Ch. 5 Anxiety Disorders and OCD and Related Disorders

Question 1

True or false:

Panic attacks have stronger bodily components than other anxiety disorders.

Answer 1

True

Question 2

Maris is plagued by a constant sense of dread and apprehension about the future. His thinking is jumbled, confused, and he has difficulty concentrating. Physically, he is jittery, agitated, and constantly feels nauseated. He is so worried about his own bodily sensations and the fear that he is “losing control,” that he has difficulty focusing on anything else. His symptoms are most suggestive of

a. ) Dissociative disorder
b. ) Psychotic disorder
c. ) Anxiety disorder
d. ) Personality disorder

Answer 2

C

Question 3

Anxiety disorders were previously known as

a. ) Stress disorders
b. ) Psychasthenia
c. ) Neuroses
d. ) Neurasthenia

Answer 3

C

Question 4

True or false:

The same drugs used to treat schizophrenia are also used to control panic attacks.

Answer 4

False

Explanation:

uses SSRIs –> depression

Question 5

One reason panic attacks can be so frightening is that they often mimic the symptoms of

a. ) Heart attacks
b. ) Epileptic seizures
c. ) Strokes
d. ) Meningitis

Answer 5

A

Question 6

Which of the following is NOT true of panic attacks?

a. ) They can last for up to a few hours
b. ) The attack builds to a peak intensity within 10-15 minutes
c. ) They come out of the blue
d. ) They are initially triggered by a specific object or situation

Answer 6

D

Question 7

Panic disorder is sometimes associated with

a. ) Obsessive – compulsive disorder
b. ) Dissociative fugue
c. ) Agoraphobia
d. ) Claustrophobia

Answer 7

C

Question 8

The onset of panic disorder is usually in one’s

a. ) Early or late childhood
b. ) Late childhood or early adolescence
c. ) Late adolescence through mid-30s
d. ) Forties and fifties

Answer 8

C

Question 9

Donald Klein has proposed that a defect in the brain’s ____ may be an important basis for panic reactions.

a. ) Speed of reaction to visual and auditory stimuli
b. ) Memory for past traumas
c. ) Respiratory alarm system
d. ) Hippocampus

Answer 9

C

Question 10

A class of medications which enhances GABA’s calming effects are

a. ) Phenothiazines
b. ) Benzodiazepines
c. ) Neuroleptics
d. ) Hallucinogens

Answer 10

B

Question 11

All of the following EXCEPT ______ can contribute to a panic disorder

a. ) Irregularities in serotonin receptors
b. ) Infusion of sodium lactate
c. ) Inhalation of carbon dioxide
d. ) Inhibitory function of GABA

Answer 11

C

Question 12

Which of the following may avert the spiraling of anxiety that leads to panic attacks?

a. ) Having a supportive person available
b. ) Breathing carbon dioxide
c. ) Intentional hyperventilation
d. ) Use of drugs for the treatment of schizophrenia

Answer 12

A

Question 13

Which of the following represents a significant limitation of drug treatment for panic disorder?

a. ) Drugs do not cure panic disorder
b. ) They will not help if the person really has a Generalized Anxiety Disorder
c. ) The types of drugs that are used all have potential for addiction
d. ) These drugs may cause tardive Dyskenesia as a serious side effect

Answer 13

A

Question 14

The word phobia derives from the Greek work “phobos” meaning

a. ) Caution
b. ) Avoidance
c. ) Fear
d. ) Distance

Answer 14

C

Question 15

Which of the following is NOT one of the three classifications of phobias contained within the DSM system?

a. ) Complex phobia
b. ) Agoraphobia
c. ) Specific phobia
d. ) Social phobia

Answer 15

A

Question 16

According to the psychodynamic perspective, phobias develop through the use of

a. ) Denial
b. ) Projection
c. ) Rationalization
d. ) Regression

Answer 16

B

Question 17

According to the two-factor model, the fear component of a phobia is acquired by

a. ) Classical conditioning
b. ) Operant conditioning
c. ) Modeling
d. ) Both classical and operant conditioning

Answer 17

A

Question 18

According to the two-factor model, a phobia is acquired and maintained by

a. ) Classical conditioning
b. ) Operant conditioning
c. ) Modeling
d. ) Both classical and operant conditioning

