Ab Psych Test 2 – Flashcards
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Why was MMPI-2 needed?
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Original MMPI created over 50 years ago
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Mike is going to try to look mentally ill. He takes MMPI-2. He most likely will
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by caught by specialized scales on the test.
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Psychological Assessment refers to
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Procedures used to summarize a client's problem
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Which is true about assessment and professional orientation?
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focus of assessment will be largely determined by professional orientation of clicinian.
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What was unique about Esteban
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Assessment was done in both English and Spanish
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What is one problem with actuarial data?
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Profile of many subjects do noot fit profile types for which actuarial data are available.
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Which is an objective test
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MMPI-2
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Five hour battery of test that includes listening to rhythmic beats presented by tape recorder and putting different shaped blocks into grooves while blindfolded?
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Halstead-Reitan battery
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True statement about Rorschach
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Considerable amount of training is required to administer and score it correctly
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Pretend that doctor is father as part of a psychosocial assessment
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analogue studies (staged role playing)
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Not one of the tree basic categories of stressors?
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challenges
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pituitary gland
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releases hormones that regulate many bodily functions
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during resistance stage of personality decompensation
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coping mechanisms are permitting one to function, but signs of the stress may begin to be apparent
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Psychoneuroimmunology refers to
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examining effects of stressors on immune system
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the fight or flight response
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invovloces activation of the sympathetic nervous system
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symptoms are to signs as ______ is to _______
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subjective;objective
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true statement about assessment
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an adequate assessment should include as much info as possible to allow the clinician to determine how the individual is functioning now and to predict how she will respond to various forms of treatment
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_______ involves achieving a stable state by changing
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allostasis
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beneficial features are ability to map ongoing pysc activities of the brain without injecting radioactive substances into patient's body
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fMRI
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short term crisis therapy
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begins with assumption that affected individual was functioning well before crisis
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Projective test that has been adapted for computer interpretation?
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Rorschach
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Dr. Hunter is studying depression. Any subject who continues to feel hopeless and sad for more than 3 weeks after a loss will be considered depressed. He is using...
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dimensional
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which would be used to reveal "dysrhythmia" in brain activity?
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EEG
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why is it important to have an appropriate classification of presenting problem
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a.Formal diagnosis may be needed for insurance purposes b.Recognition will aid in development of effective treatment plan c.Determination of range of presenting symptoms needed to ensure proper placement in a treatment facility
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What is not a reason to use rating scales in clinical observation and self-reports?
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decrease objectivity
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Limitation of MMPI-2
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requires an individual to be literate
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When would a clinician most likely use self-monitoring
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to find out what situations are likely to illicit problematic behaviors
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Whenever fill a need to drink, indicate what you were thinking, where you were, who you were with, and whether you had the drink.
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self monitoring
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not an example of defense oriented coping
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finding a workable compromise
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when POW's first return
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their relief and job at being released often masks the trauma's effects
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PTSD
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may develop in recovery stage of disaster syndrome
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Why is divorce still a potent stressor?
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new problems and challenges usually emerge following a divorce
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which demonstrate reliability?
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when an IQ test is administered to the same person repeatedly, and results do not differ
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Example of task oriented coping?
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leaving a cheating spouse
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disorders that begin by adolescence or early adulthood, persist for long periods of time and affect many areas of a person's life are listed on
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Axis 2
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"Combat Exhaustion" is known as _______ today.
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PTSD; acute stres disorder
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Damage to the pituitary gland would most likely lead to
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hormonal imbalances
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New perceptions and experiences tend to be worked into our existing schemas, even if the new information must be distorted to fit them. This process is...
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assimiliation
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Tracy and Kevin are both 3 months old. Tracy is highly active, easily irritated, and cries easily. Kevin is quiet, adapts easily to change, and seems fearless. These differences illustrate
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differences in temperament
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Why is classification a necessary first step in developing an understanding about abnormal behavior?
