CHAPTER 8: Disorders Featuring Somatic Symptoms Flashcards
Having a background in medicine,but also a grudge against the profession,puts a person at risk for:
A) a factitious disorder.
B) body dysmorphic disorder.
C) amnesia conversion disorder.
D) somatic symptom disorder.
A) a factitious disorder.
Although Gio has always taken good care of his health and well-being,over the past month he has been feeling a lot of pressure at work.He finds himself scrambling trying to meet a deadline that is fast approaching.Which change in his behavior may indirectly affect his immune system?
A) Gio is worried he may lose his job and won’t have enough money to pay the bills.
B) Gio is not getting enough sleep because he is so busy working.
C) Gio begins to feel more pessimistic.
D) Gio finds that his anger is increasing.
B) Gio is not getting enough sleep because he is so busy working.
You are a therapist using self-instruction training.Your client repeatedly tells you,”I can’t take the pain.It is just too much.” This is an example of a:
A) managing self-statement.
B) negative self-statement.
C) positive self-statement.
D) coping self-statement.
B) negative self-statement.
Which is likely to be useful in distinguishing conversion or somatic symptom disorders from true medical problems?
A) the particular body part showing the symptom
B) the failure of a condition to develop as expected
C) the patient’s description of the source of the symptoms
D) the patient’s experiencing the usual course of development for the physical symptoms characteristic of the condition
A) the particular body part showing the symptom
In the latter half of the nineteenth century,a person who today is diagnosed with somatic symptom disorder would MOST likely have been diagnosed with:
A) Freudian syndrome.
B) pseudopsychological syndrome.
C) Briquet’s syndrome.
D) referenced pain syndrome.
C) Briquet’s syndrome.
_____ are protein molecules that recognize and bind to antigens,mark them for destruction,and prevent them from causing infection.
A) Helper T-cells
B) Natural killer T-cells
C) B-cells
D) Antibodies
D) Antibodies
_____ experience greater stress than _____ in response to a major personal injury or illness,a major change in work responsibilities,or a major change in living conditions.
A) Non-Hispanic white Americans; African Americans
B) Non-Hispanic white Americans; Hispanic Americans
C) African Americans; non-Hispanic white Americans
D) Hispanic Americans; African Americans
C) African Americans; non-Hispanic white Americans
Will recently recovered from having ulcers.He had care from family and friends and,as a result,recovered faster than expected.This may be due to:
A) biochemical activity.
B) behavioral changes.
C) personality style.
D) social support.
D) social support.
.
.
_____ is the study of the connections between stress,the body’s immune system,and illness.
A) Psychoanalysis
B) Behaviorism
C) Psychoneuroimmunology
D) Behavioral medicine
C) Psychoneuroimmunology
Excessive activity of the neurotransmitter norepinephrine contributes to a slowdown of the:
A) immune system.
B) autonomic nervous system.
C) sympathetic nervous system.
D) cardiovascular system.
D) cardiovascular system.
Charley brings her young daughter into the emergency room with internal bleeding.The attending physician later concludes that Charley caused the symptoms in her daughter intentionally,wanting to gain attention and praise for her devoted care of her sick child.If this assessment is correct,the appropriate diagnosis is:
A) a psychophysiological disorder.
B) a conversion disorder.
C) Munchausen syndrome.
D) Munchausen syndrome by proxy.
D) Munchausen syndrome by proxy.
Beyond its use in the control of pain,_____ has been used successfully to help treat such problems as skin diseases,asthma,insomnia,high blood pressure,warts,and other forms of infection.
A) hypnosis
B) relaxation training
C) biofeedback training
D) mindfulness meditation
C) biofeedback training
What is one of society’s most negative social conditions that may set the stage for psychophysiological disorders?
A) traffic
B) poverty
C) underemployment
D) academic pressure
A) traffic
Overabundance of _____ can lead to chronic inflammation throughout the body,contributing to heart disease,stroke,and other illnesses.
A) norepinephrine
B) corticosteroids
C) cytokines
D) collagen
B) corticosteroids
Because of similarities in presentation,people with illness anxiety disorder often receive the same kinds of treatments used to address symptoms of:
A) obsessive-compulsive disorder.
B) depression.
C) anorexia.
D) bulimia.
A) obsessive-compulsive disorder.
.
.
Kelsey feels stressed because of her responsibilities as a mother.Even so,she tends to be optimistic,engages in constructive coping,and is resilient.The likelihood of her developing a psychophysiological disorder is slim due to:
A) biochemical activity.
B) behavioral changes.
C) personality style.
D) social support.
C) personality style.
People with _____ are thought to be more relaxed,less aggressive,and less concerned about time.
A) Type A personality style
B) Type B personality style
C) factitious disorder
D) conversion disorder
A) Type A personality style
A woman who is particularly threatened by any display of her own anger becomes unable to speak when she is most angry with her husband,thereby keeping the anger out of her awareness.According to psychodynamic theorists,she is achieving _____ from her illness.
