ANXIETY

1. After several business failures, a divorce from his wife of 15 years,

and

rejection by his best friend, Don is harb01ing a great deal of repressed

anxiety.

According to Freud, Don will develop a(n)

disorder as a result of this

repression.

a. neurotic

b. somatoform

c. anxiety

d. depressive

2. One week after the crash of TWA flight 800, Monica had to fly overseas
on

business. As she boarded her flight, she felt her heart racing and her palms
were sweating, and she had vivid pictures in her mind of her plane going up in
flames. What label would you give this reaction?

a. material phobia

b. specific phobia

c. obsessive disorder

d. alarm reaction

3. Ms. Lok is a registered nurse worked on a unit with HIV-positive

patients. If she has a fear of exposure to blood, she has

a. nyctophobia.

b. sangephobia.

c. hematophobia.

d. an adaptive fear.
 4. Micki's friends don't understand why Micki never goes out to dinner with
them, won't go to a movie, and doesn't like to meet new people. Inside,
Micki is sure that if she did any of these things, she would humiliate
herself. disorder does she appear to have?

a. generalized social phobia

b. specific phobia

e. posttraumatic social disorder

d. agoraphobia

5. Deidre has an incapacitating snake phobia. According to Freud, Deidre

has failed to successfully resolve the stage of psychosexual
development.

a. oral

b. phallic

c. latency

d. castration

6. Which of the following does not belong with the other three?

a. participant modeling

b. cognitive restructuring

c. systematic desensitization

d. graded exposure

7. Celine's sympathetic nervous system is sending her intense fear

messages. She did need to quickly overcome her fear of flying, but as
she sits in her seat during actual takeoff as pan of her third therapy
session, she wonders if she's made a horrible mistake. Once her
sympathetic nervous system becomes fatigued, however, Celine begins to
feel calmer; after two hours, her fear has subsided completely.
What process has she gone through?

a. sadistic psychotherapy with an unethical charlatan

b. covert desensitization

e. participant modeling

d. flooding

8. Which of the following reflects an important difference between

systematic desensitization and graduated exposure?
a. imagined vs. in vivo exposure

b. immediate vs. gradual exposure

c. Che includes modeling; the other does not.

d. One is clearly more effective than the other.

9. Antonia's therapist is helping her overcome her phobia of ants by

letting the insects crawl on the table near him and then letting them
crawl over his hand, while Antonia observes from a safe distance. Later,
Antonia moves closer and ultimately lets the ants crawl on her shoe.
This is known as
a. graduated exposure.

b. participant modeling.

c. desensitized flooding.

d. in vivo modeling.

10. An anxiety-disordered patient has been asked to hyperventilate as pan

of his therapy to help him identify anxious apprehension states. What
disorder is present?

a. agoraphobia

b. panic disorder

c. obsessive-compulsive disorder

d. posttraumatic stress disorder

DISSOCIATIVE DISORDERS

11. Dissociative disorders are marked by disruptions in each of the

following areas EXCEPT

a. attention
b. memory
c. consciousness
d identity

12. Danton's therapist believes Danton was exposed to chronic child abuse
and has developed a subsequent mental disorder. Which of the following
disorders is the therapist LEAST likely to diagnose?

a. posttraumatic stress disorder

b. histrionic personality disorder

c. conversion disorder

d. dissociative identity disorder

 13. Tamara describes feeling completely detached from the events going on
around her and often forgets important experiences such as the death of
her mother or her sister's marriage. What psychological process is
occurring?

a. splitting

b. splintering

c. division of consciousness

d. dissociation

14. George's wife divorced him suddenly. After several weeks of poor job
performance following the divorce, George was fired. If he expresses his
emotional distress by developing headaches, joint pain, and other
physical symptoms, he is engaging in the process of

a. somatization.

b. dissociation.

c. somatoforming.

d. derealization.

15. When are dissociative states NOT considered pathological?

a. when they do not involve significant identity alteration

b. when they occur infrequently in an individual

c. when they occur within recognized cultural groups

d. when they do not produce personal distress

16. Marguerite has a dissociative disorder. She might exhibit any of the
following key symptoms EXCEPT

a. hypnotizability.

b. derealization.

c. amnesia.

d. identity confusion.

