Assessment Exam Flashcards
(225 cards)
Interoceptive conditioning is one of the components of the cognitive-behavioral treatment of Panic Disorder and may include which of the following strategies?
Select one:
A.
yelling stop whenever an undesirable thought occurs
B.
maintaining a panic diary
C.
focusing on a pleasant experience or fantasy
D.
breathing through a thin straw
Answer D is correct: Interoceptive conditioning has been identified as an effective component of cognitive-behavioral therapy for Panic Disorder and involves having the individual engage in activities that produce physical sensations associated with a panic attack such as breathing through a thin straw, spinning in a swivel chair, and running in place.
Answers A, B, and C: See explanation for answer D.
The correct answer is: breathing through a thin straw
A better prognosis for Schizophrenia is associated with all of the following except:
Select one:
a.
Female gender
b.
An early onset of symptoms
c.
A family history of a mood disorder
d.
The presence of a precipitating event
Answer B is correct: A late (not early) onset of symptoms is associated with a better prognosis.
Answers A, C, and D are incorrect: Female gender, a family history of a mood disorder, and the presence of a precipitating event have been linked to a better prognosis.
The correct answer is: An early onset of symptoms
The assumption underlying dialectical behavior therapy (Linehan, 1993) as a treatment for Borderline Personality Disorder is that this disorder is caused by:
Select one:
A.
pervasive emotion dysregulation.
B.
dysfunctional object relations.
C.
coercive family interactions.
D.
a lack of response-contingent reinforcement.
Answer A is correct: Dialectical behavior therapy (DBT) was originally developed by Linehan (1993) as a treatment for Borderline Personality Disorder but has since been applied to several other disorders including eating disorders, ADHD in adults, and depression in older adults. According to Linehan, Borderline Personality Disorder is the result of a combination of emotion dysregulation, emotional vulnerability, and an invalidating environment.
Answer B: DBT relies primarily on cognitive-behavioral principles and does not consider Borderline Personality Disorder to be the result of dysfunctional object relations.
Answer C: Coercive family interactions have been linked to aggressive behavior in children by Patterson (1992).
Answer D: Some behavioral models of depression describe it as the result of a lack of response-contingent reinforcement.
The correct answer is: pervasive emotion dysregulation.
The revised learned helplessness model proposed by Abramson, Metalsky, and Alloy (1989) identifies ___________ as the key contributor to depression.
Select one:
A.
a high rate of self-punishment
B.
emotional oversensitivity
C.
the depressive cognitive triad
D.
hopelessness
Answer D is correct: According to Abramson, Metalsky, and Alloy’s (1989) version of the learned helplessness model, a sense of hopelessness is a proximal cause of some types of depression. From this perspective, the attributions a person makes about negative events in his/her life contribute to depression only to the degree that they foster a sense of hopelessness.
Answer A: A high rate of self-punishment has been identified by Rehm (1987) as a contributor to depression.
Answer B: Emotional oversensitivity is not a component of the learned helplessness model of depression.
Answer C: Beck’s (1976) cognitive theory views depression as involving a “depressive cognitive triad” that consists of negative, illogical self-statements about oneself, the world, and the future.
The correct answer is: hopelessness
A DSM diagnosis of Antisocial Personality Disorder requires a history of symptoms of Conduct Disorder prior to ___ years of age.
Select one:
A.
7
B.
10
C.
13
D.
15
Answer D is correct: As defined in the DSM, a diagnosis of Antisocial Personality Disorder requires that the person be at least 18 years of age, that there is evidence of Conduct Disorder prior to age 15, and that the person has exhibited at least three characteristic symptoms involving the violation of the rights of others since the age of 15.
Answers A, B, and C: See explanation for answer D.
The correct answer is: 15
Dalal D., age 21, displays several active psychotic symptoms including persecutory delusions, auditory hallucinations, incoherence, and loosening of associations. Assuming that her symptoms started suddenly three months ago and that she has no previous history of similar symptoms, your tentative diagnosis would be which of the following?
Select one:
A.
Schizophrenia
B.
Brief Psychotic Disorder
C.
Schizoaffective Disorder
D.
Schizophreniform Disorder
Answer D is correct: The disorders listed in the answers to this question share several characteristics but also differ in terms of duration and/or certain key symptoms. Dalal’s symptoms and their duration are most suggestive of Schizophreniform Disorder.
