8) Which of the following disorders is seen only in affluent Western cultures? A. schizophrenia B. depression C. bipolar illness D.

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1 1) Several research studies have found an elevated incidence of schizophrenia among individuals whose mothers A. were exposed to influenza during the second trimester of their pregnancy B. were exposed to high levels of stress during the second trimester of their pregnancy C. drank heavily during the second trimester of their pregnancy D. took narcotic drugs during the second trimester of their pregnancy 2) Epidemiological studies of psychological disorders suggest that A. nearly everyone who needs treatment for psychological disorders receives it B. epidemics involving psychological disorders are common C. psychological disorders are more common than many people realize D. there has been a significant decrease in prevalence rates of mental illness in the United States in recent years 3) Selena constantly thinks about climbing up the stairs to the roof of her building and jumping into the street below. Selena's uncontrollable thoughts could be considered as an example of A. an obsession B. a compulsion C. a hallucination D. a delusion 4) Scarlett has anorexia nervosa and Bridget has bulimia nervosa. Based on the research into these two disorders, you should predict that A. Scarlett will be more likely to recognize that her eating behavior is pathological B. both individuals are likely to deny that their eating behavior as pathological C. both individuals will recognize their eating behavior is pathological, but neither will be willing to seek treatment D. Bridget will be more likely to recognize that her eating behavior is pathological 5) Carina is 50 years old, and she never seems to be on an even keel. Some days she is excited and happy, other days she is sad and withdrawn. Her symptoms seem fairly mild, but she has had mood swings of this type since she was in her early 20s. Carina's symptoms are most consistent with those seen in A. cyclothymic disorder B. dysthymic disorder C. undifferentiated schizophrenia D. dissociative identity disorder 6) Which of the following are disorders that occur cross-culturally? A. generalized anxiety disorder and panic disorder B. hypochondriasis and somatization disorder C. schizophrenia and bipolar mood disorder D. bulimia and anorexia nervosa 7) In his investigations of the cognitive factors that might contribute to depression, Seligman found that people with a pessimistic explanatory style are especially vulnerable to depression. These individuals tend to attribute their setbacks to, and draw conclusions about their personal inadequacies. A. situational factors; narrow, specific B. personal flaws; narrow, specific

2 C. situational factors; global, far-reaching D. personal flaws; global, far-reaching 8) Which of the following disorders is seen only in affluent Western cultures? A. schizophrenia B. depression C. bipolar illness D. anorexia nervosa 9) Which of the following would Freud consider to be the most direct means of access to the unconscious mind? A. transference B. the content of dreams C. the client's feelings toward the therapist D. the client's attempts to hinder the progress of therapy 10) Hamilton has embezzled over 3 million dollars from the bank where he is employed as an executive loan officer. He feels no remorse for his actions, and he is looking forward to an early retirement in some South American country with no extradition agreement. In this example, Hamilton's embezzling would most likely be considered A. culturally deviant B. maladaptive C. personally distressing D. legal insanity 11) Which of the following statements is true? A. Behavior therapists have historically placed little emphasis on measuring therapeutic outcomes. B. Behavior therapies can make important contributions in treating obsessive-compulsive disorder, schizophrenia, eating disorders, and hyperactivity. C. Insight therapists generally can measure progress more precisely than behavior therapists because of the nature of their therapeutic goals. D. The evidence for the effectiveness of insight therapy is stronger than the evidence for the effectiveness of behavior therapy. 12) The "behavior" that is incompatible with anxiety, and that systematic desensitization tries to recondition to phobic cues is A. an imagined fear B. an imagined pleasant experience C. deep muscle relaxation D. vigorous exercise 13) Carolyn worked for the same company for twelve years. Six months ago the company closed down. Carolyn had been feeling extremely depressed over the loss of her job, and she had considered seeing a therapist for help with her depression. However, for the past week she has been feeling much better, and has decided that she doesn't need professional treatment after all. In this case, Carolyn appears to have experienced A. spontaneous remission B. personal insight C. the placebo effect D. transference

