Clinical Psychology, International Edition 8th Edition by Timothy Trull – Test Bank

 

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Sample Test

Chapter 3

Current Issues in Clinical Psychology

 

MULTIPLE CHOICE

 

1.   Currently, the most popular training model for clinical psychologists is the

a.

clinical scientist model.

b.

scientist-practitioner model.

c.

Vail model.

d.

none of the above

 

 

ANS:  B                    REF:   Models of Training in Clinical Psychology                       DIF: Factual

 

2.   The model of psychological training that emerged from the 1949 conference in Boulder, Colorado represents an attempt to

a.

clearly emphasize clinical skill over research competency.

b.

clearly emphasize research competency over clinical skill.

c.

make graduate coursework less didactic and more “hands-on.”

d.

none of the above

 

 

ANS:  D                    REF:   Models of Training in Clinical Psychology                       DIF: Conceptual

 

3.   According to proponents of the scientist-practitioner training model, clinical psychologists should

a.

spend 50% of their time conducting research and 50% of their time conducting clinical work.

b.

spend 25% of their time conducting research and 75% of their time conducting clinical work.

c.

spend at least 10% of their time conducting research.

d.

be able to understand and evaluate research even if they do not conduct it at all.

 

 

ANS:  D                    REF:   Models of Training in Clinical Psychology                       DIF: Conceptual

MSC:  WWW

 

 

4.   The acceptance rate for applicants to Psy.D. programs is about

a.

5%.

b.

20%.

c.

40%.

d.

70%.

 

 

ANS:  C                    REF:   Models of Training in Clinical Psychology                       DIF: Factual

 

5.   Which of the following is true?

a.

Research suggests that clinical psychologists with Psy.D. degrees will have more trouble finding employment than those with Ph.D. degrees.

b.

Compared to Psy.D. programs, Ph.D. programs admit a higher percentage of applicants.

c.

Compared to Psy.D. programs, Ph.D. programs award more doctoral degrees.

d.

none of the above

 

 

ANS:  D                    REF:   Models of Training in Clinical Psychology                       DIF: Conceptual

 

6.   Elena and Jacquelyn are each pursuing higher degrees in clinical psychology:  Elena a Ph.D. and Jacquelyn a Psy.D.  Compared to Jacquelyn’s program, students in Elena’s program are __________ to receive full financial assistance and __________ to land a clinical internship.

a.

more likely; less likely

b.

more likely; more likely

c.

less likely; less likely

d.

less likely; more likely

 

 

ANS:  B                    REF:   Models of Training in Clinical Psychology                       DIF:  Applied

 

7.   Terrence and Zachary are each pursuing higher degrees in clinical psychology:  Terrence a Ph.D. and Zachary a Psy.D.  Based on this information alone, which student will likely finish his degree sooner?

a.

Terrence

b.

Zachary

c.

Both will take about the same amount of time.

d.

There’s no way to answer this question based only on the information provided.

 

 

ANS:  B                    REF:   Models of Training in Clinical Psychology                       DIF:  Applied

 

8.   Professional schools of clinical psychology

a.

offer doctoral degrees.

b.

tend to be “for-profit” institutions.

c.

are not usually APA-accredited.

d.

all of the above

 

 

ANS:  D                    REF:   Models of Training in Clinical Psychology                       DIF: Conceptual

 

9.   Over time, the proportion of doctorates in clinical psychology awarded by professional schools has

a.

increased dramatically.

b.

increased slightly.

c.

remained constant.

d.

decreased dramatically.

 

 

ANS:  A                    REF:   Models of Training in Clinical Psychology                       DIF: Factual

MSC:  WWW

 

10.                Professional schools differ from traditional university-based scientist-practitioner programs in ALL BUT WHICH of the following ways?

a.

They depend less on part-time faculty.

b.

They tend to admit far more students per class.

c.

They tend to emphasize clinical over research skills.

d.