17. Of the following identities of a female with dissociative identity

disorder is MOST likely to seek help from a therapist?

a. Tori, the angry personality fragment

b. Michelle, the powerful, protective alter

c. Juliet, the host personality

d. Joshua, her first male alter

18. When Devon changes from one identity to another as part of her
dissociative identity disorder, what is LEAST likely to prompt such
changes?

a. flashbacks of memory

b. current stressful events

c. gradual recall of childhood traumas

d. voluntary switching

19. Nathaniel has a dissociative amnesia in which he can remember nothing

of his first marriage. He can, however, remember the friends he had
during that time. This is an example of

a. systematized

b. selective

e. continuous
d. localized

20. Chris was a passenger in an automobile accident in which his young

sister was killed. If he has dissociated his memories of the day
following the accident, this is a form of amnesia.

a. short-term

b. localized

e. discontinuous

d. systematized

MOOD DISORDER

21. The chapter's opening case study described Margaret's experiences of

unipolar depression. Individuals with this disorder could experience
each of the following symptoms EXCEPT

a. physical symptoms such as headaches and stomach aches.

b. feelings of hopelessness and guilt.

c. expansive euphoria.

d. difficulties concentrating.

22. Chandra has been told by her therapist that she suffers from
dysthymia. In contrast to major depression, Chandra's dysthymia is
______________severe and __________ in its course.
a. less; episodic

b. less; chronic

c. more; chronic

d. more; episodic
23. Complete this analogy: Somatic symptom is to persistent fatigue as
cognitive symptom is to

a. impaired immune functioning,

b. hopelessness.

c. psychomotor retardation,

d. hypersomnia.

24. Echopraxia and echolalia are examples of symptoms related to which

specific depressive features?

a. catatonic

b. endogenous

c. autistic

d. atypical

25. If Cheryl experiences a depressive episode sh01tly after giving birth,

this is called

a. post-birth dysph01ia.

b. major depression, postpartum onset.

c. labor-related mood disorder.

d. major depression, not otherwise specified.

26. Benjamin is exhibiting a depressive disorder that is caused by severe

dysfunction of his thyroid gland. The best diagnosis for this depression
would be
a. depression not otherwise specified.

b. atypical mood disorder with somatic features.

c. medically-induced mood disorder.

d. mood disorder due to a general medical condition.

27. If the original catecholamine theory explains Rhonda's mood disorder,

Rhonda's depressed symptoms are the result of levels of
a. high; norepinephrine

b. high; serotonin

e. low; norepinephrine

d. low; serotonin

28. What process do depression-prone people engage in following the loss

of an important person?

a. reaction formation

b. ego idealization

e. insecure attachment

d. introjection
29. The cognitive triad in Beck's theory of depression refers to negative
views of

a. past, present, and future experiences.

b. self, others, and goals.

e. personal life, work, and social relationships.

d. the self, the world, and the future.

30. Based on and Han-is' (1978) work, who of the following is most

vulnerable to depression?

a. Marion, unemployed mother of young children, who spends time with

her best friend, Margie

b. Candice, employed mother of two, who lost her mother two years ago

c. Rachel, unemployed mother of four young children, whose mother died when

Rachel was 3

d. Beth, employed with no children

SCHIZOPHRENIA

31. In the ease of Lionel Aldridge, Lionel believed his dog was causing
all his problems and that enemies were everywhere, and he had to fight
from them. These are specific examples of

a. hallucinations.

b. delusions.
e. schizophrenia.

d. psychosis.

32. The term schizophrenia was coined by

a. Eugen Bleuler.

b. John Haslam.

c. Kun Schneider.

d. Emil Kraepelin.

33. If you employed Bleuler's nosology to describe your schizophrenic

patient who has completely withdrawn from others into an internal world
of imagination, you would diagnose this as the

a. simplex subtype.

b. autistic subtype.

c. hebephrenic subtype.

d. delusional subtype.

34. Briefly mistaking a shadow for a threatening intruder is a(n)

a. delusion.

b. collusion.

c. illusion.

d. hallucination.

35. "Gene, the jean, Jeanie" is a phrase that clearly reflects

a. clang associations.

b. perseveration,

c. word salad.

d. loose associations.

