PSY 142 Midterm 2 – Flashcards

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1. Identifying which general class of problems to which a presenting problem belongs is known as a(n) ____ strategy. a. idiographic b. nomothetic c. classification d. categorical Answer
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b
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2. The Diagnostic and Statistical Manual of Mental Disorders is a publication of the a. American Psychological Association b. International Association of Psychologists c. American Psychiatric Association d. National Institutes of Mental Health; Answer
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a
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3. Quantifying a person's moods, behaviors, and cognitions on a scale/continuum constitutes a(n) ___ approach to understanding psychopathology. a. idiographic b. nomothetic c. dimensional d. prototypical; Answer
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c
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4. Using the Multi-axial system of DSM-IV, disorders such as Major Depressive Episode, anxiety disorders, and learning disorders are coded on ___ a. Axis I b. Axis II c. Axis III d. Axis IV; Answer
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a;
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5. In the DSM-IV, psycho-social and environmental problems are coded on __. a. Axis II b. Axis III c. Axis IV d. Axis V; Answer
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c;
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6. What advances in technology have been used to treat anxiety disorders? a. Using body electrodes to stimulate/teach muscle relaxation techniques b. Exposure through virtual reality c. Periodic self-checking of anxiety levels, using a PDA d. Use of emergency response pagers during panic attacks; Answer
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b;
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7. When engaged in cognitive restructuring with an anxious patient, what is the typical last step in the process of restructuring therapy session? a. Assign a homework assignment b. Discouraging "all or nothing" thinking c. Recommending consultation with a psychiatrist d. Reviewing muscle relaxation techniques; Answer
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a. ;
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8. All of the following are steps in the "Systematic Desensitization" process of changing anxious behavior, EXCEPT a. Creating an anxiety hierarchy b. Adjusting distorted "anxious" thinking styles c. Exposing the anxious person to one of the situations in their anxiety hierarchy d. During exposure, teaching the person to use relaxation techniques to control the anxiety; Answer
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b;
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9. When medications are prescribed to help people manage anxiety, all the following neurotransmitter networks are targeted, EXCEPT a. Serotonin networks b. Nor-adrenaline networks c. Dopamine networks d. Benzodiazepine/GABA networks; Answer
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c;
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10. What are the three basic components/ areas targeted by psychologists when treating anxiety disorders? a. Existential, Emotional, Cognitive b. Behavioral, Physiological, Cognitive c. Emotional, Cognitive, Behavioral d. Existential, Physiological, Behavioral; Answer
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b;
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11. The rapid-cycling specifier refers to an individual with bipolar disorder who experiences at least __ episodes in a year a. 2 b. 4 c. 6 d. 8; Answer
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b;
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12. Jane is diagnosed with bipolar II disorder. You can expect that she will experience a. Full manic episodes b. Hypomanic episodes c. Both manic and hypomanic episodes d. Neither manic nor hypomanic episodes; Answer
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b;
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13. The postpartum onset specifier is used to characterize a severe manic or depressive episode with psychotic features that occurs in a woman following __. a. A hysterectomy b. Rape c. Childbirth d. Menopause; Answer
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c;
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14. Katie has been diagnosed with major depressive disorder. Most recently, she has been lying immobile for long periods. If someone moves one of her arms to a different position, it just stays there. Katie has stopped speaking and does not appear to hear what is being said to her. What specifier would you apply to her diagnosis of major depressive disorder? a. Chronic b. Catatonic c. Atypical d. Melancholic; Answer
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b;
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15. A person who experiences a persistent depressed mood for at least two years but is not experiencing major depression may have a. Dysthymic disorder b. Cyclothmyic disorder c. Bipolar disorder d. Double depression; Answer
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a;
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16. The Cognitive component of cognitive behavioral therapy (CBT) tries to help the patients by doing all of the following, except a. Identifying/eliciting automatic and mal-adaptive thoughts b. Asking patient to create a hierarchy of things that make them depressed c. Testing the truth of negative attribution/schema in the real world d. Teaching and rehearsing coping strategies to correct depressive "errors" in thinking; Answer
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b;
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17. All of the following statements about lithium therapy are true except a. Lithium is the gold standard for managing manic episodes b. Lithium is a mood-stabilizing drug c. Dosage must be carefully regulated to prevent toxicity d. The side effects of lithium are less serious than side effects of antidepressants; Answer
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d;
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18. With regard to treatment of mood disorders, which of the following statements is accurate? a. Patients rarely recover from episodes of major depression without treatment b. Delaying or preventing future episodes (relapse) of major depression is an imoprtant treatment goal. c. After a patient has experienced a major depressive episode and recovered, treatment can be discontinued d. Close to 100% of patients with major depressive disorder respond to drug treatment; Answer
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b;
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19. Clinical studies have shown that response rate, for patients being treated with medications, for their depressive symptoms is approximately __. a. 15-25% b. 50-60% c. 75-85% d. 90-100%; Answer
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b;
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20. The following types of medications are all used to treat depression except a. SSRIs b. Mixed reuptake inhibitors c. MAO inhibitors d. GABA inhibitors; Answer
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d;
