PSY 304: Abnormal Psychology - Exam Three

"That bagel is going to make me explode with fat!" Someone who says this could benefit from which of the following orientations? A. CBT B. Interpersonal psychotherapy C. DBT D. Psychodynamic

A

A patient with bulimia nervosa who sometimes eats a typical or even small amounts of food but still feels that eating is out of control is experiencing: A. subjective binge eating B. compensatory behavior C. excessive guilt D. objective binge eating

A

Andrew loses control around food and then self-induces vomiting. He likely has which of the following? A. Bulimia nervosa B. Amenorrhea C. Binge-eating disorder D. Anorexia nervosa

A

Anorexia nervosa is considered a very serious psychological problem primarily because: A. it has the highest mortality rate of any psychological disorder B. patients deny their condition and are reluctant to get help C. it is routinely ignored by patients' families D. it often includes periods of relapse

A

Anorexia nervosa is more likely to begin at what time? A. Adolescence B. In one's 50s C. Early adulthood D. After retirement

A

Antidepressants have been shown to be effective for each of the following EXCEPT: A. Anorexia nervosa B. Bulimia nervosa C. BED D. None of these

A

Compared with death by suicide, suicide attempts are: A. slightly more likely in males than in females B. less common in youth from a disadvantaged background C. uncommon in adolescents D. always preceded by a specific precipitating factor

A

Kyle ate a tiny crumb of bread and immediately felt like his eating had gotten way out of control. He is likely demonstrating which of the following? A. Subjective binge B. Compensatory behavior C. Objective binge D. Amenorrhea

A

Major depressive disorder with a seasonal pattern is often treated by means of: A. exposure to bright light B. first-generation antidepressants C. trans-cranial magnetic stimulation D. electroconvulsive therapy

A

Passive suicidal ideation includes: A. a wish to be dead B. nonlethal attempts C. impulsive suicidal acts D. all of these

A

Stressful life events seem to lead to depression in some people but not in others. A likely reason is that: A. some people have more genetic sensitivity to life stress B. stressful events in childhood do not lead to depression C. stress affects men far more seriously than women D. some people erroneously report more stress than they actually experience

A

The ________ was developed to measure addiction to food. A. Yale Food Addiction Scale B. thought diaries C. rat cages D. fMRIs

A

The attitude most difficult to overcome in patient with anorexia nervosa is their: A. inability to recognize the seriousness of the low weight B. preoccupation with the societal thin ideal C. acceptance of obese family members D. rationalization of any weight gain

A

The most common psychiatric disorder in the US is: A. Major depressive disorder B. Hypo-mania C. Bipolar I D. Bipolar II

A

The multidisciplinary team's critical first step in the treatment of anorexia nervosa is: A. ensuring re-nutrition B. promoting healthy family communication C. encouraging a realistic body image D. prescribing medication

A

The obsessionality and rigidity with some eating disorders have been associated with what aspect of the brain functioning? A. Serotonin and dopamine levels B. Plaque formation C. Glucose absorption D. Synaptic efficiency

A

The physical effects of anorexia nervosa after recovery may include: A. osteoporosis B. occupational disability C. decreased intellectual ability D. poor integration into society

A

Which of the following is NOT a risk factor for bulimia nervosa? A. Healthy self-esteem B. Rapid body fat percentage increase C. Early menstruation D. Early emergence of secondary sexual characteristics

A

Which of the following is a suicide prevention technique that has been supported through research? A. All of these B. Focus on high risk groups C. Societal level prevention D. Crisis intervention

A

Which of these is NOT a form of childhood feeding disorder? A. OSFED B. ARFID C. Pica D. Rumination disorder

A

A person is experiencing hypo-maniac episodes might not consider them problematic because they: A. are rare and part of a mixed state B. may be times of high productivity or creativity C. are associated with a rapid cycling pattern D. end very quickly

B

According to an early family model, patients who seek treatment for anorexia nervosa are members of families who are experiencing enmeshment. This means that the family is: A. having difficulty dealing with problematic, negative situations B. over-involved in the affairs of the patient C. not adapting to the changing developmental needs of the child D. excessively shielding the child from age-appropriate experiences

B

Anorexia nervosa patients show an overall _____ in gray matter volume, and bulimia nervosa patients display a(n) _____ in gray matter volume. A. increase; increase B. reduction; increase C. increase; reduction D. reduction; reduction

B

Dr. Adams, a psychiatrist, conducted in-depth interviews of family members of a man who had just killed himself. The term that might best describe this is which of the following? A. Scientific research B. Psychological autopsy C. Investigate journalism D. Therapeutic intervention

B

Each of the following are risk factors associated with suicide except for: A. Depression B. High levels of serotonin C. PTSD D. Family hx

