ch 6 practice questions

-Juanita has voluntarily admitted herself into a mental health facility. Chronic amnesia and hearing voices are the symptoms that prompted her to come to the facility. On her first day of admittance, therapists interacted with Juanita during breakfast but then with Becky during lunch and Kristen during dinner. After a few weeks of observation, Frances also appeared occasionally, but Juanita was the personality therapists interacted with most often. The therapist has recently determined that Juanita's subpersonalities are not aware of the presence of each other. This type of relationship between subpersonalities is a ___________ relationship.

2 way amnesiac

-Juanita has voluntarily admitted herself into a mental health facility. Chronic amnesia and hearing voices are the symptoms that prompted her to come to the facility. On her first day of admittance, therapists interacted with Juanita during breakfast but then with Becky during lunch and Kristen during dinner. After a few weeks of observation, Frances also appeared occasionally, but Juanita was the personality therapists interacted with most often. This case involves _______ subpersonalities , with _______ as the host personality.

3, Juanita

-this is an ex of -Charles conducts all of his day-to-day activities as if in a hazy dream. He sometimes feels as if he is a completely different person and is not sure why his other self is making the choices that he is.

Depersonalization-derealization disorder

Somatic symptom disorder can be viewed as a maladaptive behavioral response to a physical dysfunction. Which of the following best describes the physical symptoms that patients report? a. The physical symptoms are real but sometimes cannot be medically explained. b. The physical symptoms are real and can always be medically explained. c. The physical symptoms are always minor and tend to be exaggerated by the patient. d. The physical symptoms are totally faked by the patient.

a- The physical symptoms are real but sometimes cannot be medically explained.

Which of the following best describes the relationship that patients with illness anxiety disorder have with their bodies? a. They are hypervigilant about monitoring the slightest changes in their bodies. b. They actively try to ignore any pain or change in how their bodies function. c. They focus their stress so heavily on a particular part of the body that it begins to lose functioning.

a- They are hypervigilant about monitoring the slightest changes in their bodies.

Which of the following best describes what occurs in patients with conversion disorder? a. Psychological stress produces a loss of motor or sensory functioning. b. Neurological damage produces a change in personality and mood. c. Depression and a change in social functioning occur after a physical illness is diagnosed.

a-Psychological stress produces a loss of motor or sensory functioning.

-Deborah, recently diagnosed with dissociative amnesia, had been attacked on her way home from work. The attacker pointed a gun at Deborah's head, and she was sure she was about to die. Thankfully, someone walked by and called the police in time to catch the attacker. Deborah walked away with only a bruised shoulder. -What component of Deborah's experience most likely led to the development of dissociative amnesia? a. Feeling as if she were about to die b. Having her attacker caught by the police c. Walking away with a bruised shoulder

a. Feeling as if she were about to die

In addition to illness behaviors, there are illness beliefs or attributions that are characteristic of people diagnosed with a somatic symptom disorder. If Bette had a somatic symptom disorder diagnosis, which of the following attributions for her lower back pain would she most likely make? a. I think I am developing osteoporosis. b. I think my family misses me. c. I think I have been stuck in a chair all day. d. All of my activities this week have gotten the better of me.

a. I think I am developing osteoporosis.

Which of the following describes how patients with illness anxiety disorder react to good medical news, such as a test that shows they don't have a disease? a. They refuse to believe the results of the test and still worry about having the disease. b. They acknowledge that they are being irrational and stop paying close attention to their bodies. c. They feel reassured but quickly start believing that they have a different disease or condition.

a. They refuse to believe the results of the test and still worry about having the disease.

Which of the following symptoms can be seen in a person who has dissociative amnesia? Check all that apply. a. Patients may forget their identity. b. Loss of memory can follow a traumatic event. c. Forgetfulness and loss of information can be sudden or gradual. d. Loss of memory can follow drug use.

all of the above

Which of the following statements is a therapist most likely to make during an assessment interview with a new client if the therapist is following the guidelines for communicating with a person who has a somatic symptom disorder? a. While you fill out this form, I will be compiling a list of goals for you. b. Let's stop talking about just your symptoms and start talking about what you do for fun. c. Repeat after me: My symptoms are not real. My symptoms are not real. d. I sympathize with how you are feeling, and want you to feel there are no boundaries between us.

b- Let's stop talking about just your symptoms and start talking about what you do for fun.

