?
a. Deep brain electrical stimulation
b. A diet high in thiamine
c. Longer periods of sleep
d. Heavy alcohol use
ANSWER: A
Skill: Factual
173.Huntington's disease is characterized by progressive deterioration of the ______.

a. basal ganglia c. hippocampus
b. reticular formation d. substantia nigra
ANSWER: A
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Skill: Factual
174.The basal ganglia helps to regulate ______.

a. short-term memory c. attention and concentration
b. long-term memory d. body movement and posture
ANSWER: D
Skill: Factual
175.A person is most likely to develop Huntington's disease between the ages of ______.
a. 20 and 30 c. 50 and 70
b. 30 and 45 d. 70 and 90
ANSWER: B
Skill: Factual
176.The term chorea used in Huntington’s Chorea refers to ______.

a. a characteristic bland facial expression
b. a persistently stiff, rigid posture
c. involuntary jerky movements
d. an uncontrollable, steady outpouring of curse words
ANSWER: C
Skill: Conceptual
177.The twitches characteristic of Huntington's disease are termed ______.

a. putamen movements c. choreiform movements
b. spastic movements d. vernacular movements
ANSWER: C
Skill: Factual
178.Death usually occurs within ______ years of the onset of Huntington's disease.
a. 2-4 c. 15-20
b. 7-10 d. 25-30
ANSWER: C
Skill: Factual
179.Jed suffers from involuntary jerky movements of the face, neck, limbs, and trunk. The symptoms began when
he was about 43 years of age and have grown progressively worse over the years. He also exhibits progressive
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dementia with severe memory loss and unstable moods. Lately, he has begun to act paranoid and has begun talking
of suicide. Jed is probably suffering from ______.
b. Broca's disease d. Huntington's disease
ANSWER: D
Skill: Applied
180.Folksinger Woodie Guthrie suffered from ______.

a. alcoholism c. Parkinson's disease
b. Pick's disease d. Huntington's disease
ANSWER: D
Skill: Factual
181.As with many victims of Huntington’s disease, Woody Guthrie was misdiagnosed with ______ because of his
jerky movements.
a. alcoholism c. Parkinson’s disease
b. Tourette’s syndrome d. tardive dyskinesia
ANSWER: A
Skill: Factual
182.People who have one parent with Huntington's disease stand a ______ percent chance of contracting the
disease, themselves.
a. 25 c. 75
b. 50 d. 100
ANSWER: B
Skill: Factual
183.A person who inherits the defective gene responsible for causing Huntington's disease has a ______ percent
chance of developing the disorder.
a. 25 c. 75
b. 50 d. 100
ANSWER: D
Skill: Factual
184.Huntington’s disease is caused by ______.

a. exposure to environmental toxins
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b. inheriting two recessive genes from parents who carry the disease
c. the cumulative effects of multiple strokes
d. a single defective gene
ANSWER: D
Skill: Factual
185.Which of the following is true of dementia due to HIV disease?

a. It is common in persons with HIV who have not yet developed full-blown AIDS.
b. In advanced stages it may cause delusions, disorientation, and delirium.
c. The dementia rarely includes apathy and social withdrawal.
d. It is caused by a nutritional deficiency brought on by HIV-related malabsorption in the gut.
ANSWER: B
Skill: Factual
186.In its later stages, dementia due to HIV disease resembles the deficits found in ______.
a. alcoholism c. Alzheimer's disease
b. depression d. Huntington's disease
ANSWER: C
Skill: Factual
187.Common behavioral features of dementia associated with HIV disease are___________.

a. aggression and paranoid delusions
b. loss of language function and paranoia
c. apathy and social withdrawal
d. hyperactivity and verbal outbursts
ANSWER: C
Skill: Factual
188.Creutzfeldt-Jacob disease is a(n) _________ that results in the formation of small ___________ in the brain.
a. aluminum accumulation; neurofibrillary plaques and tangles
b. prion disease; cavities that resemble the holes in a sponge
c. flexible bodies disease; round disc-like calcifications
d. vascular disease; bundles of plaque
ANSWER: B
Skill: Factual
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189.Creutzfeldt-Jacob disease is a ______ and ______ brain disease.
a. common; mild c. common; chronic
b. rare; mild d. rare; fatal
ANSWER: D
Skill: Factual
190.Symptoms of Creutzfeldt-Jacob disease typically become apparent in persons in the ______ age range.
a. early 20s c. late 50s
b. late 40s d. early 80s
ANSWER: C
Skill: Factual
191.Death from Creutzfeldt-Jacob disease typically occurs ______ onset of symptoms.

