____ 1) The prevalence estimates of both schizophrenia and bipolar disorders are roughly comparable across diverse cultures. This finding lends support to

A. the relativistic view of psychological disordersB. the stress-vulnerability model of psychological disordersC. the idiosyncratic view of psychological disordersD. the pancultural view of psychological disorders

____ 2) A court declares that because of a mental illness, an individual is not responsible for his criminal actions. The individual is

A. insaneB. psychopathicC. psychoticD. schizophrenic

____ 3) Wendy works at Opydyne Corporation. At the last business executive meeting she showed up in pajamas and slippers. When her coworkers commented on the inappropriateness of her outfit, Wendy did not seem the least bit disturbed or embarrassed by their comments. In this example, Wendy's style of dressing would most likely be considered

A. maladaptiveB. personally distressingC. delusionalD. culturally deviant

____ 4) The idea that you can't be profoundly relaxed and fearful at the same time is basic toA. behavior modificationB. systematic desensitizationC. successive goal approximationsD. psychodynamic activation

____ 5) The neurodevelopmental hypothesis of schizophrenia suggests that schizophrenia may be caused, in part, by

A. low levels of expressed in emotion in the family of the schizophrenic patientB. disruptions in the normal maturational process of the brain before or at birthC. genetic factors that interact with environmental stressors during infancyD. abnormal levels of dopamine and serotonin in the cerebral cortex

____ 6) Jose has a psychological disorder, and his doctor has prescribed a drug that affects both the levels of norepinephrine and serotonin in Jose's nervous system. Based on this information, it is most likely that Jose is being treated for

A. an anxiety disorderB. a schizophrenic disorderC. a somatoform disorderD. depression

____ 7) Taken as a whole, the results from studies investigating mental illness among the homeless indicate that, compared to the non-homeless, homeless persons are

A. less likely to suffer from mental health problems or substance abuse problemsB. equally likely to suffer from mental health problemsC. more likely to suffer from mental health problemsD. less likely to suffer from mental health problems, but more likely to exhibit substance abuse problems

____ 8) Hiding information or things from your therapist can be evidence forA. displacementB. resistance to therapyC. transferenceD. counterconditioning

____ 9) Behavior therapies appear to be particularly effective in the treatment ofA. major depressionB. antisocial personality disorderC. phobiasD. multiple-personality disorders

____ 10) Which of the following was not a problem with state mental hospitals in the United States during the 1950s and 1960s?

A. The hospitals were underfunded.B. The hospitals were overstaffed.C. The hospital staff was undertrained.D. The hospitals were overcrowded.

____ 11) Erick is impulsive and unpredictable. His moods seem to be constantly changing and all his interpersonal relationships seem to be very unstable. If Erick has a personality disorder, his symptoms are most consistent with those associated with disorders in

A. the dramatic/impulsive clusterB. the odd/eccentric clusterC. the anxious/fearful clusterD. the neurotic/dissociative cluster

____ 12) A two-category scheme for classification of schizophrenia has been suggested as an alternative to the older four categories. These two categories are based on

A. presence or absence of delusionsB. predominance of positive or negative symptomsC. early or late age of onsetD. slow or fast developing symptoms

____ 13) Jack thinks constantly about dirt and germs. He washes his hands hundreds of times a day. Jack is most likely suffering from

A. obsessive-compulsive disorderB. hypochondriasisC. phobic disorderD. somatization disorder

____ 14) Which of the following therapies are mainly intended to eliminate symptoms rather than alter personality?

A. behavior and drug therapiesB. psychoanalysis and client-centered therapyC. client-centered therapies and behavior therapiesD. psychoanalysis and drug therapies

____ 15) Tony believes that he is Thomas Edison, and he is convinced that his neighbors are spies who are trying to steal his inventions. He believes the neighbors break into his house and search for plans for new inventions when he is not home. Tony's symptoms are most consistent with those seen in

A. paranoid schizophreniaB. undifferentiated schizophreniaC. catatonic schizophreniaD. disorganized schizophrenia

____ 16) In free associationA. clients relate the events of their dreams as they remember themB. clients are restricted to talking about their sexual conflicts onlyC. clients spontaneously express their thoughts and feelings exactly as they occur

D. therapists openly express their interpretations of clients' thoughts and feelings

____ 17) The side effect associated with taking traditional antipsychotic drugs, that is characterized by chronic tremors and involuntary spastic movements, is

A. infindibular recidivismB. tardive dyskinesiaC. tachycardia palpitationsD. MAO inhibition

____ 18) Which of the following statements is true?A. Men are more likely than women to enter therapy.B. People from the lower socioeconomic classes are more likely to enter therapy than those

from the upper classes.C. Many people who need therapy don't receive it.D. Only people who have an identifiable mental disorder are eligible for therapy.

