Exam 3 (ch 10, 8 ,9) AB-PSYC

Psychosomatic disorders are a group of physical illnesses that seem to be caused or worsened by an interaction of all of the following factors EXCEPT:

behavioral

Mental disorders are best understood and treated when all of the following factors are taken into consideration, EXCEPT:

developmental factors

Bindi suffers from anorexia nervosa. Bindi is MOST likely to experience:

distorted views of her weight and body

while in rehab, a social worker asks Lacey about all the drugs she has taken in the last month. Which of the following substances that she listed is NOT a depressant?

disulfiram

A person with a conversion paralysis is distinguishable from one with paraplegia in that the person with conversion disorder:

does not have muscles that atrophy

Javier became addicted to heroine and is now getting ready to attend a rehab clinic. Which biological approach to treating substance use disorder involves substituting his dangerous heroin for another drug.

drug maintenance therapy

Dr. Yates has an inpatient treatment program for substance use disorders. he has his client on a contingency management program that provides them with privileges contingent on _____ when they return to the facility from weekend passes.

drug-free urine specimens

Chen took a drug that caused synesthesia. He is MOST likely to report:

hearing colors

Harvey has started seeing a psychodynamic therapist to help get a handle on his addiction to amphetamines. What is the second step Harvey's therapist will use to treat his substance use disorder.

helping clients change their substance-related lifestyle

Sandy is a typical student who attends sobriety high. Sandy most likely:

has a chemical dependency problem

Nikki is a blogger and spends most of her time online to keep up her social media following. When she first started blogging she limited herself to eight hours of screen time, but for the past six months she has spend an increasing amount of time on the internet. Nikki's friends and family have noticed that she rarely talks to anyone face to face anymore and she get agitated when she is offline. Like ____ percent of people, Nikki may have an internet addiction.

1%

Who would be the MOST likely man to develop an eating disorder?

Jorge, a professional boxer

Pearl was at a party where several drugs that have hallucinogenics effects were being shared. She took a substance to which people do not usually develop tolerance and that does not cause a withdrawal reaction. Pearl used:

LSD

Jennifer, who used to be a nurse, appears to be a devoted and doting mother. Her child has been sick 18 times in the last 30 days and misses a lot of school. Jennifer is constantly taking her child to the doctor. When her child spends time away from Jennifer, the child feels better. A factitious disorder that Jennifer might have that is causing her child to become ill is:

Munchausen syndrome by proxy

_____ is a behavioral pattern in which an individual deceptively induces symptoms in another person.

Munchausen syndrome by proxy

After being fired from her job two months ago, Melanie began spending almost every day at a casino. She tells her husband she's out looking for a job because she is embarrassed about how she's been spending her time. Should Melanie be diagnosed with gambling disorder?

No, because her visible symptoms have not been displayed over the course of a year.

Chelsea often visits a casino after a bad day at work. About a year ago she began betting larger and larger amounts at the blackjack table. Chelsea tells her wife she's been out with friends to cover up where she's been, and she frequently borrows money from her parents to cover household bills. She feels guilty that she is unable to pay her parents back and is lying to her wife, but she has tried to stop gambling many times and has been unable to quit. Should Chelsea be diagnosed with gambling disorder?

Yes, because she has had at least four symptoms for a year and feels distressed by her gambling.

Bulimia nervosa relapse is more likely among all of the following people EXCEPT:

Zakirah, a teenager who distrusts her parents and counselors

Nguyen had a heart attack, which is also referred to as:

a myocardial infarction

According to the text, there are two goals in treating eating disorders. The first is to correct the dangerous eating pattern as quickly as possible and the second is to:

address the broader psychological and situational factors that have led to and maintain the eating problem

Young newlywed Deanna has struggled with anorexia nervosa for more than a year. Her husband thinks that if Deanna becomes pregnant, she will have to eat more. However, Deanna cannot become pregnant because her menstrual cycles have stopped. This condition is known as:

amenorrhea

Quinn intensely fears gaining weight. He restricts his food intake, and his body perception is distorted. Quinn MOST likely suffers from:

anorexia nervosa

Tessa has always been slightly overweight. She was generally liked by her peers and was very social in high school. Recently, Tessa's father took a new job, and Tessa had to move to another state and enroll in a new high school. Soon after the move, she became depressed and withdrawn and had difficulty making new friends. Tessa is MOST at risk for developing:

anorexia nervosa

Zeekal has recently been hospitalized. She is severely underweight, her body temperature is low, her heart rate is below normal, and her feet are swollen. All of Zeekal's physiological symptoms could be associated with:

anorexia nervosa

The public first became aware of eating disorders in 1983 when Karen Carpenter, the 32-year-old lead singer of the soft-rock brother-and-sister duo, died from medical problems related to:

anorexia nervosa disorder

Jacob has been prescribed a high dose of benzodiazepines, which will relieve ______. He has been told they are ______ likely than barbiturates to slow down his breathing and cause death in the event of an overdose.

