Exam Simulation: Test 2 Flashcards
In vivo exposure with response prevention has been found to be an effective treatment for Agoraphobia, Obsessive-Compulsive Disorder, and several other anxiety disorders. Studies investigating the effects of this treatment for this suggest that:
Select one:
A.
frequent, brief exposures are more effective than less frequent, longer exposures to the feared stimuli
B.
people with high arousability are more responsive to in vivo treatments than people with low arousability
C.
high anxiety provocation is not the key factor in its effectiveness
D.
counterconditioning is a necessary component of treatment
The correct answer is C.
The goal of in vivo exposure is to extinguish the classically conditioned response by repeatedly exposing the person to the CS without the US. As noted in the Learning Theory chapter of the written study materials, there is evidence that high anxiety arousal is NOT necessary for successful treatment with in vivo exposure.
Answer A: This is the opposite of what has been found to be true.
Answer B: Arousability has been linked to the effects of systematic desensitization, not in vivo exposure. Systematic desensitization is usually more successful for individuals low in arousability than for those high in arousability.
Answer D: Counterconditioning is not a component of in vivo exposure.
For a diagnosis of enuresis, the person must be at least ___ years old.
Select one:
A.
five
B.
six
C.
seven
D.
eight
The correct answer is A.
Enuresis is characterized by repeated voiding of urine into the bed or clothes at least twice a week for at least three consecutive months. Urination is usually involuntary but can be intentional. For this diagnosis, the person must be at least five years of age or the equivalent developmental level.
Answers B, C, and D: These responses are incorrect as an individual must be at least five years old to be diagnosed with enuresis.
Which of the following is not a symptom of Disinhibited Social Engagement Disorder?
Select one:
A.
Overly familiar behavior
B.
Minimal social and emotional responsiveness
C.
Willingness to go with an unfamiliar adult with minimal hesitation
D.
Absent checking with an adult caregiver
The correct answer is B.
Minimal social and emotional responsiveness to others is one of three symptoms of Reactive Attachment Disorder.
Answers A, C, and D: These responses are incorrect as these are all symptoms of Disinhibited Social Engagement Disorder.
The primary difference between the diagnoses of Somatic Symptom Disorder and Illness Anxiety Disorder is:
Select one:
A.
a high level of anxiety about health
B.
symptom duration
C.
the presence of somatic symptoms
D.
level of functional impairment
The correct answer is C.
The primary difference between the diagnoses of Somatic Symptom Disorder and Illness Anxiety Disorder is the presence of somatic symptoms. For a diagnosis of Somatic Symptom Disorder, the individual experiences one or more somatic symptoms. In contrast, somatic symptoms are not present, or if present, are only mild in intensity in Illness Anxiety Disorder.
Answer A: Both diagnoses involve a high level of anxiety about health or symptoms.
Answer B: Symptom duration for both disorders is six months.
Answer D: Level of functional impairment does not distinguish between Somatic Symptom Disorder and Illness Anxiety Disorder.
Hypocretin is a hormone involved in the regulation of sleep. A deficiency of this hormone is associated with which of the following diagnoses?
Select one:
A.
Rapid Eye Movement Sleep Behavior Disorder
B.
Non-Rapid Eye Movement Sleep Arousal Disorder
C.
Insomnia Disorder
D.
Narcolepsy
The correct answer is D.
A deficiency of hypocretin is a potential symptom of Narcolepsy. For a diagnosis of Narcolepsy, the individual must experience cataplexy (a brief loss of muscle tone), a deficiency of hypocretin, or a rapid eye movement latency that is less than or equal to 15 minutes.
Answers A, B, and C: These responses are incorrect as hypocretin is associated with a diagnosis of Narcolepsy.
Disruptive Mood Dysregulation Disorder:
Select one:
A.
is diagnosed two times more often in adolescents than in adults
B.
cannot be diagnosed for the first time in adults
C.
must have a duration of one year in children and two years in adults
D.
must have a duration of one year in children and adults
The correct answer is B.
The diagnosis of Disruptive Mood Dysregulation Disorder requires a combination of severe and recurrent temper outbursts. This diagnosis cannot be assigned for the first time before the individual is six years old or after he or she is 18 years of age. Moreover, the onset of symptoms must be before age 10.
Answer A: Disruptive Mood Dysregulation Disorder should not be made for the first time in individuals who are 18 years of age or older.
Answers C and D: These responses are incorrect as this diagnosis should not be made for the first time in adults.