They rely on tuition as their primary source of funding

 

 

ANS:  A                    REF:   Models of Training in Clinical Psychology                       DIF: Conceptual

 

11.                The clinical scientist training model of clinical psychology

a.

is currently the dominant training model.

b.

emphasizes empirically supported clinical techniques.

c.

is synonymous with the scientist-practitioner model.

d.

all of the above

 

 

ANS:  B                    REF:   Models of Training in Clinical Psychology                       DIF: Conceptual

 

12.                Among the following, the clinical psychologist most closely associated with the clinical scientist model of training is

a.

DeLeon.

b.

McFall.

c.

Pope.

d.

Heiby.

 

 

ANS:  B                    REF:   Models of Training in Clinical Psychology                       DIF:  Factual

MSC:  WWW

 

13.                As described in the text, the combined professional-scientific training program integrates aspects of what three specialties?

a.

clinical, counseling, and school psychology

b.

clinical, health, and neuropsychology

c.

counseling, school, and organizational psychology

d.

clinical, forensic, and health psychology

 

 

ANS:  A                    REF:   Models of Training in Clinical Psychology                       DIF:  Factual

 

14.                After many jobs in clinical psychology shifted from academic to private practice settings in the 1960s,

a.

complaints arose about the adequacy of the Boulder model for practitioners.

b.

many college and university psychology departments shrank due to problems retaining their faculty.

c.

the qualifications required to practice clinically became much more rigorous than before.

d.

the qualifications required to enter graduate school in clinical psychology became less rigorous than before.

 

 

ANS:  A                    REF:   Models of Training in Clinical Psychology                       DIF: Conceptual

 

15.                The Psy.D. model of training grew out of a conference held in

a.

Vail in 1973.

b.

New York in 1960.

c.

Denver in 1988.

d.

Boulder in 1949.

 

 

ANS:  A                    REF:   Models of Training in Clinical Psychology                       DIF: Factual

 

16.                Professor Ferraro is talking with his students about developments in the clinical psychology profession.  Which of his statements below is LEAST well-grounded?

a.

“Over time, training programs are likely to focus more on brief, empirically supported treatments.”

b.

“If there aren’t already more practice-oriented clinical psychologists out there than the market can support, there will be soon!”

c.

“At present, everyone who seeks an accredited clinical internship can still get one.”

d.

“Research-oriented clinical psychologists will continue to play an important role in the future of the profession.”

 

 

ANS:  C                    REF:   Models of Training in Clinical Psychology                       DIF: Applied

 

 

 

 

 

17.                Which of the following is true regarding certification?

a.

Certification is a stronger form of regulation than licensing.

b.

Certification is automatic for graduates of Ph. D. programs in clinical psychology.

c.

Non-certified individuals can provide psychological services to the public as long as they do not use the title “psychologist” or the word “psychological” to describe themselves or their services.

d.

all of the above

 

 

ANS:  C                    REF:   Professional Regulation                                        DIF: Conceptual

 

18.                Which of the following is true regarding licensure as a psychologist?

a.

Licensure laws are uniform across all 50 states.

b.

Licensure usually requires a master’s degree.

c.

Licensure usually requires passing a written exam.

d.

Licensure is automatic for graduates of Ph.D. programs in clinical psychology.

 

 

ANS:  C                    REF:   Professional Regulation                                        DIF: Conceptual

 

19.                Last spring, Johan earned his Ph.D. in clinical psychology in an APA-accredited program.  This spring he will complete one year of supervised postdoctoral work and go to the state capital to take the Examination for Professional Practice in Psychology (EPPP).  What kind of professional designation does Johan appear to be pursuing?

a.

assistant professor

b.

certification

c.

licensure

d.

ABPP certification

 

 

ANS:  C                    REF:   Professional Regulation                                        DIF: Applied

 

20.                What is ABPP?

a.

an organization that offers certification of professional competence in a particular area, such as clinical neuropsychology or forensic psychology

b.

a training model that emphasizes empirically supported clinical techniques

c.

a national organization of graduate students in clinical psychology

d.

a national organization that promotes research and practice in behavioral psychotherapy

 

 

ANS:  A                    REF:   Professional Regulation                                        DIF: Conceptual

 

21.                Dr. Rodon earned her clinical psychology Ph.D. 15 years ago and she has worked in the neuropsychology department of the university hospital for the last 10 years.  Recently, she completed a rigorous process of verifying her professional credentials, submitting several samples of her work for review by peers, and completing an oral exam administered by a panel of experts in the area of neuropsychology.  If successful, what will Dr. Rodon receive for her efforts?

a.

licensure

b.