B

Henry's therapist insisted that his suicidal depression was in reality a form of his anger at his parents turned against himself. Henry's doctor likely belongs to which of the following orientations? A. CBT B. Psychodynamic C. Behavioral D. Attachment

B

In an interview with a clinician, a woman says, "I got turned down when I asked someone for a date. I know I'll be alone the rest of my life." Such a statement is an example of: A. anger turned inward B. an automatic thought C. major depressive disorder D. lack of positive reinforcement

B

In animal studies, surgical lesions in the brain indication that the neuroanatomical center for appetite and weight control is the: A. occipital lobe B. hypothalamus C. frontal lobe D. pituitary gland

B

Karen, who has anorexia nervosa, eats a small piece of celery and thinks "this is the most fatty thing I have ever eaten and will make me gain 100 pounds." Based on this profile, Karen might best be helped by which therapeutic orientation? A. Behavioral B. CBT C. Psychodynamic D. Sociocultural

B

Research on rats has identified which neural component that may be key to appetite and weight gain? A. Occipital lobe B. Bed nucleus of the stria terminalis (BNST) C. Cerebellum D. Temporal lobe

B

Suicide attempts are likely to be higher in children with which of the following? A. Eating disorders B. All of these C. Anxiety disorders D. ADHD

B

Sydnee was injured, had to quit running on the team, and lost the close support of her teammates. She lost her total identity. Sydnee could benefit from which of the following orientations? A. CBT B. Interpersonal psychotherapy C. DBT D. Psychodynamic

B

What structural brain abnormalities are seen in patients with anorexia nervosa? A. Decrease in ventricle size B. Loss of gray matter and reduced brain mass C. Frontal lobe distortion D. All of these

B

Which component of CBT appears to be the most effective in promoting behavioral change? A. Increase self-esteem B. Changing thinking patterns C. Increasing personal control D. Forming a therapeutic alliance

B

Which of the following diagnoses is more likely to be made equally for a male or female? A. Bulimia nervosa B. Binge-eating disorder C. Atypical binge-eating disorder D. Anorexia nervosa

B

Which of the following has the highest mortality rate (death)? A. Major depression B. Anorexia nervosa C. Binge-eating disorder D. Bulimia disorder

B

Which of the following is NOT characteristic of someone with anorexia nervosa? A. Amenorrhea B. High BMI C. Osteoporosis D. Major depression

B

Which of the following is NOT considered a suicide prevention technique? A. Targeting people with several known risk factors. B. Portraying famous people who have committed suicide in the media. C. Reconnecting youth who are drifting with social and emotional supports. D. Providing suicide hotlines.

B

Which of the following is accurate regarding bipolar disorder? A. It is more common than major depression. B. It is less common than major depression. C. It is much more common in women. D. It is much more common in men.

B

Which of the following is characterized as chronic state of depression that a person suffers from for at least two years? A. Bipolar II B. Dysthymia C. Hypo-mania D. Bipolar I

B

Which of the following is true regarding individuals with BED? A. Increased risk of having anorexia nervosa B. Increased risk of suicide C. Decreased risk for health problems D. Decreased risk for suicide

B

Which of the following treatments has received the least overall empirical support? A. CBT B. Psychodynamic C. Interpersonal therapy D. Family therapy

B

"Baby Blues" are a risk factor for which of the following? A. Hypo-mania B. Major depression C. Peripartum depression D. Bipolar disorder

C

Before age 13, girls and boys are equally likely to have depression. During adolescence, rates of depression climb for girls, possibly because of: A. hormones B. self-consciousness about bodily changes during puberty C. all of these D. victimization

C

Bipolar disorder is co-morbid with each of the following EXCEPT: A. Anxiety Disorders B. Asthma C. Disassociative Amnesia D. ADHD

C

Dr. Smith asked his depressed client to discuss why his belief about being a failure may be unrealistic. Dr. Smith likely belongs to which of the following orientations? A. Psychodynamic B. Behavioral C. CBT D. Interpersonal therapy

C

Dr. Smith is seeing a new patient who is very thin and refuses to eat, but her weight is somehow still within normal BMI measures. Dr. Smith will likely diagnose the patient with which of the following? A. Bulimia nervosa B. BED C. Atypical anorexia nervosa D. Anorexia nervosa

C

Henry's very first date turned out to be a disaster. After that, he never went on another date again, assuming they would all turn out the same. Which of the following best describes this scenario? A. Behavioral theory B. Dysphoria C. Learned helplessness D. Attachment

C

In behavioral activation treatment for depression, the therapist and patient: A. focus on uncontrollable activities that lead to helplessness B. participate in activating group therapy C. develop a comprehensive list of specific goals and activities in major life areas D. talk about a single behavior to be modified