36. Brannon is volunteering as a nurse's aide in a psychiatric hospital.

He finds it very difficult to engage schizophrenic individuals in
conversation because they seem to have very little to say or speak
extremely slowly. This condition is known as

a. flat verbalization.

b. aphasia.
c. anhedonia.

d. alogia.

37. Gisela experienced visual hallucinations, loose associations, and

bizarre behaviors following a traumatic, violent accident. Within weeks,
these symptoms ceased. Which diagnosis would be most appropriate for
her?

a. schizophreniform disorder

b. posttraumatic stress disorder with psychotic features

e. schizophrenic spectrum disorder

d. brief psychotic disorder

38. Kenji has a persistent feeling that everyone is conspiring against him
and frequently hears voices telling him he should hide himself from
outsiders; however, he shows little disorganized behavior or speech.
What type of schizophrenia is this?
a. residual

b. paranoid

c. catatonic

d. undifferentiated
39. Jody began to develop schizophrenic symptoms at age 15. His symptoms
came on gradually and have progressively worsened. Jody often speaks
incoherently, displays inappropriate emotions, and has difficulty
maintaining his personal hygiene. Jody's diagnosis is

a. disorganized type schizophrenia

b. catatonic type schizophrenia.

e. paranoid type schizophrenia.

d. undifferentiated type schizophrenia.

40. Dr. Janeway has a schizophrenic patient requiring constant supervision

due to episodes of relentless motor activity, overexcitability, and
difficulty relating to others due to elective mutism. Her patient has
schizophrenia, type.

a. hebephrenic

b. residual

c. catatonic

d. autistic

PERSONALITY DISORDER
 41. Which of the following is NOT a group of personality disorders used in
the DSM-V?

a. odd/eccentric

b. dramatic emotional/erratic

c. anxious/fearful

d. withdrawn/neurotic

42. Hank's personality disorder is ego-syntonic. What does this mean?

a. His disorder has arisen from a disruption in the development of the ego.

b. He is unable to view himself and his actions from the perspective of other

people in his life.

e. His disorder is comorbid with an Axis I disorder.

d. He views the symptoms as a natural part of himself.

43. Eduard has been described as narcissistic. You would expect him to
score on the dominance/submission dimension and to be more

a. low; loving than hateful

b. low; hateful than loving

c. high; loving than hateful

d. high; hateful than loving

44. Ricki feels the world is out to get her and she has trouble making
friends because she distrusts everybody and is frequently manipulative
and rude. Which DSM grouping below includes Ricki's personality
disorder?

a. neuroticism/low agreeableness

b. odd/eccentric

c. dominant/aggressive

d. erratic/hateful

45. Diagnostically, which of the following disorders does not belong with
the other three?

a. avoidant

b. schizoid
c. paranoid

d. schizotypal
46. The stereotypical social "hermit" who lives alone and is disinterested
in others is

MOST likely to be described as

a. schizotypal,

b. schizoid.

c. odd/erratic,

d. borderline.

47. Wilma relies on astrology charts and tarot card readings to make
important decisions in her life. She is also very superstitious and
engages in eccentric rituals whenever she leaves her home. While her
speech is somewhat odd, and she seems ill at ease in social situations,
she exhibits no signs of real psychosis. What disorder is most likely?

a. histrionic

b. schizophrenia

c. borderline

d. schizotypal

48. Suresh believes that people are closely watching his actions as he
walks though the mall, although the people around him are oblivious to
his presence. What would you call Suresh's belief?

a. an idea of reference

b. a loose association

e. a delusion

d. a superstition

49. Barbara is often noticed for her flair for clothing, her engaging
conversations (later perceived by the listener as empty of content), and
her charming and extraverted personality. She appears to be self-assured
and independent. If these characteristics represent an enduring,
inflexible, and dysfunctional pattern, what diagnosis would be
appropriate?

a. narcissistic personality disorder

b. reactive personality disorder

c. histrionic personality disorder

d. borderline personality disorder

 50. From a 1970s screen actor's biography: While Steve McQueen publicly
denounced chugs, he was a cocaine addict for several years. McQueen felt
that
he was above the law and entitled to special privileges because of his
star status; this extended to frequent extramarital affairs. He was so
preoccupied with his stardom that he threatened his wife with a gun for
her one sexual indiscretion. What disorder may have been present?

a. histrionic

b. dependent

c. narcissistic

d. borderline