DSM 5 Test B Flashcards
review missed items from first go at DSM 5 Practice Test B
- Reactance describes:
- a client’s behavior that inhibits the progress of therapy.
• - emphasizing undesirable thoughts and behaviors.
• - refusing to comply with a suggestion.
• - turning back onto oneself what one wants to do to others.
- refusing to comply with a suggestion.
Reactance, a concept in persuasion and attitude change, occurs when people feel pressured by a message and increase their resistance to persuasion. Response 1 describes resistance. Response 4 describes retroflection, a type of boundary disturbance in Gestalt therapy.
- A researcher is interested in how well IQ predicts success in high school (high school GPA). She selects a random sample of 8th graders. The standard error of measurement is:
• - the average amount of error in predicting each subject’s high school GPA.
• - the average amount of error in calculating each subject’s IQ score.
• - the average amount of error in the group’s mean IQ score.
• - the average amount of spread in the group’s IQ scores.
Correct Answer: 2. the average amount of error in calculating each subject’s IQ score.
Feedback: The standard error of measurement is the average amount of error in each person’s IQ score, as measured by the IQ test. The average amount of error in prediction (Response 1) describes the standard error of the estimate. The average amount of error in the group’s mean (Response 3), in relation to the population mean, is the standard error of the mean. The average amount of spread of IQ scores (Response 4) is the standard deviation of the IQ scores.
7. A child who has suffered from chronic otitis media would most likely show a depressed score on which subtest of the WISC-IV? • 1. Arithmetic. • 2. Digit span. • 3. Vocabulary. • 4. Matrix reasoning.
Correct Answer: 3. Vocabulary.
Feedback: Children with chronic middle ear infections (chronic otitis media) often demonstrate long-term deficits in language capacities, such as vocabulary. In fact, the entire verbal comprehension factor will often be depressed on the WISC-IV (this factor includes similarities, vocabulary, comprehension, and the optional tests of information and word reasoning). Arithmetic (Response 1) and digit span (Response 2) load on the working memory factor, and are more likely to be affected by acute hearing infections rather than chronic ones. Matrix reasoning (Response 4) loads on the perceptual reasoning factor and would be comparatively unimpaired by ear infections. One way to approach this question is to recognize that arithmetic and digit span tap similar abilities (e.g., auditory processing, attention, concentration) and therefore it is somewhat unlikely that one would be influenced by ear infections without the other being similarly influenced.
8. What do Wernicke's aphasia, Broca's aphasia, and conduction aphasia have in common? • 1. Impaired fluency. • 2. Impaired verbal prosody. • 3. Impaired comprehension. • 4. Impaired repetition of verbal tasks.
- Impaired repetition of verbal tasks.
question is asking which impairment is common to all three types of aphasia.
Wernicke’s aphasia- speak in meangingless sentences, decreased language comprehension, able to speak fluently, intact verbal prosody. Would have difficulty repeating a verbal task.
Broca’s aphasia- severe difficulties in articulation, changes in prosody, and some problems in comprehension.
Conduction aphasia- intact comprehension, fluency, and prosody. The connection/pathway between Wernicke’s (reception) and Broca’s (articulation) is damaged, so cannot repeat words that they hear.
What is prosody?
Prosody refers to the rhythmic and intonational aspect of language
14. You are referred a chronic pain patient for testing. The physician reports that the patient has more pain than would be expected for his injury. After administering a battery of tests, you report that he does not have any Axis I disorders, and appears well-adjusted except that he reports a lot of pain. Given your report, the physician is most likely to prescribe: • 1. an anti-psychotic drug. • 2. an anti-depressant drug. • 3. an anxiolytic. • 4. a narcotic painkiller.
- An anti-depressant drug
Chronic pain responds well to anti-depressant medication, but mechanism is unclear. Effects on pain seem to be independent of effects on depression symptoms.
Older tricyclics like Elavil (amitriptyline) have long history of effectiveness.
SSRIs- unclear if these are effectie in treating pain.
Antipsychotics- would be reserved for when pain appeared delusional. (but it is common for pts to have more pain than physicians think they should- so that does not make it delusional/psychotic)
Anxiolytics - s/t have role as muscle relaxants but not first line treatment for pain (Valium, Xanax)
Narcotic painkillers- used for tx of acute pain (e.g. pain lasting less than six months).
Once it is clear that pain is chronic rather than acute, emphasis is on use of non-narcotic pain management, and narcotics wouild only be used as last resort after trying all other options.
- Which of the following treatment approaches would be recommended for patients with factitious disorder?
• - Active confrontation, with the goal of getting the patient to admit to intentionally producing the symptoms.
• - Hypnosis and other methods of psychotherapy aimed to reveal the patient’s underlying unconscious conflicts.
• - Gentle confrontation, support, and collaboration.
• - Changing the behavioral contingencies so that the patient’s behavior no longer receives external incentives.
- Gentle confrontation, support, and collaboration
Factitious disorder
- symptoms are intentionally produced in the absence of external incentives.