C

It may be especially difficult to differentiate bipolar disorder in children from which of the following? A. Depression B. Antisocial Personality Disorder C. ADHD D. Generalized Anxiety Disorder

C

Jimmy has just been diagnosed as having lead poison at toxic level. He likely may have which of the following disorders? A. Anorexia nervosa B. Bulimia nervosa C. Pica D. Binge-eating disorder

C

Kasandra has consumed soil because she believes it is necessary for her to have a healthy pregnancy, since her mother and grandmother have told her so. She likely has which of the following conditions? A. Rumination disorder B. Binge-eating disorder C. Cultural pica D. Bulimia nervosa

C

Kylie has anorexia nervosa, is near death, and refuses to be hospitalized. What is the likely best option for her medical doctor? A. Psychotherapy B. Prescribe antidepressants C. Involuntary hospitalization D. Talk to her to make her feel better

C

Larry had thoughts about killing himself with a gun, and planned out the exact method and time of the act. This is best described by which of the following? A. Parasuicide B. Psychological autopsy C. Active suicidal ideation D. Passive suicidal ideation

C

Mania is not recognized in the DSM as a separate disorder because it: A. is normal in conjunction with positive life events B. is an exciting and enjoyable experience C. almost never occurs without depressive episodes D. is a less serious condition than hypomania

C

Miguel has become morbidly obese. He regularly eats at restaurants that serve meals buffet style. He prefers to eat alone, however, and he often eats until he is uncomfortable. He does not purge. He may be suffering from: A. anorexia nervosa - binge eating/purging type B. compensatory behavior disorder C. binge-eating disorder D. bulimia nervosa

C

Neuroimaging studies of individuals with bipolar and depressive disorders have shown that: A. dysfunction is linked to a single area of the brain B. bipolar disorder cannot be linked to brain dysfunction C. mood disorders involve a number of brain abnormalities D. no significant brain dysfunction is involved

C

One technique used in cognitive-behavioral therapy for depression asks patients to: A. focus on communication analysis B. recall any early childhood traumas C. record their thoughts, feelings, and behaviors D. examine role transitions in their life

C

One trait that may underlie bipolar disorder and substance abuse is: A. Remorse B. Aggression C. Impulsivity D. Amnesia

C

People with persistent depressive disorder may also have major depressive episodes, a condition known as: A. Bipolar disorder B. Episodic depression C. Double depression D. Chronic depression

C

Second-generation antidepressants are often preferred over first-generation drugs because: A. they can be used without careful monitoring B. their mechanism of action is better understood C. they have fewer troublesome side effects D. they are not associated with suicidal thinking

C

The diagnosis of bulimia nervosa requires the presence of: A. strict eating patterns B. alternating purging and nonpurging behaviors C. binge eating and inappropriate compensatory behaviors D. behaviors designs to ensure weight loss

C

The hallmark feature of a binge is the: A. perceived number of calories B. type of food C. sense of lack of control D. length of time

C

The most effective way to approach the treatment of anorexia nervosa is with: A. conjoint family therapy B. nutritional counseling C. a multidisciplinary team D. interpersonal psychotherapy

C

The two subtypes of anorexia nervosa are: A. objective and subjective B. OSFED and BED C. restricting and binge eating/purging D. typical and atypical

C

To be diagnosed with major depressive disorder, a person must have either an abnormally low mood or: A. Episodes of elevated mood B. Thoughts of suicide C. A loss of interest of pleasure in most daily activities D. Misfortunes in life, such as a death in the family

C

What is the most common occurring eating disorder? A. Anorexia nervosa B. Bulimia nervosa C. Binge-eating disorder D. None of these

C

Which of the following disorders is NOT commonly associated with onset adolescence? A. Anorexia nervosa B. Bulimia nervosa C. ARFID D. Body dysmorphic disorder

C

Which of the following is commonly co-morbid with depressive disorders? A. Diabetes B. Substance abuse disorders C. All of these D. Anxiety disorders

C

Which of the following is the preferred treatment for bipolar disorder? A. CBT B. Interpersonal therapy C. Lithium D. All of these

C

Brian eats massive amounts of food and feels disgusted with himself afterwards, but doesn't vomit or use laxatives. He likely has which of the following? A. Amenorrhea B. Anorexia nervosa C. Bulimia nervosa D. Binge-eating disorder

D

Disruptive mood dysregulation disorder was created in part out of a concern for which of the following being diagnosed in children? A. Dysthemia B. Hypo-mania C. Major depression D. Bipolar disorder

D

Dr. Wallace asked his depressed client to discuss the role of his current friends and family and how they may be affecting his depression. Dr. Wallace likely belongs to which of the following orientations? A. Behavioral B. CBT C. Psychodynamic D. Interpersonal therapy

