TEST MODE - Test 5 Flashcards
A number of studies investigating the progression of HIV infection have evaluated the impact of demographic factors. With regard to age, these studies have most consistently found that, among adults:
Select one:
A.
age is unrelated to HIV disease progression.
B.
younger age is associated with a more rapid HIV disease progression.
C.
middle age is associated with a more rapid HIV disease progression.
D.
older age is associated with a more rapid HIV disease progression.
HIV prognosis has been linked to several psychosocial risk factors including age.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT In a study conducted by Farinpour and colleagues, 1,231 HIV-seropositive men, ages 21 to 66, were followed for approximately 13 years after baseline testing. The results of the study indicated that age, general intellectual functioning, and somatic symptoms of depression were significant predictors of HIV progression and survival - i.e., older age, lower IQ, and the presence of somatic symptoms of depression were associated with a more rapid progression to AIDS, HIV-related dementia, and death. [Farinpour, R., et al., Psychosocial risk factors of HIV morbidity and mortality: Findings from the Multicenter Aids Cohort Study (MACS), Journal of Clinical and Experimental Neuropsychology, 25(5), 654-670, 2003.] These findings are consistent with the results of other studies.
The correct answer is: older age is associated with a more rapid HIV disease progression.
According to the DSM-5, the lifetime prevalence of Schizophrenia in the general population is approximately:
Select one:
A.
.01%.
B.
0.5%.
C.
5%.
D.
10%.
Estimates of the prevalence of Schizophrenia in the population vary, depending on country, race/ethnicity, and other factors.
a. Incorrect See explanation for response b.
b. CORRECT A lifetime prevalence rate of 0.3% and 0.7% is the rate reported in the DSM-5. Since 0.5% falls within this range, this is the best answer.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: 0.5%.
Tulving has divided memory into three types: procedural, episodic, and semantic. According to Tulving, semantic memory:
Select one:
A.
consists of internal representations of stimulus-response connections.
B.
is more affected by amnesia than procedural memory and episodic memory.
C.
includes rules for manipulating words and symbols.
D.
is coded temporally.
Tulving (1972, 1985) and others distinguish between three types of long-term memory: semantic, episodic, and procedural. Semantic memory holds all the information we need to use language, including words and the symbols for them; their meanings; their referents (what they represent); and the rules for manipulating words and symbols such as the rules for English grammar, the rules for adding and multiplying, and chemical formulas. Episodic memory holds information about how things appeared and when they occurred, such as “I broke my arm in the summer of 1977.” And procedural memory contains learned skills (procedures) and modifiable cognitive operations.
a. Incorrect This describes procedural memory.
b. Incorrect Of the three types of memory, episodic memory is usually most affected by amnesia.
c. CORRECT As noted above, this best describes semantic memory.
d. Incorrect This describes episodic memory.
The correct answer is: includes rules for manipulating words and symbols.
According to McClelland (1975), the need for power can be described in terms of which of the following two types?
Select one:
A.
instrumental and hostile
B.
referent and coercive
C.
explicit and implicit
D.
personal and socialized
McClelland described motivation as being determined by three fundamental needs – needs for affiliation, achievement, and power.
a. Incorrect Instrumental and hostile are two types of aggression distinguished in the literature.
b. Incorrect Referent and coercive are two of the bases of social power identified by French and Raven.
c. Incorrect Explicit and implicit are not the types of power described by McClelland.
d. CORRECT McClelland distinguished between personal and socialized power. People with a high need for personal power have a strong desire to dominate others, while those with a high need for socialized power are more concerned about using their influence to benefit others. According to McClelland, a high need for socialized power is associated with effectiveness as a manager.
The correct answer is: personal and socialized
Dr. Burgher is the only psychologist in a small town. His daughter’s girl scout leader wants to begin seeing Dr. Burgher to work through some family-related problems. As an ethical psychologist, Dr. Burgher should:
Select one:
A.
refuse to see the woman because to do so would constitute a “multiple relationship.”