A) primary gain
B) secondary gain
C) tertiary gain
D) no gain
A) primary gain
_____ are equally helpful in the treatment of high blood pressure,headaches,and asthma.
A) Relaxation training and biofeedback training
B) Meditation and relaxation training
C) Hypnosis and biofeedback training
D) Meditation and biofeedback training
C) Hypnosis and biofeedback training
Those who suffer from chronic insomnia may:
A) feel as if they are constantly awake.
B) be more productive in the late evening.
C) suffer from a chronic respiratory condition.
D) have a history of migraine headaches.
A) feel as if they are constantly awake.
Someone who intentionally feigns an illness to receive external gain is described as someone who:
A) is malingering.
B) is experiencing somatization.
C) has a factitious disorder.
D) has an illness anxiety disorder.
D) has an illness anxiety disorder.
Margo feels a lot of stress from things at home and has started drinking more than usual.If she develops a psychophysiological disorder it will be because of:
A) biochemical activity.
B) behavioral changes.
C) personality style.
D) social support.
B) behavioral changes.
Who is MOST likely to experience a psychophysiological disorder?
A) a non-Hispanic white American male
B) an African American male
C) a Hispanic American female
D) a non-Hispanic white American female
B) an African American male
Which finding would lead you to suspect someone has a conversion disorder rather than another medical cause for the condition?
A) muscle atrophy in the “paralyzed” body part
B) uniform and even numbness in the “damaged” hand
C) symptoms consistent with the way the neurological system is known to work
D) a great number of accidents and an inability,in a “blind” person,to get around
“paralyzed” body part
B) uniform and even numbness in the “damaged” hand
How do somatic symptom disorders differ from conversion disorders?
A) Conversion disorders usually last less time.
B) Somatic symptom disorders usually begin late in life.
C) Somatic symptom disorders are more common in the United States.
D) Conversion disorders are more common in men.
D) Conversion disorders are more common in men.
A researcher conducts studies to better understand how exposure to stress affects the immune system.This researcher is practicing in the field of:
A) psychoanalysis.
B) behaviorism.
C) psychoneuroimmunology.
D) behavioral medicine.
C) psychoneuroimmunology.
A professional health-care provider has evidence that a patient has intentionally faked her illness.To determine whether the patient is malingering or experiencing a factitious disorder,what must be examined?
A) the method the patient used to make herself ill
B) the motivation the patient has for assuming the sick role
C) who else,if anyone,the patient is making ill
D) the severity of the symptoms the patient has experienced
B) the motivation the patient has for assuming the sick role
Where do muscle contraction headaches typically produce pain?
A) in the front or back of the head or in the back of the neck
B) on one side of the head
C) on both sides of the head and the neck and shoulders
D) in the front and center of the head and behind the eyes
A) in the front or back of the head or in the back of the neck
Somatic complaints are very common in non-Western medical settings.This pattern MOST likely reflects:
A) higher levels of the emotions in these countries that produce somatization.
B) the effects of living in a collectivist culture.
C) a view that somatization is an appropriate way to handle emotions.
D) an Asian bias to celebrate somatization as the only “real” response to emotion.
C) a view that somatization is an appropriate way to handle emotions
An individual with Munchausen syndrome by proxy usually:
A) has a history of psychotic episodes.
B) is severely independent.
C) is emotionally needy.
D) has a low level of intelligence.on.
C) is emotionally needy.
Someone who has Munchausen syndrome also,by definition,has:
A) Munchausen by proxy.
B) a factitious disorder.
C) somatic symptom disorder.
D) conversion disorder.
B) a factitious disorder.
Fungi are an example of:
A) lymphocytes.
B) antigens.
C) allergens.
D) T-cells.
D) T-cells.
Stress-related writing has been found to be beneficial for patients with either HIV infection or cancer.This is an example of the effectiveness of:
A) hypnosis.
B) relaxation training.
C) emotion expression.
D) mindfulness meditation.
A) hypnosis.
Shortness of breath, wheezing, coughing, and a choking sensation are symptoms commonly associated with:
A) insomnia.
B) asthma.
C) muscle contractions.
D) migraine headaches.
B) asthma.
A person with hypertension would MOST likely:
A) have shortness of breath.
B) appear flushed and laboring to breathe.
C) report concerns about excessive sweating.
D) exhibit no outward signs of disease.
A) have shortness of breath.
A therapist treating a client with illness anxiety disorder repeatedly shows the client how the client’s body is less than perfect,while not allowing the client to seek medical attention.MOST likely,this therapist’s viewpoint is:
A) cognitive-behavioral.
B) psychodynamic.
C) biological.
D) sociocultural.
A) cognitive-behavioral.