____ 19) The risks of ECTA. have been completely eliminated by modern improvements in the procedureB. may include both short- and long-term intellectual impairmentC. are so severe that the use of ECT has been banned by lawD. are negligible, as long as appropriate precautions are taken

____ 20) With regard to psychological disorders, spontaneous remission refers to aA. recovery from a disorder that occurs without formal treatmentB. recovery from a disorder that occurs as a result of formal treatmentC. sudden recurrence of a disorder in a client who had apparently been curedD. failure to recover despite extensive treatment

____ 21) Griffin didn't have time to study for his philosophy midterm so he called the professor and claimed he had strep throat, even though he was not really ill. He was hoping that the professor would allow him to write the midterm one day later. In this case, Griffin's "faked" illness could be considered

A. a psychosomatic illnessB. conversion disorderC. panic disorderD. malingering

____ 22) Of the following, which is the most accurate statement regarding eating disorders?A. Bulimia nervosa is a more life-threatening condition than anorexia nervosa.B. Both bulimia nervosa and anorexia nervosa lead to death in 2-10% of patients.C. Anorexia nervosa is a more life-threatening condition than bulimia nervosa.D. While bulimia nervosa and anorexia nervosa are both serious conditions, neither is a life-

threatening condition.

____ 23) Epidemiology is the study ofA. the distribution of mental or physical disorders in a populationB. treatments for psychological disordersC. sudden "epidemics" involving specific mental or physical disordersD. how cultural values affect judgments of abnormality

____ 24) Which of the following therapies would be most likely to employ aversive conditioning?A. psychoanalysisB. behavior therapyC. biomedical therapiesD. client-centered therapy

____ 25) According to the evolutionary view of mental disorders, a dysfunction occurs whenA. an individual's behavior meets at least three of the diagnostic criteria outlined in the DSM-IVB. an evolved psychological mechanism does not perform its naturally selected function adequately or

effectivelyC. a behavior is universally recognized as violating cultural or statistical normsD. the same disorder is evident in at least three generations of the same family

____ 26) Antipsychotic drugsA. gradually reduce psychotic symptoms such as hallucinations and delusionsB. are effective in about 95 percent of psychotic patientsC. tend to produce an immediate, but short-lasting, effectD. are often prescribed even for individuals who have no clinical psychotic disorder

____ 27) Sophie takes over 40 different vitamins and herbal remedies each day to keep herself in top physical health. Recently she had some severe dizziness, but her family doctor assured her that it was just a minor ear infection that would clear up in a few days. Sophie is concerned because she is sure the ear infection is the sign of something much more serious, such as a brain tumor, and she has made appointments with three different specialists to have more testing done. In this case, Sophie's symptoms are most consistent with

A. somatization disorderB. conversion disorderC. panic disorderD. hypochondriasis

____ 28) Charlene is talking with her father, and she confesses that she lied about where she had been on the weekend. Her father tells Charlene that he loves her, but that he doesn't approve of her lying. According to Carl Rogers, Charlene's father is displaying the quality of

A. empathyB. validityC. unconditional positive regardD. selective abstraction

____ 29) A major drug used to reduce the symptoms of schizophrenia isA. ValiumB. ElavilC. ThorazineD. lithium

____ 30) After several weeks of feeling gloomy and being socially withdrawn, Marco has suddenly become extremely sociable and talkative. He doesn't seem to need any sleep, and he becomes irritated when his friends tell him to slow down. Marco's behavior is consistent with

A. obsessive-compulsive disorderB. schizophreniaC. histrionic personality disorderD. bipolar disorder

5mw3Answer Section

MULTIPLE CHOICE

1) ANS: D REF: 604

2) ANS: A REF: 603

3) ANS: D REF: 571

4) ANS: B REF: 627 Correct = 69%

5) ANS: B REF: 596

6) ANS: D REF: 589

7) ANS: C REF: 644

8) ANS: B REF: 649 Correct = 96%

9) ANS: C REF: 630

10) ANS: B REF: 642 Correct = 89%

11) ANS: A REF: 598

12) ANS: B REF: 594

13) ANS: A REF: 579

14) ANS: A

15) ANS: A REF: 593

16) ANS: C REF: 620 Correct = 91%

17) ANS: B REF: 632 Correct = 81%

18) ANS: C REF: 617

19) ANS: B REF: 635 Correct = 70%

20) ANS: A REF: 625 Correct = 69%

21) ANS: D REF: 582

22) ANS: C REF: 607

23) ANS: A REF: 576 Correct = 76%

24) ANS: B REF: 628

25) ANS: B REF: 571

26) ANS: A REF: 631

27) ANS: D REF: 583

28) ANS: C REF: 622

29) ANS: C REF: 631

30) ANS: D REF: 588

____ 1) A physical ailment that results from psychological factors without any accompanying physical basis is referred to as