B.
see the woman since he is the only psychologist in town and her problems are unrelated to her role as girl scout leader.
C.
determine the seriousness of the woman’s problems and base his decision about seeing the woman on the outcome of that evaluation.
D.
assess the potential for exploitation and loss of objectivity and base his decision about seeing the woman on the outcome of that assessment.
Standard 3.05 of the Ethics Code addresses multiple relationships. Keep in mind that, while multiple relationships should ordinarily be avoided, they are not absolutely prohibited.
a. Incorrect Because the psychologist is the only one in town, you’d want some additional information before deciding that he should not see his daughter’s girl scout leader.
b. Incorrect This might be acceptable, but you’d want the response to mention something about the psychologist’s ethical responsibilities in this situation.
c. Incorrect This is one of the factors that a psychologist might consider in this situation but is certainly not the only one.
d. CORRECT This is the best answer of those given because it reiterates the actual language of the Ethics Code.
The correct answer is: assess the potential for exploitation and loss of objectivity and base his decision about seeing the woman on the outcome of that assessment.
The parents of a three-year old boy ask a psychologist what they can do to reduce their son’s frequent temper tantrums. After learning that the parents pay attention to the boy whenever he has an outburst, the psychologist tells them to consistently ignore the boy each time he has a tantrum. The technique the psychologist has suggested is an example of:
Select one:
A.
shaping.
B.
negative reinforcement.
C.
extinction.
D.
overcorrection.
In the situation described in this question, the child will no longer be reinforced for engaging in temper tantrums; and, as a result, his tantrums will cease.
a. Incorrect Shaping is a type of positive reinforcement in which successive approximations to the desired response are reinforced.
b. Incorrect Negative reinforcement involves removing or withholding a stimulus following a behavior in order to increase the behavior.
c. CORRECT Extinction involves removing reinforcement from a previously reinforced behavior to reduce or eliminate it. Extinction has been found to be an effective method for reducing a child’s temper tantrums.
d. Incorrect Overcorrection is used to eliminate an undesirable behavior and establish more appropriate or desirable ones.
The correct answer is: extinction.
Experts on cross-cultural counseling note that, when working with African American clients, it is important to recognize that their past experiences in a racist society are likely to have fostered feelings of powerlessness. Consequently, a good strategy for a therapist is to adopt a:
Select one:
A.
non-directive, less active approach.
B.
problem-solving, time-limited approach.
C.
color-blind approach.
D.
neutral, educative approach.
In general, experts in the field of cross-cultural counseling agree that goal-directed therapies are most effective with members of most minority groups.
a. Incorrect See explanation for response b.
b. CORRECT According to M. K. Ho, “Regardless of the nature of the family’s problem(s), Black families are likely to be most responsive to problem-solving, time-limited family therapy approaches” (Family therapy with ethnic minorities, Newbury Park, Sage Publications, 1987).
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: problem-solving, time-limited approach.
The loss of memory for events that occurred during the weeks prior to a head injury is referred to as:
Select one:
A.
anterograde amnesia.
B.
retrograde amnesia.
C.
proactive interference.
D.
retroactive interference.
This question is asking about a loss of memory for events occurring before the head injury. Loss of memory can be either anterograde or retrograde.
a. Incorrect This would involve an inability to form new memories following the head injury.
b. CORRECT Retrograde amnesia refers to amnesia for events “backward in time.”
c. Incorrect Proactive interference occurs when previous learning interferes with new learning.
d. Incorrect Retroactive interference occurs when current learning interferes with the ability to retrieve previously acquired information.
The correct answer is: retrograde amnesia.
When conducting research with human participants, a psychologist should be aware that:
Select one:
A.
participants must be debriefed promptly after their participation in the study.
B.
participants must be debriefed after their participation in a study only when the study involved deception.
C.
participants must be debriefed promptly if possible or, if necessary to delay the debriefing, psychologists must reduce the risk for harm.
D.
the decision to debrief is left to the psychologist and involves considering the risk for harm to participants if they are not debriefed.