anxiety: less

Due to her unexplained paralysis, Elizabeth could no longer work at the job she loathed. The secondary gain derived from her symptoms allows her to:

avoid unpleasant activities

cary excessively uses sedative-hypnotic drugs to relax. which drug is she MOST likely using?

barbiturate

People with a somatic symptom disorder:

become excessively concerned, distressed, and disrupted by bodily symptoms

because they do not perform compensatory behaviors, about two-thirds who suffer from binge-eating disorder:

become overweight

Ina classic study, ulcer patients who were given relaxation, self-instruction, and assertiveness training along with medication were found to have ____ than patients who received medication only.

better long-term outcomes

Sometimes, Edna vomits her meal soon after she eats. At other times, she takes an excessive amount of diuretics and laxatives. Edna MOST likely suffers from _____ anorexia nervosa.

binge-eating/purging-type

_____-type anorexia nervosa involves excessive use of diuretics and laxatives, as well as vomiting after each meal.

binge-purge

Josette has always been very moody and easily bored. She also makes poor choices and sometimes engages in impulsive behavior such as shoplifting or overeating. Josette's behaviors and emotional responses are similar to those with:

bulimia nervosa

Meredith's friends are always surprised by how thin she always seems to stay, but her friends have never been concerned about her being unhealthily thin. She always seems to eat a lot whenever she goes out with them and people always seem to ask her "where she puts all that food." Her friends have never heard her talk about going to the gym, and after she finishes eating she always seems to excuse herself to the bathroom. Meredith's friends are starting to suspect that she has:

bulimia nervosa

Selma has an eating disorder that is best characterized by the cycle of bingeing and then purging. Selma is suffering from:

bulimia nervosa

Which eating disorder is MOST likely to be helped by the prescription of antidepressant medications?

bulimia nervosa

which eating disorder is also known as binge-purge syndrome?

bulimia nervosa

Raheim, a corporative executive, has hypertension. His very demanding position causes him immense stress and emotional turmoil. Stress and his emotions:

can impact the course of his medical condition

Asthma:

causes the body's airways to narrow periodically

Jessica was arrested for overmedicating her child. She had been making him sick for weeks and had come to know hospital staff very well, who complimented her for being such a doting and nurturing mother. Jessica's behavior is best explained by Munchausen syndrome by proxy, and the law views her actions as a crime, a carefully planned form of:

child abuse

Ellen has recently noticed that she is experiencing a host of unpleasant symptoms, including yellowing of her skin. Her doctor tells her that after years of heavy drinking, she has developed ______, a condition in which her liver becomes scarred and dysfunctional.

cirrhosis

A widely used behavioral treatment for substance use disorders is aversion therapy, an approach based on the principles of:

classical conditioning

Kenny is in detox, and his former drug supplier comes to visit him. It eases his withdrawal symptoms, supporting the idea that ____ may be a significant factor in the development and maintenance of substance addiction.

classical conditioning

after ingesting cocaine, Jan experiences hallucinations and delusions, a condition called:

cocaine-induced psychosis

At a recent multidisciplinary psychology conference, a leading researcher spoke on using the multidimensional risk perspective to explain eating disorders, identifying _____ such as ineffective parenting and _____ factors such as ego deficiency.

cognitive-behavioral factors: psychodynamic

Dr. Watkins uses many of the same psychological interventions that help anxiety to treat physical disorders. Which of these is not among the common psychological interventions he might use?

cognitive-behavioral therapy

Which is FALSE regarding alcohol abuse and abstinence?

controlled drinking may be more appropriate goal for people who have a long standing alcohol use disorder.

