Abnormal Psych Final- Revel Section 2

How many symptom groups are there in PTSD?

4

Jennifer has a bedtime routine that she has to follow in exactly the same order every night. Her family participates in this routine, and she gets upset if things happen in a different order. Jennifer is most likely which of the following?

A child

Karen has TTM. You might also expect which of the following to be true?

A sibling would be at increased risk for having OCD.

Joshua has OCD. You might also expect which of the following to be true?

A sibling would have TTM.

When referred for psychological treatment, which ethnic group is likely to have more severe symptoms of OCD?

African Americans

Which group is most likely to report contamination-related obsessions?

African Americans

Which of the following is not one of the four groups of specific phobias?

Agoraphobia

Which of the following is accurate regarding OCD?

Among children, more boys than girls have the disorder.

Dr. Smith is interested in studying the cultural variations in psychological disorders. He might be most interested in which of the following?

Ataque de nervios

Which of the following OCRDs has the greatest overlap with OCD?

BDD

Dr. Clark believes that Riley's BDD is caused by the positive reinforcement she received about her appearance from family members when she was young and from peers as she grew older. Dr. Riley likely belongs to which orientation?

Behavioral

A group of rats are given a drug to trigger OCD symptoms so that they can be studied in a lab. This is called which of the following?

Biological challenge studies

Though appearing normal to everyone else, James believes that his right arm is ugly and that other people find him repulsive because of it. He likely has which of the following?

Body dysmorphic disorder

Which of the following might be a good treatment for treatment-refractory OCD?

Both capsulotomy and cingulotomy

David is terrified of going on a date because he has the constant belief that his date will "make fun of him" and that he will "say a bunch of wrong things." Which treatment orientation might be best suited for David?

CBT

Dr. Warren is working with his new client on how to change the client's incorrect perception about his normal symptoms of stress. Dr. Warren is most likely using which approach?

CBT

Which of the following statements regarding SSRIs is accurate?

Children should be monitored for increased suicidal thoughts.

Which of the following is a component of the two-factor theory of fear acquisition?

Classical conditioning

Clyde and Sarah just watched their teammate fail at an important athletic competition. Clyde then succeeded at the competition, and Sarah failed. Based on this scenario, which of the following is most likely to be accurate?

Clyde had succeeded earlier in the same competition.

Dr. Wells believes that Adrian's BDD is caused by irrational thoughts about himself and the world. Dr. Wells is likely from which orientation?

Cognitive

Which of the following is accurate regarding kleptomania?

Comorbid mood disorder is common.

The criticism that it has become "too easy" to diagnose PTSD reflect which of the following?

Conceptual bracket creep

Carey suddenly felt numb and paralyzed in his arm. His medical doctor could not find anything wrong. Carey may have which of the following?

Conversion disorder

Robert goes to a therapist and reports feeling like his body is separate from his mind, resulting in intense confusion and disorientation. This likely represents which of the following?

Depersonalization/derealization disorder

Jerry woke up one day to find himself in a new city with no memory of his former identity. This likely represents which of the following?

Dissociative fugue

In a therapy session, Samantha switches from one name to another, taking on different personalities. This likely represents which of the following?

Dissociative identity disorder

If a patient complains about a pain in the arm due to depression and wants to be given a painkiller prescription, what should a doctor do first?

Do a physical examination to look for medical problems.

Dr. James believes that his client's pyromania may be caused by the reinforcing effects of setting a fire, that is, the "rush" or pleasure experienced by the client when he is watching the fire burn. Based on this information, which of the following is most likely to be accurate?

Dr. James is a behaviorist.

Dr. Smith believes that his client's pyromania is primarily caused by his unresolved sexual conflicts. Based on this information, which of the following is most likely to be accurate?

Dr. Smith believes in psychoanalytic theory.

Clive has PTSD. Whenever he hears a car horn, he feels an incredible sense of panic. This scenario describes which of the following?

Exaggerated startle response

Dr. Harold's has just contacted child protective services because he believes a child he just assessed is being influenced to fake a disorder by someone else. This likely concerns which of the following?

