Exam 4 Flashcards

1
Q
  1. A research study using an ABAB design involves the following elements in sequence:
    a. treatment, baseline, treatment, baseline
    b. baseline, treatment, baseline, treatment
    c. baseline, intervention in setting A, baseline, intervention in setting B
    d. baseline for group A, treatment for group A, baseline for group B, treatment for group B
A
  1. B– An ABAB design is a type of single-subject design. It is also an example of a reversal design – a baseline measure of a behavior is obtained (the “A” phase), the behavior is again measured after a treatment is administered (the “B” phase), the treatment is removed or reversed and the behavior is again measured (the second “A”), and the behavior is again measured after the treatment is re-applied (the second “B”). Choices C and D are examples of multiple baseline designs. Multiple baseline designs do not involve withdrawal of treatment, but rather, apply the treatment to multiple settings (multiple baseline across settings) or to the same behavior of different subjects (multiple baseline across subjects).
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2
Q
  1. A psychologist is planning to retire in the next few months and has been decreasing her caseload. One of the psychologist’s former clients, who had terminated a few months earlier, phones the psychologist and reports having suicidal thoughts. The psychologist should:
    a. inform the client that she is retiring and that she cannot accept any clients
    b. refer the client to a colleague immediately
    c. meet with the client until the client no longer needs treatment
    d. meet with the client until the situation is stabilized and then refer
A
  1. D– Although this question is referring to a former client, due to the potential danger for a suicidal client, the most appropriate action would be to meet with the client until the situation is stabilized and then refer.
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3
Q
  1. In working with a triangulated family, a structural family therapist would
    a. work with the most differentiated family members in order to reduce their emotional reactivity.
    b. use a paradoxical intervention by taking steps to increase the family’s initial level of triangulation.
    c. train the family in communication skills and techniques.
    d. upset the family’s balance by blocking the family from its normal interactional pattern.
A
  1. D– Minuchin, the founder of structural family therapy, defines triangulation as a family boundary problem in which each parent demands that the child side with him or her against the other parent. According to Minuchin, the therapist’s goal in this and other situations in which parents attempt to deflect conflict onto children is to restructure the parent-child and spousal subsystems so they function correctly. This involves introducing some stress into the family system to upset the family’s balance and block the family from its normal way of interacting. For example, Minuchin describes strategies such as prohibiting children from talking about symptomatic behavior with their parents, rewarding parents for their capacity to nurture and support each other, and restructuring the parents in a coalition against their child.
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4
Q
  1. On the WISC-III, “freedom from distractibility” is measured using which of the following subtests?
    a. Digit Span and Digit Symbol
    b. Arithmetic and Digit Span
    c. Picture Completion and Picture Arrangement
    d. Coding and Arithmetic
A
  1. B– The freedom from distraction factor measures distractibility, concentration, and short-term memory. On the WISC-III, this factor is assessed with the Arithmetic and Digit Span subtests.
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5
Q
  1. According to Erik Erikson, an adolescent who is unsuccessful in resolving the identity vs. identity confusion psychosocial conflict will exhibit:
    a. fidelity
    b. repudiation
    c. mainstream behaviors
    d. hopelessness
A
  1. B– According to Erikson, adolescents who are unsuccessful in resolving the identity vs. identity confusion stage experience either the extreme of “fanaticism” or “repudiation.” Fanaticism occurs when the person becomes overzealous in identification to a particular role to the point that he or she is intolerant of others. Repudiation is the other maladaptive tendency in which the adolescent compensates for a lack of identity by fusing with a group that eagerly provides its members with details of an identity: religious cults, military organizations, or hate groups. The adolescent repudiates his or her membership in the world of adults. Successful resolution of the conflict, on the other hand, results in the virtue Erikson called “fidelity” (A). Fidelity refers to loyalty, although not blind loyalty, to society’s standards.
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6
Q
  1. Which of the following is the most common functional disorder in the elderly?
    a. Delusional Disorder
    b. Depressive Disorder
    c. Dementia
    d. Bipolar Disorder
A
  1. B– To answer this question, it helps to know what the term “functional disorder” means. It is actually a somewhat outdated term: the DSM-III-R distinguished organic mental disorders, which are due to a known physiological cause, from functional disorders, which may or may not have a physiological component but are not directly caused by a known physiological factor. The DSM-IV divides what were previously called organic disorders into two categories: Mental Disorders Due to a General Medical Condition and Substance-Induced Disorders; disorders that don’t fit into either of these categories are called primary mental disorders. Anyhow, this question illustrates that you sometimes have to be familiar with terms that are no longer part of the “official” lingo. If you knew the meaning of the term functional disorder, you would have eliminated Dementia as a choice, since Dementia is always either due to the effects of a general medical condition or is substance induced (or, using the old language, is always an organic mental disorder). Of the remaining choices, the prevalence of Depressive Disorders in the elderly is 5-10%, the prevalence of Delusional Disorder is approximately 4%, and the prevalence of Bipolar Disorder is 1%. So “B” is the correct answer.
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7
Q
  1. According to the Ethics Code, under what condition is it acceptable to provide therapy to a former sex partner?
    a. under no condition
    b. when the sexual relationship ended at least two years ago
    c. when the sexual relationship ended at least two years ago and the therapist has determined that the previous relationship
    will not affect the ability to provide effective therapy
    d. when the therapist determines that the therapeutic relationship will be not be exploitative and is not clinically
    contraindicated
A
  1. A– This is covered by Standard 10.07 of the Ethics Code, which states that “Psychologists do not accept as therapy patients or clients persons with whom they have engaged in sexual intimacies.”