During cognitive-behavioral therapy, Uma, who suffers from anorexia nervosa, is taught to identify her _____. In this case, this is the deep-seated belief that she should be judged by her shape and weight and by her ability to control these physical characteristics.

core pathology

Claire has lost a great deal of weight over the last year and has been placed in a residential treatment center for eating disorders. The treatment center's first goal regarding Claire would be to:

correct her dangerous eating pattern as quickly as possible

Marcus is suffering from a serious painkiller addiction. His family has convinced him that he needs help, and he has agreed to enter a treatment facility to get "clean." The first thing that will be essential to Marcus's recovery is undergoing _____, which refers to systematic and medically supervised withdrawal from a drug.

detoxification

As a baby, Ilya had very _____ parents. They fed him when he was hungry, changed him when he was wet, and comforted him when he was upset.

effective

In addition to perceptual disturbances that help produce disordered eating, Hilde Bruch identified _____ as contributing to eating disorders.

ego deficiencies

When Jeremy injects a dosage of heroine, the drug attaches to the brain receptor sites that ordinarily receive:

endorphins

heroine attaches to brain receptor sites that ordinarily receive a class of neurotransmitters called:

endorphins

Lisa purposefully injures herself to cause bruises on her extremities. Then she goes to her doctor and complains of unexplained bruising. Her behavior is most consistent with:

factitious disorder

Jamie has insomnia. Which of these is she LEAST likely to complain about?

feeling very active during the day

Anthony is a light marijuana smoker, who is MOST likely to report ____ when asked about his drug use.

feelings of joy

All of these are among the outcomes reported by those who meditate regularly EXCEPT feeling more:

fixated on stressors

The loss of outside interests and possible withdrawal reactions when internet use is not possible parallel symptoms found in:

gambling disorder

Joselyn spends all of her free time on the internet. She fears missing updates form her favorite celebrities and texts from her friends. She used to take a kickboxing class after school, but she quit the class because she feels like she cant be away from her phone for the time it takes for the class and after-class shower. Joselyn's use of the internet parallels symptoms found in:

gambling disorder.

Taylor used cocaine for over a year, developing a tolerance to the substance. After she suddenly stopped taking the drug, she had withdrawal effects for weeks, but over time she began to feel like her usual self. This is MOST likely because:

her body's natural supply of neurotransmitters resumed its normal production

By hypnotizing his clients and persuasively telling them their physical symptoms will disappear, Luke has been able to successfully treat conversion disorders. Luke's treatment approach is considered:

hypnotic suggestion

Hallucinogens can strengthen normal sensory perceptions as well as induce other sensory perceptions such as _____ and hallucinations.

illusions

The _____ system is the body's network of activities and cells that identify and destroy antigens and cancer cells.

immune

personality inventories, patient interviews, and even animal studies have in fact indicated that individuals who abuse drugs tend to be more dependent, antisocial, _____, novelty seeking risk taking, and depressive than other individuals.

impulsive

As a baby, Jackson had very _____ parents. They fed him when he was upset and not hungry and changed him even when he was hungry but not wet.

ineffective

Meditation is a technique of turning one's concentration:

inward

Abigail has recently been diagnosed with anorexia nervosa and has entered into a residential treatment facility to receive treatment. Upon her physical evaluation, the attending doctor noticed Abigail had developed _____, a fine silky hair covering Abigail's torso, face, and arms.

lanugo

Britta was recently diagnosed with anorexia nervosa and is now seeing a therapist. As the therapist conducts his initial assessment, he notices that Britta has developed _____, a fine, silky hair covering her face and arms.

lanugo

Lee lies to his doctors about feeling ill because he is trying to acquire disability compensation. Lee is BEST described as:

malingering

Compared to people with anorexia nervosa, people with bulimia are at a greater risk for all of the following EXCEPT:

malnourishment

which is not an example of a stimulant?

marijuana

which is not a depressant?

marijuana/cannabis

Psychological interventions are, in fact, often most helpful when they are combined with other psychological interventions and with:

medical treatment

A physician during the Renaissance would be most likely to feel that addressing emotional concerns was work for priests and philosophers because the mind and body are totally separate. This position demonstrates the concept of:

mind-body dualism

In Alex's continuing substance abuse treatment program. a nurse empathizes with her and helps motivate her to recognize her problem and commit to making constructive choices and behavior changes in her life. This technique is called:

motivational interviewing

Tommy is addicted to opioids and is taking naloxone, a medication that prevents heroin from giving him a rush or high. This drug is considered a(n) ______ and can be dangerous to Tommy because he could be thrown into severe withdrawal.

narcotic antagonist

Psychodynamic therapists first guide clients to uncover and work through the underlying ____ that they believe have led to the substance use disorder.

needs and conflicts

Physicians do NOT suspect conversion disorder or somatic symptom disorder when the symptoms include:

no anxiety about developing a serious illness

Marlon, a 22-year-old college student, has recently started making himself vomit after every other meal so that he will lose weight and become more slender. After doing this for three weeks, he shares this with his friend Duane, to which Duane responds, "Man, I never thought of you as bulimic!" Would a therapist classify Marlon as "bulimic"?

no, because the binge-purge cycles of bulimia nervosa must be present for at least three months in order to be diagnosed

