Practice Test 1 Flashcards
Question ID #10005: Obsessive-Compulsive Disorder is more
common in males than in females among those aged:
A. 8 to 12
B. 21 to 26
C. 35 to 40
D. 60 to 65
The correct answer is A.
The rates of OCD for males and females are about equal
among adolescents and adults. However, because the onset of the disorder is earlier for males than for females, OCD is more prevalent among male children than female children.
Answers B, C, and D: Obsessive-Compulsive Disorder is more common in males than in females among those aged 8-12 years of age
Question ID #10007: Level 1 cross-cutting symptom measures are useful for: Select one: A. confirming a diagnosis B. screening symptoms C. treatment planning D. measuring treatment outcomes
The correct answer is B.
Level 1 cross-cutting symptom measures assess 13 domains for
adults and 12 domains for children and adolescents and are
useful for identifying areas that require additional evaluation.
Answers A, C, & D: Level 2 cross-cutting symptom measures
provide in-depth information on specific domains (e.g., anxiety,
depression, substance use) to help guide diagnosis, treatment
planning, and follow-up.
Question ID #10385: The Outline for Cultural Formulation assess
all of the factors except:
Select one:
A. cultural identity
B. cultural conceptualization of distress
C. psychosocial stressors and cultural factors that impact
the client’s vulnerability and resilience
D. universal factors relevant to the client-therapist
relationship
The correct answer is D.
The Outline for Cultural Formulation provides guidelines for assessing four factors: the client’s cultural identity; the client’s cultural conceptualization of distress; the psychosocial stressors and cultural factors that impact the client’s vulnerability and resilience; and cultural factors relevant to the relationship between the client and therapist. Universal factors are not the focus of a cultural formulation.
Answer A: Cultural identity is an important assessment factor.
Answer B: One’s conceptualization of distress within the context of culture is also an important factor.
Answer C: Cultural factors impacting vulnerability and resilience are also important factors to assess when making a cultural formulation.
The Cultural Formulation Interview is: Select one: A. structured B. open-ended C. semi-structured D. unstructured
The correct answer is C.
The Cultural Formulation Interview (CFI) is a semi-structured interview consisting of 16 questions designed to obtain information on the client’s views regarding the social/cultural context of his/her presenting problems.
Answer A: The CFI is semi-structured.
Answer B: The CFI is not an open-ended interview.
Answer D: The CFI is not unstructured
Question ID #10543: The Cultural Formulation Interview (CFI)
assesses all of the following except:
Select one:
A. cultural identity development
B. cultural perceptions of cause, context, and support
C. cultural definition of the problem
D. cultural factors affecting self-coping and help seeking
The correct answer is A.
The CFI focuses on four domains: cultural definition of the problem; cultural perceptions of cause, context, and support; cultural factors affecting self-coping and past help-seeking; and cultural factors affecting current help-seeking. The CFI does not assess cultural identity development.
Answer B: Cultural perceptions of the cause, context, and
support are assessed by the CFI.
Answer C: Assessing cultural definitions of the problem is also an important component of the CFI.
Answer D: Assessing cultural factors related to self-coping and help-seeking are also crucial to the CFI.
Specific Learning Disorder often co-occurs with all of the following except: Select one: A. delays in language development B. attention and memory deficits C. below-average intelligence D. low self-esteem
The correct answer is C.
Individuals with Specific Learning Disorder typically have an IQ in the average to above-average range but have higher-than normal rates of other problems and disorders, including delays in language development and/or motor coordination, attention
and memory deficits, and low self-esteem.
Answer A: Delays in language development and/or motor
coordination are correlated with Specific Learning Disorder diagnoses.
Answer B: ADHD is closely correlated with Specific Learning Disorder.
Answer D: Low self-esteem is also correlated with this diagnosis.
Question ID #10939: Research suggests that, in general, the
most effective treatment for Obsessive-Compulsive Disorder
(OCD) is which of the following?
Select one:
A. Exposure with response prevention
B. Overcorrection
C. Desensitization and behavioral rehearsal
D. Desensitization with reinforced practice
The correct answer is A.
A combination of exposure with response prevention and the tricyclic clomipramine or an SSRI is usually the treatment-ofchoice for OCD. Exposure is often supplemented with thought stopping or other interventions that directly target obsessions.