The symptoms of Major Depressive Disorder vary somewhat with age. Somatic complaints, irritability, and social withdrawal:
Select one:
A.
are common in children
B.
are common in preadolescents
C.
are common in older adults
D.
are common in preadolescent males
The correct answer is A.
The symptoms of Major Depressive Disorder vary somewhat with age. Somatic complaints, irritability, and social withdrawal are common in children.
Answer B: Aggressiveness and destructiveness may occur in preadolescents.
Answer C: In older adults, memory loss, distractibility, disorientation, and other cognitive symptoms may be present.
Answer D: Preadolescent males more commonly demonstrate aggressiveness and destructiveness.
Disruptive Mood Dysregulation Disorder involves severe recurrent temper outbursts plus:
Select one:
A.
persistent verbal and physical aggression between temper outbursts
B.
a chronic, persistently irritable or angry mood between temper outbursts
C.
episodes of depressive symptoms between temper outbursts
D.
episodes of abnormally elevated mood between temper outbursts
The correct answer is B.
Disruptive Mood Dysregulation Disorder involves severe recurrent temper outbursts manifested verbally and/or behaviorally, and a chronic, persistently irritable or angry mood between temper outbursts on most days.
Answers A, C, and D: These responses are incorrect as this diagnosis requires a persistently irritable mood between temper outbursts.
Individuals diagnosed with a Specific Learning Disorder typically have an IQ:
Select one:
A.
in the average to above-average range
B.
in the below-average range
C.
in the below-average to average range
D.
in the above-average range
The correct answer is A.
Individuals with a Specific Learning Disorder typically have an IQ in the average to above-average range.
Answer B: Specific Learning Disorder is not associated with a below-average IQ.
Answer C: Individuals with a Specific Learning Disorder typically do not have IQ’s that fall within the below-average range.
Answer D: Individuals with a Specific Learning Disorder typically evidence an IQ in the average to above-average range.
Which of the following is not a symptom of Dependent Personality Disorder?
Select one:
A.
Difficulty making decisions without advice or reassurance from others
B.
Fears disagreeing with others
C.
Views self as socially inept
D.
Goes to great lengths to gain nurturance from others
The correct answer is C.
Dependent Personality Disorder involves a pervasive need to be taken care of, which leads to submissive, clinging behavior, and fear of separation. All of the responses are symptoms of this disorder except for answer C. “Views self as socially inept” is a symptom of Avoidant Personality Disorder.
Answers A, B, and D: These are all symptoms of Dependent Personality Disorder.
The essential features of Anorexia Nervosa include:
Select one:
A.
restriction of energy, intense fear of gaining weight, and a disturbance in body weight perception
B.
excessive dieting, lower-than-normal body weight, and preoccupation with a distorted body image
C.
recurrent episodes of binge eating, inappropriate compensatory behavior, and self-evaluation that is overly influenced by body image
D.
excessive dieting, preoccupation with body image, and a lower-than-normal body weight
The correct answer is A.
The essential features of Anorexia include restriction of energy, intense fear of gaining weight or behavior that interferes with weight gain, and a disturbance in body weight perception, or a persistent lack of recognition of the seriousness of his or her low body weight.
Answers B and D: These responses are incorrect as they do not include the essential features of Anorexia Nervosa.
Answer C: This response more accurately describes the essential features of Bulimia Nervosa.
Which of the following is not considered an intrusion symptom?
Select one:
A.
Recurrent, involuntary, and distressing memories
B.
Recurrent distressing dreams
C.
Dissociative reactions
D.
An altered sense of the reality of one’s surroundings
The correct answer is D.
Symptoms of PTSD and Acute Stress Disorder fall within the following five categories: intrusion, negative mood, dissociation, avoidance, and arousal. All of the responses are intrusion symptoms except for answer D. An altered sense of the reality of one’s surroundings is a dissociative symptom.
Answers A, B, and C: These responses are incorrect as they are all intrusion symptoms.
People who are diagnosed with Dissociative Identity Disorder:
Select one:
A.
experience a sense of unreality, detachment or being an outside observer of one’s thoughts, feelings, and actions
B.
experience a sense of unreality or detachment regarding one’s surroundings
C.
are typically aware of their symptoms as they do not cause impairment in functioning
D.
typically conceal or are unaware of their dissociative symptoms
The correct answer is D.