Somatic symptom disorders often involve a physical complaint about how a person's body is functioning. They can generally be thought of as psychological and behavioral dysfunctions that occur in response to a distressing physical condition. Which of the following best describes the primary psychological issue in somatic symptom disorder? a. A person loses several types of physical functioning without any explanation. b. A person feels excessive anxiety about a physical ailment. c. A person refuses to admit the seriousness of a physical dysfunction. d. A person believes that he or she has a serious medical condition, despite a total lack of physical symptoms.

b-A person feels excessive anxiety about a physical ailment.

How does factitious disorder differ from other types of somatic symptom disorders? a. Factitious disorder shares features with anxiety disorders and obsessive-compulsive disorder, while other somatic symptom disorders are more like depressive disorders. b. Patients with factitious disorder may deliberately injure themselves, whereas physical symptoms in other disorders are beyond patients' control. c. Patients with factitious disorder are generally not concerned with how they're viewed by others, whereas patients with other somatic symptom disorders are.

b-Patients with factitious disorder may deliberately injure themselves, whereas physical symptoms in other disorders are beyond patients' control.

According to research, why do people with dissociative identity disorder develop multiple personalities, or alters? a. Alters are created during recurrent schizophrenic episodes of severe delusions or hallucinations. b. Alters are developed as a means by which to cope with abuse or trauma. c. Multiple personalities are created in an effort to gain social acceptance and admiration. d. Multiple personalities are created as a reaction to cope with anxiety.

b. Alters are developed as a means by which to cope with abuse or trauma.

-Clancy has been through the assessment process and is now being treated for his diagnosis of illness anxiety disorder. Every morning -Clancy takes a dosage of Prozac, a medication that is one of many types of selective serotonergic reuptake inhibitors (SSRIs). Clancy's treatment is an example of ______ therapy , aimed at reducing _______

biological treatment & anxiety

Illness behaviors are another component of developing a somatic symptom disorder. For example, Bette began feeling lower back pain about a week ago. When she feels the pain beginning, she usually heads to the family room couch to relax with a heating pad. As her family members walk by her, they give her attention and sympathy for her pain. What is the secondary gain in this scenario? a. Being able to relax on the living room couch b. Having the lower back pain return c. The attention from family members

c- The attention from family members

What is one way that conversion disorder differs from somatic symptom disorder? a. The physical problems associated with conversion disorder have an identifiable medical cause, whereas those in somatic symptom disorder do not. b. Physical problems develop before psychological ones in conversion disorder, while the opposite occurs in somatic symptom disorder. c. Patients with conversion disorder may feel indifferent about their physical problems, while those with somatic symptom disorder are always distressed.

c-Patients with conversion disorder may feel indifferent about their physical problems, while those with somatic symptom disorder are always distressed.

Which of the following best describes how patients with factitious disorder behave? a. They try to project an unrealistically healthy image to others. b. They avoid doctors because they're afraid of receiving bad medical news. c. They either fake their physical symptoms or purposely make themselves ill.

c-They either fake their physical symptoms or purposely make themselves ill.

As with most types of treatment, unintended consequences may occur. Which of the following is the most likely unintended consequence for patients involved in psychotherapy? a. The presence of side effects that include feelings of dissociation b. Recovered memories that are distorted c. A relapse toward dissociation when reliving traumatic details

c. A relapse toward dissociation when reliving traumatic details

The level of emotional arousal experienced by a person during an episode of depersonalization does which of the following? a. Heightens mental acuity, increasing the likelihood a person will remember the details of a traumatic event b. Increases communication between the brain and the body, so a person is fully aware of what is going on c. Decreases a person's emotional response to a traumatic event, lessening the person's experience of pain d. Increases a person's arousal, so the person knows the anxiety is a result of the traumatic event and not something else

c. Decreases a person's emotional response to a traumatic event, lessening the person's experience of pain

According to the DSM-5, all of the following are symptoms of dissociative identity disorder except one. Which of the following is not noted as a symptom of dissociative identity disorder, according to the DSM-5? a. The presence of two or more distinct identities or personality states b. An inability to recall important personal information c. Recurrent imagined or actual symptoms of anxiety or trauma d. At least two of the distinct identities or personality states recurrently taking control of a person's behavior

c. Recurrent imagined or actual symptoms of anxiety or trauma

Which of the following best describes the physical symptoms that patients with conversion disorder have? a. Their symptoms are relatively minor and have an identifiable physical cause. b. They often exaggerate or embellish the seriousness of their physical change. c. Their loss of functioning is similar to what would be expected if they had brain damage.

c. Their loss of functioning is similar to what would be expected if they had brain damage.