Answers B, C, & D: Studies investigating the effects of various behavioral therapies have consistently found exposure with response (ritual) prevention to be the most effective treatment for OCD.
Question ID #11650: ___________ refers to the ways that
cultural groups experience, understand, and communicate
suffering, behavioral problems, or troubling thoughts and
emotions.
Select one:
A. Cultural syndromes
B. Cultural concepts of distress
C. Cultural idioms
D. Cultural explantations
The correct answer is B.
The DSM-5 defines cultural concepts of distress as the “ways
that cultural groups experience, understand, and communicate suffering, behavioral problems, or troubling thoughts and emotions.”
Answer A: Cultural syndromes are clusters of symptoms and attributions that co-occur among individuals from a particular culture and are recognized by members of that culture as coherent patterns of experience.
Answer C: Cultural idioms of distress are used by members of different cultures to express distress and provide shared ways for talking about personal and social concerns.
Answer D: Cultural explanations refer to the explanatory models that members of a culture use to explain the meaning and causes of symptoms, illness, and distress
Question ID #12175: Cultural idioms of distress are:
Select one:
A. the explanatory models that members of a culture use to
explain the meaning and causes of symptoms, illness, and
distress
B. clusters of symptoms and attributions that co-occur
among individuals from a particular culture and are
recognized by members of that culture as coherent patterns
of experience
C. phrases used by members of different cultures to express
distress and provide shared ways for talking about personal
and social concerns
D. ways that cultural groups experience, understand, and
communicate suffering, behavioral problems, or troubling
thoughts and emotions
The correct answer is C.
Cultural idioms of distress are used by members of different cultures to express distress and provide shared ways for talking about personal and social concerns.
Answer A: This is the definition of cultural explanations.
Answer B: This is the definition of cultural syndromes.
Answer D: This is the definition of cultural concepts of distress
Question ID #13013: The explanatory models that members of a
culture use to explain the meaning and causes of symptoms,
illness, and distress are referred to as:
Select one:
A. cultural idioms of distress
B. cultural narratives
C. cultural syndromes
D. cultural explanations
The correct answer is D.
The DSM 5 defines cultural explanations as the explanatory models that members of a culture use to explain the meaning and causes of symptoms, illness, and distress.
Answer A: Cultural idioms of distress are used by members of different cultures to express distress and provide shared ways for talking about personal and social concerns.
Answer B: This is a made up term.
Answer C: Cultural syndromes are clusters of symptoms and attributions that co-occur among individuals from a particular culture and are recognized by members of that culture as coherent patterns of experience.
Question ID #13018: Cultural syndromes are defined as:
Select one:
A. clusters of symptoms and attributions that co-occur
among individuals from a particular culture and are
recognized by members of that culture as coherent patterns
of experience
B. ways that cultural groups experience, understand, and
communicate suffering, behavioral problems, or troubling
thoughts and emotions
C. the explanatory models that members of a culture use to
explain the meaning and causes of symptoms, illness, and
distress
D. phrases used by members of different cultures to express
distress and provide shared ways for talking about personal
and social concerns
The correct answer is A.
Cultural syndromes are clusters of symptoms and attributions
that co-occur among individuals from a particular culture and
are recognized by members of that culture as coherent
patterns of experience.
Answer B: This is the definition of cultural concepts of distress.
Answer C: This is the definition of cultural explanations.
Answer D: This defines cultural idioms of distress.
Question ID #13025: ____________ is/are useful for obtaining
information on a client’s cultural concepts of distress.
Select one:
A. The Outline for Cultural Formulation
B. The Cultural Formulation Interview
C. Cross-cutting symptom measures
D. Cross-cutting cultural measures
The correct answer is B.
The Cultural Formulation Interview (CFI) is a semi-structured
interview consisting of 16 questions designed to obtain
information on the client’s views regarding the social/cultural
context of his/her presenting problems. It focuses on four
domains: cultural definition of the problem; cultural perceptions
of cause, context, and support; cultural factors affecting selfcoping and past help seeking; and cultural factors affecting
current help seeking. The CFI is useful for obtaining information
on a client’s cultural concepts of distress.
Answer A: The Outline for Cultural Formulation provides
guidelines for assessing four factors: the client’s cultural
identity; the client’s cultural conceptualization of distress; the
psychosocial stressors and cultural factors that impact the
client’s vulnerability and resilience; and cultural factors relevant
to the relationship between the client and therapist.