Factitious disorder

Dr. Smith noticed that his new patient Carol has a record at ten other hospitals in nearby states for the same health concern. This might be indicative of which of the following?

Factitious disorder

John covered himself in hot towels and then presented to a hospital claiming that he has a fever. He is likely demonstrating which of the following?

Factitious disorder

Theresa was told by her therapist to become more aware of her hair pulling and to make a fist when she feels the urge to pull. This treatment method is called which of the following?

Habit reversal training

Carl's therapist works with him to slowly learn to resist the urge to set fire to buildings by asking him to imagine himself in situations where he is tempted to set a fire but sees himself able to relax and walk away instead. This method is called which of the following?

Imaginal desensitization

John feels the need to steal a backpack, but instead stops and imagines himself resisting the urge. This method is called which of the following?

Imaginal desensitization

Which of the following is accurate regarding Critical Incident Stress Debriefing?

It can sometimes lead to more harm than benefit.

Which of the following is true regarding pyromania?

It may cause significant distress and suicidal thoughts.

Jason wants to get out of going to work and shows up to the hospital claiming to be sick. He is likely demonstrating which of the following?

Malingering

Robert gets checked out at doctor who gives him an MRI and says there is no sign of a problem. Robert insists that he has a brain tumor and that his place of employment should compensate him. He likely has which of the following?

Malingering

Children may not experience the same sense of worry as adults due to a lack of ___________

Metacognition

Which of the following is accurate regarding kleptomania? (gender)

More women have the disorder.

Which of the following statements about anxiety disorders is not true?

Most anxiety disorders develop in early adulthood.

The two-factor theory of fear acquisition was developed by _______

Mowrer

Which of the following is not associated with increased anxiety?

Occipital lobe

A discrete period of intense fear and physical arousal is called ___________

Panic attack

Anxiety is generally conceptualized as involving each of the following except?

Past-oriented

One of the most important things to consider in detecting malingering is which of the following?

Personal gain

David is seeing a doctor about his anxiety, and the doctor constantly asks David for details about his childhood relationship with his parents. This doctor is likely using which treatment orientation?

Psychodynamic

Dr. Smith's new patient describes a compulsion involving repeatedly washing her hands. Dr. Smith believes that the hand washing represents the patient's sexual fantasies. Dr. Smith likely uses which orientation?

Psychodynamic

Kyle participates in an experiment in which his brain is scanned while he is asked to look at objects that might trigger his OCD. This is called which of the following?

Psychological challenge studies

Sharron has combat-related PTSD. Which of the following is most likely to be true?

She has another anxiety disorder as well.

Ryan had a small rash on his hand and thought "this means I have a brain tumor and will die in one week." He may likely have which of the following?

Somatic symptom disorder

Randall had the sudden thought "I'm going to be attacked any moment!" This is an example of:

Subjective distress

Carol loves setting fires. She reports that she feels tension right before the fire and does not do it for any other purpose than to relieve the tension. She has depression and anxiety, and a substance use disorder. Which of the following represents what is unusual about the above description?

The gender of the person

Which of the following is not considered a criterion for a diagnosis of pyromania?

The need to set fires every day

Which of the following is true regarding OCD and TTM?

They both involve repeating behaviors.

Which of the following is true regarding anxiety disorders?

They occur more often in women than men.

John and Derek are 6-month-old infants. When Derek does not get a toy he wants, he screams loudly, while John remains passive and calm. This difference in behavior reflects which of the following?

Trait anxiety

James checks the locks on his door every time he has a bad thought. This might be an example of ____

a compulsion

The currently available data on the heritability of anxiety disorders suggest that

a general vulnerability factor or anxiety proneness is what is inherited

Fear of situations such as public transportation, enclosed spaces, lines or crowds, of being outside of the home alone is a main symptom of

agoraphobia

Patients suffering from conversion disorder have symptoms that consist primarily of

altered motor or sensory dysfunction

From a psychodynamic perspective, which of the following is not a causal or maintenance factor of factitious disorder?