a. within days of c. within months of
b. within weeks of d. several years after
ANSWER: C
Skill: Factual
192.The human form of mad-cow disease, a fatal illness spread by eating infected beef, is a variant of _______.
a. Huntington’s disease c. vascular dementia
b. Parkinson’s disease d. Creutzfeldt-Jacob disease
ANSWER: D
Skill: Factual
193.Which of the following illnesses that produce dementia have a genetic component?
a. Huntington’s disease c. AIDS
b. Secondary impact syndrome d. Lead poisoning
ANSWER: A
Topic: Thinking Critically About Abnormal Psychology: The Danger Lurking Within: Would You Want to
Know?
Skill: Factual
194.Folk singer Arlo Guthrie, whose father died of Huntington’s disease, had the opportunity to obtain genetic
testing to ascertain if he had inherited the gene that would cause this disease. What did Arlo decide, and what was
the outcome?
a. He had genetic testing and was found not to be genetically susceptible.
b. He chose not to have genetic testing and did not develop the disease.
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c. Genetic testing found that he was a carrier, and he was successfully treated.
d. He chose not to have genetic testing but is now incapacitated by the disease.
ANSWER: B
Topic: Thinking Critically About Abnormal Psychology: The Danger Lurking Within: Would You Want to
Know?
Skill: Applied
195.As people age, their sharpest cognitive decline occurs on ______.

a. long-term memory tasks c. timed tasks
b. arithmetic d. vocabulary
ANSWER: C
Topic: Psychological Disorders Related to Aging
Skill: Factual
196.Which cognitive function is typically retained best by the elderly?

a. Short-term memory c. Vocabulary
b. Performance on timed tasks d. Spatial ability
ANSWER: C
Skill: Factual
197.Memory for ______ may be particularly reduced in the elderly.

a. earlier events in their lives c. vocabulary
b. names d. faces
ANSWER: B
Skill: Factual
198.What distinguishes the decline in intellectual functioning in dementia from the decline in normal aging?
a. Victims of dementia have difficulty chiefly with long term memory.
b. People with dementia have almost always suffered a stroke.
c. The normal elderly show no memory loss.
d. The decline in dementia victims is much more rapid and severe.
ANSWER: D
Skill: Factual
199.The most commonly occurring psychological disorder among older adults is ______.
a. depression c. hypochondriasis
b. anxiety disorder d. dissociative disorder
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ANSWER: B
Skill: Factual
200.What percentage of Americans over the age of 55 are estimated to have diagnosable anxiety disorders?
a. 1 c. 10
b. 5 d. 15
ANSWER: C
Skill: Factual
201.Which of the following is one of the less common anxiety disorders, occurring in about 1 in 100 older people?
a. Panic disorder c. Phobic disorder
b. Generalized anxiety d. Depression
ANSWER: A
Skill: Factual
202.The most frequently occurring anxiety disorders among older people are ______.
a. panic disorder and obsessive-compulsive disorder
b. obsessive-compulsive disorder and phobic disorder
c. phobic disorder and generalized anxiety disorder
d. generalized anxiety disorder and panic disorder
ANSWER: C
Skill: Factual
203.Helen is a 66-year-old widow who has been diagnosed with generalized anxiety disorder. Which class of
medication is most likely to be used in treating her symptoms?
a. Benzodiazepines c. Mood stabilizers
b. Phenothiazines d. Antidepressants
ANSWER: A
Skill: Applied
204.Although not enough to warrant a diagnosis, about one in _____ older adults experience some symptoms of
depression.
a. two c. five
b. three d. ten
ANSWER: B
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Skill: Factual
205.Between ______ percent of older adults suffer from major depressive disorder.
a. 1 and 5 c. 20 and 25
b. 10 and 15 d. 30 and 35
ANSWER: A
Skill: Factual
206.Among older males, suicide is most frequent among those who are ______.
a. Hispanic American c. White American
b. Asian American d. African American
ANSWER: C
Skill: Factual
207.Suicide is most frequent among ______ who suffer from depression.