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8
Q
  1. You are treating a patient with both an AXIS I and an AXIS II diagnosis. You know that the insurance company is much more likely to pay for the AXIS I treatment. What should you do?
    a. Bill for AXIS I as the diagnosis; state that the AXIS II diagnosis is provisional.
    b. Just bill for AXIS I; at present there is not a successful treatment modality for AXIS II disorders
    c. Bill for both, but indicate that you are only seeking reimbursement for the AXIS I treatment
    d. Write a request to the insurance company providing a clinical rationale for treating both and bill accordingly
A
  1. D– The best choice when dealing with insurance companies is to behave ethically. Present a clear and complete diagnosis and an appropriate treatment plan. Bill for the stated service. Let the insurance company decide who pays for what.
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9
Q
  1. Psychoanalytic theory and ethology both emphasize
    a. critical periods.
    b. psychic determinism.
    c. the oedipal complex.
    d. imprinting.
A
  1. A– A critical period is a discrete time period during which an organism is particularly sensitive to environmental events that could influence its development one way or the other. Both ethology (the study of animals in their natural habitat) and psychoanalytic developmental theory emphasize critical periods. For example, Lorenz’s research found that the critical period for imprinting in geese is 2-3 days after they are born. And in Freud’s theory of development, the different stages (e.g., oral, anal) represent critical periods for successful or unsuccessful resolution of specific psychosexual conflicts.
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10
Q
  1. A 4-year-old girl cries when her teddy bear falls down the stairs. This is an example of:
    a. animism
    b. egocentrism
    c. magical thinking
    d. childhood schizophrenia
A
  1. A– Animism is the belief that inanimate objects have thoughts, feelings, and other lifelike qualities. Egocentrism (B) refers to thinking, observing, and judging things in relation to the self. Magical thinking (C), which is based on egocentrism, is the erroneous belief that one has control over objects or events. All of the above traits are normal in a preoperational child and do not indicate Schizophrenia (D).
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11
Q
  1. You are seeing a 15 year old girl in therapy. Prior to beginning treatment, you, the girl, and her parents agree that you will maintain the girl’s confidentiality and not discuss anything she reveals in therapy with her parents. In the first session you realize that the girl is very depressed, and during the fifth session she tells you that she wants to kill herself. Under these circumstances, you will:
    a. not contact her parents but have the girl sign a “no-suicide contract.”
    b. contact her parents only if they are unaware of the girl’s depressed state.
    c. contact her parents if you feel the girl is at high risk for attempting suicide.
    d. contact the child protective agency.
A
  1. C– Even though you’ve come to an agreement with the parents and the adolescent, the parents are still the holder of the privilege. Also, whenever someone is a threat to themselves, you have an obligation to take steps to protect them, even when this means violating confidentiality.
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12
Q
  1. Which of the following best describes the purpose of reframing in family therapy?
    a. It is a paradoxical technique designed to harness the family’s resistance in the service of positive behavioral change.
    b. It is designed to increase the family’s compliance with the therapist’s directives and the treatment plan in general.
    c. It is designed to restore the family’s homeostasis, or “balance.”
    d. It is designed to increase the family’s ability to differentiate intellectual from emotional functioning.
A
  1. B– Reframing is a technique of family therapy, especially structural and strategic family therapy. It involves relabeling or redefining a problem behavior in order to get the family to see it in a new light. For example, a therapist might tell a family that a child who frequently “talks back” is expressing insecurity and the need for love, rather than anger and disrespect. The purpose of reframing is usually to increase the family’s compliance with treatment. In the example given, reframing might increase the family members’ willingness to make changes in their own behavior, rather than focusing only on the identified patient.
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13
Q
  1. Recent research suggests that the best treatment for Generalized Anxiety Disorder is
    a. biofeedback.
    b. relaxation and graduated exposure.
    c. cognitive-behavioral therapy.
    d. a benzodiazepine.
A
  1. C– Once again, cognitive-behavioral therapy (CBT) has been found to be the most effective treatment, probably because it combines a number of behavioral and cognitive interventions.
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14
Q
  1. A significant finding for a one-way ANOVA indicates that the
    a. group means were different.
    b. sample means were different.
    c. population means were different.
    d. within-group variance was different.
A
  1. C– We use statistical tests to make inferences about a population. So if we have significant results, we assume that this represents what happens in the real world – that is, in the population.
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15
Q
  1. Research comparing the relationship between age and therapy outcome has produced mixed results. However, in their most recent meta-analysis of the research, Weisz and his colleagues (1995) found:
    a. no relationship between age and outcome.
    b. that therapy is more beneficial for children and adolescents than adults.
    c. that therapy is more beneficial for children than adolescents, especially among girls.
    d. that therapy is more beneficial for adolescents than children, especially among girls.
A
  1. D– Earlier meta-analyses of the outcome studies for children and adolescents found either no difference for adolescents and children or a slight superiority for children. In contrast, the more recent Weisz et al. meta-analysis found that therapy has better outcomes for adolescents than children, especially female adolescents and when the counselor is a professional or student (versus paraprofessional). Note that Weisz et al. didn’t compare outcomes for children and adolescents to outcomes for adults, but other meta-analyses suggest that adults do somewhat better.