3 14) Which of the following is not an example of a somatoform disorder? A. neuroticism B. somatization disorder C. conversion disorder D. hypochondriasis 15) Deinstitutionalization means that A. hospitalization for mental illness has become a thing of the past B. whenever possible, the mentally ill should be treated at community-based facilities that emphasize outpatient care C. the environment inside mental hospitals is designed to be less structured and rigid D. mental hospitals should take increased responsibility for the treatment of all clients, even those who are not seriously ill 16) Which of the following statements is true? A. The therapists' role is to run their clients' lives for them. B. Therapists are only facilitators, not producers, of change. C. Therapy typically produces immediate, major improvements in clients' psychological functioning. D. The best outcomes in therapy are seen when the therapist and the client are the same sex and are similar in age. A. M.D. B. Ph.D. C. Psy.D. D. Ed.D. 17) Which of the following academic degrees is not associated with being a psychologist? 18) In comparison to traditional antipsychotic drugs, atypical antipsychotic drugs A. yield higher relapse rates while patients are taking the medication, but have much lower relapse rates once patients discontinue their drug regimen B. yield lower relapse rates for patients following a drug regimen and for patients who have discontinued their drug regimen C. yield lower relapse rates while patients maintain their drug regimen, but have much higher relapse rates if patients discontinue their drug regimen D. yield higher relapse rates for patients following a drug regimen and for patients who have discontinued their drug regimen 19) The class of disorders marked by extreme and inflexible characteristics that cause subjective distress or impaired social and occupational functioning are referred to as A. mood disorders B. affective disorders C. conduct disorders D. personality disorders 20) About of psychotic patients respond favorably to traditional antipsychotic medication. A % B. 1-3% C %

4 D % 21) Which of the following shows the most appropriate matching of therapy to psychological problem? A. lithium treatment for phobic disorder B. cognitive therapy for panic disorder C. Xanax for depression D. systematic desensitization for bipolar mood disorder 22) The evolutionary view of mental disorders argues that objective criteria would A. increase the impact of cultural factors in the diagnosis of mental disorders B. result in fewer errors in the diagnosis of major psychological disorders C. protect against arbitrary labeling of socially disvalued conditions as disorders D. remove personality disorders from the DSM-IV categorization system 23) To deal with the problems deinstitutionalization has created, most experts advocate A. returning to the era of mental hospitals as custodial warehouses B. eliminating shelters for the homeless in urban areas C. increasing the quality and availability of intermediate care facilities D. increasing the number of traditional mental hospitals 24) What do the avoidant, dependent, and obsessive-compulsive personality disorders have in common? A. mistrustfulness and the inability to connect emotionally with others B. maladaptive efforts to control anxiety and fear C. highly impulsive behavior D. a flair for overdramatizing events 25) Eclectic therapists A. commit themselves to just one theoretical approach B. utilize only the insight approaches to therapy C. use ideas and techniques from a variety of therapeutic approaches D. refuse to adjust their techniques to the unique needs of each client 26) Which of the following personality traits appears to be related to the likelihood of developing a somatoform disorder? A. neuroticism B. extraversion C. agreeableness D. conscientiousness 27) Which of the following statements best represents the approach of a client-centered therapist in treating a chronically anxious client? A. "Let's look for ways in which you might actually be benefiting from your anxiety." B. "So, you feel that your world is a very scary place to be." C. "Let's see if we can identify the irrational beliefs that are producing your anxiety." D. "Do you feel that your mother adequately met your need for emotional support when you were a child?"

5 28) Electroconvulsive therapy (ECT) is now primarily used to treat patients suffering from A. anxiety B. phobias C. severe mood disorders D. psychosis 29) Jill will sit in one position for long periods of time, evidencing muscular rigidity. Jill is exhibiting symptoms of A. paranoid schizophrenia B. catatonic schizophrenia C. disorganized schizophrenia D. undifferentiated schizophrenia 30) Which of the following is not one of the criticisms that has been raised concerning the impact of managed care on mental health care? A. Delays in providing service result in spontaneous remission of psychological disorders in nearly 25% of cases. B. Mental health care has seen severe service cuts because the question of what is medically necessary can be subjective. C. Patients who are denied psychotherapy services are relatively unlikely to complain. D. Cost containment may cause physicians to prescribe older, less-expensive drugs which are less effective.

6 5tr1 Answer Section MULTIPLE CHOICE 1) ANS: A REF: 597 2) ANS: C REF: 576 Correct = 88% 3) ANS: A REF: 579 4) ANS: D REF: 608 5) ANS: A REF: 588 6) ANS: C REF: 605 7) ANS: D REF: 589 8) ANS: D REF: 605 Correct = 68% 9) ANS: B REF: ) ANS: A REF: ) ANS: B REF: 630 Correct = 64% 12) ANS: C REF: 628 Correct = 58% 13) ANS: A REF: ) ANS: A REF: 582 Correct = 40% 15) ANS: B REF: 643 Correct = 88% 16) ANS: B REF: 649 Correct = 97% 17) ANS: A REF: 618 Correct = 47% 18) ANS: C REF: ) ANS: D REF: ) ANS: D REF: 631 Correct = 66% 21) ANS: B 22) ANS: C REF: ) ANS: C REF: 645 Correct = 94% 24) ANS: B REF: 599 Correct = 69% 25) ANS: C REF: ) ANS: A REF: 584 Correct = 77% 27) ANS: B REF: ) ANS: C REF: ) ANS: B REF: 593 Correct = 90% 30) ANS: A REF: 638