A. a somatoform disorderB. a psychosomatic illnessC. an anxiety disorderD. malingering

____ 2) The subtype of schizophrenia marked by delusions of persecution and grandeur isA. hebephrenicB. disorganizedC. catatonicD. paranoid

____ 3) An unwanted thought that repeatedly intrudes upon an individual's consciousness is called

A. a delusionB. an obsessionC. a compulsionD. a hallucination

____ 4) Inflated self-esteem, distractibility, heightened emotionality, and grandiose planning are all symptoms associated with

A. fugue statesB. bipolar disordersC. dissociative disordersD. obsessive-compulsive disorders

____ 5) Killian lets her husband keep all the financial records for the family, and she expects him to make all the decisions that affect the family. She refuses to make any decisions on her own, and if anything unexpected occurs she calls her husband at work to ask for his advice. If Killian has a personality disorder, her symptoms are most consistent with those associated with disorders in

A. the anxious/fearful clusterB. the odd/eccentric clusterC. the dramatic/impulsive clusterD. the neurotic/dissociative cluster

____ 6) Thorazine is classed asA. an antianxiety drugB. an antipsychotic drugC. an antidepressant drugD. a mood-altering drug

____ 7) Researchers have found that in schizophrenic patients, as compared to normal control subjects, the thalamus is:

A. larger, and shows more metabolic activityB. smaller, but shows more metabolic activityC. larger, but shows less metabolic activityD. smaller, and shows less metabolic activity

____ 8) If you feel that your therapy isn't progressing, you shouldA. get a new therapist immediatelyB. assume you are not a good candidate for therapy, and drop the ideaC. first consider the possibility of your own resistance to therapyD. first question your therapist's competence

____ 9) Which of the following neurotransmitters has been implicated in mood disorders?A. GABAB. serotoninC. dopamineD. endorphins

____ 10) The two most common problems among those who seek psychotherapy areA. marital conflicts and a sense of emptinessB. loneliness and boredomC. low self-esteem and irrational thinkingD. anxiety and depression

____ 11) Of the following, which is not a closely related pair of terms?A. psychoanalysis and free associationB. client-centered therapy and clarificationC. behavior therapy and systematic desensitizationD. biomedical therapy and aversion therapy

____ 12) Therapy that involves pairing a stimulus that leads to an undesirable behavior with an unconditioned stimulus that is unpleasant is

A. biofeedback trainingB. systematic desensitizationC. reverse countertransferenceD. aversion therapy

____ 13) Behavior that does not coincide with cultural norms may be considered to beA. deviantB. maladaptiveC. personally distressingD. insane

____ 14) In direct comparisons of the effectiveness of behavior therapy and insight therapyA. the differences are usually small, but tend to favor behavior therapyB. the differences are usually small, but tend to favor insight therapyC. behavior therapy tends to be significantly more effectiveD. insight therapy tends to be significantly more effective

____ 15) DSM-IV uses five "axes" to describe a person's problem. The actual diagnosis of a disorder is made on

A. Axis I onlyB. Axis II onlyC. Axis I and IID. Axis V

____ 16) You are watching a television documentary that shows a patient who is undergoing electroconvulsive therapy (ECT). If this documentary is depicting psychotherapy in the 1990s, you should conclude that

A. the patient is being treated for severe depression that has not responded to medicationB. the patient is being treated for severe schizophrenia that has not responded to medicationC. the documentary is inaccurate because electroconvulsive shock therapy hasn't been used

since the 1970sD. the documentary is an "undercover expose," and the doctor administrating the treatment is

in violation of current ethical guidelines

____ 17) Suggestions for improving mental health services for American minority groups have included all of the following except

A. recruitment and training of more ethnic minority therapistsB. pretherapy education programs for minority clients to familiarize them with the process of therapyC. the provision of free therapeutic services for all ethnic clientsD. giving therapists special training in cultural sensitivity

____ 18) In an effort to make the criteria of mental illness less value-laden, evolutionary psychologists have proposed that mental disorders ought to be viewed as

A. harmful evolutionary dysfunctionsB. diseases that can be treated and possibly curedC. the manifestation of unconscious instincts and drivesD. culturally maladaptive behaviors learned through social interactions

____ 19) Taken as a whole, the results from studies investigating mental illness among the homeless suggest that

A. the homeless population is made up primarily of elderly male alcoholicsB. many of the homeless suffer from some form of psychological disorderC. most of the homeless have family or friends they could go to, if they choseD. deinstitutionalization has been largely successful in getting mental patients off the streets

____ 20) Dr. Benz always tries to be honest with her clients, and she never becomes defensive, even if the clients ridicule her feedback or her methods of therapy. According to Carl Rogers, Dr. Benz is displaying the quality of