This issue is addressed in Standard 8.08 of the Ethics Code.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT Research participants should be promptly provided with “appropriate information about the nature, results, and conclusions of the research.” When there must be a delay in providing such information, “psychologists take reasonable measures to reduce the risk of harm.”
d. Incorrect See explanation for response c.
The correct answer is: participants must be debriefed promptly if possible or, if necessary to delay the debriefing, psychologists must reduce the risk for harm.
Which of the following best characterizes the nature of the criticism that boys and girls tend to receive from their teachers in elementary school?
Select one:
A.
Girls receive criticism directed at their behavior, whereas boys receive criticism directed at their ability.
B.
Boys receive criticism directed at their behavior, whereas girls receive criticism directed at their ability.
C.
Girls receive more criticism than boys in all respects.
D.
There is no difference in the nature of the criticism that boys and girls receive.
Research has shown that boys receive more criticism, whereas girls receive more praise during their elementary school years.
a. Incorrect See explanation for response b.
b. CORRECT Furthermore, the nature of the criticism varies: boys are more often criticized for incorrect behavior and girls are more often criticized for a lack of ability.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: Boys receive criticism directed at their behavior, whereas girls receive criticism directed at their ability.
A child with dyslexia who has not responded to interventions that target his reading problems would receive a DSM-5 diagnosis of:
Select one:
A.
Academic Skills Disorder with impaired reading.
B.
Reading Disorder.
C.
Learning Disorder NOS.
D.
Specific Learning Disorder with impairment in reading.
Answer D is correct: The appropriate diagnosis for dyslexia is Specific Learning Disorder with the specifier “impairment in reading.”
The correct answer is: Specific Learning Disorder with impairment in reading.
In working with a client who has received a diagnosis of Dissociative Identity Disorder, a cognitive therapist’s initial goal would be:
Select one:
A.
to collaborate with the client to identify specific treatment goals.
B.
to make a “cognitive diagnosis” for the purpose of developing a concrete treatment plan.
C.
to identify the cognitive antecedents and consequences that are sustaining the client’s multiple personalities.
D.
to establish a working alliance that provides the client with a sense of safety.
In her discussion of the cognitive treatment of Multiple Personality Disorder–now termed Dissociative Identity Disorder, C. G. Fine (in A. Freeman (Ed.), Comprehensive casebook of cognitive therapy, 1992) emphasizes the importance of establishing a therapeutic relationship with the client. Her position is consistent with that of other cognitive therapists who view the development of a therapeutic alliance as a critical initial step in treatment.
a. Incorrect Although cognitive therapy is collaborative, the identification of treatment goals would follow the establishment of a working alliance.
b. Incorrect The term “cognitive diagnosis” is a made-up term. Also, treatment planning is not an initial step but, instead, follows establishing a working alliance and identifying or clarifying the client’s problems.
c. Incorrect Cognitive therapists do look at antecedents (e.g., automatic thoughts as well as aspects of the client’s background that may have contributed to the client’s problem) and consequences. However, this is not an initial step in therapy.
d. CORRECT As noted above, an initial goal in cognitive therapy is to establish a good working alliance.
The correct answer is: to establish a working alliance that provides the client with a sense of safety.
Your new client, Jay J., age 31, complains that he’s had trouble falling asleep at night for a number of years but that it’s become a more significant problem since he got married last year because his sleep problems are now keeping his wife awake. You instruct Jay to go to bed only when he feels tired; to get out of bed, go to another room, and engage in a relaxing activity if he doesn’t fall asleep within about 20 minutes after going to bed; to use the bed only for sleep and sexual activity; to get up in the morning at about the same time regardless of how much sleep he’s had; and to avoid napping. You are using which of the following techniques?
Select one:
A.
habit reversal
B.