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communication about abnormal behavior cannot be effective unless what is being discussed is clear
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Research by Exner and others has show than the Rorshach
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can be scored by computer, thereby increasing its reliability
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Dr. White is doing research in which she must diagnose clients at a mental health clinic. Because diagnostic reliability is of great concern in research, she will most likely establish diagnoses by using
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standardized structured interviews
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Projective and objective are two types of _____________ tests
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personality
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The MMPI is
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a structure approach to personality assessment
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which approach to classification of abnormal behavior uses statistical criteria to differentiate between normal and abonoral
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dimensional
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a valid test
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measures what it is supposed to measure
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Dr. Kim is a psychologist who uses a number of tests to measure a person's cognitive, perceptual, and motor performance to detect brain damage. She is using
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neuropsychosocial assessment
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two general categories of psychological tests used are
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personality and intelligence
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lifelong conditions are typically ound on
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AXIS 2
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false statement about brain dysfunction and psychiatric disorders
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identifiable brain damage is often the cause of psychiatric disorders
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A clinical research subject is given a beeper that produces a soft tone at unexpected intervals. This assessment tool measures
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thoughts and feelings in natural settings
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when psychologists say that a person shows resilience it means
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the person can successfully adapt and survive in threatening circumstances
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normal human cells have
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22 autosomal chromosome pairs and one pair of sex chromosomes
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which of the following is an unstructured approach to studying personality
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the TAT
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which of the following is an example of a symptom
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the client reported hearing voices
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Which of the following would best address recent criticism of the TAT
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use more modern pictures
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Dr.Smith believes that a decrease in frontal lobe function underlies cognitive deficits seen in schizophrenia. He has hypothesized that effective drug therapy serves to selectively increase metabolic activity in this part of the brain. Which of the following is Dr. Smith most likely to use to test this hypothesis?
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positron emission tomography (PET) scans
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Which is most commonly used in research, as poopsed to as a tool for clinical diagnosis
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fMRI; EEG; CAT scan; PET scan
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the Thematic Apperception Test (TAT) has been used to assess all of the following except
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intelligence
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All of the following are physical conditions that may produce behavioral symptoms that mimic psychological conditions except
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somatoform disorders
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which of the following statements about reliabillity and validity is true?
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valid tests are usually reliable
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Which of the following most accureately describes notion of different viewpoints of abnormal behavior
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each viewpoint offers its own expanation of abnormal behavior
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if a psychological test is standardized it means the clinician can
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compare the individuals responses to those of other comparable people
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a psychosocial assessment typically bengins with
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an interview
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cognitive behavioral psychologists believe that abnormal begavior
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results from distored thing and information processing
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which of the following is not a culture bound syndrome
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hoopa
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in which of the following circumstances would a psychosocial assessment clearly need to be used
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ever since the divorce, James has been sleeping less and less
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Dr. Spock, a psychiatrist, takes a biopsychosocial viewpoint of psychopathology. Which of the following treatments is he most likely to suggest for Julia's current state of depression?
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a combination of psychological therapy and antidepressant drugs
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Jane has been diagnosed with shizotypal personality disorder. Jane's distorted view of the world, however, does not prevent her from working and living a relatively normal life. Which of the following terms best describes Jane's condition?
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chronic
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The disorders first recognized as having biological bases are best characterized as disorders that
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involved significant damage to brain tissue
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Joanne says that she cannot say no to her intrusive mother. Her therapist has her pretend to engage in such an interaction to assess how weak Joanne's assertiveness skills really are. This illustrates the use of
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role playing
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during an assessment interview, Dr. Poole noted that Jane's boss at work was harassing her. On which of the five axes of the DSM would this information be noted?
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Axis 4
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Psychologica test
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are dependent on the clinician who interprets them
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which of the following is an unstructed approach to studying personality
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the TAT
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neuropsychological test
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use the measurement of performance on perceptual-motor tasks to give clues about impairment after brain injury
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one limitation of the MMPI-2 is that it
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requires a clinical interview as a supplement to the test itself
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what role does the social context play in assessment
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an evaluation of the environment in which the client lives is necessary in order to understand the demands he faces, as well as the supports that are present.
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all of the following involve psychological disturbances that occur in response to an identifiable experience except
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depression
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after the Northridge earthquake in Southern California, during which part of a heavily traveled freeway collapsed, many people noted that it was lucky that this tragedy occurred on a holiday as there were few people on the road that early Monday morning. Does this "it could have been worse" sentiment moderate the effects of this natural disaster?