A. empathy in dealing with her clientsB. genuineness in dealing with her clientsC. unconditional positive regard in dealing with her clientsD. validity in dealing with her clients

____ 21) Fiona has been diagnosed with bulimia nervosa. Based on the physical symptoms listed in your text, you should expect that Fiona will show evidence of

A. amenorrhea and low blood pressureB. dental problems and cardiac arrhythmiasC. cardiac arrhythmias and osteoporosisD. dental problems and elevated blood pressure

____ 22) The disorder marked by striking motor disturbances ranging from rigidity to random motor activity and incoherence is termed

A. catatonic schizophreniaB. multiple personalityC. dissociative disorderD. paranoid schizophrenia

____ 23) Jack always complains of being sick. He is convinced he is dying. His physicians have all told him that there is nothing wrong with him and he should live well into his 80s. Jack does not believe the physicians and continues to search for a doctor who will confirm that he is sick. Jack's behavior is most consistent with the symptoms of

A. an anxiety disorderB. a somatoform disorderC. a dissociative disorderD. a schizophrenic disorder

____ 24) Tardive dyskinesia

A. is a neurological disorder marked by involuntary writhing and tic-like movementsB. is a serious side effect of long-term use of antidepressant drugsC. can be cured with the same medication used to treat Parkinson's diseaseD. can emerge after long-term use of lithium

____ 25) The recovery from a disorder without formal treatment is referred to asA. a placebo effectB. reified recoveryC. spontaneous remissionD. countertransference

____ 26) Anorexia nervosa is an eating disorder than seems to occur only in Western cultures. The discovery of culture-bound disorders, such as anorexia nervosa, lends support to

A. the relativistic view of psychological disordersB. the pancultural view of psychological disordersC. the stress-vulnerability model of psychological disordersD. the idiosyncratic view of psychological disorders

____ 27) Free association and dream analysis were held to be major methods to discover the makeup of

A. the unconsciousB. the consciousC. irrational thoughtsD. maladaptive behaviors

____ 28) The use of the anxiety hierarchy in systematic desensitization allows for theA. gradual approach to the feared objectB. direct confrontation with the feared objectC. use of real objects instead of imaginationD. transfer of treatment to real-life situations

____ 29) Tina has been extremely hyperactive for the past week, and she has been getting by with only 3 hours of sleep each night. Her thoughts seem to be racing out of control and she is convinced that the novel she started last week will become a best seller and win a Pulitzer Prize, even though she has never had any of her writing published in the past. Tina's symptoms suggest that she is currently experiencing

A. dysthymic disorderB. generalized anxiety disorderC. a manic episodeD. dissociative fugue

____ 30) Which of the following behavior therapy techniques would most likely be used to treat a fear of flying?

A. systematic desensitizationB. aversive conditioningC. modelingD. biofeedback

5mw11Answer Section

MULTIPLE CHOICE

1) ANS: A REF: 582

2) ANS: D REF: 593 Correct = 79%

3) ANS: B REF: 578

4) ANS: B REF: 588

5) ANS: A REF: 598

6) ANS: B REF: 631

7) ANS: D REF: 596 Correct = 75%

8) ANS: C REF: 649

9) ANS: B REF: 589

10) ANS: D REF: 616 Correct = 89%

11) ANS: D

12) ANS: D REF: 628

13) ANS: A REF: 570 Correct = 79%

14) ANS: A REF: 630 Correct = 43%

15) ANS: C REF: 575 Correct = 70%

16) ANS: A REF: 634

17) ANS: C REF: 642 Correct = 36%

18) ANS: A REF: 571

19) ANS: B REF: 644

20) ANS: B REF: 622

21) ANS: B REF: 607

22) ANS: A REF: 593

23) ANS: B REF: 583

24) ANS: A REF: 632

25) ANS: C REF: 625

26) ANS: A REF: 604

27) ANS: A REF: 620

28) ANS: A REF: 627 Correct = 91%

29) ANS: C REF: 588

30) ANS: A REF: 627

____ 1) Several research studies have found an elevated incidence of schizophrenia among individuals whose mothers

A. were exposed to influenza during the second trimester of their pregnancyB. were exposed to high levels of stress during the second trimester of their pregnancyC. drank heavily during the second trimester of their pregnancyD. took narcotic drugs during the second trimester of their pregnancy

____ 2) Epidemiological studies of psychological disorders suggest thatA. nearly everyone who needs treatment for psychological disorders receives itB. epidemics involving psychological disorders are commonC. psychological disorders are more common than many people realizeD. there has been a significant decrease in prevalence rates of mental illness in the United