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21. This type of classification is detailed and applies to each person uniquely a. idiographic b. nomothetic c. dimensional d. prototypical
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a;
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22. If you say someone has schizophrenia, you are using a ___ strategy for giving a label. a. idiographic b. nomothetic c. dimensional d. prototypical; Answer
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b;
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23. ___ is a consistent measure overtime with agreement among clinicians a. diagnostic reliability b. diagnostic validity c. testability d. confirmability; Answer
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a;
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24. Depression, schizophrenia, anxiety, mood disorders, and learning problems fall on a. Axis I b. Axis II c. Axis III d. Axis IV; Answer
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a;
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25. Chronic and personality disorders belong on which axis of the DSM-IV? a. Axis I b. Axis II c. Axis III d. Axis IV; Answer
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b;
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26. Axis IV deals with a. medical problems b. acute disorders c. psychosocial and environmental problems d. global assessment of functioning; Answer
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c;
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27. The difference between anxiety and phobia is a. anxiety deals with the present, while phobia deals with the future b. anxiety deals with the future, while phobia deals with the present c. anxious people fear immediate dangers d. none of the above; Answer
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b;
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28. Skin crawling, rapid heartbeat, shaking, sweating, and panic are all symptoms of a. anxiety b. fear c. panic disorder d. phobia;
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b;
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29. Jane will avoid public speaking whenever she can because she knows she will have a panic attack. This is an example of a. situationally bound panic attack b. unexpected panic attack c. situationally predisposed panic attack d. panic attack disorder; Answer
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a;
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30. People with __ develop more serious problems because they fear they will have a panic attack when they least expected it. a. situationally bound panic attack b. unexpected panic attack c. situationally predisposed panic attack d. panic attack disorder; Answer
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b;
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31. The Triple Vulnerability Theory includes a. general biological, specific biological, specific psychological b. general biological, general psychological, general physiological c. general biological, general psychological, specific psychological d. general biological, general psychological, specific physiological;
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: c;
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32. Inheriting uptight and high-strung tendencies is an example of a. general biological vulnerability b. general psychological vulnerability c. specific psychological vulnerability d. the triple vulnerability theory; Answer
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a;
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33. What you learn from experience and your parents is due to a. general biological vulnerability b. general psychological vulnerability c. specific psychological vulnerability d. the triple vulnerability theory; Answer
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c;
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34. If you grow up learning that the world is dangerous an uncontrollable, you have a a. general biological vulnerability b. general psychological vulnerability c. specific psychological vulnerability d. the triple vulnerability theory; Answer
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b;
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35. Parents who respond predictably to their children's cries will __ the probability of developing anxiety disorder. a. increase b. decrease c. not change; Answer
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b;
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36. Anxiety includes all of these systems, except a. GABA b. Corticotrophin Releasing Factor c. Nervous system d. Limbic system; Answer
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c;
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37. The three systems that form the general biological vulnerability are a. GABA, CRF, BIS b. HBA, Limbic, GABA c. Flight or fight, BIS, CRF d. BIS, CRF, HBA; Answer
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c;
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38. Individuals who experience extreme and painful shyness in almost all social or performance-related situations may have a. anxiety disorder b. social anxiety disorder c. specific phobia d. panic disorder with agoraphobia; Answer
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b;
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39. __ of those with social phobia have been bullied or teased before. a. 0-20% b. 30-50% c. 60-80% d. at least 90%; Answer
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d;
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40. What are the four common themes of obsessive compulsive disorder?; Answer
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hoarding, contamination/cleaning, forbidden thoughts, symmetry/exactness;
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41. Repetitive and purposeful behaviors or mental acts to neutralize/reduce obsessions are a. compulsions b. forbidden thoughts c. contamination d. symmetry; Answer
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a;
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42. Checking rituals is an example of a. symmetry b. contamination c. hoarding d. forbidden thoughts; Answer
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d;
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43. Arranging, ordering, and repeating is an example of a. symmetry b. contamination c. hoarding d. forbidden thoughts; Answer
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a;
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44. A psychological reason why people with OCD has these compulsions is because of a. thought-behavior-action b. thought-action-confusion c. perception-behavior-action d. perception-confusion-action; Answer
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b;
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45. The three components in treating anxiety disorders are a. psychological, behavioral, cognitive b. psychological, physiological, cognitive c. physiological, behavioral, cognitive d. physiological, behavioral, psychological; Answer
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c;
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46. Physiological treatment in anxiety disorder includes all of the following except a. relaxation training b. medication c. systematic desensitization and exposure d. meditation;
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d;