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16
Q
  1. A manufacturing company hires a psychologist to screen job applicants using standardized cognitive ability tests. The company then asks the psychologist to train their human resources staff to administer and score the tests. The psychologist should:
    a. agree to do so if the psychologist is able to provide adequate training to the staff
    b. agree to do so if the psychologist is able to supervise the human resources staff
    c. refuse to do so because cognitive ability tests are not valid predictors of job performance
    d. refuse to do so because the human resources staff lacks the appropriate qualifications
A
  1. D– Ethical Standard 9.07 states, “Psychologists do not promote the use of psychological assessment techniques by unqualified persons.” A human resources staff would be unqualified to use these tests and should not be trained in their use. Contrary to C, cognitive ability tests are considered to be a relatively good predictor of job performance.
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17
Q
  1. When a person with deep dyslexia is presented with the written word “cat,” he is most likely to respond with which of the following?
    a. “tac”
    b. “dog”
    c. “at”
    d. “I don’t know”
A
  1. B– People with deep dyslexia exhibit a number of reading errors including semantic paralexia, which involves producing a response that is similar in meaning to the target word (e.g., dog for cat or arm for leg).
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18
Q
  1. Which of the “Big Five” personality traits is most associated with Antisocial Personality Disorder?
    a. low on neuroticism, low on agreeableness, and low on conscientiousness
    b. low on neuroticism, low on openness, low on extroversion
    c. high on neuroticism, low on agreeableness, and low on conscientiousness
    d. high on neuroticism, low on openness, low on agreeableness
A
  1. C– The Big Five personality traits: Openness, Conscientiousness, Extroversion, Agreeableness, and Neuroticism (“OCEAN”) have been matched with several of the personality disorders. Antisocial Personality Disorder was found to be associated with low scores in Agreeableness and Conscientiousness and generally higher scores in Neuroticism and Extroversion. Note that “neuroticism” is sometimes referred to as its opposite: “emotional stability”.
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19
Q
  1. Structural equation modeling is used to:
    a. classify participants into criterion groups based on their status or score on two or more predictors.
    b. to evaluate convergent and divergent validity.
    c. to identify homogeneous groups from a collection of observations.
    d. to evaluate predictive relationships between measured variables and latent factors.
A
  1. D– Structural equation modeling is a technique used to evaluate or confirm the cause-and-effect or hypothesized relationship between both measured and latent variables. Classifying participants into criterion groups based on their status or score on two or more predictors (a.) is referred to as discriminant function analysis. Convergent and divergent validity is evaluated (b.) using the multitrait-multimethod matrix. Cluster analysis (c.) is a method for grouping objects of similar kind into respective categories. It can be used to discover structures in data without providing an explanation/interpretation.
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20
Q
  1. A woman who has been abused by her husband comes to therapy. What would a family systems therapist do first in this case?
    a. invite the husband into therapy
    b. teach her how to manage her husband’s anger
    c. find out if the woman is currently safe from abuse and, if necessary, rehearse an escape plan with her
    d. explore patterns of abuse in her family of origin
A
  1. C– The key word in this question is “first.” The first concern in this case – for a systems therapist as well as any other therapist – is to ensure the client’s safety, and only choice C addresses this issue. If the client’s safety were not an issue, A would probably be the best answer, since systems therapists would focus on the whole system rather than its constituent parts. In other words, they would want to work with the couple rather than just one of the spouses. Choice D sounds like something an extended family systems (Bowenian) therapist would do. Although Bowen’s work is based on systems theory, so are many other schools of family therapy. Therefore, D is the third best answer – A, which applies more generally to systems theory, is better.
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21
Q
  1. Immigrant children who complete bilingual education programs, as compared to counterparts who are submerged in “English-only” education, end up
    a. more deficient in both the native language and in English.
    b. more proficient in the native language but more deficient in English.
    c. more deficient in the native language.
    d. at least equally proficient in English.
A
  1. D– Research investigating outcomes of quality bilingual education programs shows that immigrant children in these programs learn English and subject matter as well as or better than immigrants in English-only programs.
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22
Q
  1. Gould and Gross (1999) found neurogenesis, the formation of new neurons or nerve cells, in all of the following areas, except:
    a. the olfactory system
    b. the hippocampus
    c. the prefrontal region
    d. the striate cortex
A
  1. D– Traditionally it has been believed that no new neurons are added to the brain in maturity. In the last decade, evidence has accumulated for neurogenesis in several evolutionarily older parts of the brain such as the olfactory system and the hippocampus, which is believed to play role in memory formation. Gould and Gross, furthermore, identified neurogenesis in three areas of the cerebral cortex: 1) the prefrontal region, which controls executive decision making and short-term memory; 2) the inferior temporal region, which plays a crucial role in the visual recognition of objects and faces; and 3) the posterior parietal region, which is important for the representation of objects in space. The striate cortex, which handles the initial, and more rudimentary, steps of visual processing, had no sign of neurogenesis. (See: Gould, E., and Gross, C.G. (2002). Neurogenesis in Adult Mammals: Some Progress and Problems. The Journal of Neuroscience. 22, 619-623.)
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23
Q
  1. For children with Enuresis (Not Due to a General Medical Condition), the most likely co-diagnosis is:
    a. Major Depression
    b. Separation Anxiety Disorder
    c. Sleepwalking or Sleep Terror Disorder
    d. Specific or Social Phobia
A
  1. B– According to DSM-IV-TR, although the prevalence rates of some disorders are higher among children with Enuresis, most do not have a co-existing disorder. DSM lists Encopresis, Sleepwalking Disorder, and Sleep Terror Disorder as other disorders that are most likely to be present. (Note that Sleepwalking and Sleep Terror Disorders are the only disorders given that occur during sleep, which is also usually the case with Enuresis. Noticing this would have helped you pick the correct answer.)