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yes, finding the benefit such as this has been shown to aid in adapting to such stressors
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what is the difference between a stressor and a crisis
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while all crises are stressors, not all stressors are crises
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an individual with a high stress tolerance
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can function well in the face of a high level stress
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which of the following is considered to be the most reliable life event approach
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the life event and difficulty schedule
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Under what circumstances is a structures interview most likely to be used
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when consistent information is needed for research purposes
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which category of adjustive demands (stressors) would obstacles like prejudice and discrimination be placed it
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frustrations
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since it was first published, the DSM has
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become more objective
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it is belived that the incidence of combat exhaustion during WW2 has been underestimated because
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many men were trateed in the field and never formally diagnosed
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what is no a key factor in a stressor more serious
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its a type or category
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A person comes to a mental health professional with a certain complaint. The professional attempts to understand the nature and extent of the problem. This process is called
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assessment
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The Life Events and Difficulty Schedule
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allows the rater to consider the person's unique circumstances
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The fMRI technique cannot currently be used as a diagnostic tool. This is because
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it is very difficult to interpret the results
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What is the difference between a stressor and a crisis?
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While all crises are stressors, not all stressors are crises.
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Disorders that begin by adolescence or early adulthood, persist for long periods of time, and affect many areas of a person's life are listed on
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axis 2
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Which of the following is a drawback of a structured interview?
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They may include questions about areas that are of no concern to the patient.
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Which approach to the classification of abnormal behavior uses statistical criteria to differentiate between normal and abnormal?
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Dimensional
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Which is not a stressor linked to immunosuppression, according to the text?
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vacation
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The term "crisis" refers to
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any time when a stressful situation exceeds one's ability to cope.
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Why is there such a high likelihood of long-lasting psychological problems resulting from active combat experiences?
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Combat situations present highly stressful situations for which there may be no truly effective coping mechanisms.
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At very high levels of stress
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personality may play a role in decreasing vulnerability to stress.
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Which of the following would be an example of a projective technique?
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a child is asked to draw her family
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Which is not an individual risk factor for developing PTSD?
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believing that thier symptoms are a sign of personal strength
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While the DSM is designed to be a categorical classification scheme,
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the existing criteria tend to lead to a prototypal approach
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the empirical keying approach to making a test like the MMPI involves
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picking items that differentiate between different groups, no subjective judgment is needed
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which is not a criticism of projective tests
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client responses are limited
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computers are excellent devices for storing info on large numbers of people's characteristics and test score patterns...
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actuarial procedures
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what would determine whether the WISC-III or the WAIS-III is used to test intelligence?
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the age of the client
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one advantage of the MRI over the CAT scan is that the MRI
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provides bettern differentiation and clarity
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which statement regarding assessment is true?
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should include as much info as possible to allow clinician to determine how individual is functioning now, and to predict how she will respond to various forms of treatment
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MMPI-2 Computer based report with Esteban was typical of such reports b/c
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the report provided diagnostic and treatment considerations
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MMPI is
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structured approach to personality assessment
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stress-inoculation training
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involves learning new ways to think about an anticipated threat, and then applying these techniques to several different types of threats
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as election approaches, public has come to accept that they will be selecting the lesser of two evils..
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double avoidance
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significant drawback of the use of medication for PTSD is
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it can actually serve as a reinforce for one of the major symptoms of PTSD bc it can allow a person to avoid the feelings associated with the trauma
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which would likely be a source of eustress
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graduating from high school
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ego-defense mechanisms
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become problematic when they are used excessively
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which is a criticism of life event scales
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peoples' moods can have an impact on their ratings of stress
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which would be expected during first phase of personality decompensation
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Julia struggled to control her emotions
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which Axes are rarely used in most clinical settings
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axes 4 and 5
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which is an assumption of categorical approach
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each disorder has unique symptoms
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research on those who experienced accident at 3 mile island has demonstrated
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physical indices of high stress may be present for an extended period of time following a trauma
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pschological assessment reders to the
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procedures used to summarize a client's problem
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not an example of defense-oriented coping
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finding a workable compromise
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which category of adjustive demands (stressors) would obstacles like prejudice and discrimination be placed in?