Premack principle
C.
stimulus control
D.
overcorrection
The intervention described in this question involves strengthening the bed and bedroom as cues for sleep and weakening them as cues for other activities.
a. Incorrect Habit reversal training is a multicomponent behavioral treatment that is used to reduce habitual behaviors that are undesirable and serve no adaptive function (e.g., hair pulling, nail biting, tics).
b. Incorrect The Premack principle is an application of positive reinforcement and involves reinforcing a low frequency behavior (e.g., completing homework) with a high frequency behavior (e.g., playing video games) to increase the low frequency behavior.
c. CORRECT Stimulus control involves increasing the links between certain cues and a behavior in order to increase the frequency of that behavior. It was originally applied to the treatment of sleep problems by R. Bootzin [A stimulus control treatment for insomnia, American Psychological Association Proceedings, 395-396, 1972}.
d. Incorrect Overcorrection is used to eliminate an undesirable behavior and involves having the individual correct the consequences of his/her behavior (restitution) and/or practice corrective behaviors (positive practice).
The correct answer is: stimulus control
According to Piaget, the key feature of the _______________ stage is the development of the “semiotic function.”
Select one:
A.
concrete operational
B.
preoperational
C.
sensorimotor
D.
formal operational
The semiotic function refers to the ability to use a symbol, object, or word to stand for something.
a. Incorrect See explanation for response b.
b. CORRECT The preoperational stage extends from ages 2 to 7. During this stage, thought becomes symbolic in form.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: preoperational
To help a depressed client identify the cognitive errors and distortions that are affecting her interpretation of current life events, a practitioner of Beck’s cognitive therapy would:
Select one:
A.
rely primarily on didactic techniques.
B.
make use of Socratic questioning.
C.
rely on verbal persuasion.
D.
use paradoxical techniques to overcome resistance.
A key characteristic of Beck’s cognitive therapy is the use of guided discovery, which involves the use of questions.
a. Incorrect Although Beck uses didactic methods to explain the theory underlying the cognitive approach, they are not as useful as questioning for helping a client identify his or her cognitive errors and distortions.
b. CORRECT Inductive (Socratic) questioning is an essential component of Beck’s approach. It is used to guide clients through the process of identifying the impact of their cognitions on their emotions and behaviors and alternative ways of thinking.
c. Incorrect See explanation above.
d. Incorrect See explanation above.
The correct answer is: make use of Socratic questioning.
The endoplasmic reticulum is involved in:
Select one:
A.
processing incoming visual stimuli.
B.
processing incoming auditory stimuli.
C.
transporting proteins and fats.
D.
storing neurotransmitters.
The endoplasmic reticulum is a system of channels in the cell body of the neuron.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT The rough portion of the endoplasmic reticulum plays a role in the synthesis and transportation of proteins, while the smooth portion is involved in the synthesis and transportation of fats.
d. Incorrect See explanation for response c.
The correct answer is: transporting proteins and fats.
Youngsters begin to describe themselves in terms of personality attributes - e.g., “I’m smart,” “I’m friendly,” “I’m shy”:
Select one:
A.
in early childhood (ages 2-6).
B.
at the beginning of middle childhood (ages 7-8).
C.
toward the end of middle childhood (ages 10-12).
D.
in early adolescence (ages 13-14).
Children’s descriptions of themselves are affected by their self-concept, which develops in a predictable way during childhood.
a. Incorrect In early childhood, children describe themselves primarily in terms of specific behaviors.
b. Incorrect At the beginning of middle childhood, children start to describe themselves in terms of their physical competencies - e.g., “I’m good at …”
c. CORRECT Toward the end of middle childhood, a child’s self-concept becomes increasingly based on personality traits.
d. Incorrect Children begin to describe themselves in terms of personality traits prior to adolescence.
The correct answer is: toward the end of middle childhood (ages 10-12).
Your new client is a 20-year-old college student who says she’s failing her classes because of her anxiety. She states that she has to force herself to leave her dorm room to go to class, and when she does, she avoids the “quad” and other large open spaces because she’s afraid she’ll have a panic attack. The client tells you that, when in large open spaces, she can’t breathe and her heart races, she feels like she’s going to die, and she’s afraid that no one will help her if she has an attack. She says that she experiences the same problem when she’s part of a crowd and avoids going anywhere where there’s likely to be a “lot of people,” which has made it hard for her to have a social life. Based on this information, the most likely DSM-5 diagnosis for this client is:
Select one:
A.
