DSM 5 Test C Flashcards
- Which of the following would most likely reduce subsequent hospitalizations for patients with schizophrenia?
- Removal of the patient from the family and placement in a structured environment.
- Employment for the patient.
- Improvement in communication within the family.
- Ongoing support for family members.
Correct Answer: 3. Improvement in communication within the family.
Feedback: This question is referring to the phenomenon of expressed emotion (EE) and its relationship to mental illness. Research has found that a high level of EE in families tends to result in greater incidence of relapse in cases of schizophrenia. EE is manifested by a critical, hostile and emotionally over-involved communication style between family members. While it may seem that removal from such a family (Response 1) might be helpful, it would be better to help family members develop a more supportive communication style so the patient can benefit from the positive aspects of family involvement. While ongoing support for family members (Response 4) is generally recommended when patients suffer from chronic mental illness, family support, in and of itself does not reduce relapse rate. Employment (Response 2) is a very good predictor of prognosis (outcome), yet employment does not reduce further hospitalizations.
7. Which of the following theories is an expansion of Maslow's work? 1. ERG theory. 2. Two-Factor theory. 3. Acquired needs theory. 4. VIE theory.
Correct Answer: 2. Two-Factor theory.
Feedback: Herzberg’s Two-Factor Theory is an extension of Maslow’s work, and divides Maslow’s five needs into upper level needs (motivators) and lower level needs (hygiene factors). Although ERG theory (Response 1) is also based on Maslow’s theory, it is not really an expansion, but rather a modification. For example, ERG theory includes three needs (existence, relatedness and growth), which are not arranged hierarchically. The theory includes the notion of frustration-regression, and also posits that satisfying a need can make the need even stronger. Acquired needs theory (Response 3) is based on McClelland’s experiments with the TAT, and includes three work-related needs: nAch, nAff, and nPow. Vroom’s VIE theory (Response 4) asserts that people will behave in ways that are based on their perceived expectancy of success and rewards.
10. Which of the following is a criterion-based score? 1. Percentile. 2. Percentage. 3. Standard score. 4. IQ score.
Correct Answer: 2. Percentage.
Feedback: A criterion-based or criterion-referenced score describes how a person did in relationship to some external criterion. Percentage correct tells us exactly how well the person did on the test, or how much of the criterion was mastered. By contrast, norm-referenced scores only give us information on how a person did relative to other test takers; they say nothing about how much of the criterion was mastered. Percentile ranks (Response 1), standard scores (Response 3) and IQ scores (Response 4) are all norm-referenced scores.
16. Jane believes that her car accident was the other driver's fault, but blames David's car accident on his driving style. This is an example of: 1. a self-serving bias. ? 2. an actor-observer bias. 3. the fundamental attribution error. 4. self-perception theory.
Correct Answer: 2. an actor-observer bias.
Feedback: According to the actor-observer bias, when faced with a negative outcome, people attribute their own actions to situational factors but attribute the behavior of others to dispositional factors. In this question, Jane attributes her car accident to a situational factor (the other driver hitting her), but attributes David’s accident to a dispositional factor (David’s own driving style). The self-serving bias (Response 1) occurs when one attributes one’s own successes to dispositional factors, while attributing one’s own failures to situational factors. The fundamental attribution error (Response 3) refers to a bias toward attributing the behavior of others to dispositional causes, while underestimating the role of situational variables. This bias does not address attributions made about the self. Self-perception theory (Response 4) is a theory about attitudes, and states that people infer their attitudes from watching their own behavior.
- Research on altruism in children has found that all of the following child-rearing practices contribute to the development of altruism in children except:
- encouragement of autonomy.
- assignment of responsibility.
- modeling of positive behaviors.
- inductive discipline.