ABPP certification

c.

a clinical internship

d.

full professorship

 

 

ANS:  B                    REF:   Professional Regulation                                        DIF: Applied

 

 

 

22.                Contemporary private practice is dominated by

a.

long-term, fee-for-service clinical work.

b.

a resurgence of client-centered therapy.

c.

clinical work within a managed care context.

d.

personality assessment.

 

 

ANS:  C                    REF:   Private Practice                                                     DIF: Conceptual

MSC:  WWW

 

23.                The history of private practice has witnessed

a.

continuous cooperation between psychiatry and clinical psychology.

b.

clinical psychologists trying, but failing, to earn reimbursement privileges from more than a handful of insurance carriers.

c.

a decrease in the number of clinical psychologists interested in private practice.

d.

none of the above

 

 

ANS:  D                    REF:   Private Practice                                                     DIF: Conceptual

 

24.                Unlike a PPO, an HMO

a.

employs a restricted number of providers to serve members.

b.

contracts with outside providers to meet the needs of members.

c.

is a type of managed care model.

d.

attempts to contain health-care costs.

 

 

ANS:  A                    REF:   The Costs of Health Care                                      DIF: Conceptual

 

25.                Dr. Spring, a clinical psychologist, has been treating individuals in a private practice setting since the 1970s.  In what respect does her professional practice today, in a managed care environment, likely differ from her professional practice in the ‘70s and ‘80s?

a.

the length of treatment she can provide

b.

the type of treatment she can provide

c.

both of the above

d.

neither of the above

 

 

ANS:  C                    REF:   The Costs of Health Care                                      DIF: Applied

 

26.                The influence of managed care is likely to impact psychological treatment in the future in ALL BUT THE FOLLOWING ways:

a.

There will be increased use of master’s level providers and decreased use of doctoral level providers.

b.

There will be decreased use of self-help interventions.

c.

There will be greater use of computer- or Internet-assisted therapy.

d.

More psychological services will be delivered via primary care settings.

 

 

ANS:  B                    REF:   The Costs of Health Care                                     DIF: Conceptual

 

 

 

 

 

27.                Dr. LeFevre is reimbursed for his clinical work under a model where he receives incentives for providing high-quality yet efficient services.  In other words, he is paid more if he achieves a good patient outcome in 8 sessions than if he achieves a similar outcome with a similar patient in 12 sessions.  What is the term for this type of reimbursement model?

a.

pay-for-performance disease-management model

b.

treatment efficiency maximization model

c.

efficient contingency reward model

d.

consumer-directed health-care model

 

 

ANS:  A                    REF:   The Costs of Health Care                                     DIF: Applied

 

28.                Proponents of clinical psychologists obtaining prescription privileges argue that with prescription privileges,

a.

clinical psychologists would be able to treat a wider range of clients.

b.

care for patients needing both therapy and medication would be more efficient and cost-effective.

c.

clinical psychologists would be better able to monitor changes in symptoms as a function of medication dosage.

d.

all of the above

 

 

ANS:  D                    REF:   Prescription Privileges                                           DIF: Conceptual

 

29.                ALL BUT WHICH of the following are criticisms against clinical psychologists obtaining prescription privileges?

a.

Clinical psychologists would de-emphasize necessary medication and rely too heavily upon psychotherapy.

b.

The relationship between clinical psychology and psychiatry/general medicine would suffer.

c.

Clinical psychologists’ malpractice insurance premiums would increase significantly.

d.

It might lead to an increase in research sponsored by drug companies.