Individuals with a diagnosis of Dissociative Identity Disorder typically conceal or are unaware of their dissociative symptoms.
Answer A: This describes depersonalization, not Dissociative Identity Disorder.
Answer B: This describes derealization, not Dissociative Identity Disorder.
Answer C: Individuals with this diagnosis are typically unaware of their symptoms, and symptoms cause significant distress or impaired functioning.
During an episode of depersonalization:
Select one:
A.
the individual lacks insight and experiences a sense of unreality regarding one’s surroundings
B.
the individual lacks insight and is preoccupied with having multiple personalities
C.
reality testing remains intact and symptoms cause impairment in functioning
D.
the individual cannot recall important autobiographical information
The correct answer is C.
Depersonalization/Derealization Disorder involves recurrent or persistent episodes of depersonalization or derealization. Depersonalization involves a sense of unreality, detachment, or being an outside observer of one’s thoughts, feelings, and actions. Reality testing remains intact during episodes, and symptoms cause significant distress or impaired functioning.
Answer A: The experience of unreality regarding one’s surroundings describes derealization. However, reality testing remains intact during these episodes.
Answer B: This response does not describe depersonalization.
Answer D: The inability to recall important autobiographical information is consistent with a diagnosis of Dissociative Amnesia.
A diagnosis of Reactive Attachment Disorder cannot be assigned without the presence of which of the following?
Select one:
A.
Evidence of extreme insufficient care
B.
Developmentally inappropriate social relatedness that began prior to age 2
C.
A pattern of inappropriate social relatedness in at least two settings
D.
The presence of one or more developmental delays
The correct answer is A.
Reactive Attachment Disorder is characterized by inappropriate social relatedness that is related to extreme insufficient (pathogenic) care.
Answer B: The diagnosis requires that symptoms begin prior to age 5 (not age 2).
Answer C: The diagnosis does not require signs of inappropriate social relatedness in at least two settings.
Answer D: Developmental delays are not required for the diagnosis.
The duration of Brief Psychotic Disorder is:
Select one:
A.
one day to less than one week
B.
one day to less than one month
C.
three days to less than one month
D.
one week to less than one month
The correct answer is B.
Brief Psychotic Disorder involves one or more characteristic symptoms (delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior), with at least one symptom being delusions, hallucinations, or disorganized speech. Symptoms have a duration of one day to less than one month.
Answers A, C, and D: These responses are incorrect as the correct duration for a diagnosis of Brief Psychotic Disorder is one day to less than one month.
For a diagnosis of Cyclothymic Disorder, symptoms must include:
Select one:
A.
at least one hypomanic episode
B.
multiple major depressive episodes
C.
multiple periods of hypomanic symptoms that do not meet the criteria for a hypomanic episode
D.
multiple periods of manic symptoms that do not meet the criteria for a manic episode
The correct answer is C.
Cyclothymic Disorder is characterized by multiple periods of hypomanic symptoms that do not meet the criteria for a hypomanic episode and multiple episodes of depressive symptoms that do not meet the criteria for a major depressive episode. Symptoms must last for at least two years in adults and one year in children and adolescents.
Answers A, B, and D: These responses are incorrect as they are not accurate requirements for a diagnosis of Cyclothymic Disorder. The diagnosis requires hypomanic symptoms that do not meet the criteria for a hypomanic episode and depressive symptoms that do not meet the criteria for a major depressive episode.
As a treatment for Tourette’s Disorder, the selective serotonin reuptake inhibitors (SSRIs):
Select one:
A.
are more effective than haloperidol or pimozide for alleviating tics
B.
are useful for reducing obsessive-compulsive symptoms that often accompany this disorder
C.
cannot be used in conjunction with haloperidol or pimozide because of the risk for a toxicity syndrome
D.
are contraindicated because of their exacerbating effects on tics
The correct answer is B.
Several psychotropic medications are used to treat Tourette’s Disorder and comorbid symptoms. For example, an SSRI is usually useful for alleviating the obsessive-compulsive symptoms that often accompany this disorder.
Answers A, C, and D: Antipsychotic medications, such as haloperidol and pimozide are most often prescribed to treat Tourette’s Disorder. However, SSRIs are often useful for alleviating obsessive-compulsive symptoms that often accompany Tourette’s Disorder. Moreover, psychostimulants are frequently avoided to treat comorbid ADHD symptoms because they may increase tics in some individuals.
Malingering involves the intentional production of ____________ symptoms to obtain an external reward.