Correct Answer: 1. encouragement of autonomy. Feedback: Research on altruism in children has found that parental child-rearing practices that include assignment of responsibility, modeling of positive behaviors, and inductive discipline (Responses 2, 3, and 4), contribute to the development of altruism. Inductive discipline involves the parent calling the child’s attention to the negative consequences for others of the child’s bad behavior, mobilizing in the child both empathy for others as well as recognition of responsibility for his/her own actions. Encouragement of autonomy (Response 1) has not been found to contribute to the development of altruism.
- Which of the following demographics are most highly correlated with suicide?
- White, male, middle SES.
- Minority, male, low SES.
- White, male, low SES.
- White, female, low SES.
Correct Answer: 1. White, male, middle SES.
Feedback: Individuals with middle to high socioeconomic status (SES) are more likely to commit suicide than those who are low SES. Also, white males are more likely to commit suicide than minorities or females.
- Damage to the parietal lobe would most likely result in problems with:
- vision.
- hearing.
- touch.
- executive functions.
Correct Answer: 3. touch.
Feedback: The parietal lobes are involved with somatosensory processing, including light touch, pain, temperature, and proprioception. The primary visual cortex (Response 1) is in the occipital lobe. The primary auditory cortex (Response 2) is in the temporal lobe. Executive functions (Response 4) such as judgment and planning are associated with the frontal lobes.
- Which of the following is most likely to be the correlation of the IQ scores of two sisters?
- .10.
- .25.
- .50.
- .75.
Correct Answer: 3. .50.
Feedback: The correlation of IQ scores for siblings reared together is about .50. For siblings reared apart, the correlation drops to approximately .25 (Response 2). The correlation for identical twins is about .75 (Response 4). The correlation of IQ scores of parent and child is between .40 and .45.
- Frame-of-reference (FOR) training is used to:
- reduce ratee-based sources of error.
- reduce the halo effect.
- improve the accuracy of performance ratings.
- eliminate unfair discrimination.
Correct Answer: 3. improve the accuracy of performance ratings.
Feedback: Frame-of-reference (FOR) training is used to improve the accuracy of performance ratings. FOR training provides raters with common performance standards (references) to help raters become clear on what constitutes “good” and “bad” behavior. This type of training also tends to improve agreement among raters. Such training may in fact reduce ratee-based sources of error (Response 1), such as personal biases and the halo effect (Response 2); it may also decrease the effect of biases that lead to unfair discrimination (Response 4), but the goal of FOR training is broader than the elimination of any one specific source of error.
- An employee is referred to you through an EAP program by his supervisor. Two weeks later the supervisor asks you whether that employee has made an appointment with you, and if so, what was discussed. You should:
- answer the question about attendance but not about session content.
- answer the question about attendance and session content.
- not answer any questions because the employee is entitled to a confidential relationship.
- answer questions only if the employee’s job is dependent on attending the sessions.
Correct Answer: 1. answer the question about attendance but not about session content.
Feedback: Employees are often under the false impression that EAP therapy relationships are fully confidential. A supervisor who may have even casually suggested an employee contact an EAP program is entitled to know what visits were made. The supervisor, however, is not entitled to know the content of such visits.
- A physician would be likely to take the greatest care in prescribing a tricyclic antidepressant to someone with:
- schizophrenia.
- panic disorder.
- chronic pain.
- bipolar disorder.
Correct Answer: 4. bipolar disorder.
Feedback: Both panic disorder (Response 2) and chronic pain problems (Response 3) may be treated prophylactically with tricyclic antidepressants. There is little concern in prescribing a tricyclic antidepressant to someone who has schizophrenia (Response 1) and is depressed. The most significant concern in prescribing a tricyclic antidepressant is for someone who has bipolar disorder, because a tricyclic can potentially trigger a manic episode. There is need for caution with the SSRIs and MAOIs as well; these antidepressants can also potentially trigger a manic episode in someone with bipolar disorder.
- In which of the following situations would a researcher most likely decide to use an ANCOVA (Analysis of Covariance)?
- When in designing a study an extraneous variable is anticipated.
