Which of the following is most commonly found in families of girls with an- orexia?

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77) Julia has a shoe fetish; she is not able to enjoy sex unless her partner is wearing her shoes. She needs to be touching the shoes in order to achieve sexual gratification. She becomes aroused by the sight of her own shoes. What is unique about Julia’s case of shoe fetishism?

A) Partners are usually not involved.

B) Female fetishists are rare.

C) Most fetishes involve animate objects.

D) Sexual dysfunction usually is seen in the fetishist.

78) One’s sense of maleness or femaleness is called

A) gender role.

B) gender identity.

C) gender preference. 0) gender orientation.

79) Martin has always felt he was really a girl. He dressed in girl’s clothing as a child and still wants to be a girl. He is sure a mistake was made and that he is inhabiting the wrong sexed body. Martin’s symptoms suggest a diagnosis of

A) gender identity disorder.

B) transvestic fetishism.

C) gender dysphoria. 0) homosexuality.

80) Which of the following is an argument against the use of surgical sex reass- ignment surgery for gender identity disorder?

A) Cognitive-behavioral therapy has been found to be effective for most in allevi-

ating gender dysphoria.

B) Surgery should not be used to treat a psychological disorder.

C) Gender identity disorder is not a lifelong disorder and later regret is likely. 0) Most of those who have such surgeries are not happy with the outcome.

81) Dyspareunia

A) is a disorder that involves involuntary spasms of the muscles of the vagina,

preventing intercourse.

B) is a disorder of inability to achieve orgasm.

C) is a disorder involving genital pain associated with intercourse. 0) is a disorder of inhibited sexual desire.

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82) Neuroimaging studies of hallucinating patients suggest that auditory halluci- nations

A) activate the brain areas involved in speech comprehension.

B) may reflect a medical disorder in the brain.

C) are actually heard.

D) are usually drug induced.

83) The central feature of catatonic schizophrenia is

A) an extreme stressor precipitating the symptoms.

B) illogical or absurd delusions.

C) excited or stuporous motor symptoms.

D) blunted or inappropriate affect.

84) Ursula has been diagnosed with schizophrenia. If PET scans were done to measure her brain’s activity, which area would probably be underactive?

A) the hypothalamus and pituitary

B) the frontal lobes

C) the deepest portions of the brain, the medulla and reticular activating system

D) the visual cortex

85) People with schizophrenia often show poor performance on tasks like the Wis- consin Card Sorting Task, which is thought to indicate a dysfunction of the

A) frontal lobe.

B) parietal lobe.

C) temporal lobe.

D) occipital lobe.

86) The first-generation anti psychotics seem to work because they block dop- amine. This is supported by the new research findings that

A) changes in symptoms occur without any side effects.

B) changes in symptoms begin to occur very quickly after starting the medications, not weeks later as previously thought.

C) changes in symptoms begin to occur weeks after starting to take the medica- tions, rather than immediately.

D) patients’ report they feel better right away, although there isn’t any actual clinical change occurring.

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87) What types of delusions are most commonly seen in Alzheimer’s Disease?

A) delusions of grandeur

B) delusions of bodily changes

C) delusions of persecution

D) delusions of a religious nature

88) Which of the following is a risk factor for developing Alzheimer’s Disease?

A) being a woman

B) having a family history of Parkinson’s Disease

C) being highly educated

D) living in a non-Western developed nation

89) Vascular dementia

A) affects more women than men.

B) is a result of many small strokes.

C) is what was once called amnestic infarct dementia.

D) responds to the same treatments as Alzheimer’s Disease.

90) The effects of head trauma on memory suggest that

A) rarely are episodic memories affected by head trauma.

B) semantic memory is usually affected when an injury is severe enough to pro- duce a loss of consciousness.

C) the process of memory consolidation can be interrupted.

D) short-term memory is not affected by physical trauma.

91) Before the accident, Bob was unemployed and had few friends. Lionel, who suffered comparable head trauma, was a successful businessman and had just married. Which of these men should have the more favorable outcome and why?

A) Bob, because his lack of responsibilities will permit him to focus on getting

well.

B) Bob, because he will not be distracted by relationships.

C) Neither, because there is never a favorable outcome to head trauma.

D) Lionel, because he is more likely to be motivated to recover.

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92) What complicates the diagnosis of maladaptive behavior in childhood?

A) Drugs are not effective in treating the disorders that are most commonly seen in children.

B) Most psychological disorders in the young have an identifiable biological and medical cause.

C) The dividing line between childhood and adolescence has been arbitrarily drawn.

D) Behavior that is problematic for a child of one age can be normal behavior for a child of a different age.

93) Currently, the cause of ADHD is believed to be

A) an allergic reaction to certain foods and food additives.

B) a combination of family pathology and poor peer modeling.

C) excessive sugar in the diet.

D) both biological and psychological factors.

94) What is the relationship between oppositional defiant disorder and conduct disorder?

A) Children who develop conduct disorder almost never had oppositional defiant disorder.

B) Every case of oppositional defiant disorder develops into conduct disorder when the child goes into adolescence.