States in recent years

____ 3) Selena constantly thinks about climbing up the stairs to the roof of her building and jumping into the street below. Selena's uncontrollable thoughts could be considered as an example of

A. an obsessionB. a compulsionC. a hallucinationD. a delusion

____ 4) Scarlett has anorexia nervosa and Bridget has bulimia nervosa. Based on the research into these two disorders, you should predict that

A. Scarlett will be more likely to recognize that her eating behavior is pathologicalB. both individuals are likely to deny that their eating behavior as pathologicalC. both individuals will recognize their eating behavior is pathological, but neither will be

willing to seek treatmentD. Bridget will be more likely to recognize that her eating behavior is pathological

____ 5) Carina is 50 years old, and she never seems to be on an even keel. Some days she is excited and happy, other days she is sad and withdrawn. Her symptoms seem fairly mild, but she has had mood swings of this type since she was in her early 20s. Carina's symptoms are most consistent with those seen in

A. cyclothymic disorderB. dysthymic disorderC. undifferentiated schizophreniaD. dissociative identity disorder

____ 6) Which of the following are disorders that occur cross-culturally?A. generalized anxiety disorder and panic disorderB. hypochondriasis and somatization disorderC. schizophrenia and bipolar mood disorderD. bulimia and anorexia nervosa

____ 7) In his investigations of the cognitive factors that might contribute to depression, Seligman found that people with a pessimistic explanatory style are especially vulnerable to depression. These individuals tend to attribute their setbacks to __________, and draw __________ conclusions about their personal inadequacies.

A. situational factors; narrow, specificB. personal flaws; narrow, specificC. situational factors; global, far-reachingD. personal flaws; global, far-reaching

____ 8) Which of the following disorders is seen only in affluent Western cultures?A. schizophrenia

B. depressionC. bipolar illnessD. anorexia nervosa

____ 9) Which of the following would Freud consider to be the most direct means of access to the unconscious mind?

A. transferenceB. the content of dreamsC. the client's feelings toward the therapistD. the client's attempts to hinder the progress of therapy

____ 10) Hamilton has embezzled over 3 million dollars from the bank where he is employed as an executive loan officer. He feels no remorse for his actions, and he is looking forward to an early retirement in some South American country with no extradition agreement. In this example, Hamilton's embezzling would most likely be considered

A. culturally deviantB. maladaptiveC. personally distressingD. legal insanity

____ 11) Which of the following statements is true?A. Behavior therapists have historically placed little emphasis on measuring therapeutic outcomes.B. Behavior therapies can make important contributions in treating obsessive-compulsive disorder,

schizophrenia, eating disorders, and hyperactivity.C. Insight therapists generally can measure progress more precisely than behavior therapists because

of the nature of their therapeutic goals.D. The evidence for the effectiveness of insight therapy is stronger than the evidence for the

effectiveness of behavior therapy.

____ 12) The "behavior" that is incompatible with anxiety, and that systematic desensitization tries to recondition to phobic cues is

A. an imagined fearB. an imagined pleasant experienceC. deep muscle relaxationD. vigorous exercise

____ 13) Carolyn worked for the same company for twelve years. Six months ago the company closed down. Carolyn had been feeling extremely depressed over the loss of her job, and she had considered seeing a therapist for help with her depression. However, for the past week she has been feeling much better, and has decided that she doesn't need professional treatment after all. In this case, Carolyn appears to have experienced

A. spontaneous remissionB. personal insightC. the placebo effectD. transference

____ 14) Which of the following is not an example of a somatoform disorder?A. neuroticismB. somatization disorderC. conversion disorderD. hypochondriasis

____ 15) Deinstitutionalization means thatA. hospitalization for mental illness has become a thing of the pastB. whenever possible, the mentally ill should be treated at community-based facilities that

emphasize outpatient careC. the environment inside mental hospitals is designed to be less structured and rigidD. mental hospitals should take increased responsibility for the treatment of all clients, even

those who are not seriously ill

____ 16) Which of the following statements is true?A. The therapists' role is to run their clients' lives for them.B. Therapists are only facilitators, not producers, of change.C. Therapy typically produces immediate, major improvements in clients' psychological functioning.D. The best outcomes in therapy are seen when the therapist and the client are the same sex and are

similar in age.

____ 17) Which of the following academic degrees is not associated with being a psychologist?A. M.D.B. Ph.D.C. Psy.D.D. Ed.D.