- When unexpected differences are uncovered among treatment groups with regard to an extraneous variable.
- To remove the effects of an extraneous variable in the correlation of two continuous variables.
- To transform a moderator variable into another IV.
Correct Answer: 2. When unexpected differences are uncovered among treatment groups with regard to an extraneous variable.
Feedback: The ANCOVA is similar to the analysis of variance (ANOVA), with an additional element of co-varying out an extraneous variable, a variable that correlates with the outcome measure. An ANCOVA is typically most appropriate only when the extraneous variable is unanticipated. If the variable is anticipated (Response 1), it should be accounted for directly in the research design, usually through a randomized block ANOVA. A randomized block ANOVA transforms an extraneous variable, one that moderates the relationship between the IV and DV, into another IV to be studied (Response 4). In this way, interaction effects can also be studied and more information is yielded than in an ANCOVA. You might have been able to eliminate Response 3 by recognizing that the correlation of two continuous variables deals with correlation coefficients, not variations of the ANOVA, which are tests of difference. Removing the effects of an extraneous variable in a correlation (Response 3) is the definition of partial correlation.
- According to psychoanalytic theory, mania:
- is a defense against depression. ???
- involves an eruption of id impulses into the ego.
- involves a collapse of the superego.
- is a regression from the paranoid-schizoid position to the depressive position.
Correct Answer: 1. is a defense against depression.
Feedback: To answer this question correctly, you would either need to be familiar with psychoanalytic theory, or you might be able to guess by thinking about your own clinical experience. Manic or hypomanic behavior can mask an underlying depression. An eruption of id impulses into the ego (Response 2) would result in anxiety and an attempt at bolstering defense mechanisms. Response 4 refers to Melanie Klein’s work but actually reverses the sequence of positions. Klein posited that the paranoid-schizoid position comes first and is followed by the depressive position.
- The brain wave that is most prominent as you are taking this practice test is:
- alpha.
- beta.
- delta.
- theta.
Correct Answer: 2. beta.
Feedback: Beta waves are present during alert activity (and we hope you’re alert as you take this practice test!). Alpha waves (Response 1) occur when a person closes his eyes and relaxes. Delta waves (Response 3) occur during deep sleep (stages 3 and 4). As the individual drifts into Stage 1 sleep, there is a predominance of theta waves (Response 4).
- Which of the following statements best represents George Kelly’s Personal Construct Theory?
- People experience the world as unified meaningful wholes, not as affective or cognitive fragments.
- People tend to make dispositional explanations for the behavior of others, while they make situational explanations for their own behavior.
- People experience the world based on their anticipation of future events, which in turn is based on their past experience.
- People are motivated to change their thinking when they experience awareness of inconsistency among their constructs.
Correct Answer: 3. People experience the world based on their anticipation of future events, which in turn is based on their past experience.
Feedback: George Kelly is known for describing ordinary people as scientists, who are constantly forming, testing, and revising hypotheses about the world around them. His Personal Construct Theory is based on the fundamental postulate that “a person’s processes are psychologically channelized by the ways in which he anticipates events,” meaning that we perceive the world according to what we expect to see. According to Kelly, these expectations are based on our past experiences. As our experiences change, we revise our expectations. Gestalt theory posited that people experience the world in whole, not affective or cognitive fragments (Response 1). The tendency to attribute negative outcomes to dispositional factors in others, while attributing these same negative outcomes to situational factors in ourselves, defines the actor-observer bias (Response 2). Cognitive Dissonance theory posits that people change their attitudes to match their behavior because they experience dissonance when they become aware of inconsistencies among their cognitions (Response 4).
- The current trend in organizations is toward:
- hierarchical organizational structure and increasing centralization.
- multidimensional organizational structure and increasing centralization.
- hierarchical organizational structure and decreasing centralization.
- multidimensional organizational structure and decreasing centralization.
Correct Answer: 4. multidimensional organizational structure and decreasing centralization.