Answer A: Although Dalal’s symptoms suggest Schizophrenia, they do not meet the DSM requirement of a duration of least 6 months for a diagnosis of this disorder.
Answer B: The duration of Brief Psychotic Disorder is from one day to one month.
Answer C: For a diagnosis of Schizoaffective Disorder, mood symptoms must co-occur with psychotic symptoms except during a period of at least two weeks in which delusions or hallucinations are present without prominent mood symptoms.
The correct answer is: Schizophreniform Disorder
The prognosis for a child with autism is best if the child:
Select one:
A.
does not have delays in motor development.
B.
displays some ability to communicate verbally by age five or six.
C.
has one or more savant abilities.
D.
does not have a family history of a mental disorder.
Answer B is correct: Most individuals with autism continue to have significant impairments throughout their lives. However, a better prognosis has been linked to the ability to communicate verbally by age five or six, an IQ of 70 or above, and a later onset of symptoms.
Answers A, C, and D: See explanation for answer B.
The correct answer is: displays some ability to communicate verbally by age five or six.
Sensate focus is based on the assumption that sexual dysfunction is often due to:
Select one:
A.
mistaken beliefs about sexuality.
B.
decreased libido.
C.
intrapsychic conflicts related to sexuality.
D.
performance anxiety.
Answer D is correct: Sensate focus was developed by Masters and Johnson (1970) and consists of a series of exercises designed to help a couple overcome anxiety related to intimacy and sexual intercourse by focusing on pleasurable sensations. It has been found useful for treating premature ejaculation and other sexual dysfunctions that are due to performance anxiety.
Answer A: Masters and Johnson recognized the impact of misinformation and mistaken beliefs on sexual functioning, but these are not the targets of sensate focus.
Answer B: Decreased libido could, of course, be caused by performance anxiety; but sensate focus is not based on the assumption that sexual dysfunction is often due to decreased libido.
Answer C: Masters and Johnson did not view sexual dysfunction as a result of intrapsychic conflicts.
The correct answer is: performance anxiety.
For children and adolescents, a diagnosis of Cyclothymic Disorder requires the presence of symptoms for at least:
Select one:
A.
six months.
B.
twelve months.
C.
twenty-four months.
D.
thirty-six months.
Answer B is correct: Cyclothymic Disorder is characterized by a disturbance of mood involving hypomanic episodes and periods of depressed mood for an extended period of time. A DSM diagnosis of Cyclothymic Disorder requires the presence of symptoms for at least two years in adults and one year in children and adolescents.
Answers A, C, and D: See explanation for answer B.
The correct answer is: twelve months.
A DSM diagnosis of Bipolar II disorder requires which of the following?
Select one:
A.
one or more manic episodes
B.
one or more mixed episodes
C.
manic and major depressive episodes
D.
hypomanic and major depressive episodes
Answer D is correct: A diagnosis of Bipolar II disorder requires at least one major depressive episode and at least one hypomanic episode.
Answers A, B, and C: See explanation for Answer D.
The correct answer is: hypomanic and major depressive episodes
As defined by the DSM, a diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD) requires which of the following?
Select one:
A.
an onset of symptoms prior to 4 years of age
B.
a duration of symptoms of at least 6 months
C.
markedly impaired academic performance
D.
negativistic, hostile, and defiant behavior
Answer B is correct: Of the diagnostic criteria listed in the answers, a duration of symptoms of at least 6 months is the only one required by the DSM-5 for a diagnosis of ADHD.
The correct answer is: a duration of symptoms of at least 6 months
According to the catecholamine hypothesis:
Select one:
A.
mania is due to a deficiency in norepinephrine.
B.
depression is due to a deficiency in norepinephrine.
C.
mania is due to excessive acetylcholine.
D.
depression is due to excessive acetylcholine.
Answer B is correct: According to the catecholamine hypothesis, at least some types of depression are due to a lower-than-normal level of norepinephrine.
Answer A: The catecholamine hypothesis predicts that mania is due to excessive norepinephrine.
Answers C and D: See explanation for answer B.
The correct answer is: depression is due to a deficiency in norepinephrine.
The prognosis for Schizophrenia has been linked to several factors. Which of the following is NOT associated with a better prognosis?