C) Before children develop oppositional defiant disorder, they have conduct disorder first.

OJ Virtually all children who develop conduct disorder have oppositional defiant disorder first.

95) Childhood and adult depression differ in what way?

A) Adult depression does not remit without pharmacological intervention.

B) Altered eating habits are not seen in childhood depression.

C) Altered hormone levels are not seen in children.

D) Irritability is often seen as a major symptom in childhood depression.

96) Studies of the effectiveness of antidepressant medication with children have

A) a major drawback: children develop tolerance to the drugs and become psy- chologically dependent on them.

B) shown that Prozac is extremely effective in producing long-term symptom relief.

C) prod uced inconsistent resu Its.

0) indicated that while these drugs have few side effects, neither do they have any benefits.

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97) “Efforts that are aimed at influencing the general population” best describes

A) crisis interventions.

B) indicated interventions.

C) un iversa I interventions. 0) selective interventions.

98) A major difference between social-learning programs and milieu therapy is that social-learning programs

A) are always provided in mental hospitals.

B) expect patients to care for one another.

C) require each patient to be involved in groups that “govern” the ward.

D) target specific behaviors for reinforcement.

99) What is one of the best predictors of future violence?

A) family support

B) past history of violence

C) compliance with treatment

D) employment history

100) The Durham Rule

A) established that one was sane unless they did not know right from wrong.

B) focused on the cause of an unlawful act.

C) made the criteria for establishing insanity more objective.

D) is often referred to as the “substantial capacity test”.

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62) Which of the following is most commonly found in families of girls with an- orexia?

A) Children who reduce psychological tension in the family by dominating their

parents.

B) Sibling rivalry that breaks out into physical and verbal aggression.

C) Parents who are unconventional, dramatic, and antisocial.

D) Parents who emphasize rules, control, and good physical appearance.

63) The most common quality of parents’ interactions with their daughters who have eating disorders is

A) lack of direction and rules.

B) neglect.

C) control.

D) unconditional love and acceptance.

64) Internalizing the “thin ideal” is strongly associated with

A) recovery from eating disorders.

B) body satisfaction.

C) negative affect.

D) attitudes about interpersonal relationships.

65) After bariatric surgery

A) some patients do not lose any weight.

B) some patients regain their weight.

C) most patients do not survive.

D) patients stay normal weight the rest of their lives.

66) Individuals with personality disorders

A) have a strong sense of self.

B) are unable to live up to societal expectations.

C) reject societal expectations.

D) comply with societal expectations.

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67) Unlike disorders like depression and PTSO,

A) those with personality disorders experience considerable subjective distress.

B) multiple causal events can be identified when a personality disorder has developed.

C) personal ity disorders are fou nd on Axis III. 0) personality disorders develop gradually.

68) The “clusters” of personality disorders found in the DSM-IV-TR are grou ped based on

A) similar etiologies.

B) symptom similarities.

C) level of dysfunction. 0) expected prognosis.

69) Which basic personality traits from the 5 factor model seem most im- portant in the development of h istrion ic persona I ity disorder?

A) high extraversion and high neuroticism

B) high conscientiousness and low assertiveness

C) low openness to feelings and high fantasy proneness 0) high neuroticism and low agreeableness

70) personality disorder is much more common in men than

women and involves the exploitation of others without remorse.

A) Borderl i ne

B) Histrionic

C) Paranoid 0) Antisocial

71) Which of the following is most typical of the interpersonal attitudes and be- haviors of someone with borderline personality disorder?

A) excessive trust and dependence on others’ opinions

B) cruel and callous exploitation of others for personal gain

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C) vacillation between overidealization and bitter disappointment

D) repeated manipulation of others to gain attention

72) Which of the following statements is true about alcohol use?

A) Alcoholism is strongly associated with accidental death, but not with violent

acts.

B) Alcoholism is more common in women that in men.

C) Alcoholism increases the risk of suicide.

D) Alcoholism is extremely serious but rarely fatal.

73) Of the following, who is most likely to be an alcoholic?

A) a twenty-five-year-old divorced man who completed one year of junior college

B) a thirty-year-old college-educated man

C) a forty-two-year-old married woman who is a high-school drop out

D) a fifty-seven-year-old woman with a doctorate in anthropology

74) Which of the following is NOT a misconception about alcohol?

A) Mixing different types of alcohol makes people more drunk than the same

amount of a singe type.

B) Alcohol can interfere with sleep.

C) Alcohol is a stimulant.

D) Drinking coffee counteracts the effects of alcohol.

75) Problematic drinking behavior commonly develops during

A) the transition to middle age.

B) a period of great success in an individual’s life.

C) old age.

D) crisis periods in a marriage or other intimate personal relationship.

76) In contrast to other treatment programs, Alcoholics Anonymous

A) uses primarily psychodynamic interventions, although advocates of AA would

disagree.

B) offers both group and one-on-one support.

C) is successful, but only with severe alcoholics who have “hit bottom.”

D) has a low drop-out rate.

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