Select one:
A.
somatic
B.
psychosomatic
C.
psychological
D.
physical or psychological
The correct answer is D.
In the DSM-5, malingering is classified with Other Conditions That May Be a Focus of Clinical Attention. It involves the intentional production of physical or psychological symptoms to obtain an external reward.
Answers A, B, and C: These responses are incorrect as the definition of malingering includes the production of physical or psychological symptoms.
Lazarus and Folkman’s (1984) transactional model of stress distinguishes between three types of cognitive appraisal. Primary appraisal refers to:
Select one:
A.
a person’s initial evaluation of the intensity of the threatening situation
B.
a person’s evaluation of the relevance of a potentially stressful event to his or her well-being
C.
a person’s evaluation of whether his or her resources and abilities are sufficient to adequately cope with a threatening situation
D.
a person’s continuous monitoring of a situation and use of new information
The correct answer is B.
Lazarus and Folkman’s (1984) transactional model of stress distinguishes between three types of cognitive appraisal: primary appraisal, secondary appraisal, and cognitive reappraisal. Primary appraisal refers to a person’s evaluation of the relevance of a potentially stressful event to his or her well-being.
Answer A: This is not one of the types of cognitive appraisal included in the transactional model of stress.
Answer C: This response describes secondary appraisal.
Answer D: This answer describes cognitive reappraisal.
Individuals who are diagnosed with Bulimia Nervosa:
Select one:
A.
ordinarily maintain their body weight at or below a minimally normal weight for height and age
B.
ordinarily lose weight due to recurrent compensatory behaviors such as self-induced vomiting
C.
ordinarily maintain their body weight at or above a minimally normal weight for height and age
D.
ordinarily gain weight due to recurrent episodes of binge eating
The correct answer is C.
Bulimia Nervosa involves recurrent episodes of binge eating, with a sense of lack of control over eating; recurrent compensatory behaviors to prevent weight gain; and self-evaluation that is overly influenced by body weight and shape. Individuals who are diagnosed with Bulimia ordinarily maintain their body weight at or above a minimally normal weight for height and age.
Answers A, B, and D: These responses are incorrect as individuals who are diagnosed with Bulimia typically maintain a weight at or above the minimally normal weight for height and age.
Which of the following is not a subtype of Delusional Disorder?
Select one:
A.
Religious
B.
Persecutory
C.
Jealous
D.
Somatic
The correct answer is A.
Delusions are false beliefs that are maintained despite conflicting evidence. Subtypes of Delusional Disorder include erotomanic, grandiose, jealous, persecutory, somatic, mixed, and unspecified. The DSM-5 does not include a subtype for religious delusions.
Answers B, C, and D: These responses are incorrect as they are all subtypes of Delusional Disorder.
Which of the following requires the presence of symptoms that involve disturbances in voluntary motor or sensory functioning?
Select one:
A.
Somatic Symptom Disorder
B.
Illness Anxiety Disorder
C.
Conversion Disorder
D.
Factitious Disorder
The correct answer is C.
Conversion Disorder (Functional Neurological Symptom Disorder) requires the presence of symptoms that involve disturbances in voluntary motor or sensory functioning and suggest a serious neurological or other medical condition, with evidence of an incompatibility between the symptom and recognized medical conditions.
Answer A: Somatic Symptom Disorder involves the presence of one or more somatic symptoms that cause distress.
Answer B: Illness Anxiety Disorder is characterized by a preoccupation with having a serious illness and an absence of somatic symptoms or the presence of mild somatic symptoms.
Answer D: Individuals diagnosed with Factitious Disorder Imposed on Self falsify physical or psychological symptoms that are associated with their deception. They engage in deceptive behavior even in the absence of an external reward.
The diagnosis of Somatic Symptom Disorder requires which of the following?
Select one:
A.
The presence of one or more somatic symptoms
B.
Persistent and disproportionate thoughts about the seriousness of the symptoms
C.
Persistently high level of anxiety about one’s health or symptoms
D.
Excessive time and energy devoted to health concerns or symptoms
The correct answer is A.
The essential feature of Somatic Symptom Disorder is the presence of one or more somatic symptoms that cause distress. Of the symptoms listed this is the only requirement for the diagnosis.
Answers B, C, and D: These responses are incorrect as they are all possible symptoms of Somatic Symptom Disorder, but not required. For this diagnosis, an individual must meet criteria for at least one (but not all) of the symptoms listed in these responses.