Select one:
A.
an acute and late onset of the disorder
B.
the presence of a precipitating event
C.
a family history of a mood disorder
D.
male gender
Answer D is correct: The course of Schizophrenia varies from individual to individual, but the disorder is usually chronic and complete remission is rare. However, research has identified several factors that are associated with a better prognosis including female gender, an acute and late onset of symptoms, the presence of a precipitating event, and a family history of a mood disorder.
Answers A, B, and C: See explanation for answer D.
The correct answer is: male gender
The most effective treatment for Obsessive-Compulsive Disorder is:
Select one:
A.
exposure therapy with response prevention.
B.
stress management with relaxation training.
C.
covert sensitization.
D.
stress inoculation training.
Answer A is correct: Exposing the individual to anxiety-arousing stimuli while prohibiting him or her from engaging in usual anxiety-reducing responses (rituals) is considered to be treatment-of-choice for OCD.
Answers B, C, and D: See explanation for response A.
The correct answer is: exposure therapy with response prevention.
Following cessation of alcohol use that has been prolonged and heavy, a 45-year old woman exhibits a number of symptoms including autonomic hyperactivity, hand tremor, and nausea. A diagnosis of Alcohol Withdrawal Delirium would be a more appropriate diagnosis than Alcohol Withdrawal if the woman also exhibits:
Select one:
A.
psychomotor agitation.
B.
tonic-clonic seizures.
C.
impaired attention and awareness.
D.
tardive dyskinesia.
Answer C is correct: The key to identifying the correct answer to this question is to know that disturbances in attention and awareness are essential features of Delirium.
Answer A: Psychomotor agitation is characteristic of Alcohol Withdrawal.
Answer B: In extreme cases, Alcohol Withdrawal can involve tonic-clonic seizures.
Answer D: Tardive dyskinesia is not a symptom of Delirium.
The correct answer is: impaired attention and awareness.
Marlatt and Gordon (1985) describe which of the following as the result of an “overlearned habit pattern”?
Select one:
A.
parasuicidal behavior
B.
substance addiction
C.
hypochondriasis
D.
paraphilias
Answer B is correct: Marlatt and Gordon (1985) describe addictions as the result of problematic learned habits or behaviors that have been acquired because they produce immediate gratification (reinforcement).
Answers A, C, and D: See explanation for answer B.
The correct answer is: substance addiction
Children with Tourette’s Disorder frequently exhibit significant problems in learning. This is most likely attributable to:
Select one:
A.
language disabilities.
B.
attention deficits and hyperactivity.
C.
lower-than-average IQ.
D.
peer and other social problems.
Answer B is correct: Hyperactivity, distractibility, and impulsivity are fairly common in individuals with Tourette’s Disorder and have been identified as a cause of school problems.
Answer A: Language disabilities are not associated with Tourette’s Disorder.
Answer C: A lower-than-average IQ is not characteristic of Tourette’s Disorder.
Answer D: Although impairments in social functioning are common, they have not been identified as a cause of academic failures.
The correct answer is: attention deficits and hyperactivity.
A DSM-5 diagnosis of Specific Learning Disorder requires that the individual’s academic skills be substantially below those expected for his or her:
Select one:
A.
chronological age.
B.
mental age.
C.
measured intelligence.
D.
academic aptitude.
Answer A is correct: A DSM-5 diagnosis of Specific Learning Disorder requires the individual’s academic skills to be “substantially and quantifiably below those expected for the individual’s chronological age” (APA, 2013, p. 67).
The correct answer is: chronological age.
As described in the DSM-5, a manic episode involves a period of abnormally and persistently elevated, expansive, or irritable mood plus:
Select one:
A.
inflated self-esteem or grandiosity.
B.
persistently increased activity or energy.
C.
involvement in activities that have a high potential for negative consequences.
D.
anxious distress.
Answer B is correct: Criterion A for both manic and hypomanic episodes in the DSM-5 includes “an emphasis on changes in activity and energy as well as mood” (2013, p. 4). Therefore, this is the best answer of those given.
Answers A and C: Inflated self-esteem and grandiosity and persistent involvement in activities that have a high potential for painful consequences are possible symptoms of a manic episode but are not required.
Answer D: Anxious distress is a possible accompanying symptom of Bipolar I Disorder and “with anxious distress” is included in the DSM-5 as a specifier for this disorder.
The correct answer is: persistently increased activity or energy.