Feedback: Centralized communication networks (Responses 1 and 2) are like a wheel or a chain, with one person in the middle who gets all the information. In decentralized communication networks, all members communicate with one another. Overall, the management trend is toward more decentralization. There are four common organizational structures: 1) traditional, also known as hierarchical, is the typical bureaucracy; 2) project, is centered on specific products or services; 3) team, is centered on work teams or groups that report to upper level managers; and 4) multidimensional, which involves more than one type of structure (e.g., both traditional and team). Overall, the trend is away from traditional organizational structure and toward broadly sharing authority and decision-making power.
- In the DSM-5, personality disorders:
- are coded on Axis II, while other mental disorders are coded on Axis I.
- are diagnosed based on a categorical model.
- are diagnosed based on a dimensional model.
- are not diagnosed in children.
Correct Answer: 2. are diagnosed based on a categorical model.
Feedback: The DSM-5 moved to a nonaxial documentation of diagnosis, eliminating Axis I – Axis V (ruling out Response 1). The diagnostic approach of the DSM-5 represents a categorical perspective (Response 2, correct answer); as applied to personality disorders that would imply that personality disorders are qualitatively distinct clinical syndromes. In Section III of the DSM-5, emerging measures and models, an alternative DSM-5 model for personality disorders based on a dimensional model is described (Response 3). The DSM-5 notes that personality disorders may be diagnosed in children and adolescents (Response 4), with the exception of antisocial personality disorder which cannot be diagnosed in individuals younger than age 18.
- In a chi-square test, measuring subjects twice (pre-intervention and post-intervention) results in a violation of:
- homoscedasticity.
- normality.
- random assignment.
- independence.
Correct Answer: 4. independence.
Feedback: The chi-square test requires independence of observations, thus you cannot measure subjects twice or use any kind of repeated measures. Because the chi square test is non-parametric, it does not require normality (Response 2) or homoscedasticity (Response 1). Random assignment (Response 3) is not a concern here. Random assignment is the hallmark of true experimental research; the lack of random assignment in a quasi-experimental design can pose a threat to internal validity.
- For many people, mid-life is characterized by:
- an increasing preoccupation with death.
- a shift in perspective from “time since birth” to “time until death.”
- a crisis in identity and values.
- no significant changes for people who are generally happy.
Correct Answer: 2. a shift in perspective from “time since birth” to “time until death.”
Feedback: This question refers to Levinson’s theory expressed in his book Seasons of a Man’s Life. According to this theory, mid-life is characterized by an awareness of one’s mortality, and the time that one has left to live. This is different from a preoccupation with death itself (Response 1), which a person of any age could experience. A crisis in identity and values may occur in mid-life, though this could also occur at another age as well (e.g., a crisis over one’s sexual identity). Response 4 is incorrect; even happy people typically have concerns about getting older.
- The case of Larry P. v. Riles most directly dealt with:
- racial and cultural biases in IQ testing for job candidates.
- racial and cultural biases in IQ testing for school children.
- equal educational opportunities for all children.
- hospital privileges for psychologists.
Correct Answer: 2. racial and cultural biases in IQ testing for school children.
Feedback: Larry P. v. Riles argued that use of IQ tests resulted in the placement of a disproportionate amount of minority students in classes for the educable mentally retarded (EMR). Griggs v. Duke Power Company (1971) dealt with biases in testing in industry (Response 1). Equal educational opportunities (Response 3) were the focus of Brown v. Board of Education (1954). Hospital privileges for psychologists in California resulted from CAPP v. Rank (1990).
- Infant tests of intelligence are:
- good predictors of intelligence in later years.
- poor predictors of intelligence in later years.
- good predictors of intelligence in later years for high scorers.
- good predictors of intelligence in later years for low scorers.
Correct Answer: 4. good predictors of intelligence in later years for low scorers.