-what is this an example of? -Several of Carlos's coworkers were recently diagnosed with carpal tunnel syndrome and have received extra paid time off as a result. Carlos became very disgruntled by what he felt was a serious unfairness and even wrote a letter to the company's CEO. Soon after, he started to lose the use of his right wrist and hand. Carlos visited three doctors who all agree it isn't carpal tunnel; in fact, they can find no medical reason for the paralysis.

conversion disorder

-what is this an example of? -Zach started at a new high school four months ago, after his family moved across the country. Since then, he has intermittently experienced total loss of his voice. Zach's parents have taken him to several doctors, but they didn't find anything physically wrong with his throat.

conversion disorder

-while driving home from work today, Clancy felt as if he were in a dream, watching himself driving home. -Clancy's experience is an example of:

depersonalization

-while sitting in class the other day, everyone sitting around Eileen appeared to shrink, and then expand, in size. -this is an ex of

derealization

Dr. Malik's findings illustrate that people with a somatic symptom disorder diagnosis are more likely to participate in symptom checking behavior, an indication of a ______ in communication between the brain and body.

disruption

-this is an ex of -Alison was found by a shopping mall security guard. She seemed confused and disturbed and didn't know who she was or why she was at the mall. The guard took Alison to the hospital. However, because she had no identification on her, the doctors were unable to contact anyone on her behalf.

dissociative amnesia

-this is an ex of -Kate was arrested in Atlanta for assaulting a police officer. When her name and photo appeared on several national online news sources, a Los Angeles woman came forward stating that she was her spouse and had been missing for the last five months. Kate denies this and has no memory of the woman or Los Angeles.

dissociative fugue

-this is an ex of -Kristen was recently convicted of soliciting sex from a minor over the Internet. Kristen is very confused at this turn of events because she views herself as a moral and religious person and genuinely has no desire to engage in sexual acts with strangers. Her conviction was secured when the district attorney played a video she had sent to a police officer posing as a 13-year-old boy. Kristen continues to claim that she's innocent and does not remember ever doing this. Near the end of her most recent therapy session, however, she claimed that her name was Rhonda and said she liked to tease teenage boys online.

dissociative identity disorder

One form of dissociative amnesia is dissociative fugue. Patients are given this diagnosis if they show an additional symptom above and beyond the diagnostic criteria for dissociative amnesia. Which of the following examples of amnesia includes the symptom specific to dissociative fugue? Example 1: A man has simultaneous personalities that include a 5-year-old boy and an 80-year-old woman. Example 2: After assuming a new identity in another state, a woman returns to what she knew was her home but with no actual memories of living there.

example 2

-what is this an example of? -Becky has recently been having some breathing troubles and muscle tightness around her chest. Because of these symptoms, she is absolutely convinced that she has pulmonary edema and that her lungs are slowly filling with fluid. Multiple X-rays, however, have shown that nothing of the sort is occurring. In fact, Becky's doctors have repeatedly given her a clean bill of health. Instead of calming her down, these statements simply make Becky distrustful of her doctors.

illness anxiety disorder

-what is this an example of? -Janis's father recently died of prostate cancer, and she is concerned that she also has cancer. Janis has been experiencing mild abdominal pains, and is convinced that it is evidence of stomach cancer. All she can think or talk about is dying of cancer and leaving her three young children behind.

illness anxiety disorder

-Methods used to assess a person with a somatic symptom disorder include interviews, questionnaires, and personality inventories. -The method of employing a ________ will most likely be used when the goal is to perform a brief screening of a person's symptoms to determine whether further investigation is warranted.

questionnaire

The secondary gain incurred by Bette ____ her tendency to complain of somatic symptoms, making it ______ likely she will continue to feel, and complain about, the pain symptoms.

reinforces & more

-what is this an example of? -Eleanor visits the doctor at least once a month for pain or gastrointestinal issues, often for multiple complaints simultaneously. Lately, she has shown little interest in sexual intercourse, believing that the physical activity involved will worsen her symptoms. Her spouse has tried to be sympathetic, but Eleanor's anxiety and worry are beginning to take a serious toll on their relationship.

somatic symptom disorder

-what is this an example of? -Most of Eric's friends are health care professionals that he has gotten to know over the years from his dozens of trips to the hospital and clinic. Eric likes to meet with a different friend every week or two to catch each of them up on his latest symptoms. Whenever someone asks, "How are you doing?" Eric responds by listing the various physical ailments he has.

somatic symptom disorder