____ 18) In comparison to traditional antipsychotic drugs, atypical antipsychotic drugsA. yield higher relapse rates while patients are taking the medication, but have much lower

relapse rates once patients discontinue their drug regimenB. yield lower relapse rates for patients following a drug regimen and for patients who have

discontinued their drug regimenC. yield lower relapse rates while patients maintain their drug regimen, but have much higher

relapse rates if patients discontinue their drug regimenD. yield higher relapse rates for patients following a drug regimen and for patients who have

discontinued their drug regimen

____ 19) The class of disorders marked by extreme and inflexible characteristics that cause subjective distress or impaired social and occupational functioning are referred to as

A. mood disordersB. affective disordersC. conduct disordersD. personality disorders

____ 20) About __________ of psychotic patients respond favorably to traditional antipsychotic medication.

A. 10-15%B. 1-3%C. 40-50%D. 70-90%

____ 21) Which of the following shows the most appropriate matching of therapy to psychological problem?

A. lithium treatment for phobic disorderB. cognitive therapy for panic disorderC. Xanax for depressionD. systematic desensitization for bipolar mood disorder

____ 22) The evolutionary view of mental disorders argues that objective criteria wouldA. increase the impact of cultural factors in the diagnosis of mental disordersB. result in fewer errors in the diagnosis of major psychological disordersC. protect against arbitrary labeling of socially disvalued conditions as disordersD. remove personality disorders from the DSM-IV categorization system

____ 23) To deal with the problems deinstitutionalization has created, most experts advocateA. returning to the era of mental hospitals as custodial warehousesB. eliminating shelters for the homeless in urban areasC. increasing the quality and availability of intermediate care facilitiesD. increasing the number of traditional mental hospitals

____ 24) What do the avoidant, dependent, and obsessive-compulsive personality disorders have in common?

A. mistrustfulness and the inability to connect emotionally with othersB. maladaptive efforts to control anxiety and fearC. highly impulsive behaviorD. a flair for overdramatizing events

____ 25) Eclectic therapistsA. commit themselves to just one theoretical approachB. utilize only the insight approaches to therapyC. use ideas and techniques from a variety of therapeutic approachesD. refuse to adjust their techniques to the unique needs of each client

____ 26) Which of the following personality traits appears to be related to the likelihood of developing a somatoform disorder?

A. neuroticismB. extraversionC. agreeablenessD. conscientiousness

____ 27) Which of the following statements best represents the approach of a client-centered therapist in treating a chronically anxious client?

A. "Let's look for ways in which you might actually be benefiting from your anxiety."B. "So, you feel that your world is a very scary place to be."C. "Let's see if we can identify the irrational beliefs that are producing your anxiety."D. "Do you feel that your mother adequately met your need for emotional support when you

were a child?"

____ 28) Electroconvulsive therapy (ECT) is now primarily used to treat patients suffering fromA. anxietyB. phobiasC. severe mood disordersD. psychosis

____ 29) Jill will sit in one position for long periods of time, evidencing muscular rigidity. Jill is exhibiting symptoms of

A. paranoid schizophreniaB. catatonic schizophreniaC. disorganized schizophreniaD. undifferentiated schizophrenia

____ 30) Which of the following is not one of the criticisms that has been raised concerning the impact of managed care on mental health care?

A. Delays in providing service result in spontaneous remission of psychological disorders in nearly 25% of cases.

B. Mental health care has seen severe service cuts because the question of what is medically necessary can be subjective.

C. Patients who are denied psychotherapy services are relatively unlikely to complain.D. Cost containment may cause physicians to prescribe older, less-expensive drugs which are

less effective.

5tr1Answer Section

MULTIPLE CHOICE

1) ANS: A REF: 597

2) ANS: C REF: 576 Correct = 88%

3) ANS: A REF: 579

4) ANS: D REF: 608

5) ANS: A REF: 588

6) ANS: C REF: 605

7) ANS: D REF: 589

8) ANS: D REF: 605 Correct = 68%

9) ANS: B REF: 620

10) ANS: A REF: 571

11) ANS: B REF: 630 Correct = 64%

12) ANS: C REF: 628 Correct = 58%

13) ANS: A REF: 625

14) ANS: A REF: 582 Correct = 40%

15) ANS: B REF: 643 Correct = 88%

16) ANS: B REF: 649 Correct = 97%

17) ANS: A REF: 618 Correct = 47%

18) ANS: C REF: 632

19) ANS: D REF: 598

20) ANS: D REF: 631 Correct = 66%

21) ANS: B

22) ANS: C REF: 571

23) ANS: C REF: 645 Correct = 94%

24) ANS: B REF: 599 Correct = 69%

25) ANS: C REF: 640

26) ANS: A REF: 584 Correct = 77%

27) ANS: B REF: 622

28) ANS: C REF: 634

29) ANS: B REF: 593 Correct = 90%

30) ANS: A REF: 638

____ 1) The trend toward deinstitutionalization mainly came about because large mental institutions

A. were becoming too expensiveB. were actually worsening the condition of many patientsC. were overstaffedD. were becoming too political