a. teenage girls c. older adult females
b. teenage boys d. older adult males
ANSWER: D
Skill: Factual
208.In a study of elderly African American men, ______ was found to be associated with poorer psychological well-
being.
a. financial concern c. racism
b. marital conflict d. being a military veteran
ANSWER: C
Skill: Factual
209.In a study of elderly African Americans, it was found that compared to women, men experienced ______
institutional racism and ______ collective racism.
a. less; less c. less; greater
b. greater; less d. greater; greater
ANSWER: D
Skill: Factual
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210.A study of older Mexican Americans found that ______.
a. those who were minimally acculturated to the United States had the highest rates of depression
b. those who were highly acculturated to the United States had the highest rates of depression
c. those who were bicultural had the highest rates of depression
d. there were no differences in rates of depression among those minimally acculturated to the United
States, highly acculturated to the United States, and those who were bicultural
ANSWER: A
Skill: Factual
211.In ______, depression may result not only from coping with the illness but also from neurobiological changes in
the brain caused by the illness.
a. diabetes c. hypertension
b. Parkinson’s disease d. atherosclerosis
ANSWER: B
Skill: Conceptual
212.Older adults who have declining physical health are at greatest risk for developing depression if they ______.
a. do not retire c. lack social support
b. are stubborn and argumentative d. lack television and radio
ANSWER: C
Skill: Factual
213.Which of the following is known to reduce the risk of depression in older adults?
a. Availability of social support
b. Being financial well off
c. Living alone
d. Caring for a family member with Alzheimer’s disease
ANSWER: A
Skill: Factual
214.John is a 74-year-old retiree whose wife died two years ago. He lives alone. He has complained to his primary
care physician of numerous physical problems, sleep problems, and memory problems. Alzheimer’s disease was
ruled out by a psychiatrist specializing in the elderly who probably instead primarily diagnosed John as having
______.
a. an anxiety disorder c. amnestic disorder
b. a depressive disorder d. a sleep disorder
ANSWER: B
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Skill: Applied
215.The most common sleep problem faced by the elderly is ______.

a. insomnia c. sleep apnea
b. narcolepsy d. night terrors
ANSWER: A
Skill: Factual
216.Long-term use of sleep medications among the elderly can lead to ______.
a. cardiovascular problems c. hypertension
b. insomnia d. dependence
ANSWER: D
Skill: Factual
True-False Questions
217.Neurocognitive disorders are diagnosed based on deficits in cognitive functioning that represent marked
changes in an individual’s level of functioning, reflecting brain damage or dysfunction..
ANSWER: T
Skill: Factual
218.The DSM-5 organizes disorders of cognitive functioning into three types of disorders: delirium, major
neurocognitive disorder, and mild neurocognitive disorder.
ANSWER: T
Skill: Factual
219.People who suffer from neurocognitive disorders rarely become completely dependent on others to meet basic
needs in feeding, toileting, and grooming.
ANSWER: F
Skill: Factual
220.Delirium involves a widespread disruption of brain activity, possibly resulting from imbalances in the levels of
certain neurotransmitters.
1141
ANSWER: T
Skill: Factual
221.The prevalence of delirium is estimated at about 1% to 2% in the general community, but rises to 14% among
people over the age of 85.
ANSWER: T
Skill: Factual
222.People with chronic alcoholism who abruptly stop drinking may experience a form of delirium called delirium
tremens, or DTs.
ANSWER: T
Skill: Factual
223.Delirium tends to clear up spontaneously when the underlying medical or drug-related cause is resolved.
ANSWER: T
Skill: Factual
224.Dementia tends to clear up spontaneously when the underlying medical or drug-related cause is resolved.
ANSWER: F
Skill: Factual
225.Neurosyphilis is a form of early-stage syphilis.
ANSWER: F
Skill: Factual
226.In cases of neurosyphilis, the bacterium directly attacks the brain, resulting in dementia.
ANSWER: T
Skill: Factual
1142
227.General paresis once accounted for upwards of 50% of admissions to psychiatric hospitals.
ANSWER: F
Skill: Factual
228.The term dementia is used as a diagnostic label in the DSM-5 for describing cognitive impairments in older
adults.
ANSWER: F
Skill: Factual
229.Dementia that begins at age 65 or earlier is termed senile dementia.
ANSWER: F
Skill: Factual
230.Dementia usually occurs in people over the age of 80.
ANSWER: T
Skill: Factual
231.Because the risk of dementia is greater in later life, it is a normal consequence of the aging process.
ANSWER: F
Skill: Factual
232.Mild neurocognitive disorder is a new name for a clinical syndrome widely identified as mild cognitive
impairment (MCI).
ANSWER: T
Skill: Factual
233.Mild impairment of cognitive functioning frequently occurs in the early stages of neurodegenerative diseases
like Alzheimer’s disease.
ANSWER: T
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Skill: Factual
234.The DSM-5 makes clear mild impairment of cognitive functioning is not at all related to neurodegenerative
diseases like Alzheimer’s disease.
ANSWER: F
Skill: Factual
235.The great majority of cases of AD occur in people over the age of 65, most typically in those in their late 70s
and 80s.
ANSWER: T
Skill: Factual
236.Alzheimer’s is the sixth leading cause of death in the United States, accounting for about 85,000 deaths
annually.
ANSWER: T
Skill: Factual
237.As Alzheimer’s disease progresses, patients may experience hallucinations and other psychotic features.
ANSWER: T
Skill: Factual
238.Forgetting where you put your keys is a normal occurrence; forgetting where you live is not.
ANSWER: T
Skill: Factual
239.In 2012, new brain scanning technology became available that allows doctors to diagnose AD based on brain
scans showing plaques associated with the disease together with clinical evidence of memory loss.
ANSWER: T
Skill: Factual
240.The early stages of AD are marked by limited memory problems and subtle personality changes.
1144
ANSWER: T
Skill: Factual
241.In moderately severe Alzheimer’s disease, people require little assistance in managing everyday tasks.
ANSWER: F
Skill: Factual
242.Caregivers of persons with Alzheimer’s disease tend to experience more health-related problems and higher
levels of stress hormones than do noncaregivers.
ANSWER: T
Skill: Factual
243.People with a genetic variant called the ApoE4 gene stand a much lower risk of developing Alzheimer’s
disease.
ANSWER: F
Skill: Factual
244.Donepezil (brand name Aricept) is a widely-used drug used to treat Alzheimer’s by increasing levels of the
neurotransmitter acetylcholine (ACh).
ANSWER: T
Skill: Factual
245.Inflammation in the brain appears to play a key role in the development of Alzheimer’s disease.
ANSWER: T
Skill: Factual
246.Lifestyle factors such as maintaining a regular exercise program and following a healthy diet low in animal fat
and rich in vegetables and fish can reduce the risk of Alzheimer’s disease.
ANSWER: T
1145
Skill: Factual
247.Engaging in stimulating cognitive activities—solving puzzles, reading newspapers, playing word games, etc.—
does not help boost cognitive performance in people with mild to moderate AD.
ANSWER: F
Skill: Factual
248.A cerebrovascular accident (CVA), occurs when part of the brain becomes damaged because of a disruption in
its blood supply.
ANSWER: T
Skill: Factual
249.Vascular neurocognitive disorder is a form of major or mild neurocognitive disorder resulting from
cerebrovascular events.
ANSWER: T
Skill: Factual
250.Vascular dementia is the most common form of dementia.
ANSWER: F
Skill: Factual
251.Vascular dementia affects more men than women and accounts for about one in five cases of dementia.
ANSWER: T
Skill: Factual
252.Vascular forms of dementia generally result from multiple strokes occurring at different times that have
cumulative effects on a wide range of mental abilities.
ANSWER: T
Skill: Factual
253.Some cognitive functions in people with vascular dementia remain relatively intact in the early course of the
1146
disorder.
ANSWER: T
Skill: Factual
254.Vascular dementia is characterized by an insidious onset and a gradual decline of mental functioning.
ANSWER: F
Skill: Factual
255.Frontotemporal neurocognitive disorder is characterized by deterioration (thinning or shrinkage) of brain tissue