 

 

ANS:  A                    REF:   Prescription Privileges                                           DIF: Conceptual

 

30.                In 1993, the Ad Hoc Task Force on Psychopharmacology of APA published recommendations regarding competence in prescribing. According to these recommendations, in order to achieve the highest level of competence (Level 3) and practice independently as a prescribing psychologist, the psychologist must have completed

a.

undergraduate coursework in organic chemistry and neuroscience plus a one-semester graduate course in psychopharmacology.

b.

six months of prescribing experience supervised by a psychiatrist.

c.

a strong undergraduate background in biological sciences, two years of graduate training in psychopharmacology, and a postdoctoral psychopharmacology residency.

d.

a Ph.D. or Psy.D. in clinical psychology plus one year of postdoctoral training in a psychiatric treatment setting.

 

 

ANS:  C                    REF:   Prescription Privileges                                           DIF: Factual

 

 

 

 

 

 

31.                ALL BUT WHICH of the following statements is true of “telehealth”?

a.

It involves the delivery of health services using telecommunications technologies.

b.

One significant advantage of telehealth is the reduction in stigma associated with seeking treatment at traditional clinics.

c.

Most applications of telehealth to date have focused on poor urban communities with inadequate mental health facilities.

d.

Two forms of telehealth relevant to clinical psychology are ambulatory assessment and computer-assisted therapy.

 

 

ANS:  C                    REF:   Technological Innovations                                   DIF: Conceptual

 

32.                JoAnn has just begun treatment for generalized anxiety disorder, and her therapist gave her an electronic diary with instructions to rate her anxiety level and provide a brief description of the current situation every time she is prompted by the diary.  The term for this type of assessment is

a.

ambulatory assessment.

b.

electronic symptom tracking.

c.

real-time remote assessment.

d.

periodic electronic evaluation.

 

 

ANS:  A                    REF:   Technological Innovations                                   DIF: Applied

 

33.                Jim wants to quit smoking secondary to some recent, serious health concerns.  He and his therapist communicate frequently via e-mails and phone calls.  In addition, his therapist periodically sends him links to webpages that offer useful techniques for dealing with cravings, and sends him automated text messages when he’s likely to be at a high risk of relapse (e.g., when on break at work, following meals).  This treatment is an apt example of what is known as

a.

an electronic therapy protocol.

b.

ambulatory assessment.

c.

computer-assisted therapy.

d.

virtual therapy.

 

 

ANS:  C                    REF:   Technological Innovations                                   DIF:  Applied

 

34.                “Computer-assisted therapy” may refer to treatment administered via ALL BUT WHICH of the following?

a.

videoconferencing

b.

e-mail and text messages

c.

therapy-based “apps”

d.

All of the above would be considered modes of computer-assisted therapy.

 

 

ANS:  D                    REF:   Technological Innovations                                    DIF:  Conceptual

 

35.                A 2005 study comparing traditional (therapist-provided) cognitive therapy for depression and computer-assisted therapy found that individuals benefitted

a.

more from the traditional therapy than from the computer-assisted therapy.

b.

less from the traditional therapy than from the computer-assisted therapy.

c.

similarly from each form of therapy at the end of treatment, with the traditional group doing better at follow-up.

d.

similarly from each form of therapy both at the end of treatment and at follow up.

 

 

ANS:  D                    REF:   Technological Innovations                                   DIF:  Factual

 

36.                According to U. S. Census Bureau projections, between 1995 and 2050, population growth will be lowest for

a.

non-Hispanic Whites.

b.

Blacks.

c.

Hispanics.

d.

Asian Americans.

 

 

ANS:  A                    REF:   Culturally Sensitive Mental Health Services                     DIF: Factual

 

37.                According to supporters of cultural competence in clinical psychologists, clinicians should

a.

adhere to the “myth of sameness.”

b.

have expertise specific to the cultural backgrounds of those they serve.

c.

avoid scientific mindedness.

d.

all of the above

 

 

ANS:  B                    REF:   Culturally Sensitive Mental Health Services                     DIF: Conceptual

 

38.                Multiculturalism in clinical psychology

a.

is discouraged by the American Psychological Association.

b.

was a primary cause of the 1988 schism of the American Psychological Association.

c.

is considered important for treatment, but not for research or education.

d.

none of the above

 

 

ANS:  D                    REF:   Culturally Sensitive Mental Health Services                     DIF:  Conceptual

 

 

39.                In 2007, the APA published recommendations pertaining to sensitive clinical practice with __________, due to concerns about diagnostic bias and other issues.

a.

victims of abuse

b.

girls and women

c.

transgender individuals

d.

multiracial individuals

 

 

ANS:  B                    REF:   Culturally Sensitive Mental Health Services                     DIF:  Factual

 

40.                APA published its first code of ethics in the

a.