Ethel E., age 36, has just been offered a promotion at work. Although she wants the increase in salary and prestige of the new position, she is planning to turn down the job because it will require extensive speaking in front of large groups of employees. Ethel has avoided situations that require her to speak to groups for as long as she can remember because public speaking is a very embarrassing experience for her. Whenever she has to speak in front of others, she is extremely anxious, her heart races and her palms become sweaty, and she becomes preoccupied with the concern that she will forget what she has planned to say. Ethel’s symptoms are most suggestive of which of the following disorders?
Select one:
A.
Panic Disorder
B.
Social Anxiety Disorder
C.
Avoidant Personality Disorder
D.
Obsessive-Compulsive Personality Disorder
Answer B is correct: Of the disorders listed, Ethel’s symptoms come closest to those required for a DSM diagnosis of Social Anxiety Disorder (Social Phobia). She has an intense fear of a specific social situation (public speaking) because it exposes her to scrutiny by others. Consequently, she avoids the situation.
Answer A: The diagnosis of Panic Disorder requires recurrent unexpected panic attacks. Although Ethel’s symptoms are consistent with panic attacks, they are linked to a specific situation and are not unexpected.
Answers C and D: Ethel’s symptoms are not characteristic of Avoidant Personality Disorder or Obsessive-Compulsive Personality Disorder.
The correct answer is: Social Anxiety Disorder
In prepubertal children, boys and girls are about equally affected by Major Depressive Disorder. In adolescents and adults:
Select one:
A.
the rates for males and females remain about equal.
B.
the rate for females is about 1.5 to 3 times the rate for males.
C.
the rate for females is about 4 to 5 times the rate for males.
D.
the rate for males is 2 to 3 times the rate for females.
Answer B is correct: According to the DSM-5, beginning in early adolescence, the rate of Major Depressive Disorder for females is 1.5 to 3 times the rate for males.
Answers A, C, and D: See explanation for answer B.
The correct answer is: the rate for females is about 1.5 to 3 times the rate for males.
A diagnosis of Disruptive Mood Dysregulation Disorder should not be assigned for the first time before the individual is _____ years of age or older than _____ years of age.
Select one:
A.
three; fifteen
B.
five; sixteen
C.
six; eighteen
D.
ten; eighteen
Answer C is correct. As described in the DSM-5, the diagnosis of Disruptive Mood Dysregulation Disorder must not be assigned for the first time when the individual is less than six years of age or more than 18 years of age, and the onset of symptoms must be prior to age 10.
Answers A, B, and D: See explanation for answer C.
The correct answer is: six; eighteen
Research has linked Obsessive-Compulsive Disorder to overactivity in which of the following?
Select one:
A.
caudate nucleus
B.
hippocampus
C.
suprachiasmatic nucleus
D.
medulla oblongata
Answer A is correct: Research using brain imaging techniques has found that the caudate nucleus (which is involved in the initiation and control of movement) tends to be overactive in individuals with OCD. The studies have also found that the reduction of obsessions and compulsions following treatment with cognitive-behavioral therapy or an SSRI is accompanied by a decrease in activity in the caudate nucleus.
Answers B, C, and D: See explanation for answer A.
The correct answer is: caudate nucleus
A DSM-5 diagnosis of Somatic Symptom Disorder requires the presence of one or more somatic symptoms that are distressing or cause significant disruption in daily life plus:
Select one:
A.
evidence that symptoms are not associated with a known medical condition.
B.
performance of excessive health-related behaviors or maladaptive avoidance of medical care.
C.
evidence that symptoms are not being feigned or voluntarily produced.
D.
excessive thoughts, feelings, or behaviors related to the symptoms.
Answer D is correct: Criterion B for the DSM-5 diagnosis of Somatic Symptom Disorder requires the presence of “excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns” (APA, 2013, p. 311).
Answer A. For the diagnosis of Somatic Symptom Disorder, symptoms may or may not be associated with a medical condition.
Answer B: Performance of excessive health-related behaviors or maladaptive avoidance of medical care is a diagnostic criterion for Illness Anxiety Disorder.
Answer C: Evidence that symptoms are not being intentionally produced or feigned is not required for a DSM-5 diagnosis of Somatic Symptom Disorder.
The correct answer is: excessive thoughts, feelings, or behaviors related to the symptoms.