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frustrations
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what does it mean if Carol scores high on the Schizophrenia scale of the MMPI?
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Carol's answers were comparable to those given by a group of schizophrenics.
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the aim of a projective test is to
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asses the way a patient perceives ambiguous stimuli
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Danielle is having problems with drinking. She goes to a psychologist who gives her a form to fill out. It has a list of statements about drinking and problems associated with drinking. She is to rate each item between 1 and 3- 1 meaning it is not a problem for her, 3 meaning it is a very big problem and 2 is in between. This is an example of
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rating scale
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unlke the medical practitioner, the mental health professional's assessment process
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rarely has "lab work" that can confirm an initial impression
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the DSM acknowledges that
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a DSM diagnosis is on the first step, much more is needed to determine treatement
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intelligence and personality test can best be described as
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indirect means of assessing psychological characteristics
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chad really wants to go to a party on Friday because he knows the person who he is very interested will be there and he may be able to get a date. Then a person Chad is somewhat interested in asks him out for Friday. This is an example of
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double approach conflict
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which of the following will lower a soldiers risk of developing PTSD
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believing strongly in the goals of conflict
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which of the following would be an example of direct therapeutic exposure?
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mandy visited the accident site
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estimates of the prevalence of PTSD
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demonstrates that is is more commonly seen in women
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eustress is
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a response to a happy life event
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according to the text, the term stress will be used to refer to
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the effects of stressors
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the psychotropic medications used in the treatment of PTSD
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treat the symptoms the client is experiencing
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Which of the following would be used to reveal a dysrhythmia in brain activity?
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CAT scan
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the general adaptation syndrome is
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a model that helps explain the course of biological decompensation under excessive stress
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i often find that when I am ill, I am not able to cope effectively with the normal hassles of life. I find myself becoming irritated by things that I would usually be able to ignore. Which of the following would explain this phenomenon?
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when using resources to deal with one stressor, the ability to tolerate additional stressors may be compromised
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a person comes to a mental health professional with a certain complaint. the professional tries to understand the nature and extent of the problem. this porcess is called.
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assessment
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megan's boyfriend suddenly broke up with her. Megan spends most evenings crying. She calls her friends over and over to talk about the relationship and the break-up, to the point that her friends are beginning to dread talking to her. Megan is
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using a defense oriented response to stress
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one of the problems with actuarial data for an instrument like the MMPI is that
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the profiles of many subjects fo not fit the profile types for which actuarial data are available
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coping strategies are
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efforts to dal with stress
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the social readjustment rating scale
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is an imperfect means of quantifying the level of stress experience over a period of time
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which of the following will lessen the impact of stress on a person
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positive social and family relationships
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the development of new methods of coping
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may be an outcome of a crisis
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for which of the following would the use of stress-innoculation training be most effective?
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preparing for chemotherapy
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Ed has suffered a head injury in a car accident. He is referred to a psychologist to see what types of impairment now exist and to get some suggestions for treatment. The best assessment strategy would be
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neuropsychological tests
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what role does social context play in assessment
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an evaluation of the environment in which the client lives is necessary in order to understand the demands she faces, as well as the supports that are present.
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the stress glucocorticoid that is produced in humans is called
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cortisol
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acute stress disorder becomes PTSD when
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the symptoms last for more than 4 weeks
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PTSD
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symptoms vary considerably depending on the characteristics of the trauma and the victim.