1930s.

b.

1950s.

c.

1970s.

d.

1990s.

 

 

ANS:  B                    REF:   Ethical Standards                                                   DIF: Factual

 

41.                Among the “General Principles” presented in the most recent revision of the APA ethics code is

a.

beneficence and non-maleficence.

b.

integrity.

c.

justice.

d.

all of the above

 

 

ANS:  D                    REF:   Ethical Standards                                                  DIF: Factual

 

 

42.                All but which of the following scenarios involves violation of the APA ethical principle of “competence”?

a.

A clinician with a doctoral degree in counseling introduces herself as “Doctor Smith” and does not specify the nature of her training.

b.

A clinician with a Ph.D. in clinical psychology uses an assessment or treatment procedure that he has not been specifically trained to use.

c.

A clinician who is going through a messy divorce refers a similarly messy marital therapy case to another clinician due to fears that she would lack objectivity.

d.

Each of the above scenarios involves violation of the competence principle.

 

 

ANS:  C                    REF:   Ethical Standards                                                   DIF: Applied

 

43.                In the Tarasoff case, the victim’s parents

a.

sued the parents of the client.

b.

sued the therapist.

c.

defended the therapist in court.

d.

none of the above

 

 

ANS:  B                    REF:   Ethical Standards                                                  DIF: Factual

 

44.                In the Tarasoff case, the California Supreme Court ruled that

a.

the therapist should not have broken confidentiality at all.

b.

the therapist’s actions were sufficient in the eyes of the law.

c.

the therapist should have warned additional people.

d.

the therapy conducted with the client caused the crime to be committed.

 

 

ANS:  C                    REF:   Ethical Standards                                                   DIF: Conceptual

 

45.                A psychologist is seeing a client who reports that he/she is planning to kill his/her spouse. If the ruling in the Tarasoff case is applicable to this situation, the psychologist should

a.

maintain confidentiality and not share this information with anyone.

b.

break confidentiality and inform police of this threat.

c.

require the client to call police and inform them directly of the threat.

d.

break confidentiality and inform all appropriate persons, including the spouse, of the threat.

 

 

ANS:  D                    REF:   Ethical Standards                                                  DIF: Applied

MSC:  WWW

 

46.                According to the 1996 Supreme Court ruling in the Jaffe v. Redmond case,

a.

mental health professionals who misrepresent their credentials are guilty of a felony.

b.

a client’s consent is necessary before his/her psychotherapy records can be disclosed.

c.

specific confidentiality guidelines depend on the age of the client.

d.

non-sexual dual relationships are not considered harmful to the client, from a legal perspective.

 

 

ANS:  B                    REF:   Ethical Standards                                                  DIF: Conceptual

 

 

 

 

 

47.                Which of the following is NOT considered a dual relationship between psychologist and client?

a.

sexual activities with a client

b.

employing a current client

c.

becoming friends with a former client

d.

All of the above are examples of dual relationships.

 

 

ANS:  D                    REF:   Ethical Standards                                                   DIF: Conceptual

 

48.                Sexual intimacies between therapist and client

a.

have a positive impact on many clients who are involved in them.

b.

are not as harmful as emotional intimacies between therapist and client.

c.

are not addressed by the APA Ethical Standards because they happen so infrequently.

d.

are a type of “dual relationship.”