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24
Q
  1. Which of the following is most appropriate for referring to a group of research participants?
    a. “borderlines”
    b. “disabled persons”
    c. “individuals confined to a wheelchair”
    d. “people who have cerebral palsy”
A
  1. D– According to APA’s Publication Manual (2001), authors should avoid perpetuating demeaning attitudes in their writing. It is recommended that people be put before their disabilities and not labeled as their disabilities. Thus, “borderlines” (A) would more accurately and sensitively be referred to as “people diagnosed with borderline personality disorder.” Similarly “disabled persons” (B) are better described as “people with (or who have) a disability.” Thus, choice D is appropriate. The phrase, “individuals confined to a wheelchair” (C) does put the people first; however, it is overly negative and suggests continued helplessness, which should be avoided. Instead, the manual recommends using emotionally neutral expressions, for example, “individuals who use a wheelchair.”
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25
Q
  1. To study attachment, a researcher has a mother of a one-year old stand on the deep side of the visual cliff, while the child is placed on the shallow side. The researcher finds that when a mother smiles, the child crosses to its mother, but, when the mother frowns, the child does not approach her and cries. This phenomenon is referred to as:
    a. social distancing.
    b. social referencing.
    c. social facilitation/inhibition.
    d. social comparison.
A
  1. B– Even if you had never heard of social referencing, you may have been able to pick the right answer by the process of elimination (i.e., hopefully, you know what social facilitation, social inhibition, and social comparison are since they are topics that could appear on the exam and are covered in the study materials; social distancing is a ficticious term). Social referencing is considered a sign of attachment between a child and its caregiver.
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26
Q
  1. Erikson proposed that psychosocial development continues throughout the lifespan. Successful resolution of the conflict of the final stage of development results in:
    a. formation of intimate relationships.
    b. participation in activities that promote the welfare of future generations.
    c. development of mature ego defenses.
    d. development of a sense of meaning.
A
  1. D– The final stage in Erikson’s theory of psychosocial development occurs in late adulthood and involves a conflict between integrity and despair. Successful resolution occurs when the individual gains “wisdom” and finds meaning in life.
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27
Q
  1. Dr. Que has recently started working with a family consisting of a mother, father, and five year old boy. The parents say the boy has become “impossible to manage” and they don’t know what to do to control him. Dr. Que believes he will get a better idea of the family’s dynamics if he is able to observe them at home. When he suggests this, the parents say that, because of their religious beliefs, they cannot allow this. Dr. Que should:
    a. refer the family to a therapist from the same religious background.
    b. impress upon the parents his need to observe them at home in order to best serve the interests of the child.
    c. determine if there is an alternative and mutually agreeable location for the observation.
    d. contact child protective services immediately.
A
  1. C– This type of situation is covered by ethical requirements related to cross-cultural counseling. (See, for example, APA’s Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations.) There’s certainly not any information given that warrants a call to child protective services. Also, it’s not necessary to make a referral, and it wouldn’t be a good idea to manipulate the parents into doing something they don’t want to do.
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28
Q
  1. The Drugs-R-Us company wants to compare the effectiveness of 3 new antidepressant medications. Patients with depression are randomly assigned to one of the three medications and depressive symptoms are measured at weeks 1, 6, and 12. Which type of research design would be most appropriate for this study?
    a. ABAB
    b. between subjects
    c. within subjects
    d. mixed
A
  1. D– A mixed research design has at least one between-subjects independent variable and at least one repeated measures variable (or within-subjects variable). Since this study is comparing the effects on three different groups of subjects (i.e., a between-subjects variable) combined with the use of a repeated measures (within-subjects) variable, it would be considered a mixed design. An ABAB design is a type of reversal design, in which a baseline measure of a behavior is obtained (the “A” phase), the behavior is again measured after a treatment is administered (the “B” phase), the treatment is removed or reversed and the behavior is measured again (the second “A”), and the treatment is then re-applied (the second “B”) and a final behavior measure is taken.
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29
Q
  1. Adding more items to a test would most likely:
    a. increase the test’s reliability
    b. decrease the test’s validity
    c. have no effect on the test’s reliability or validity
    d. preclude the use of the Spearman-Brown prophecy formula
A
  1. A– Lengthening a test, that is, adding more test items, generally results in an increase in the test’s reliability. For example, a test consisting of only 3 questions would probably be more reliable if we added 10 more items. The Spearman-Brown formula (D) is specifically used to estimate the reliability of a test if it were lengthened or shortened.
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30
Q
  1. Which of the following is the most valid predictor of post-divorce adjustment in children two years after the divorce?
    a. whether children got to live with the parent they wanted
    b. the degree to which parents fought before the divorce
    c. whether or not parents are engaged in ongoing conflict after the divorce
    d. how the children felt during the divorce process.
A
  1. C– Many researchers have noted that continued exposure of children to parental conflict – whether it be while their parents are married, during the divorce process, or after a divorce – is associated with a variety of adverse effects and is a very high risk factor for maladjustment.
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31
Q
  1. During the first of structural family therapy’s three steps, which of the following techniques is most useful?
    a. constructing a family map
    b. relabeling and reframing
    c. enactment
    d. tracking and mimesis
A
  1. D– Structural family therapy entails three overlapping steps: joining, evaluating/diagnosing, and restructuring. Joining is the initial step in structural family therapy. Tracking (identifying and using the family’s values, life themes, etc.) and mimesis (adopting the family’s behavioral and affective style) are methods used to join the family system. Constructing a family map (a.) is a technique used for the structural diagnosis of the family. Relabeling and reframing (b.) are restructuring techniques. Enactment (c.) is used to facilitate diagnosis and restructuring of the family.