Feedback: Infant intelligence tests are generally not reliable predictors of intelligence in later years, primarily due to the fact that they assess areas (e.g. sensorimotor functioning) that are not covered in child or adult intelligence tests. However, they are good predictors of intelligence in later years for those who are low scorers. This finding makes intuitive sense, in that if an infant has not mastered tasks and functions appropriate for his age, it is unlikely that he or she will perform well in intelligence tests in later years.
- Which of the following statements best summarizes a psychologist’s responsibility when using animals in research?
- Psychologists ensure the humane treatment of animals and not subject them to pain or death.
- Psychologists may only use animals in research when alternative methods are unavailable and it is justified by the prospective value of the research.
- Psychologists must ensure the humane treatment of animals and only subject them to pain or death if alternative methods are unavailable and it is justified by the prospective value of the research.
- Psychologists must make reasonable efforts to minimize the pain and discomfort of animals.
Correct Answer: 3. Psychologists must ensure the humane treatment of animals and only subject them to pain or death if alternative methods are unavailable and it is justified by the prospective value of the research.
Feedback: Section 8.09 of the APA’s Ethical Principles of Psychologists and Code of Conduct (2002) describes several responsibilities of psychologists when using animals in research. Psychologists must ensure than animals are treated humanely. Animals may be subjected to pain, stress and even death (ruling out Response 1) but only under two conditions: 1) alternative methods are not available; and 2) the pain is justified by the prospective value of the research. These conditions are not the requirements for using animals in general (ruling out Response 2). It is true that reasonable efforts must be made to minimize the pain and discomfort of animals (Response 4), however, this requirement is not the best summary of a psychologist’s overall responsibilities.
- Cuento therapy involves incorporation of:
- Spanish language folktales.
- anatomically correct dolls with children who are incest survivors.
- curanderos (folk healers).
- music and movement into therapy.
Correct Answer: 1. Spanish language folktales.
Feedback: What?! You haven’t heard of Cuento therapy? You may have been able to narrow down the Responses to 1 and 3 because “Cuento” sounds Spanish. Developed by Malgady, Rogler and Costantino (1990), and originally studied with Puerto Rican clients, Cuento therapy use Spanish-language folktales in which positive models are presented to children and adolescents to help them address problem areas such as anxiety, low self-esteem, acculturative stress, and acting out.
- A key principle underlying Montessori schools is that:
- cognitive development is enhanced by social learning and development.
- cognitive development is enhanced by exposure to sensory-motor stimuli.
- children should not be pushed to excel, that they will perform best without pressure.
- learning will be optimized if children are grouped with others of varying age and ability levels.
Correct Answer: 2. cognitive development is enhanced by exposure to sensory-motor stimuli.
Feedback: Although all of the responses to this question describe elements of Montessori schooling, the key principle underlying Montessori schools is that maximum learning comes from manipulation of materials (sensory-motor stimuli), rather than through traditional classroom instruction and rote learning. Children in Montessori schools are grouped with peers of different ages and abilities (e.g., 3 to 5 year-olds, 6 to 9 year-olds, and 10 and up), because it is believed that the older children can facilitate learning in the younger ones. Thus, over the years of their schooling children have the experience of being the youngest and later of being the oldest. Children are not pushed to excel, but rather are encouraged to perform at their potential, with learning goals that are individually tailored.
- According to APA’s 2007 Record Keeping Guidelines, in the absence of superseding requirements, psychologists may:
- retain a full set of records for three years, and a partial set of records for an additional 12 years.
- retain a full set of records on all patients for seven years after the last date of service delivery.
- retain a full set of records for adults for seven years after the last date of service delivery, and for minors retain a full set of records for either seven years after the last date of service or three years after the minor reaches the age of majority whichever is later.
- retain a full set of records for adults for seven years after the last date of service delivery, and for minors retain a full set of records for seven years after the minor reaches the age of majority.