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47. Exposing a person to the most anxiety provoking stimuli is an example of a. behavioral treatment b. physiological treatment c. psychological treatment d. cognitive restructuring; Answer
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a;
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49. If someone has altered sleeping patterns, changes in appetite, and feelings of indecisiveness and distractability, they might have a. Major depressive episode b. Manic episode c. Bipolar disorder d. Dysthymic disorder; Answer
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a;
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50. Elaborate plans of action, feelings of grandiosity, and a decreased need for sleep are all symptoms of a. Major depressive episode b. Manic episode c. Bipolar disorder d. Dysthymic disorder; Answer
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b;
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51. Depersonalization is defined as a. altered perception including loss of the sense of one's own internal reality b. altered perception involving loss of the sense of reality of the external world c. vivid hallucination d. the feeling that one is no longer a person; Answer
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a;
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52. In dissociative amnesia, the individual typically has no memory of a. any events b. events prior to trauma c. selective events, particularly those involving trauma d. events following a trauma, particularly those involving interpersonal issues; Answer
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c;
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53. During a dissociative fugue state, it is not uncommon for individuals to a. commit suicide b. see the world as a strange and foreign place c. take on a new identitiy d. contact friends and family; Answer
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c;
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54. An alter is a. an identity created by someone with dissociative identity disorder b. a new identity created by someone with dissociative fugue c. a new identity created by someone with generalized amnesia d. all of these; Answer
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a;
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55. Dissociative identitiy disorder tends to be associated with a. significant trauma/child abuse b. conversion disorder c. somatizatrion d. all of these; Answer
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a ;
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56. Idiographic strategy is __ focused, while nomothetic strategy is __ focused. a. prototype, detailed b. detailed, prototype c. individual, large group d. large group, individual; Answer
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b & c;
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57. __ is the name and label for the syndrome. a. taxonomy b. nosology c. nomenclature d. nomothetic; Answer
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c;
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58. Taxonomy is a __ classification system, while Nosology is a __ classification system. a. idiographic, nomothetic b. nomothetic, idiographic c. scientific, medical d. medical, scientific; Answer
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c;
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59. What was Kraeplin's theory?; Answer
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Each disorder is unique/different, there are distinct symptoms, a clear cause, and disorders don't overlap;
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60. In a dimension based classification, which of these are not used? a. rating a person's characteristic on a scale of 1 to 10 b. rating a person's characteristic from mild to severe c. rating based on a continuum d. rating a person's personality using personality tests; Answer
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d;
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61. In a prototypical classification approach, a. you need to have all the symptoms and meet all the criteria to be diagnosed b. it follows the all-or-nothing theory posed by Kraeplin c. not all features are essential d. you need to fit the prototype to be diganosed; Answer
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c;
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62. What are the two things that diagnostic reliability measures?; Answer
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consistent measurements over time and agreement among doctors;
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63. The DSM-IV is all of the following, except a. based on theoretical causes of psychopathology b. based on re-analysis of scientific data c. based on the multi-axial system d. based on atheoretical approach; Answer:
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a;
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64. What are the effects of diagnostic labeling? a. labels can become self-fulfilling prophecies b. individuals will deny having the label c. there is no effect of a diagnostic label d. none of the above; Answer
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a;
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65. The multi-axial format of the DSM-IV a. removed the distinction between organically and psychologically based disorders b. allowed for integration of cultural influences c. admits interaction between diatheses and stressors d. all of the above e. none of the above; Answer
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d;
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66. Axis I includes a. all acute/clinical disorders b. personality disorders & mental retardation c. medical problems/conditions disorder d. psychosocial & environmental problems; Answer
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a;
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67. Axis II includes a. all acute/clinical disorders b. personality disorders & mental retardation c. medical problems/conditions disorder d. psychosocial & environmental problems; Answer
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b;
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68. Axis III includes a. all acute/clinical disorders b. personality disorders & mental retardation c. medical problems/conditions disorder d. psychosocial & environmental problems; Answer
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c;
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69. Axis IV includes a. all acute/clinical disorders b. personality disorders & mental retardation c. medical problems/conditions disorder d. psychosocial & environmental problems; Answer
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d;
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70. What is a problem with the DSM-IV? Answer
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comorbidity issue
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71. Anxiety is characterized by a. an autonomic response b. strong avoidance c. physical symptoms of tension d. the flight or fight response; Answer
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c;
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72. ___ down-regulates anxiety a. Adrenaline b. Noradrenaline c. Dopamine d. GABA; Answer
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d;