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32
Q
  1. What is the most stressful thing about staying in a hospital for a child?
    a. Fear of death
    b. The hospital environment itself
    c. Separation from their parents
    d. The hospital food
A
  1. C– The most stressful thing about staying in a hospital for a child is separation from parents. Many hospitals are beginning to institute “sleeping rooms” for parents to spend the night in.
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33
Q
  1. Release of the sex hormones by the gonads depends on signals from the
    a. medulla
    b. amygdala.
    c. thalamus.
    d. hypothalamus.
A
  1. D– Once again, the hypothalamus is a “good guess” (and the correct response). One of the functions of the hypothalamus is to control the gonads through its influence on the pituitary gland.
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34
Q
  1. According to Berry’s acculturation model, marginalization is characterized by:
    a. low involvement in the mainstream culture.
    b. low involvement in both the mainstream culture and the minority culture.
    c. low involvement in the minority culture.
    d. low involvement in the mainstream culture and high involvement in the minority culture.
A
  1. B– Berry’s model of acculturation distinguishes between two dimensions – retention of the minority culture and maintenance of the majority culture. He proposes that these dimensions are independent, which means that a person can be high on one and low on the other; high on both; or low on both. Berry uses the term “marginalization” to describe the situation where a member of a minority group does not identify strongly with either culture.
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35
Q
  1. A person with Somatization Disorder is most likely to also have which of the following diagnoses:
    a. a Substance Abuse Disorder
    b. a Personality Disorder
    c. Schizophrenia
    d. Panic Disorder
A
  1. B– Somatization Disorder has several frequently occurring comorbid conditions. Research indicates that 61% of Somatization Disorder patients have one or more co-occurring personality disorders. The next most frequent co-diagnoses are Major Depression (55%), Generalized Anxiety Disorder (34%), and panic disorder (26%). Substance-Related Disorders are also frequently associated with Somatization Disorder, however, not as frequently as the above diagnoses. [See: G.O. Glabbard, Treatment of Psychiatric Disorders, Volume 2 (2nd ed.), Washington, DC, American Psychiatric Press, 1995].
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36
Q
  1. A number of books in the popular press have been written regarding the relationship between psychological factors and cancer. Which of the following statements best reflects the outcome of scientific studies of this issue?
    a. Psychological factors are related both to the onset of cancer and the success of recovery from it.
    b. Psychological factors are related to the onset of cancer but not to the success of recovery from it.
    c. Psychological factors are not related to the onset of cancer but are related to the success of recovery from it.
    d. Psychological factors are related to neither the onset of cancer nor the success of recovery from it.
A
  1. C– A number of theories regarding the relationship between psychological factors and the onset of cancer have been proposed. For instance, some authors have proposed that the “Type C” personality, typically described as a cooperative, unassertive patient who suppresses anger and complies with external authorities, is at a higher risk for cancer. However, most research shows that psychological factors and stressful events have a small or no effect on cancer incidence. By contrast, psychological factors do appear to be related to recovery from cancer. For instance, psychological treatments combining support and training in self-hypnosis are associated with higher survival rates and improved quality of life in cancer patients.
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37
Q
  1. The Personality Disorder that has been found to have the best prognosis is:
    a. Borderline Personality Disorder
    b. Paranoid Personality Disorder
    c. Dependent Personality Disorder
    d. Obsessive-Compulsive Personality Disorder
A
  1. A– The majority of individuals diagnosed with Borderline Personality Disorder (BPD) demonstrate significant reduction or remission of symptoms by middle age or sooner. Longitudinal studies involving those diagnosed in adolescence or early adulthood indicate that symptom resolution with impulsive symptoms are the quickest to resolve, followed by cognitive and interpersonal symptoms and finally affective symptoms are the most chronic and show the least improvement with increasing age. (See: Zanarini, M.C., Frankenburg, F.R., Hennen, J. and Silk, K.R. (2003). The longitudinal course of borderline pathology: 6 year prospective follow-up of the phenomenology of borderline personality disorder, American Journal of Psychiatry, 160, 274-283).
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38
Q
  1. A 12-year-old child has been exhibiting several motor tics and a vocal tic many times each day for the past 6 months. The most likely diagnosis is:
    a. Transient Tic Disorder
    b. Tourette’s Disorder
    c. Chronic Motor or Vocal Tic Disorder
    d. Tic Disorder Not Otherwise Specified
A
  1. A– According to the DSM-IV-TR, the Tic Disorders can be differentiated from one another based on duration, variety of tics, and age at onset. Transient Tic Disorder includes motor and/or vocal tics lasting at least 4 weeks but for no longer than 12 consecutive months. Choices B and C could be eliminated because Tourette’s Disorder and Chronic Motor or Vocal Tic Disorder each have a duration of more than 12 months. Finally, Tic Disorder NOS (D) would be appropriate when symptoms last less than 4 weeks, for onset above 18 years, or if an individual presented with only one motor tic and only one vocal tic.
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39
Q
  1. You are hired by a company to evaluate applicants and current employees for the purposes of hiring, promotion, training, and termination. You are told that the company has applicants and employees sign a waiver of confidentiality prior to seeing you. Which of the following best describes your best course of action in this situation?
    a. You should tell the employer that the company’s policy violates your ethical obligations and refuse to do the evaluations
    until the policy is changed.
    b. You should conduct the evaluations but provide the employer only with information that is directly relevant to the purpose
    of the evaluation.
    c. You should discuss the impact of the waiver with applicants and employees and see if they want to continue with the
    evaluation process.
    d. You should provide the employer with any requested information since applicants and employees have already signed a
    waiver of confidentiality.