Correct Answer: 3. retain a full set of records for adults for seven years after the last date of service delivery, and for minors retain a full set of records for either seven years after the last date of service or three years after the minor reaches the age of majority whichever is later.
Feedback: APA’s 2007 Record Keeping Guidelines note that in the absence of superseding guidelines (e.g., state law) psychologists may retain a full set of records for adults for seven years after the last date of service delivery, and for minors psychologist may retain a full set of records for either seven years or three years after the minor reaches the age of majority whichever is later.
- Biofeedback involves which of the following?
- Operant conditioning and the sympathetic nervous system.
- Operant conditioning and the parasympathetic nervous system.
- Classical conditioning and the sympathetic nervous system.
- Classical conditioning and the parasympathetic nervous system.
Correct Answer: 1. Operant conditioning and the sympathetic nervous system.
Feedback: In biofeedback, the patient is given feedback about the status of certain biological functions, and is taught to regulate them through either visual or auditory reinforcement. In this sense, biofeedback involves operant conditioning of biological functions. Furthermore, in biofeedback, the patient regulates involuntary functions of the sympathetic branch of the ANS, with the goal of decreasing sympathetic arousal.
- A fear is classically conditioned to a previously neutral stimulus. When the conditioned stimulus is paired with a second neutral stimulus, the person will experience:
- more fear as compared with both the unconditioned stimulus and the first neutral stimulus.
- less fear as compared with both the unconditioned stimulus and the first neutral stimulus.
- less fear as compared with the unconditioned stimulus and more fear as compared with the first neutral stimulus.
- no fear, since this is backward conditioning.
Correct Answer: 2. less fear as compared with both the unconditioned stimulus and the first neutral stimulus.
Feedback: This scenario describes higher-order conditioning. In general, a conditioned response is of less intensity and magnitude than an unconditioned response. Furthermore, a higher-order conditioned response is of even less magnitude than the original conditioned response. This scenario does not describe backward conditioning, which involves presenting a US first, followed by the neutral stimulus (Response 4).
- According to nigrescence models, the deracinated person is most likely to be in which of the following stages?
- Preencounter.
- Encounter.
- Immersion-emersion.
- Internalization.
Correct Answer: 1. Preencounter.
Feedback: A person is thought to be deracinated (without race) when he views being Black as an obstacle, and strongly prefers the dominant culture’s values. These characteristics are most closely associated with the first stage of Cross’s model, preencounter (called conformity in other models). Encounter (also known as dissonance) is the second stage and involves conflict between old self-deprecating attitudes and newly emerging appreciating attitudes (Response 2). In immersion-emersion, (also called resistance and immersion), there is generally a strong identification with the minority group, and rejection of the values of the dominant culture (Response 3). In the final stage of internalization (also called integrative awareness), there is an acceptance and valuing of the self as well as the dominant culture (Response 4).
- What is the basis of Edgar Schein’s career model?
- Career Anchors.
- Career Rainbow.
- Technical/Functional Competence.
- Personality-Job Fit.
Correct Answer: 1. Career Anchors.
Feedback: Schein developed a theory of Career Anchors according to which a person’s self-concept acts as an anchor, or stabilizing force, determining what future occupational decisions will be made. His research showed that people’s self-concepts or “career anchors” revolved around one of eight categories: autonomy/independence, security/stability, technical/functional competence (Response 3), general managerial competence, entrepreneurial creativity, service/dedication to a cause, pure challenge, and lifestyle. Donald Super’s theory revolves around the Career Rainbow (Response 2). John Holland developed a theory of Personality-Job Fit (Response 4).
- The greatest benefit to the company from implementing flextime is:
- improved physical and mental health of employees.
- decreased tardiness and absenteeism.
- increased morale and quality of work.
- increased morale and quantity of work.
Correct Answer: 2. decreased tardiness and absenteeism.
Feedback: The findings on the benefits of flextime are mixed. While some say it increases morale and productivity, it has most consistently been associated with decreased tardiness and absenteeism.