Hector has a very rigid plan for his food preparation. First, he washes each vegetable thoroughly in water. Then, he slices each vegetable thinly and divides the slices into four equal amounts. When he eats one portion, he lines each strip up so they are all even. Hector's behavior is not uncommon for a person suffering from anorexia nervosa, because he will sometimes display:

obsessive compulsive patterns

individuals with gambling disorder must display a maladaptive pattern of gambling over the course of:

one year

Many approaches have been used to treat substance use disorders, including psychodynamic, behavioral, cognitive-behavioral, and biological approaches, along with several sociocultural therapies. Although these treatments sometimes meet with great success, more often they are:

only moderately helpful

Which statement does NOT provide support for Hilde Bruch's psychodynamic theory of eating disorders?

people with eating disorders do not allow their parents to define their needs.

Deficiencies with _____ may lead to intestinal disorders, kidney disease, or heart damage.

potassium

Suzanne has bulimia nervosa. During a binge, Suzanne is LEAST likely to eat:

pretzels

As a child, Sara had a cold and unnurturing parents, which left her seeking comfort from outside sources. In the process, she began experimenting with drugs and ultimately developed a drug dependency. This explanation of Sara's drug sue is consistent with the _____ perspective.

psychodynamic

Jane has hypertension, whereas Tanya has a conversion disorder. Both conditions have somatic symptoms, but Tanya's condition is accounted for primarily by:

psychological factors

Psychophysiological disorders are different from the factitious, conversion, and illness anxiety disorders in that the latter disorders are accounted for primarily by:

psychological factors

Which statement is true regarding bulimia nervosa relapse?

relapse is more likely among persons who had histories of substance abuse compared to those who did not abuse drugs or alcohol

When Frederika first began to develop anorexia nervosa, she stopped eating cakes and cookies. Then, she stopped eating pastas, meats, and fruits. Now, she only eats green vegetables, such as celery and spinach. Frederika MOST likely suffers from _____ anorexia nervosa.

restricting-type

Willow suffers from bulimia nervosa. After a binge episode, she tends to feel a sense of:

shame

Michelle abuses laxatives so that she will have chronic diarrhea and then spends excessive time at the doctor complaining of her symptoms and getting medical tests. Which of these is probably NOT true about Michelle?

she probably has little knowledge about medicine

Janice, who has asthma, is MOST likely to complain of:

shortness of breath, wheezing, and coughing

A(n) ____ theorist might propose that a person confronted regularly by racism and discrimination would have a heighten risk of developing substance use disorder.

sociocultural

During the civil war, lt. Robert Riley was wounded on the battle field. to treat his continual pain, the medics gave him morphine, to which he soon became addicted. Like many other soldiers, he suffered from:

soldier's disease

When people with bulimia nervosa have a binge episode, they are the LEAST likely to eat:

steak

cameron used a variety of stimulants. What is she LEAST likely to experience?

suppressed central nervous system activity

Marina decided to use both alcohol and morphine at the same time. She hoped that the drugs' individual effects would add up to a more powerful effect, but instead, one drug multiplied the effects of the other. This created a very dangerous situation, and Marina had to be taken to the hospital. This combined effect of the tow drugs is called a(n) _____ effect.

synergistic

Philip died of acute mixed drug intoxication; he had heroin, cocaine, benzodiazepines, and amphetamines in his system at the time of his death. The combination of drugs likely had _____ effects.

synergistic

Martha has been a nurse practitioner for many years, and has noticed that a few categories have changed since DSM-IV. Previous editions of the DSM defined addiction as:

the misuse of substances.

Those suffering from anorexia nervosa often _____, resulting in a self-perception that differs from reality.

think in distorted ways

Which statement is true regarding the group therapy format in the treatment of bulimia nervosa?

this format is at least somewhat helpful in about 75 percent of cases

which is not one of the common reasons why amphetamines were used in earlier times before physicians recognized their danger?

to help treat high blood pressure

Jennie took a substance that caused her to confuse hot and cold, and she burned herself badly because she stuck her hand in a fire. She also reported hearing the color red. Jennie most likely:

took LSD.

within ______ hours of being swallowed, LSD brings on a state of hallucinosis.

two

Marshall was in a car accident and suffered damage to his _____ hypothalamus. Damage to this area has caused an increase in his food intake.

ventromedial

Dr. Michaels is giving his patients a sleep study that consists of a polysomnographic examination. Which type of activity is he NOT likely to assess?

vestibular

The _____ refers to the weight level that a person is predisposed to maintain, controlled in part by the hypothalamus.

weight set point