A
  1. C– In any situation, a general waiver is not the best approach. Waivers should be specific in terms of the kind of information that will be revealed. The best answer to this question would probably be some combination of responses A and C (you’d want to discuss the issue with the employer). However, it’s not necessary to refuse to do the evaluations as long as you discuss the implications of the waiver with the applicants and employees, so response C is the best answer.
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40
Q
  1. Continuing Education Credits (CE Credits) earned through an APA approved sponsor means that the program is:
    a. sanctioned by APA.
    b. endorsed by APA.
    c. approved by APA.
    d. the responsibility of the sponsor.
A
  1. D– An organization is approved by the APA to sponsor continuing education programs. The sponsor then becomes responsible for each program. The APA periodically asks for reports from the sponsor, but the specific program is not endorsed, sanctioned, or approved by the APA. Only the overall sponsorship is approved by the APA.
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41
Q
  1. The levels-of-processing model of memory includes three levels–acoustic, phonetic, and semantic. All three of these levels have been compared to self-referencing, and the findings indicate
    a. semantic is more easily recalled than the others.
    b. self-referencing is more easily recalled than the others.
    c. phonetic is most easily recalled.
    d. semantic is the most difficult to recall.
A
  1. B– Rogers and associates (Self-reference and the encoding of personal information, Journal of Personality and Social Psychology, 1977, 35, 677-688) found that self-referencing (Have I done this before? Where was I?) results in significantly more recall than semantic referencing. Previous to this finding, semantic processing (answer A) had been considered to be the most effective type of information processing.
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42
Q
  1. Which of the following would most likely improve the quality of decision making in a group?
    a. increasing the cohesiveness of the group
    b. decreasing the cohesiveness of the group
    c. increasing emphasis on group consensus
    d. use of a directive leader
A
  1. B– Groupthink is an intensive tendency to seek agreement among members of the group which often results in poor decision-making. You should be familiar with the factors which contribute to groupthink, which include high cohesiveness, homogeneous backgrounds and values, and a strong, directive leader. Since increasing cohesiveness increases the pressure to conform, it is likely that decreasing the cohesiveness of a group should decrease the pressure to conform. In some circumstances, seeking consensus or unanimity can actually improve decision-making; however, it often becomes detrimental when the drive for consensus prevents full consideration of alternative decisions.
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43
Q
  1. Which of the following antidepressants is associated with the treatment of attention-deficit/hyperactivity disorder (ADHD), enuresis, and decreasing the desire to binge and purge?
    a. sertraline
    b. imipramine
    c. paroxetine
    d. fluvoxamine
A
  1. B– Research has shown tricyclic antidepressants (TCA) to be effective in the treatment of anxiety disorders, refractory pain syndromes, reducing binging and purging episodes in bulimia nervosa, and as alternatives to the stimulants in the treatment of attention-deficit/hyperactivity disorder. Furthermore, the TCA, imipramine, is the drug of choice in the treatment of nocturnal enuresis and for the treatment of cataleptic episodes associated with narcolepsy, along with the TCA clomipramine. Sertraline, paroxetine and fluvoxamine are selective serotonin reuptake inhibitors (SSRI). SSRIs are also effective in the treatment of anxiety disorders, reducing binging and purging episodes, and some types of chronic pain.
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44
Q
  1. According to Piaget, which of the following underlies cognitive development?
    a. biological maturation
    b. biological maturation and environmental stimulation
    c. social interactions
    d. changes in the ability to process, store, and retrieve information
A
  1. B– Piaget proposed that cognitive development is the result of a combination of biological maturation and exposure to appropriate environmental stimuli. An implication of this assumption is that, even when a child is biologically ready for cognitive growth, it will not occur unless the child is also exposed to necessary environmental stimulation.
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45
Q
  1. People with red-green color blindness usually:
    a. inherit the condition from their mothers
    b. inherit the condition from their fathers
    c. develop the condition during adolescence
    d. produce daughters who are always color blind
A
  1. A– Red-green color blindness is a sex-linked recessive trait. That is, it is carried on the X chromosome. Since males have one X chromosome, donated by the mother, and one Y chromosome, donated by the father, a male child who receives one color blind gene from the mother will be color blind. However, because it is a recessive trait, females (XX) would need to receive the color blind gene from both parents in order to manifest color blindness – which is highly unlikely. This explains why 7% of American males are color blind, but only 0.4% of females are affected by this condition.
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46
Q
  1. The phenomenon of “theme interference” in an industrial/organizational setting is most analogous to which of the following phenomena in psychotherapy?
    a. cognitive restructuring
    b. transference
    c. resistance
    d. catharsis
A
  1. B– The term “theme interference” is associated with Gerald Caplan’s model of mental health consultation. According to Caplan, theme interference occurs when a worker displaces past or present personal problems onto a task situation at work. More precisely, a theme is a continuing cognitive representation of an unresolved problem or a defeat, and theme interference occurs when the person views a particular work situation in terms of a theme. As you can see, the phenomenon is analogous to transference in psychotherapy, as both involve displacement of past feelings or unresolved conflicts onto a present person or situation. In fact, Caplan refers to theme interference as a minor transference reaction of a special type.