in the frontal and temporal lobes of the cerebral cortex.
ANSWER: T
Skill: Factual
256.Frontotemporal neurocognitive disorder’s symptoms include memory loss and social inappropriateness, such as
a loss of modesty or the display of flagrant sexual behavior.
ANSWER: T
Skill: Factual
257.Diagnosis of Pick’s disease is confirmed only upon autopsy by the absence of the neurofibrillary tangles and
plaques that are found in AD and by the presence of Pick’s bodies in nerve cells.
ANSWER: T
Skill: Factual
258.Amnesia (memory loss) frequently follows a traumatic event, such as a blow to the head, an electric shock, or a
major surgical operation.
ANSWER: T
Skill: Factual
259.Anterograde amnesia is a loss of memory of past events and personal information.
ANSWER: F
1147
Skill: Factual
260.Retrograde amnesia is an inability or difficulty forming or storing new memories.
ANSWER: F
Skill: Factual
261.As you will recall, your text discusses the case of H.M., who had retrograde amnesia caused by a surgical
procedure.
ANSWER: F
Skill: Factual
262.Hypoxia is a blockage of the blood vessels supplying the brain.
ANSWER: F
Skill: Factual
263.Infarction is a blockage of the blood vessels supplying the brain.
ANSWER: T
Skill: Factual
264.People with Korsakoff’s syndrome have major gaps in their memory of past experiences and significant
difficulty learning new information.
ANSWER: T
Skill: Factual
265.Korsakoff’s syndrome involves irreversible memory loss due to brain damage resulting from deficiency of
vitamin B1.
ANSWER: T
Skill: Factual
266.Korsakoff’s syndrome cannot be gained by drinking too much alcohol.
1148
ANSWER: F
Skill: Factual
267.Wernicke’s disease is caused by abnormal protein deposits that form within the nucleus of cells in parts of the
brain.
ANSWER: F
Skill: Factual
268.Lewy bodies are abnormal protein deposits that form within the nucleus of cells in parts of the brain, disrupting
brain processes that control memory and motor control.
ANSWER: T
Skill: Factual
269.Neurocognitive disorder due to Lewy body dementia is the second most common form of progressive dementia.
ANSWER: T
Skill: Factual
270.Parkinson’s disease is characterized by uncontrollable shaking or tremors, rigidity, disturbances in posture