 

 

ANS:  D                    REF:   Ethical Standards                                                   DIF:  Conceptual

 

49.                Dr. Bigg has been treating Joshua, a man with panic disorder and moderate depression, weekly for two years, and between therapy sessions they often trade e-mail messages relating to Joshua’s symptoms.  Over that two-year span, Joshua’s symptoms have been consistent; there’s no evidence that he’s gotten better or has been prevented from getting worse.  How would you assess this situation from the standpoint of the APA Ethical Principles?

a.

Dr. Bigg is breaching the ethical guidelines by trading e-mail messages with the client between sessions.

b.

Dr. Bigg is breaching the ethical guidelines by failing to terminate the treatment and refer Joshua elsewhere.

c.

Dr. Bigg is breaching the ethical guidelines in this case by offering individual therapy rather than less expensive group therapy.

d.

There’s no evidence that Dr. Bigg is breaching any ethical guideline in this case.

 

 

ANS:  B                    REF:   Ethical Standards                                                  DIF: Applied

 

50.                According to a recent survey (Pope & Vetter, 1992) cited in the textbook, the type of ethical dilemma reported most frequently by APA members involved

a.

confidentiality.

b.

cultural competence.

c.

clinical competence.

d.

dual relationships.

 

 

ANS:  A                    REF:   Ethical Standards                                                  DIF: Factual

 

ESSAY

 

  • Compare and contrast the scientist-practitioner and clinical scientist models of training.

ANS: Not provided.     REF: Models of Training in Clinical Psychology

 

 

  • What are the advantages and disadvantages of the Psy.D. model of training?

ANS: Not provided.     REF: Models of Training in Clinical Psychology

 

  • Explain at least three criticisms of the licensing requirement in psychology.

 

ANS: Not provided.     REF: Professional Regulation

 

 

  • In what way are physicians serving as role models for clinical psychology Ph.D.s desiring to work in private practice? Why do some consider this a bad thing?

ANS: Not provided.     REF: Private Practice

 

 

  • How has managed care influenced private practice psychotherapy?

ANS: Not provided.     REF: Private Practice

 

 

 

6.   Describe the likely impact of prescription privileges on graduate training in clinical psychology.

ANS: Not provided.     REF: Prescription Privileges

 

 

  • Enumerate four advantages of ambulatory assessment over more traditional forms of assessment.

ANS: Not provided.     REF: Technological Innovations

 

 

  • What constitutes cultural competence, and why is it important?

ANS: Not provided.     REF: Culturally Sensitive Mental Health Services

 

 

  • What constitutes a dual relationship, and why are such relationships ethically inappropriate?

ANS: Not provided.     REF: Ethical Standards

 

 

10.                Briefly summarize the facts of the Tarasoff case and the implications of its ruling on the practice of psychotherapy.

ANS: Not provided.     REF: Ethical Standards

 

 

Chapter 5

Diagnosis and Classification of Psychological Problems

 

MULTIPLE CHOICE

 

1.   ALL BUT WHICH of the following statements is true regarding the definition of abnormal behavior?

a.

Mental health professionals once debated the definition of abnormal behavior, but the debate has ended.

b.

There is no single descriptive feature shared by all forms of abnormal behavior.

c.

There is no discrete boundary between normal and abnormal behavior.

d.

none of the above

 

 

ANS:  A                    REF:   What Is Abnormal Behavior?                                DIF: Conceptual

 

2.   “Cutoff points” are an advantage of the definition of abnormal behavior based upon

a.

statistical infrequency or the violation of social norms.

b.

subjective distress.

c.

disability, dysfunction, or impairment.

d.

more than one of the above

 

 

ANS:  A                    REF:   What Is Abnormal Behavior?                                DIF: Conceptual

 

 

3.   When a clinical psychologist uses a cutoff score on a test to determine abnormality, how is the cutoff score typically determined?

a.

The clinical psychologist sets the cutoff score based on his/her experience with previous clients.

b.

The authors of the test manual set the cutoff score, often using statistical deviance from the mean score as the primary criterion.

c.

The clinical psychologist sets the cutoff score based upon his/her expertise in the field.

d.

The cutoff score is determined by setting a range of +/- 1 standard deviation around the client’s performance on a previous administration of the same test.