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47
Q
  1. Discriminant and convergent validity are classified as examples of:
    a. construct validity.
    b. content validity.
    c. face validity.
    d. concurrent validity.
A
  1. A– There are many ways to assess the validity of a test. If we correlate our test with another test that is supposed to measure the same thing, we’ll expect the two to have a high correlation; if they do, the tests will be said to have convergent validity. If our test has a low correlation with other tests measuring something our test is not supposed to measure, it will be said to have discriminant (or divergent) validity. Convergent and divergent validity are both types of construct validity.
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48
Q
  1. The assumption that prejudice and discrimination are outgrowths of the drive to enhance one’s own self-esteem is most consistent with the perspective of which theory?
    a. social identity theory
    b. social comparison
    c. self-perception theory
    d. self-verification theory
A
  1. A– According to Tajfel (1982), people strive to maintain and enhance their self-esteem, and this is associated with two components: personal and social identity. Social identity theory states that social identity, the aspect of self-esteem based on group membership, is enhanced by believing one’s own group (the ingroup) is attractive and belittling the members of the other groups (the outgroups). Social comparison theory (b.) proposes people self-evaluate by comparing themselves with similar others when objective information is not available. Self-perception theory (c.) proposes when clear internal cues are absent, individuals infer feelings and beliefs by observed behavior or external cues. Self-verification theory (d.) proposes individuals need and seek confirmation of their self-concept, whether the confirmation is positive or negative.
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49
Q
  1. As a management consultant for a corporation, a psychologist devises a way for employees working in groups to complete their work. The psychologist divides the employees into two teams. Each team has to complete a set of tasks, and all group members are free to work on any or all of the tasks. If all tasks are completed, each team member receives a bonus. If even one of the tasks is not completed, nobody receives a bonus. This is an example of which type of task?
    a. additive
    b. conjunctive
    c. compensatory
    d. disjunctive
A
  1. A– In the literature on the psychology of groups, a distinction between additive, conjunctive, disjunctive, and compensatory tasks is sometimes made. Additive tasks permit the addition of individual efforts so that the outcome is a combination of individual contributions. This is the type of task described by the question: The combined efforts of all group members will determine if the tasks are completed and team members receive a bonus. Let’s briefly go through the other type of tasks: On conjunctive tasks, everyone must achieve a given goal in order for the task to be complete. As a result, task performance depends on the performance of the least competent group member. On disjunctive tasks, the group must choose one of many alternative ways to do the task. Thus, performance on a task depends on the performance of the most competent group member, because if one person can complete the task, the task gets completed. Finally, on compensatory tasks, the average performance of all group members represents the group’s product.
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50
Q
  1. The three dimensions of situational control identified by Fiedler include all of the following except:
    a. leader-employee relations
    b. position or legitimate power
    c. role expectations
    d. task structure
A
  1. C– Fiedler’s Contingency Model states leaders have a dominant leadership style that is resistant to change and distinguishes between two types of leaders – high LPC leaders (person-oriented, more focused on maintaining good interpersonal relationships) and low LPC leaders (task-oriented, more focused on successful task performance). Changes in the structure of the situation can improve the chances of success as the leader’s success is contingent on the situation, task to be completed, leader’s style or personality, and the maturity of the group. Fielder proposes task-oriented (low-LPC) leaders are most effective when the leader has either low or high situational control and person-oriented (high-LPC leaders) are most effective when situational control is moderate. According to Fielder, situational control is determined by: leader-member relations, task-structure, and leader position power.
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51
Q
  1. You are a small-town psychologist in a rural area and a client comes in and states that she is depressed and is having headaches. She has babysat with your child several times over the last year. She would like you to give her biofeedback sessions. You should first:
    a. Complete the biofeedback treatment and not ask her to babysit in the future.
    b. Refer her to her family physician
    c. Refer her to a psychologist in another town for therapy; it will be OK for you to complete the biofeedback sessions
    d. Refer her to a biofeedback specialist in another town
A
  1. B– This question is more about an awareness of your limitations than it is about a dual relationship. The first step, whether you decide to take the case or not, should be to refer her to her family physician to rule out medical concerns.
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52
Q
  1. The effectiveness of thermal biofeedback as a treatment for migraine headaches is:
    a. less effective than relaxation therapy but more effective than electromyogram (EMG) biofeedback
    b. equally as effective as relaxation therapy
    c. more effective than relaxation therapy but less effective than electromyogram (EMG) biofeedback
    d. more effective than relaxation therapy
A
  1. D– Biofeedback, a form of complementary and alternative medicine (CAM) that falls under the category of mind-body therapies, refers to a technique that can give people better control over such body function indicators as blood pressure, heart rate, temperature, muscle tension, and brain waves. The National Institutes of Health (NIH) found thermal biofeedback, which measures skin temperature, to be more effective in treating migraines than relaxation therapy. EMG biofeedback, which measures muscle tension, is used as a treatment for tension headaches and data indicates it is equally effective as relaxation therapy. (See: National Institute of Neurological Disorders and Stroke (NIDS) of the National Institutes of Health (NIH). (2001). 21st Century Prevention and Management of Migraine Headaches. [Monograph]. Clinical Courier, 19(11).)
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53
Q
  1. Which of the following bases of social power, as defined by French and Raven, is a consultant most likely to rely on?
    a. referent and legitimate
    b. coercive and reward
    c. referent and expert
    d. legitimate and coercive
A
  1. C– This may be a difficult question for a number of reasons. First, it requires knowledge of two content areas: the function of a consultant, and the bases of social power, as defined by French and Raven. A consultant is an expert or specialist who is hired on an ad-hoc basis to solve a specific, work-related problem. French and Raven described five bases of social power – legitimate, expert, referent, coercive, and reward.