(leaning forward), and lack of control over body movements.
ANSWER: T
Skill: Factual
271.The form of dementia associated with Parkinson’s disease typically involves delusions and a loss of working
memory.
ANSWER: F
Skill: Factual
272.Parkinson’s disease involves destruction of dopamine-producing nerve cells in the substantia nigra.
ANSWER: T
1149
Skill: Factual
273.Parkinson’s patients rarely become depressed.
ANSWER: F
Skill: Factual
274.Parkinson’s can be cured by L-dopa controlling its symptoms and reversing its progress.
ANSWER: F
Skill: Factual
275.Investigators report that deep brain electrical stimulation block tremors in all Parkinson patients.
ANSWER: F
Skill: Factual
276.Huntington’s disease typically begins in the prime of adulthood, between the ages of 30 and 45.
ANSWER: T
Skill: Factual
277.In Huntington’s disease, there is progressive deterioration of the cerebellum.
ANSWER: F
Skill: Factual
278.Huntington’s disease is transmitted genetically from the father to male biological children.
ANSWER: F
Skill: Factual
279.A genetic test can determine whether a person carries the defective gene that causes Huntington’s disease.
ANSWER: T
1150
Skill: Factual
280.People who have a parent with Huntington’s disease stand a 50% chance of inheriting the gene.
ANSWER: T
Skill: Factual
281.The human immunodeficiency virus (HIV), which causes AIDS, can invade the central nervous system and
cause a minor or major neurocognitive disorder.
ANSWER: T
Skill: Factual
282.Dementia is common in people with HIV who have not yet developed full-blown AIDS.
ANSWER: F
Skill: Factual
283.Common behavioral features of dementia associated with HIV disease are apathy and social withdrawal.
ANSWER: T
Skill: Factual
284.The best-known example of prion disease is Creutzfeldt-Jakob disease, a rare but fatal brain disease.
ANSWER: T
Skill: Factual
285.It is normal for people in later life to experience some decline in memory functioning and general cognitive
ability, as measured by tests of intelligence, or IQ tests.
ANSWER: T
Skill: Factual
286.As we age, some abilities, such as vocabulary and accumulated storage of knowledge, hold up well and may
improve over time.
1151
ANSWER: T
Skill: Factual
287.The most frequently occurring anxiety disorders among older adults are panic disorder and social phobia.
ANSWER: F
Skill: Factual
288.Estimates are that between 1% and 5% of older adults are currently suffering from a diagnosable major
depressive episode.
ANSWER: T
Skill: Factual
289.A study of Mexican American older adults showed that those who were minimally acculturated to U.S. society
had lower rates of depression than either highly acculturated or bicultural individuals.
ANSWER: F
Skill: Factual
290.Social support for older adults can help buffer the effects of stress, bereavement, and illness, thereby reducing
the risk of depression.
ANSWER: T
Skill: Factual
291.Despite the prevalence of depression in older people, physicians often fail to recognize it or to treat it
appropriately.
ANSWER: T
Skill: Factual
292.Memory impairments that often accompany late-life depression often lift once the underlying depression is
resolved.
ANSWER: T
1152
Skill: Factual
293.Sleep problems are common in old age and upward of 50% of older adults report sleep problems.
ANSWER: T
Skill: Factual
294.Insomnia is the second most common sleep problem affecting older adults.
ANSWER: F
Skill: Factual
295.Luckily, the sleep medications used in treating late-life insomnia have minimal side effects and cannot lead to
dependence.
ANSWER: F
Skill: Factual
Essay Questions
296.Discuss the nature of cognitive disorders and briefly describe the various types of neurocognitive disorders.

Skill: Factual
297.What are delirium tremens? What causes this condition? How should it be dealt with medically?

Skill: Factual
298.Define delirium. Discuss the causes of delirium, its course and periods of intense and less intense symptoms.

Skill: Factual
299.Describe why the term dementia is no longer used as a diagnostic label in the DSM-5.

1153
Skill: Factual
300.Describe mild neurocognitive disorder and discuss why its inclusion in the DSM-5 is important from a treatment
standpoint.

Skill: Factual
301.Discuss the genetic link associated with Alzheimer’s disease.

Skill: Factual
302.What lifestyle practices can contribute to lessening or slowing the progression of Alzheimer’s disease?

Skill: Factual
303.Discuss the similarities and differences between Alzheimer’s disease and Vascular neurocognitive disorder.