Panic Disorder with Agoraphobia
B.
Agoraphobia
C.
Agoraphobia without History of Panic Disorder
D.
Specific Phobia, situational type
Answer B is correct: A DSM-5 diagnosis of Agoraphobia requires the presence of marked fear of or anxiety about at least two of five situations (using public transportation, being in open spaces, being in enclosed spaces, standing in line or being part of a crowd, and being outside the home alone). The individual fears or avoids these situations due to a concern that escape might be difficult or help will be unavailable in case he/she develops incapacitating or embarrassing symptoms; and the situations nearly always provoke fear or anxiety and are actively avoided, require the presence of a companion, or are endured with intense fear or anxiety.
Answers A and C: Panic Disorder with Agoraphobia and Agoraphobia Without History of Panic Disorder are not DSM-5 diagnoses.
Answer D: It can be difficult to differentiate Agoraphobia from Specific Phobia, situational type; but, when the individual’s fear is limited to only one of the situations associated with Agoraphobia and is due to something other than a fear that escape might be difficult or help will be unavailable when symptoms occur, the diagnosis is Specific Phobia, situational type.
The correct answer is: Agoraphobia
When taking the Stroop test, an examinee may have trouble correctly naming the color of ink that a word is printed in because:
Select one:
A.
the word is projected to his/her right visual field only.
B.
the word is projected to his/her left visual field only.
C.
the word names a color that differs from the color of the ink.
D.
the word is a non-pronounceable “nonsense syllable.”
When administering the Stroop Color-Word Association Test, the examinee names the color of the ink of printed words.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT Development of the Stroop Test was based on the observation that people can read words faster than they can identify and name colors. When words that name colors are printed in a different color ink (e.g., when the word red is printed in blue), the prepotent response is to say red.
d. Incorrect See explanation for response c.
The correct answer is: the word names a color that differs from the color of the ink.
The various approaches to behavior family therapy differ with regard to goals and strategies but most share a focus on which of the following?
Select one:
A.
helping family members develop new meanings for problematic behaviors.
B.
using resistance and paradox to alter maladaptive behaviors.
C.
altering transactional patterns as a means of fostering insight.
D.
enhancing problem-solving and communication skills.
Behavioral approaches to family therapy combine principles of operant conditioning, social learning theory, and social exchange theory.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT Behavioral family therapies focus on observable behaviors and use contingent reinforcement and other behavioral techniques to modify behaviors, especially those related to problem-solving and communication.
The correct answer is: enhancing problem-solving and communication skills.
An amputee experiences a sensation on his missing limb whenever he is touched on his lower lip. This is referred to as:
Select one:
A.
phantom limb.
B.
super-added phantom.
C.
referred phantom sensation.
D.
adventitious synesthesia.
Several terms are used to describe the phantom phenomena that may occur following amputation of a limb.
a. Incorrect Phantom limb (also known as phantom limb sensation) involves experiencing a sensation other than pain in the missing limb without any type of external stimulation.
b. Incorrect Super-added phantom involves experiencing the feeling of an object (e.g., a ring or watch) on the missing limb.
c. CORRECT Referred phantom sensation occurs when a person experiences a sensation in the missing limb when a stimulus is applied to another part of his/her body. There is evidence that this phenomenon is due to cortical remapping, which involves a reorganization of nerve fibers in the somatosensory cortex. See, e.g., V. S. Ramachandran, D. C. Rogers-Ramachandran, and M. Stewart, Perceptual correlates of massive cortical reorganization, Science, 258(5085), 1159-1160, 1992.
d. Incorrect Adventitious synesthesia is the only term listed in the answers that is NOT associated with amputation. Synesthesia is a rare neurological condition in which stimulation of one sensory modality triggers a sensation in another sensory modality; and adventitious synesthesia refers to synesthesia that is due to epilepsy, stroke, the use of drugs, or other non-genetic cause.