D

Electroconvulsive therapy is most appropriate for patients who: A. need to take large doses of antidepressants B. have depression with a known biological cause C. have a specific abnormality on one side of the brain D. are severely depressed and who have not responded to other treatments

D

Eric eats paper clips. He likely has which of the following? A. Binge-eating disorder B. Bulimia nervosa C. Anorexia nervosa D. Pica

D

Eric has bulimia nervosa. He likely also has which of the following characteristics? A. Impulsivity B. Harm avoidance C. Novelty-seeking tendencies D. All of these

D

Even at a very low body weight, a person with anorexia nervosa may experience: A. lack of concern about physical appearance B. unusually high self-esteem C. complete absence of appetite D. intense fear of gaining weight

D

John is acting in a super-excited way, so energetic he forgets to go to work and calls the boss to insult him. He is likely experiencing which of the following? A. Hypo-mania B. Bipolar II C. Depression D. Mania

D

Josey's five-year-old son doesn't eat as much as he should. He may be diagnosed with which of the following? A. Bulimia nervosa B. Binge-eating disorder C. Rumination disorder D. Avoidant/restrictive food intake disorder

D

Karen has BED. She likely also has which of the following? A. Anxiety disorder B. Impulsive-control disorder C. Mood disorder D. All of these

D

Kyle has been diagnosed with avoidant/restrictive food intake disorder. He likely has which of the following conditions? A. Developmental disorder B. Learning disorder C. Anxiety disorder D. All of these

D

Leann is going through puberty before most of her middle school classmates. She may be at: A. less risk for being underweight B. less risk for developing body dissatisfaction C. greater risk for being sexually abused D. greater risk for developing an eating disorder

D

Lithium primarily works on which of the following? A. Serotonin B. Norepinephrine C. Dopamine D. Glutamate

D

Part of the brain that is critical in weight control is the: A. occipital lobe B. temporal lobe C. cerebellum D. hypothalamus

D

Research suggests which of the following might run in families? A. Bipolar I disorder B. Bipolar II disorder C. Major depression D. All of these

D

Shana is drastically thin and has a very restricted diet. She likely has which of the following? A. Amenorrhea B. Bulimia nervosa C. Binge-eating disorder D. Anorexia nervosa

D

Someone with bulimia nervosa may likely also have which of the following? A. Fatigue B. Dental erosion C. Nausea D. All of these

D

Sue was recently diagnosed with anorexia nervosa. Before the diagnosis, she may likely have had which of the following conditions? A. Generalized anxiety disorder B. Social phobia C. PTSD D. All of these

D

The main difference between bipolar I and bipolar II disorder is the: A. severity of periods of depression B. level of medication necessary to treat the disorder C. interval between episodes of mania and depression D. severity of periods of mania

D

The prevalence of bulimia in men may be underestimated because: A. it is socially unacceptable for men to admit to caring about their bodies B. few studies have been conducted with men C. it is associated with illegal steroid use D. men tend to use other compensatory behaviors besides purging, such as exercise

D

To calculate BMI, weight in Kg is divided by: A. Age B. Shoe size C. IQ D. Height in meters squared

D

Which of the following are high co-morbid with bulimia nervosa? A. Major depression B. Anxiety disorders C. Substance use D. All of these

D

Which of the following criteria is necessary for a diagnosis of anorexia nervosa? A. A history of purging behaviors B. Recent weight loss C. A BMI of 20-22 D. Significantly low body weight

D

Which of the following diagnoses is more likely to be made for a female? A. Schizophrenia B. Binge-eating disorder C. Atypical binge-eating disorder D. Anorexia nervosa

D

Which of the following environmental factor may be important for causing a depressive episode? A. Health challenges B. Occupational problems C. Grief D. All of these

D

Which of the following helped to establish a genetic basis for bipolar disorder? A. Family studies B. Twin studies C. Adoption studies D. All of these

D

Which of the following is NOT a biological treatment for depressive disorders? A. Deep brain stimulation B. Electroconvulsive therapy C. Trans-cranial magnetic stimulation D. Neuroimaging

D

Which of the following is a myth about suicide? A. Most people who commit suicide do not leave notes. B. Suicidal behavior runs in families. C. Most suicides are associated with psychological disorders. D. People who talk about committing suicide are never serious about it.

D

Which of the following is important to consider when deciding to hospitalize someone with anorexia nervosa? A. Suicide ideations/attempts B. Medical complications C. Failure with outpatient treatment D. All of these

D

Which of the following statements best describes the epidemiology of major depressive disorder? A. It is much more common among older people than among any other group. B. It is less common worldwide than dysthymia. C. It is more common among blacks than among whites. D. It is the most common psychiatric disorder worldwide and affects far more women than men.

D