Skill: Factual
304.Describe how regressive dementia due to traumatic brain injury is more likely to result from multiple head
traumas.

Skill: Factual
305.Discuss the features and causes of amnesia. Differentiate between the two types of amnesia presented in the
text.

Skill: Factual
306.Discuss the origins and features of Korsakoff's syndrome. Describe its relationship with Wernicke’s disease.

Skill: Factual
307.What is Lewy Body Disease? Discuss its commonalities with Alzheimer’s. How does Lewy Body disease
1154
affect mood?

Skill: Factual
308.Discuss the treatments currently in use for Parkinson’s disease. How do they treat symptoms?

Skill: Factual
309.How is Huntington’s disease acquired? What are its features and course of the disease?

Skill: Factual
310.Discuss different aspects of the controversy regarding genetic testing for diseases which can lead to cognitive
impairment.

Skill: Factual
311.What is Creutzfeldt-Jakob disease? Explain the physical process of this disease and the role of the prion.

Skill: Factual
312.Describe the changes in intellectual functioning as a function of aging.

Skill: Factual
313.What are the two most common anxiety disorders among the elderly? What are the likely sources of these
disorders?

Skill: Factual
314.What physical and psychological factors can contribute to depression in the elderly? Discuss the unique
stressors that the older person deals with.

1155
Skill: Factual
315.Discuss the prevalence of sleep problems with the elderly. What types of psychological and psychosocial
difficulties contribute to an elderly person’s sleep problems?

Skill: Factual
1156
REVEL QUIZ QUESTIONS
EOC Q14.1
Physical or medical conditions that affect brain functions by causing disturbances in thinking,
memory, or attention and that create a marked change from a person’s prior level of functioning,
are called __________ disorders.
a) cerebral
b) neurocognitive
c) cognitive degeneration
d) psychosomatic
Answer: b
Learning Objective: 14.1 Describe the diagnostic features of neurocognitive disorders and
identify three major types.
Skill Level: Understand
Difficulty: Moderate
EOC Q14.2
Harry suffers from chronic alcoholism. When Harry goes without drinking for a day, he
experiences wild and frightening hallucinations, such as “bugs crawling down walls” or on his
skin. He is typically hospitalized with this condition, known as __________.
a) delirium tremens
b) cold turkey
c) tolerance
d) abstinence syndrome
Answer: a
Learning Objective: 14.2 Describe the key features and causes of delirium.
Skill Level: Apply
Difficulty: Difficult
1157
EOC Q14.3
For people in a state of delirium, disorientation to __________ is common.
a) objects
b) the identity of others
c) time and place
d) person
Answer: c
EOC Q14.4
Meredith’s dementia has left her unable to tie her shoes even though she can perfectly describe
how to tie her shoes and there is nothing physically wrong with her arms or hands. This type of
cognitive deficit is called __________.
a) tactasia
b) aphasia
c) apraxia
d) agnosia
Answer: c
Learning Objective: 14.3 Describe the key features and causes of major neurocognitive disorder.
Skill Level: Apply
EOC Q14.5
Dementia that begins at age 65 or earlier is termed __________ dementia.
a) midlife
b) adult-onset
c) bio-cognitive
d) early-onset
Answer: d
Skill Level: Remember
Difficulty: Easy
1158
EOC Q14.6
Individuals with mild cognitive impairment will __________ go on to develop Alzheimer’s

disease.
a) never
b) sometimes
c) typically
d) always
Answer: b
Learning Objective: 14.4 Describe the key features of mild neurocognitive disorder.
Skill Level: Analyze
EOC Q14.7
Which brain abnormalities are regarded as signs of Alzheimer’s disease?
a) swelling and intracranial arteriovenous malformations

b) encephalitis and lesions
c) plaques and neurofibrillary tangles
d) hemorrhages and intracranial pressure
Answer: c
Learning Objective: 14.5 Describe the key features and causes of Alzheimer’s disease and
evaluate current treatments.
Difficulty: Easy
EOC Q14.8
One widely used drug in the treatment of Alzheimer’s disease is donepezil (brand name Aricept),
which increases the levels of which neurotransmitter?
a) acetylcholine
b) dopamine
c) endorphins
d) serotonin
Answer: a
1159
EOC Q14.9
Parkinson’s disease involves destruction of dopamine-producing nerve cells in the __________,

an area of the brain that helps regulate body movement.
a) cerebellum
b) substantia nigra
c) cingulate gyrus
d) thalamus
Answer: b
Learning Objective: 14.6 Identify other subtypes of neurocognitive disorders.
EOC Q14.10
What is the name of the type of neurocognitive disorder that results from repeated strokes?
a) hypoxic neurocognitive disorder