The correct answer is: referred phantom sensation.
Dr. Callow is a licensed psychologist who has recently been hired by a mental health clinic. Several of his new patients are members of a culturally diverse group that he has not worked with before. His training, however, is appropriate for the services he will provide. As an ethical psychologist, Dr. Callow should:
Select one:
A.
refuse to work with these patients.
B.
take a relevant APA-approved continuing education course.
C.
obtain consultation from a therapist who does have experience with members of this group.
D.
see the patients and seek consultation only if he experiences any problems during the course of therapy.
Several Standards of the Ethics Code apply to this situation. For example, Standard 2.01(b) states that when differences in race or ethnicity might affect a psychologist’s ability to work, he/she obtains “the training, experience, consultation, or supervision necessary to ensure the competence of [his/her] services.”
a. Incorrect Since it appears that expertise in working with members of this culturally-diverse group is important for his position at the mental health clinic, it would be better for Dr. Callow to gain that expertise.
b. Incorrect Taking a course does not seem to be sufficient in this situation.
c. CORRECT Of the answers given, this one seems to represent the most ethical course of action. It is consistent with the requirements of Standard 2.01(c), which states that “Psychologists planning to provide services, teach, or conduct research involving populations, areas, techniques, or technologies new to them undertake relevant education, training, supervised experience, consultation, or study.” Even though he has had no prior experience with members of this group, consultation would be the best course of action for Dr. Callow because he is competent to provide the type of treatment.
d. Incorrect See explanation for response c. It would be better for Dr. Callow to seek consultation prior to treating these populations, and not “only” if a problem arises.
The correct answer is: obtain consultation from a therapist who does have experience with members of this group.
Research investigating the effects of Head Start and similar compensatory education programs has found that these programs:
Select one:
A.
have few benefits in terms of academic achievement or other outcomes.
B.
have some short-term benefits in terms of academic achievement only.
C.
have benefits in terms of academic outcomes, social adjustment, and employment.
D.
have few benefits in terms of academic outcomes but some benefits in terms of of social adjustment and employment.
Answer C is correct. Longitudinal studies have found that the immediate effects of compensatory education programs on IQ are often not maintained but that these programs have other positive academic, social, and occupational consequences. Answer C is the best option. The answer summarizes the results of longitudinal studies which have found that improvements in IQ test scores are often not maintained but that children who attend these programs often obtain higher achievement test scores, are less likely to drop out of school, and have lower rates of delinquency and unemployment.
The correct answer is: have benefits in terms of academic outcomes, social adjustment, and employment.
A test developer uses a multitrait-multimethod matrix to organize the data she has collected in a validation study of her newly developed self-report measure of self-esteem. The matrix indicates that the correlation between her self-report measure of self-esteem and an established (previously validated) teacher rating of self-esteem is .91. This correlation coefficient is referred to as a:
Select one:
A.
monotrait-heteromethod coefficient.
B.
monotrait-monomethod coefficient.
C.
heterotrait-heteromethod coefficient.
D.
heterotrait-monomethod coefficient.
Knowing that, in the context of the multitrait-multimethod matrix, “hetero” means different and “mono” means same would have helped you identify the correct answer to this question.
a. CORRECT The monotrait-heteromethod coefficient indicates the correlation between two different measures of the same trait - e.g., two different measures of self-esteem.
b. Incorrect The monotrait-monomethod coefficient is a reliability coefficient and indicates the correlation of the test with itself (“same trait-same method”).
c. Incorrect The heterotrait-heteromethod coefficient indicates the correlation between two different methods that measure different traits (e.g., a self-report measure of self-esteem and a teacher rating of locus of control).
d. Incorrect The heterotrait-monomethod coefficient indicates the correlation between two similar methods that measure different traits (e.g., a self-report measure of self-esteem and a self-report measure of locus of control).
The correct answer is: monotrait-heteromethod coefficient.