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73. Which system mediates signals between the brainstem, amygdala and frontal cortex and also triggers the freeze in place? a. Behavioral Inhibition System (BIS) b. Corticotrophin Releasing Factor System (CRF) c. The Limbic system d. Hypothalamic-Pituitary Activation (HPA) system; Answer
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a;
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74. __ of people with anxiety disorder have at least one additional disorder. a. 10-25% b. 30-40% c. 50-60% d. 75-90%; Answer
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c;
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75. Generalized Anxiety Disorder has a ___ onset a. chronic b. acute c. immediate d. gradual; Answer
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d;
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76. When people with GAD are exposed to anxiety provoking situations, they show __ physical response than people without GAD. a. more b. less c. the same d. no; Answer
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b;
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77. People with GAD do not create visual images of threats because __ a. it helps them cope with their anxiety b. the ongoing, worried thinking is verbal and takes up all of their brain capacity c. the disorder impairs the brain's ability to create images d. the EEG activity in the right frontal lobe is stimulated; Answer
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b;
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78. In order to be diagnosed with Panic Disorder, you must have experienced __ unexpected panic attack(s). a. 1 b. 2 c. 3 d. 4; Answer
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a;
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79. A person who has panic disorder may ___. a. avoid exercising b. avoid social situations c. become isolated d. be consoled by family; Answer
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a;
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80. Panic disorder usually starts __ and __ with age. a. early, gets worse b. late, gets worse c. early, declines d. late, declines; Answer
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c;
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81. All of the following are sub-types of specific phobia, except a. blood-injury-injection b. animals and insects c. situational d. natural/environmental e. none of the above; Answer
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e;
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82. Specific phobia has a(n) __ onset. a. early b. gradual c. chronic d. acute; Answer
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a;
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83. Specific phobia can be acquired by all of the following, except a. direct experience b. false alarm c. vicariously d. biological predisposition; Answer
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d;
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84. People with social anxiety disorder also have social difficulties, like getting along. True or false?; Answer
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False.;
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85. Anxiety disorders can be treated by using medication on which three networks?; Answer
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serotonin, nor-adrenaline, GABA;
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86. Describe the systematic densitization and exposure.; Answer
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1. Create an anxiety hierarchy 2. Expose the person to each anxiety one at a time 3. Move up the hierarchy when it no longer makes them anxious;
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87. The most effective and least humane form of treating anxiety is __. a. response prevention b. flooding c. cognitive restructuring d. systematic desnsitization and exposure; Answer
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b;
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88. Rehearsal or role-play can help treat __. a. Panic disorder b. Specific phobia c. Social anxiety disorder d. General anxiety disorder; Answer
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c;
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89. Derealization is __. a. losing a sense of internal reality b. losing a sense of who you are c. losing a sense of knowledge of others' relationship to you d. losing a sense of external reality; Answer
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d;
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90. Dissociative amnesia is __ a. due to brain injury b. psychological in origin c. when you can't remember who you or your family are d. forgetting events before trauma; Answer
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b;
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91. The host identity __. a. is the original personality b. acts completely different from the original personality c. does not know about multiple personalities d. is the personality that tries to keep fragments of identity together; Answer
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d;
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92. When treating Dissociative Identity Disorder, medications are generally __. a. effective b. ineffective c. the best form of treatment d. slow at working; Answer
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b;
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93. An extreme and severe depressed mood state that lasts at least two weeks is __. a. Major depressive episode b. Manic episode c. Dysthymic disorder d. Bipolar disorder; Answer
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a;
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94. Which of the following is not true? a. You can experience mania and depression at the same time b. Most people who experience mania develop depression anxiety c. You can alternate from depression to mania again d. A mixed episode is when the person does not know whether he or she is experiencing mania or depression; Answer
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d;
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95. Specifiers for the most recent depressive episode include all of the following except a. psychotic features b. atypical features c. cognitive features d. melancholic features; Answer
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c;
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96. You can expect that someone with Bipolar I disorder experiences __ a. hypomanic episodes b. manic episodes c. dysthymic disorder d. moderate depression; Answer
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b;
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97. Match the following a. blocks nor-epinephrine and serotonin reuptake b. increases pre-synaptic serotonin c. reduces breakdown of pre-synaptic nor-epinephrine d. increase nor-epinephrine 1. Mixed inhibitors 2. tri-cyclic anti depressents 3. SSRIs 4. MAO; Answer
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a-2, b-3, c-4, d-1;
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48. Identifying anxiety provoking situations and personalizing them is a part of a. behavioral treatment b. physiological treatment c. psychological treatment d. cognitive restructuring; Answer:
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d;
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