b) vascular neurocognitive disorder
c) cerebral neurocognitive disorder
d) aphasic neurocognitive disorder
Answer: b
EOC Q14.11
Pick’s disease most often begins in people __________ years of age.
a) 15 to 30
b) 40 to 60
c) 60 to 80
d) over 80
Answer: b
1160
EOC Q14.12
Mr. Song has been diagnosed with __________, which is a neurological disease impacting the
basal ganglia that is characterized by involuntary, jerky twitches and alternating mood states.
a) Pick’s disease
b) Parkinson’s disease
c) neurosyphilis
d) Huntington’s disease
Answer: d
Skill Level: Apply
EOC Q14.13
In addition to antianxiety drugs, __________ are often used to treat anxiety disorders in older
adults.
a) SSRI antidepressants
b) neuroleptics
c) anti-seizure drugs
d) mood stabilizers
Answer: a
Learning Objective: 14.7 Identify anxiety-related disorders and their treatments in older adults.
EOC Q14.14
Researchers estimate that __________ of older adults are currently suffering from a diagnosable
major depressive episode.
a) fewer than 1%
b) between 1% and 5%
c) between 10% and 15%
d) more than 20%
Answer: b
Learning Objective: 14.8 Identify factors associated with depression in late adulthood and ways
of treating it.
1161
EOC Q14.15
The most common sleep problem affecting older adults is __________.
a) insomnia
b) hypnogogic hallucinations
c) night terrors
d) narcolepsy
Answer: a
Learning Objective: 14.9 Identify factors involved in late-life insomnia and ways of treating it.
EOM Q14.1.1
Mr. Venezia’s tumor caused him to develop visual agnosia. This means that Mr. Venezia has lost
the ability to __________.
a) recognize patterns and colors

b) see
c) perceive shapes
d) make sense of the world of visual objects
Answer: d
Learning Objective: 14.1 Describe the diagnostic features of neurocognitive disorders and
identify three major types.
Skill Level: Difficult
Difficulty: Apply
EOM Q14.1.2
Martin, age 85, has hypoglycemia. He experiences difficulty concentrating, is often disoriented,
and misinterprets sensory stimuli. The state of extreme mental confusion he is experiencing is
known as __________.
a) dementia
b) delusion
c) amnesia
d) delirium
Answer: d
Skill Level: Apply
1162
EOM Q14.1.3
General paresis is a form of neurocognitive impairment resulting from __________.
a) neurosyphilis
b) HIV
c) alcoholic encephalopathy
d) a B vitamin deficiency
Answer: a
EOM Q14.1.4
People with __________ are able to function independently and complete tasks of daily living at
home and on the job, but they need to apply more effort in completing tasks that used to come
more easily.
a) Pick’s disease
b) Alzheimer’s disease
c) mild neurocognitive disorder
d) Huntington’s disease
Answer: c
Learning Objective: 14.4 Describe the key features of mild neurocognitive disorder.
EOM Q14.1.5
People with a genetic variant called the __________ stand a much higher risk of developing
Alzheimer’s disease, compared to people without the genetic variant.
a) AlzGene014
b) ApoE4 gene
c) SZ79 gene
d) variant PD14
Answer: b
1163
EOM Q14.1.6
Researchers estimate that __________ of Alzheimer’s cases occur in people under the age of 65.
a) fewer than 1%
b) about 5%
c) about 10%
d) more than 20%
Answer: a
EOM Q14.1.7
__________ are abnormal protein deposits that form within the nucleus of cells in parts of the
brain. The distinguishing features of the resulting disorder are the appearance of fluctuating
alertness and attention, marked by frequent periods of drowsiness and staring into space.
a) Neurofibrillary plaques
b) Rigid vascularity
c) Embolisms
d) Lewy bodies
Answer: d
EOM Q14.2.1
Compared to when she was younger, Mrs. Anderson, age 83, needs more time to respond to
traffic signals while driving. Researchers refer to this response as __________.
a) a reflex interval
b) reaction time
c) an infarction response
d) mental awareness
Answer: b
Learning Objective: Psychological Disorders Related to Aging
Skill Level: Apply
1164
EOM Q14.2.2
Tom, age 68, visited his doctor because he is experiencing some reduction in memory for names.
Tom’s doctor will most likely tell him that this is __________.
a) not unusual for his age