 

 

ANS:  B                    REF:   What Is Abnormal Behavior?                                DIF: Factual

MSC:  WWW

 

4.   Which of the following terms refers to the idea that, in evaluating a behavior, one must consider the cultural context in which that behavior occurred?

a.

cultural relativity

b.

cultural analysis

c.

contextual analysis

d.

contextual deconstruction

 

 

ANS:  A                    REF:   What Is Abnormal Behavior?                               DIF: Conceptual

 

 

 

 

 

 

 

 

5.   A “psychopathologist” is

a.

an individual currently diagnosed with a mental disorder.

b.

a scientist who studies the development and causes of mental disorders.

c.

an individual currently diagnosed with antisocial personality disorder.

d.

a clinical psychologist who endorses the “violation of social norms” definition of abnormality above all others.

 

 

ANS:  B                    REF:   What Is Abnormal Behavior?                                DIF: Conceptual

 

6.   Which of the following examples is most clearly abnormal according to the “subjective distress” definition of abnormality?

a.

a mean, callous supervisor who remains unaware that his/her employees hate him/her

b.

a librarian whose religious hallucinations interfere with her ability to work

c.

a child whose IQ is below the cutoff point for mental retardation

d.

a high-functioning accountant who feels depressed about several aspects of his/her life

 

 

ANS:  D                    REF:   What Is Abnormal Behavior?                                DIF: Applied

 

 

 

7.   ALL BUT WHICH of the following is a disadvantage of using the subjective distress definition of abnormal behavior?

a.

It doesn’t recognize the validity of the individual’s own experience.

b.

Not everyone who appears “disordered” to others reports distress.

c.

It’s unclear how much distress is enough to be considered abnormal.

d.

It’s unclear how long distress must persist in order to be considered abnormal.

 

 

ANS:  A                    REF:   What Is Abnormal Behavior?                               DIF: Conceptual

 

 

 

8.   Which of the following examples is most clearly abnormal according to the “disability/dysfunction/impairment” definition of abnormality?

a.

a mean, callous supervisor who remains unaware that his/her employees hate him/her

b.

a librarian whose religious hallucinations interfere with her ability to work

c.

a child whose IQ is below the cutoff point for mental retardation

d.

a high-functioning accountant who feels depressed about several aspects of his/her life

 

 

ANS:  B                    REF:   What Is Abnormal Behavior?                                DIF: Applied

 

 

9.   Which of the following is a valid question regarding the disability/dysfunction/impairment definition of abnormal behavior?

a.

What should the standards for dysfunction be?

b.

Who establishes the standards for dysfunction?

c.

Both of the above are valid questions.

d.

Neither of the above is a valid question.

 

 

ANS:  C                    REF:   What Is Abnormal Behavior?                               DIF: Conceptual

 

 

 

 

 

10.                Recently, Elizabeth has felt anxious much of the time, and her anxiety has caused her to perform some compulsive rituals that are highly unusual. Her job and her friends, however, have not been affected. Elizabeth is “abnormal” according to the definition based on

a.

violation of social norms and disability/dysfunction/impairment.

b.

subjective distress.

c.

disability/dysfunction/impairment.

d.

violation of social norms and subjective distress.

 

 

ANS:  D                    REF:   What Is Abnormal Behavior?                                DIF: Applied

 

11.                The only definition of abnormal behavior that does not involve subjectivity is

a.

conformity to norms.

b.

subjective distress.

c.

disability or dysfunction.

d.

none of the above

 

 

ANS:  D                    REF:   What Is Abnormal Behavior?                                DIF: Conceptual

 

12.                Which of the following statements is true regarding the relationship between abnormal behavior and mental illness?

a.

An individual who exhibits abnormal behavior may not have a mental illness.

b.

An individual who exhibits abnormal behavior that persists for at least 6 months has a mental illness.

c.

Most of the mental illnesses listed in DSM-IV-TR are defined by isolated abnormal behaviors.

d.

all of the above

 

 

ANS:  A                    REF:   What Is Abnormal Behavior?                                DIF: Conceptual

 

 

13.                Which of the following is not accurate regarding the DSM-IV-TR definition of “mental disorder”?

a.