Answer 18

D

Question 19

An almond-shaped part of the limbic system that functions as a sort of “emotional computer” for evaluating whether stimuli represent a threat or a danger is the

a. ) Hippocampus
b. ) Thalamus
c. ) Amygdala
d. ) Hypothalamus

Answer 19

amygdala

Question 20

the part of the brain that sends an “all clear” message to the brains emotional centers, helping calm us down, is the

a. ) Prefrontal cortex
b. ) Pons
c. ) Hippocampus
d. ) Medulla

Answer 20

A

Question 21

Which one of the following is NOT a factor in proneness to phobias?

a. ) Oversensitivity to threatening cues
b. ) Overpredictions of dangerousness
c. ) Low threshold for restlessness
d. ) Self-defeating and irrational thoughts

Answer 21

C

Question 22

The goal of systematic desensitization is to ___ a phobia

a. ) Moderate
b. ) Suppress
c. ) Extinguish
d. ) Transform

Answer 22

C

Question 23

The behavioral treatment for agoraphobia is usually

a. ) Flooding
b. ) Response prevention
c. ) Gradual exposure
d. ) Chemotherapy

Answer 23

C

Question 24

A type of exposure therapy in which a subject is exposed to intensely anxiety-provoking situations is called

a. ) Gradual exposure
b. ) Systematic desensitization
c. ) Flooding
d. ) Overexposure

Answer 24

C

Question 25

In one of the studies, 92% of subjects overcame a fear of ___ with virtual reality therapy.

a. ) Snakes
b. ) Flying
c. ) Enclosed spaces
d. ) Heights

Answer 25

B

Question 26

A therapist points out to her client that the client’s social phobia results from irrational needs for social approval and extreme perfectionism. The therapist is following a treatment approach most like that of

a. ) Skinner
b. ) Ellis
c. ) Lazarus
d. ) Wolpe

Answer 26

B

Question 27

True or false:

Phobic avoidance behavior is acquired and maintained by means of classical conditioning.

Answer 27

False

Explanation:

acquired - classical conditioning

maintained - operant conditioning

Question 28

A criterion for obsessive-compulsive disorder is that the symptoms must occupy more than

a. ) 5 hours per week
b. ) 2 hours per day
c. ) 1 hour per day
d. ) 10 hours per day

Answer 28

C

Question 29

Most compulsion involves ___ rituals.

a. ) Religious and sexual
b. ) Sexual and cleaning
c. ) Cleaning and checking
d. ) Checking and religious

Answer 29

C

Question 30

Many children with obsessive-compulsive disorders have a history of

a. ) Enuresis or bedwetting
b. ) Sibling rivalry
c. ) Tic disorders
d. ) Sexual abuse

Answer 30

C

Question 31

Abnormal activity in the ___ lobes of the brain has been implicated in obsessive-compulsive disorder.

a. ) Temporal
b. ) Parietal
c. ) Frontal
d. ) Occipital

Answer 31

C

Question 32

Behavior therapy for obsessive-compulsive disorders usually involves a combination of gradual exposure and

a. ) Flooding
b. ) Response prevention
c. ) Aversive conditioning
d. ) Stimulus prevention

Answer 32

B

Question 33

True or false:

Obsessional thinking helps relieve anxiety.

Answer 33

False

Question 34

True or false:

GAD tends to be a temporary problem that fades over time.

Answer 34

False

Question 35

True or false:

An underlying behavioral principle important in the treatment of anxiety disorders is extinction

Answer 35

True

Question 36

True or false:

A sad statistic is that most people with BDD (body dismorphic disorder) do not recover, and that the disorder follows a life-long course.

Answer 36

False

Explanation:

lasts about 5 years.

Question 37

Hoarding disorder is a newly recognized disorder in the DSM 5 that does not have which of the following characteristics?

a. ) The need to feel secure by accumulating and retaining possessions
b. ) The person who hoards recognized that they have a problem
c. ) The person with hoarding disorder may have obsessive thoughts about acquiring objects AND fear of losing them
d. ) The person with hoarding disorder may experience a compulsion to rearrange stacks of possessions.

Answer 37

B