____ 2) Cyndi has just been to a therapist who prescribed an antipsychotic medication. Cyndi should expect to experience a noticeable reduction in her symptoms of schizophrenia

A. only after 1-2 weeks of taking the prescribed amount of the drugB. within 2-3 hours of taking the drug for the first timeC. within 24 hours of taking the drug for the first timeD. only after 6-8 weeks of taking the prescribed amount of the drug

____ 3) A person who checks his alarm clock 20 times before going to sleep is beingA. compulsiveB. obsessiveC. phobicD. amnesiac

____ 4) Roy alternates between periods in which he remains motionless and seems oblivious to his environment, and periods of hyperactivity and frenzied excitement. Roy would most likely be diagnosed as having

A. paranoid schizophreniaB. catatonic schizophreniaC. disorganized schizophreniaD. undifferentiated schizophrenia

____ 5) Which of the following is not a common stereotype about psychological disorders?A. Psychological disorders are incurable.B. Psychological disorders are a function of biophysiological factors.C. People with psychological disorders are violent and dangerous.D. People with psychological disorders are very different from normal people.

____ 6) The major difference between a somatization disorder and a conversion disorder is thatA. a somatization disorder involves intentional faking of physical illness, while conversion symptoms

are unconsciously createdB. somatization disorders involve a wide variety of organs and symptoms; conversion disorders involve

loss of function in a single organ systemC. a somatization disorder involves apparent physical illness, and conversion disorder involves genuine

physical illnessD. somatization disorders occur only in adults, while conversion disorders occur only in children

____ 7) Compared to traditional antipsychotic drugs, the newer atypical antipsychotic drugsA. seem to produce more severe side effects, but they work much more quicklyB. are more effective in treating the negative symptoms of schizophreniaC. can be used to treat depression and anxiety, in addition to schizophreniaD. seem to produce fewer side effects

____ 8) A person who withdraws socially because of an intense fear of rejection would most likely be diagnosed as __________ personality, while a person who withdraws socially due to a lack of interest in interpersonal intimacy would most likely be diagnosed as __________ personality.

A. a schizoid; a paranoidB. a dependent; a schizotypalC. an avoidant; a schizoid

D. an avoidant; a paranoid

____ 9) Which of the following is not a closely related set of concepts?A. aversion therapy, ECT, tardive dyskinesiaB. free association, dream analysis, transferenceC. genuineness, empathy, unconditional positive regardD. antipsychotic, antianxiety, antidepressant

____ 10) According to Freud, the events in dreamsA. have no connection to the client's real life and thus are irrelevant in therapyB. are symbolic representations of recent events in the client's lifeC. need to be analyzed by the therapist and interpreted for the clientD. are logical interpretations of random neural activation

____ 11) Frank witnessed a horrible car accident but cannot remember anything about it. Frank appears to have

A. psychosis-induced repressionB. dissociative fugueC. dissociative amnesiaD. conversion disorder

____ 12) A disorder that was extremely rare prior to the last half of the 20th century isA. manic-depressive disorderB. schizophreniaC. obsessive-compulsive disorderD. anorexia nervosa

____ 13) Some research studies have found that, compared to control subjects, schizophrenic patients are

A. less likely to have a history of obstetrical complicationsB. more likely to have a history of obstetrical complicationsC. more likely to have experienced impoverished living conditions during infancyD. more likely to have developed influenza while they were in preschool

____ 14) Psychopharmacotherapy involves the treatment of mental disorders withA. electroconvulsive shockB. insight therapyC. medicationD. surgery

____ 15) The study of the incidence and distribution of mental or physical disorders within a population defines the discipline known as

A. etiologyB. epidemiologyC. psychobiologyD. demography

____ 16) The different approaches to psychotherapyA. overlap so much that there is little basis for differentiating one from anotherB. have developed due to tension between competing theoriesC. are all equally appropriate for all kinds of psychological problemsD. can be used interchangeably for the majority of psychological disorders

____ 17) Which of the following psychologists is most likely to deal with the most severe mental health problems?

A. counseling psychologist

B. clinical psychologistC. school psychologistD. research psychologist

____ 18) Hans Eysenck is famous for studying the outcome of insight therapies. Which of the following was not one of his findings?

A. Neurotics who were treated showed about a two-thirds recovery rate.B. Untreated neurotics showed about a two-thirds recovery rate.C. Neurotics in therapy showed a significantly higher recovery rate than untreated neurotics.D. Treatment seemed to produce little difference over nontreatment in recovery of neurotics.