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which of the following best illustrates high reliability
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two interviewers diagnose the same disorder after talking to the same client
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which of the following is not considered a life change
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being diabetic
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why are airplane crashes typically more traumatic for those involved than natural disasters
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the victimes are likely to be far from home
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despite all the criticisms of the use of life stress scales
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finding that life change produces stress has been supporte by other work
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shanna foes to Dr. henderson fora first interview. He diagnosis her with a depressive disorder. She then goes to Dr. Smithson, because her friend recommended her. Dr. Smithson diagnoses Shanna with an anxiety disorder. This demonstrates a problem with
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reliability
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what is risk factor
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a variable that increases the risk of a specific negative outcome
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all of the following statements are true except
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the response an individual will have to a stressor can be readily predicted
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despite the many barriers to effectively researching the effectiveness of disaster resposnse, it has been found that
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cognitive therapy reduces the PTSD symptoms of the majority of those who are treated
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feelings of control over stressors
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can make a difference even for victimes of torture - if the person feels he or she has some control her or she tends to be less affected by the sressor over the long term
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one criticism of diagnositc labels is that
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they can influence both other people's and the diagnosed person' perception of themselves in negative ways
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the reliability of the assessment interview may be enhanced by the use of
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rating scales
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following a disaster, debriefing sessions
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provide those involved with a chance to share their feelings and concerns
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who is most likely to get a cold
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those with negative events and a highly diverse social network
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psychoneuroimmunology is
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the interaction between the nervous system and the immune system
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while neurological assessment procedures evaluate the brain's physical properties, neuropsychological assessment focuses on
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client performance
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which of the following is the biological cascade that is activated with prolonged stress
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the hypothalamic pituitary adrenal axis
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in DSM-IV-TR, psychosocial stressors
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are specified on Axis IV
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selye
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recognized that both happy and sade life events can be sources of stress
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in the final phase of stress-innoculation training
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newly acquired skills are applied
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the impact of torture
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can vary depending on if the torture was perceived as uncontrollable or not
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if a diagnosis is made by comparing subjects to a "model" of an illness, which type of classification scheme is being used?
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prototypical
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which cytokine has been associated with depression and caring for family members with Alheizeimer's disease?
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Interleukin-6
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who is likely to have the most severe stress
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josh, who has just been told he has cancer and whose wife announces she is leaving him when he tells her the news
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in what way do the responses of soldiers who were most physically wounded differ from the nonwounded in developing combat stress
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the wounded showed less anxiety
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which of the following statements about combat and PTSD is true
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a wound may act to decrease the anxiety experienced while in combat
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the need for rapport between a clinician and a client means
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the client must feel comfortable with the clinician and the assessment
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Arielle was in a terrible car accident where several people were killed. a few weeks later she has begun to talk about what happened. she tells the story to anyone who will listen. this seems to be
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a way to reduce anxiety and desensitize herself to the experience
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a clinical psychologist notes that a client wears his clothes inside out, that his hair is matted, and there is dirt under his fingernails. This information is known as
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clinical observation
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which of the following will lessen the impact of a stressful situation
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preparing for the stressor
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psychological assessment refers to the
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procedures used to summarize a client's problem
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which of the following is a type of test that tries to find ways in which a person's personality and past experiences cause them to understand and perceive their world
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projective tests
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stress-innoculation training
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is a form of cognitive preparation that can be used to minimize the impact of an anticipated threat
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b-cells are
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cells that produce antibodies
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a risk factor is
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something in a person's history that makes him or her more vulnerable to stress
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having a history of psychological problems before going into combat
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sometimes increases risk of PTSD, but may lowerit beacuse the person is acutally used to anxiety and copes automatically
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several clinicians look at the TAT results of a hospitalized patient. The patient described the characters on the card as not speaking to each other. One clinician says this means the patient has a lot of unresolved anger. Another says it means the patient has a lot of social anxiety. The third says he thinks it means the patient is uninterested in people and prefers to be alone. This demonstrates the following problem with the TAT:
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scoring and interpretation is very subjective
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which of the following makes it possible to see all but the most minute abnormalities of brain structure
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MRI
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which of the following is not a factor to keep in mind when evaluating test results
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the theoretical orientation of teh clinician
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a behaviorally oriented clinician tells her alcohol dependent client: "Here is a checklist I want you to fill out each day. Whenever you feel you need a drink, you should indicate what you were thinking, where you were, who you were with, and whether you went ahead and drank." What procedure is the clinician using?
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self monitoring
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the text presented the case of Esteban, a twenty-one-year-old student from Colombia. Some psychologists believe that the Rorschach Inkblot Test is particularly appropriate for cases like Esteban's because the Rorschach
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is not culture bound
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the pituitary gland
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releases hormones that regulate many bodily functions