an intense need to evoke strong reactions in others

Ryan had the thought that "if I don't wash my hands three times, my family will die." This might be an example of ____

an obsession

Julie has been diagnosed with somatic symptom disorder. This means she is suffering from a condition in which her physical symptoms

are accompanied by abnormal or excessive thoughts, feelings or behaviors

Sam has a spider phobia, and he has not gone to the woodshed since his wife complained of all the cobwebs in there. He has responded behaviorally with

avoidance

Although PTSD affects people of all ages, genders, and ethnic backgrounds, it is slightly different in children because

children engage in traumatic play

Jason has hoarding disorder and believes that his possessions are "necessary for survival." This reflects which perspective on disorders?

cognitive

A client goes to see a therapist with the following complaints: She feels detachment from her body and is experiencing herself as strange or unreal. In some situations she feels as if she were watching herself. The therapist says she is experiencing

depersonalization

One of the reasons it can be very difficult to detect malingering in psychological disorders is

diagnosis usually depends on self-report

All of the following have been suggested as related to DID except for ____?

disorientation

A man who owns a hardware store in a New England town mysteriously disappears. Years later, the man is discovered in California. His name is changed, he has remarried, and he now has a different occupation. He claims that he has no memory of his past life. The man may be suffering from

dissociative fugue

Glove anesthesia is considered a classic conversion disorder. This is because glove anesthesia

does not follow known neurological patterns

Todd is afraid of flying. He is invited for a job interview that requires air travel. He has a panic attack while preparing for his interview a week before his flight. His panic attack would fall under what type?

expected

Dr. Smith is hoping that his patient with OCD will experience reduced anxiety and less frequent obsessions when he is asked to face situations that provoke obsessions and make him anxious. The term referring to this treatment process is __________

exposure

The common ingredient in the most effective forms of behavioral and cognitive behavioral treatments of anxiety is

exposure

A patient is referred to a neurologist for isolated memory loss; the diagnosis of dissociative amnesia is made. The most likely etiology in this patient is

extreme emotional trauma

An 18-month-old infant in the pediatric ICU has been experiencing episodes of difficulty breathing and rapid heart rate with no apparent cause. All tests are negative. These symptoms occur only when the mother is with the child. The most likely cause of the infant's symptoms is

factitious disorder imposed on another

For the past year, Maya has been experiencing uncontrollable worry about the future of her business, crime in the neighborhood, whether her husband truly cares for her, and her children's health. All of these concerns are out of proportion to the actual situation. She may be experiencing

generalized anxiety disorder

Susan is always going to her doctor asking to be examined for cancer or heart disease even though she doesn't have any symptoms. Her physician says she has illness anxiety disorder. People with this disorder

have a dysfunctional mind-set that leads them to worry excessively about their health

Ryan is being treated for anxiety about flying, and his doctor asks him to imagine being on an airplane. This method of treatment is called ______

imaginal exposure

Which of the following is not a characteristic of a panic attack?

it lasts over an hour

A patient with somatic symptom disorder would NOT have which of the following?

la belle indifference

Fred has OCD, so the excitatory pathway of his brain may be ______?

overactive

The three elements of anxiety and fear are

physiology, cognition, and behavior

Sergio served in Iraq and fought in several difficult battles. Now whenever he hears a car backfire, he jumps out of his chair thinking that he is under attack. Sergio is showing a classic symptom of PTSD called

re-experiencing

Patients with factitious disorders have which of the following characteristics?

self-administered injuries

Stuart has never had a romantic partner. When he talks with his therapist, he says that he is afraid to ask anyone out because he becomes extremely anxious about initiating and maintaining conversations. He is likely to have

social anxiety disorder

Joshua is terrified of going to the doctor to receive his necessary immunizations. He most likely has which disorder?

specific phobia

A normal source of anxiety for a 1- to 2-year-old child is

strangers

Some experts argue that dissociative identity disorder (DID) is an iatrogenic disease, which means that it is caused by

the experience of therapy itself

A patient who is successfully recovering from gall bladder surgery and is reluctant to engage in any physical activities even when approved by a physician may be suffering from

transient hypochondriasis

Sally was extremely apprehensive about her meeting next week with her boss to discuss her annual performance review although she had been doing well at work. She was experiencing excessive

worry