- Goal is to assume the sick role.
- difficult to treat, no established treatment
The Merck Manual (2005) recommends that, “Patients with a factitious disorder should be confronted with the diagnosis without suggesting guilt or reproach. The physician must preserve the status of legitimate illness, while indicating that he and the patient can cooperatively resolve the underlying problem.”
Conversion Disorder
-symptoms are not intentionally produced, and are incompatible with recognized neurological or medical conditions.
-symptoms may be an expression of an underlying unconscious conflict.
pts present with one or more symptoms or deficits affecting voluntary motor or sensory function.
Malingering
deliberately feigning symptoms for external incentives
- Which of the following statements best addresses the ethical issues involved when a psychologist who is treating an incarcerated individual as a psychotherapy patient makes recommendations regarding parole?
• - A psychologist should not make parole recommendations for an incarcerated psychotherapy patient because it would constitute a potentially harmful multiple relationship.
• - A psychologist should not accept an incarcerated individual as a psychotherapy patient if the psychologist will be asked to make parole recommendations, because it is impossible to secure informed consent without coercion.
• - It is usually considered ethically acceptable for psychologists to make parole recommendations for incarcerated psychotherapy patients.
• - Psychologists may make parole recommendations for incarcerated psychotherapy patients, as long as an assessment of dangerousness is not required, because assessments of dangerousness have inadequate validity and reliability.
- It is usually considered ethically acceptable for psychologists to make parole recommendations for incarcerated psychotherapy patients.
- According to the 2002 APA Ethics Code, when psychologists enter into a multiple relationship with a client, they:
- According to the 2002 APA Ethics Code, when psychologists enter into a multiple relationship with a client, they:
• - are acting unethically.
• - must get informed consent.
• - must make sure that there is no impairment to the therapy and that no harm will befall the client.
• - must exercise reasonable care.
- must make sure that there is no impairment to the therapy and that no harm will befall the client.
26. Which of the following is generally considered to be the best treatment for agoraphobia? • 1. Exposure. • 2. Systematic desensitization. • 3. Implosive therapy. • 4. Operant extinction.
- Exposure.
What is systematic desensitization?
gradual exposure to feared stimuli whil using relaxation strategies. effective in treatment of specific phobias
What is implosive therapy?
involves exposure in imagination only, includes exploration of psychosexual themes
What leads to/causes operant extinction?
withholding reinforcement
27. During which period of prenatal development is vulnerability to the effects of teratogenic agents greatest? • 1. The first eight weeks. • 2. The middle trimester. • 3. The third trimester. • 4. Just prior to birth.
- The first eight weeks.
What is a teratogen?
an agent that can cause birth defects. Examples = medications, viruses, radiation
29. A patient presents with obsessive-compulsive disorder, multiple motor tics, and one vocal tic. The neurological basis for this patient's problems can probably be found in the: • 1. temporal lobes. • 2. amygdala. • 3. prefrontal cortex. • 4. basal ganglia.
- basal ganglia.
Basal Ganglia typically involved in initiation of movement.
Tourette’s disorder- caudate nucleus is smaller and predictive of tic severity. substantia nigra, ventral striatum, & globus pallidus are also implicated
Basal Ganglia
group of nuclei deep in the brain that are involved in the initiation of movement.
- caudate nucleus, putamen, substantia nigra, globus pallidus, and subthalamic nucleus)
- receive instructions from prefrontal cortex
Prefrontal Cortex
foremost section of the frontal lobes, sometimes referred to as the “executive center” of the brain.
. When working with a Hispanic American male client, it is most important to:
•
1. speak Spanish.
•
2. recognize the importance of machismo.
•
3. identify the client’s level of acculturation.
•
4. use only culture-fair psychological tests.
- identify the client’s level of acculturation.
34. A father nods and smiles at his daughter as he is teaching her to tie her shoelaces. His nods and smiles are an example of a: • 1. discriminative stimulus. • 2. primary reinforcer. • 3. secondary reinforcer. • 4. generalized conditioned reinforcer.
- secondary reinforcer.
What is a secondary reinforcer?
something that acquires reinforcing value only through experience
What is a primary reinforcer?
reinforcers that reinforce everyone naturally, regardless of things like age or culture (e.g. food)
What is a generalized conditioned reinforcer?
reinforcers that have reinforcing value because they provide access to other reinforcers (e.g. money, tokens)
What is a discriminative stimulus?
a stimulus that signals whether reinforcement or punishment will be given
35. A psychologist is asked to go into an assisted living community and redesign it to enhance interaction among residents. This is an example of: • 1. primary prevention. • 2. secondary prevention. • 3. tertiary prevention. • 4. preventative intervention.
- tertiary prevention.
Why?
Tertiary prevention involves reducing residual effects or optimizing functioning of pts with a chronic condition. Here goal is optimizing functioning of residents who are presumably already old/isolated, so trying to improve quality of life rather than curing the disease (secondary prevention) or preventing it before it can develop (primary prevention)