Answer C: Cross-cutting symptom measures are designed to
be used in the initial patient interview and during treatment to
monitor progress. They provide information on mental health
domains that are important across the psychiatric diagnoses.
Answer D: This is a made up term.
Question ID #13027: The DSM-5 provides three tools to help
clinicians consider and understand the importance of cultural
diagnosing and planning treatment. This tool set includes all of
the following except:
Select one:
A. the Cultural Formulation Interview
B. Cultural concepts of distress
C. Cultural measures of distress
D. the Outline for Cultural Formulation
The correct answer is C.
The DSM-5 provides three tools to help clinicians consider and
understand the impact of a client’s cultural background on
diagnosis and treatment: the Outline for Cultural Formulation,
the Cultural Formulation Interview, and Cultural concepts of
distress. Cultural measures of distress is a made up term.
Answer A: The Cultural Formulation Interview (CFI) is a semistructured interview consisting of 16 questions designed to
obtain information on the client’s views regarding the
social/cultural context of his/her presenting problems.
Answer B:The DSM-5 defines cultural concepts of distress as the
“ways that cultural groups experience, understand, and
communicate suffering, behavioral problems, or troubling
thoughts and emotions.
Answer D: The Outline for Cultural Formulation provides
guidelines for assessing four factors: the client’s cultural
identity; the client’s cultural conceptualization of distress; the
psychosocial stressors and cultural factors that impact the
client’s vulnerability and resilience; and cultural factors relevant
to the relationship between the client and therapist
Question ID #13028: A parent yells at her 5-year-old son
whenever he misbehaves. The boy quickly figures out that, if he
apologizes for his misbehavior, his mother will stop yelling at
him. Consequently, he begins to say, “I’m sorry” as soon as his
mother starts yelling at him. The boy’s apologizing is best
described as the result of which of the following?
Select one:
A. Avoidance conditioning
B. Escape conditioning
C. Stimulus control
D. Stimulus generalization
The correct answer is B.
In this situation, the boy’s apologizing is maintained because it
allows him to “escape” his mother’s yelling once it has started.
Though the boy doesn’t entirely avoid his mother’s yelling, he
does “escape” it once it has started by apologizing.
Answer A: Avoidance conditioning involves presenting a
stimulus that signals that an aversive event is about to occur so
that eventually the stimulus elicits a behavior that allows the
individual to avoid the aversive event.
Answer C: A behavior is brought under stimulus control when a
stimulus signals whether or not the behavior will be reinforced.
Answer D: Stimulus generalization occurs when stimuli similar to
the original CS elicit the CR.
Question ID #13029: Echokinesis involves:
Select one:
A. imitating someone else’s movements
B. repeating the sounds someone else makes
C. repeating socially undesirable words
D. imitating the sounds and movements that other’s make
The correct answer is A.
Echokinesis involves imitating someone else’s movements.
Answer B: This sounds more like echolalia.
Answer C: This defines Coprolalia.
Answer D: Echokinesis does not involve mimicking sound.
Question ID #13030: Research in the area of pediatric psychology has found that openly communicating with children about their illness: Select one: A. is detrimental B. has mixed results C. is recommended D. is inadvisable
The correct answer is C.
In most situations, open communication with a child about
his/her illness is advisable.
Answer A: While it is important to provide children information in
a developmentally appropriate manner, research has generally
not found open communication to be detrimental.
Answer B: This is not true.
Answer D: The opposite is true
Question ID #13036: Coprolalia involves: Select one: A. repeating other's vocalizations B. mimicking others movements C. mimicking other's facial expressions D. repeating socially undesirable words
The correct answer is D.
Coprolalia involves repeating socially undesirable words.
Answer A: This is the definition of echolalia.
Answer B: This defines echokinesis.
Answer C: This does not describe coprolalia
Question ID #13056: The rates of Schizophrenia are generally
higher among Black Americans. This is due to:
Select one:
A. internalized racism
B. misdiagnosis
C. poverty
D. substance abuse
The correct answer is B.
Research suggests that the higher reported rate of
Schizophrenia for African Americans is the result of
misdiagnosis rather than actual differences in the prevalence
of the disorder.