b) very unusual for his age
c) an indicator of dementia
d) a sign of poor health
Answer: a
Learning Objective: Psychological Disorders Related to Aging
Skill Level: Apply
EOM Q14.2.3
The most frequently occurring anxiety disorders among older adults are phobias and
__________.
a) panic disorder
b) acute stress reaction
c) generalized anxiety disorder
d) obsessive-compulsive disorder
Answer: c
EOM Q14.2.4
Approximately 1 in __________ adults over the age of 55 suffer from a diagnosable anxiety
disorder, and older __________ are more likely to suffer from anxiety than older __________.
a) 3; men; women
b) 5; women; men
c) 5; men; women
d) 10; women; men
Answer: d
1165
EOM Q14.2.5
The results of a study of Mexican American older adults indicate that those who were minimally
acculturated had __________ compared to those who were highly acculturated to U.S. society.
a) higher rates of depression

b) lower incidence of Alzheimer’s
c) higher incidence of brain damage
d) lower rates of anxiety
Answer: a
Learning Objective: 14.8 Identify factors associated with depression in late adulthood and ways
of treating it.
EOM Q14.2.6
Sleep problems are reported by __________ older adults surveyed.
a) very few
b) about a third of
c) at least half of
d) virtually all
Answer: c
Difficulty: Easy
EOM Q14.2.7
As an alternative to sleep medications for insomnia in older adults, __________ can be used and
produces results that are __________ medications.
a) behavioral treatment; as good as, if not better than

b) ECT; slightly better than
c) psychoanalytical therapy; about the same as
d) talk therapy; much better than
Answer: a
1166

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Total Assessment Guide

Topic Factual Conceptual Applied

4. Damage to the temporal lobe is associated with defects in ___________.

5. A disturbance of sensory perception, usually affecting visual recognition, is known as ______.

7. Which of the following is one of the major types of neurocognitive disorders?

13. There are ______ known causes of delirium.

15. Viral encephalitis is ____________.

18. The severity of symptoms with delirium___________.

19. Visual hallucinations can be a part of ______.

20. Which of the following can be a symptom of delirium?

23. Delirium most often affects which of the following?

25. A key feature in delirium is disturbances of _______.

26. Delirium can be caused by a deficiency in ______.

27. Which of the following is a common cause of delirium?

29. Among older persons, delirium is most likely to be a sign of_____________.

36. Delirium involves ___________, possibly resulting from______________.

45. Which of the following is a symptom of severe delirium?

51. ____________represents a profound decline or deterioration in mental functioning characterized by significant

54. Most dementias are ______ and ______.

55. Which of the following is a known cause of dementia?

56. The most common form of dementia is ______.

58. A form of dementia that results from neurosyphilis is ______.

59. General paresis is caused by ______.

60. Syphilis is caused by a(n) ______.

70. Which of the following is true?

71. Most dementias occur in people ______.

74. Impaired ability to comprehend or produce speech is called ______.

84. Ninety-nine percent of Alzheimer’s patients are ________.

86. Alzheimer’s is _______ not a ______.

88. Which symptom would be expected in advanced cases of Alzheimer’s disease?

89. Alzheimer’s disease was first described by a ______.

98. “Attending a funeral that never ends” is ______.

100.The plaques that characterize Alzheimer's disease are composed of ______.

108.A cerebrovascular accident in the brain is commonly known as a(n) ______.

110.Vascular dementia refers to what we now call ______.

111.Which statement is true of vascular neurocognitive disorder?

112.Single strokes may produce ______.

113.Vascular neurocognitive disorder is most similar in its symptoms to ______.

114.As compared to Alzheimer’s dementia, vascular neurocognitive disorder ______.

115.Vascular neurocognitive disorder usually results from ______.

118.Frontotemporal neurocognitive disorder is most similar in its symptomology to ______.

119.Frontotemporal neurocognitive disorder was once called which of the following?

120.A behavioral symptom of frontotemporal neurocognitive disorder is ______.

124.Which of the following people is MOST likely to have Pick’s disease?

125.Which of the following is true of frontotemporal neurocognitive disorder?

128.There are ______ general types of amnesia.

131.Inability or difficulty forming or storing new memories is known as ______ amnesia.

134.In amnesia, people’s memory ______ and intellectual functioning ______.

139.Sudden loss of oxygen to the brain is called ______.

140.Blockage of the blood vessels supplying the brain is called ______.

145.The memory impairment in Korsakoff’s syndrome ______.

147.Korsakoff's syndrome often follows an acute attack of ______.

151.Difficulties in maintaining balance while walking is called ______.

158.Parkinson's disease afflicts between ______ people in the United States.

159.Muhammad Ali and actor Michael J. Fox suffer from ______.

160.A woman is ______ as likely as a man to get Parkinson's disease.

162.Which statement is true of the incidence of dementia in Parkinson’s patients?

36. Delirium involves _, possibly resulting from____.

54. Most dementias are and .

86. Alzheimer’s is _ not a .

134.In amnesia, people’s memory and intellectual functioning .