The syndrome must be associated with distress, disability, or increased risk of problems.

b.

A mental disorder is considered to represent a dysfunction within an individual.

c.

Not all deviant behaviors or conflicts with society are signs of a mental disorder.

d.

none of the above

 

 

ANS:  D                    REF:   Mental Illness                                                                    DIF: Conceptual

 

 

14.                Portia is a 33-year-old married woman working as an accountant at a large firm.  Eight months ago, her father, with whom she was close, died unexpectedly, and a month ago, her firm announced that they would be laying off 40% of its accountancy staff within the next three months.  At present, Portia is experiencing moderate depressive and anxious symptoms, and these symptoms appear to be taking a toll on both the quality of her work and the quality of her relationship with her husband.  In the present case, which factor would be considered an etiological factor for her depression and anxiety?

a.

the downturn in the quality of her marital relationship.

b.

the downturn in her work quality.

c.

her father’s death.

d.

more than one of the above

 

 

ANS:  C                    REF:   Mental Illness                                                                   DIF: Applied

 

 

 

 

15.                DSM-I was published in the

a.

1930s.

b.

1940s.

c.

1950s.

d.

1960s.

 

 

ANS:  C                    REF:   Mental Illness                                                                   DIF: Factual

MSC:  WWW

 

16.                All editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) have been published by

a.

the American Psychological Association.

b.

the American Psychiatric Association.

c.

the American Psychological Society.

d.

the World Health Organization.

 

 

ANS:  B                    REF:   Mental Illness                                                                   DIF: Factual

 

17.                What is the DC 0-3R?

a.

a diagnostic classification system developed for children between birth and age 3

b.

a shorthand diagnostic classification system developed for use by mental health paraprofessionals

c.

a simplified diagnostic classification system developed for use by primary care physicians and other health care providers outside the mental health field

d.

none of the above

 

 

ANS:  A                    REF:   Mental Illness                                                                   DIF: Factual

 

18.                The DSM manuals are based in large part upon the 19th century work of __________ in the area of psychiatric classification.

a.

Dix

b.

Binet

c.

Kraepelin

d.

Breuer

 

 

ANS:  C                    REF:   Mental Illness                                                                    DIF: Factual

 

19.                The most revolutionary changes in DSM, including the first application of explicit diagnostic criteria for the mental disorders and a multi-axial system, appeared in

a.

DSM-II.

b.

DSM-III.

c.

DSM-III-R.

d.

DSM-IV-TR.

 

 

ANS:  B                    REF:   Mental Illness                                                                    DIF: Factual

 

20.                Which edition of the DSM was the first to assume a theory-neutral approach to psychiatric classification and diagnosis?

a.

DSM-II.

b.

DSM-III.

c.

DSM-III-R.

d.

All editions of the DSM have used a theory neutral approach.

 

 

ANS:  B                    REF:   Mental Illness                                                                   DIF: Factual

21.                Changes incorporated in DSM-IV and maintained in DSM-IV-TR were based on __________ to a greater extent than changes incorporated in any previous edition.

a.

standard psychiatric practice

b.

empirical data

c.

cognitive-behavioral theory

d.

consensus of expert opinion

 

 

ANS:  B                    REF:   DSM-IV-TR                                                          DIF: Factual

MSC:  WWW

 

22.                In DSM-IV-TR, clients are diagnosed along __________ axes.

a.

three

b.

four

c.

five

d.

six

 

 

ANS:  C                    REF:   DSM-IV-TR                                                          DIF: Factual

 

23.                In DSM-IV-TR, Axis I is used to

a.

indicate the presence of personality disorders or mental retardation.

b.

indicate the presence of clinical disorders other than personality disorders and mental retardation.

c.

list relevant medical conditions.

d.

quantitatively estimate an individual’s overall level of functioning.

 

 

ANS:  B                    REF:   DSM-IV-TR                                                           DIF: Factual

 

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