____ 19) Darla was fired from her most recent job. Based on Seligman's investigations into the cognitive factors that might contribute to depression, Darla will be most prone to depression if she attributes her firing to

A. her lack of ability to do her job successfullyB. the bad mood that her boss was in on the day she was firedC. a general downturn in the economy which resulted in massive layoffsD. her coworker who started a number of false rumors about Darla

____ 20) Dysthymic disorder is to __________ as cyclothymic disorder is to __________.A. depressive disorder; bipolar disorderB. bipolar disorder; unipolar mood disorderC. manic-depressive disorder; depressive disorderD. bipolar disorder; depressive disorder

____ 21) Health maintenance organizations (HMOs) can hold down costs by restricting mental health services. According to critics, these restrictions may include all but which of the following?

A. underdiagnosing mental health conditionsB. requiring re-certification of the service providers within the HMOC. failing to make needed referrals to mental health specialistsD. arbitrarily limiting the length of treatment

____ 22) Behavior that interferes with an individual's social or occupational functioning may be considered to be

A. deviantB. maladaptiveC. personally distressingD. insane

____ 23) Which of the following statements is false?A. Prevalence estimates for schizophrenia and bipolar disorder appear to be roughly comparable

across diverse cultures.B. Prevalence estimates for most diagnostic categories appear to be quite similar across cultures.C. Disorders that have a strong biological component tend to exhibit greater cross-cultural

similarity in prevalence.D. Environmental factors at work in specific cultures probably foster some disorders more

readily than others.

____ 24) With regard to a therapist's sexA. it is generally better to choose a therapist the same sex as yourselfB. it is generally better to choose a therapist the opposite sex as yourselfC. you should feel free to look for a therapist of one sex or the other if it is personally important to youD. both men and women report better outcomes when seeing female therapists

____ 25) The key symptoms of depression in Western cultures are often cognitive symptoms, such as guilt and self-blame. The key symptoms of depression in non-Western cultures are often somatic symptoms, such as headaches and fatigue. The fact that the same disorder can manifest itself in different ways in Western and non-Western cultures lends support to the

A. relativistic view of psychological disordersB. pancultural view of psychological disordersC. stress-vulnerability model of psychological disordersD. idiosyncratic view of psychological disorders

____ 26) Client: "I've had a bad week. I'm really down." Therapist: "You've had some unpleasant experiences lately and are feeling quite depressed as a result." The therapist's statement in this interaction is intended to communicate __________ to the client.

A. genuinenessB. unconditional positive regardC. empathyD. disapproval

____ 27) Beth is so terrified of snakes that even walking on sidewalks covered with earthworms after a rain storm makes her feel anxious. Her behavioral therapist has been helping Beth overcome her fear by having her work through an anxiety hierarchy while she maintains a state of deep relaxation. In this case, her therapist is using

A. hypnotherapy to help Beth overcome her fear of snakesB. systematic desensitization to help Beth overcome her fear of snakesC. aversion therapy to help Beth overcome her fear of snakesD. biofeedback to help Beth overcome her fear of snakes

____ 28) The transferring of treatment of mental illness from inpatient institutions to community-based facilities is referred to as

A. mainstreamingB. exit-transfer therapyC. decentralizationD. deinstitutionalization

____ 29) Of the individuals who develop either anorexia nervosa or bulimia nervosa, approximately __________ are females.

A. 90-95%B. 70-75%C. 50-55%D. 20-25%

____ 30) Placebo effects occur whenA. people's expectations lead them to experience some change, even though they receive a

fake or ineffective treatmentB. people recover from a mental or physical illness without any form of interventionC. people who originally score extremely high or low on some trait are measured a second

time, and their new score falls closer to the averageD. people who originally score near the average on some trait are measured a second time,

and their new score falls at the extreme high or low end of the scale

5tr5Answer Section

MULTIPLE CHOICE

1) ANS: B REF: 643

2) ANS: A REF: 631

3) ANS: A REF: 579 Correct = 50%

4) ANS: B REF: 593 Correct = 54%

5) ANS: B REF: 573 Correct = 93%

6) ANS: B REF: 582 Correct = 52%

7) ANS: D REF: 632

8) ANS: C REF: 599 Correct = 65%

9) ANS: A

10) ANS: C REF: 620 Correct = 31%

11) ANS: C REF: 584 Correct = 80%

12) ANS: D REF: 608

13) ANS: B REF: 597

14) ANS: C REF: 630 Correct = 98%

15) ANS: B REF: 576

16) ANS: B REF: 645 Correct = 57%

17) ANS: B REF: 618 Correct = 84%

18) ANS: C REF: 625

19) ANS: A REF: 589

20) ANS: A REF: 588 Correct = 53%

21) ANS: B REF: 638

22) ANS: B REF: 571

23) ANS: B REF: 605

24) ANS: C REF: 646

25) ANS: A REF: 605

26) ANS: C REF: 622 Correct = 62%

27) ANS: B REF: 628

28) ANS: D REF: 643 Correct = 94%

29) ANS: A REF: 608

30) ANS: A REF: 650