Answer A: While a lack of cultural competence among clinicians
contributes to misdiagnosis among this population, internalized
racism is not the cause of this discrepancy.
Answer C: Poverty may be a contributing factor to receiving
adequate mental health care; however, misdiagnosis is
believed to be the primary cause of this discrepancy.
Answer D: This is not true.
Question ID #13059: In the DSM-5, personality traits are
measured using 5 domains:
Select one:
A. affect, attachment, antagonism, disinhibition, and
psychoticism
B. affect, attachment, antagonism, inhibition, and
psychoticism
C. negative affect, detachment, protagonism, inhibition, and
psychoticism
D. negative affect, detachment, antagonism, disinhibition,
and psychoticism
The correct answer is D.
The DSM-5’s personality inventories measure personality traits
in five domains: negative affect, detachment, antagonism,
disinhibition, and psychoticism.
Answer A: Attachment and affect are not personality domains.
Answer B: Affect, attachment, and inhibition are not personality
domains.
Answer C: Protagonism and inhibition are not personality
domains.
Question ID #13062: African Americans are more likely to
experience hallucinations and delusions as symptoms of:
Select one:
A. schizophrenia
B. depression
C. antisocial personality disorder
D. borderline personality disorder
The correct answer is B.
The research suggests that the higher reported rate of
Schizophrenia for African Americans is the result of
misdiagnosis rather than actual differences in the prevalence
of the disorder and that misdiagnosis is due to the fact that
African Americans are more likely to experience hallucinations
and delusions as symptoms of depression.
Answer A: African Americans are commonly misdiagnosed with
Schizophrenia rather than depression or other disorders.
Answer C: These symptoms are not traditionally associated with
this disorder.
Answer D: This is not true.
Question ID #13069: In order to meet DSM-5 criteria for Brief
Psychotic Disorder, the presence of at least one of the following
symptoms must be present with the exception of:
Select one:
A. disorganized speech
B. hallucinations
C. grossly disorganized behavior
D. delusions
The correct answer is C.
Brief Psychotic Disorder is characterized by the presence of one
or more of four characteristic symptoms (delusions,
hallucinations, disorganized speech, grossly disorganized or
catatonic behavior) with at least one symptom being delusions,
hallucinations, or disorganized speech.
Answers A, B, & D: One of these three symptoms is required for
this diagnosis
Question ID #13070: When considering diagnosing a Black
American client with Schizophrenia, a culturally competent
clinician would:
Select one:
A. rule out substance use
B. make sure the full criteria for the disorder is met
C. assess for the potential of malingering
D. assess whether psychotic symptoms are linked to
depression
The correct answer is D.
The research suggests that the higher reported rate of
Schizophrenia for African Americans is the result of
misdiagnosis rather than actual differences in the prevalence
of the disorder and that misdiagnosis is due to the fact that
African Americans are more likely to experience hallucinations
and delusions as symptoms of depression.
Answer A: Making this rule out is necessary with any client who
may meet criteria for Schizophrenia.
Answer B: This would be necessary regardless of the client’s
demographic.
Answer C: Ruling out malingering is not a cultural competence
factor.
Question ID #13076: The three subtypes of Specific Learning Disorder include impairment in: Select one: A. reading, writing, and spelling B. reading, writing, and comprehension C. reading, comprehending, and spelling D. reading, writing, and math
The correct answer is D.
The DSM-5 distinguishes between three subtypes of Specific
Learning Disorder: impairment in reading, impairment in written
expression, and impairment in mathematics.
Answer A: Spelling is not included as a subtype.
Answer B: Comprehension is not a subtype.
Answer C: Comprehension and spelling are not subtypes.
Question ID #13086: Beck’s depression cognitive triad includes
negative illogical self-statements about:
Select one:
A. oneself, the world, and the future
B. oneself, others, and the world
C. oneself, others, and the meaning of life
D. oneself, others, and the future
The correct answer is A.
Beck’s (1976) cognitive theory views depression as being related
to negative, illogical self-statements about oneself, the world,
and the future. This is referred to as the “depressive cognitive
triad.
Answer B: The triad does not include negative thoughts about
others.
Answer C: Beck did not include negative thoughts about others
or the meaning of life in this categorization.
Answer D: The triad does not include negative thoughts about
others