    This brings us to the second reason why this question may be somewhat difficult. Consultants clearly rely on expert power, since they are hired as a specialists whose advice is followed because they are considered to be authorities on the matter at hand. It is not so clear that they have referent power, though it is possible, since consultants may serve as respected role models for their clients. However, since choice C is the only one which includes expert power, it must be right. It is also helpful to go through the other bases of social power and rule them out as applying to a consultant. Consultants do not have legitimate power because they do not have administrative authority; that is, the client is free to reject any of the consultant’s suggestions. Moreover, the consultant holds neither coercive nor reward power, since the consultant’s role is not to punish or reward the client.
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54
Q
  1. Which of the following is least likely to cause secondary impotence?
    a. medication use
    b. alcohol use
    c. diabetes mellitus
    d. old age
A
  1. D–Secondary impotence is diagnosed when a man persistently or recurrently fails to attain or maintain an erection even though in the past he has successfully achieved an erection. The erectile reflex is usually unimpaired in older men; therefore, aging alone is not likely to be a cause of impotence. The other responses are common physical causes of secondary impotence
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55
Q
  1. By the age of 6, which of the following are established?
    a. gender identity and stability
    b. gender identity and constancy
    c. gender constancy and stability
    d. gender constancy, identity and stability
A
  1. D– Kohlberg’s cognitive-developmental theory of gender concept development, grounded in Piagetian theory, asserts that children gradually progress through three stages. Gender identity, usually gained by age three, is the ability to correctly label own gender and identify others as boys/men and girls/women. Gender stability - knowledge, usually gained by age four years, that reflects an understanding that one’s gender remains the same throughout life. Gender constancy: realization, around age 5, 6 or 7 years, that one’s gender stays the same even with alterations in appearance, behaviors, or desires.
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56
Q
  1. The cognitive outcomes of malnutrition during the final months of prenatal development are severe because:
    a. malnutrition causes degeneration of existing neurons.
    b. malnutrition interferes with the development of new neurons and the connections between neurons.
    c. malnutrition reduces the production of certain neurotransmitters.
    d. malnutrition leads to the development of deformed, nonfunctional neurons.
A
  1. B– The brain is the last organ to develop, which means that the last few months of prenatal development are most critical. Malnutrition during the final months can lead to irreversible damage due to the fact that it interferes with the development of new neurons and dendrites, which connect the neurons.
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57
Q
  1. Narcissistic, Borderline, and Histrionic Personality Disorders share in common which of the following characteristics?
    a. irresponsibility and impulsivity
    b. affective instability
    c. recurrent suicidal threats
    d. a grandiose sense of self
A
  1. B– The three Personality Disorders listed are all characterized by dramatic, emotional, and/or erratic behaviors. Affective instability is the characteristic shared by all three disorders. Impulsivity and recurrent suicide threats are characteristics of Borderline Personality Disorder only; and a grandiose sense of self describes Narcissistic Personality Disorder, but not the other two disorders (although both do involve disturbances in the sense of self).
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58
Q
  1. Research utilizing functional brain imaging techniques has shown a biological basis for Attention Deficit/Hyperactivity Disorder (ADHD) and has linked it to abnormalities in the following brain structures:
    a. parietal lobe, hypothalamus, and corpus callosum
    b. parietal lobe, striatum, and amygdale
    c. frontal lobe, thalamus, and amygdale
    d. frontal lobe, striatum, and cerebellum
A
  1. D– Recent research has established a biological basis for Attention Deficit/Hyperactivity Disorder (ADHD) with abnormalities in the right frontal lobe, striatum, and cerebellum most consistently implicated in this disorder. Other areas of the brain, including certain regions of the parietal lobe, have been linked to ADHD to a lesser extent. Using the core symptoms of ADHD and functions of the major brain structures, you may have determined the frontal lobes (mediates higher-order functions), the striatum (part of the basal ganglia and composed of the caudate nucleus and the putamen) and cerebellum (involved in motor activity) are the areas linked to this disorder. (See: J. Giedd et al., Brain imaging of attention deficit/hyperactivity disorder, Annals of New York Academy of Sciences, 2001, 931, 33-49.)
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59
Q
  1. African-American families use an authority structure that can be best characterized as:
    a. matriarchal
    b. patriarchal
    c. egalitarian
    d. too diverse to generalize
A
  1. C– Although African-American families were previously believed to most often have a matriarchal authority structure, more recent authors have concluded that they are typically egalitarian. That is, the husband and wife equally share authority in the family.
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60
Q
  1. Feature integration theory predicts that the perception of an object as an entity rather than as a cluster of unrelated features depends on:
    a. focused attention.
    b. integrated attention.
    c. selective attention.
    d. divided attention.
A
  1. A– Feature integration theory is what it sounds like. It’s a theory about how an object’s features are integrated, and it proposes that focused visual attention is required for perception of an object to occur.
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61
Q
  1. According to Maslow, there are five levels of human needs that are represented in a hierarchical order. The stage that follows physiological needs is:
    a. order
    b. safety
    c. acceptance
    d. self-actualization
A
  1. B– Maslow’s five basic needs, arranged in hierarchical order of importance, are physiological, safety, social, esteem and self-actualization.
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62
Q
  1. Which of the following neurotransmitters is most associated with muscular contractions?
    a. acetylcholine
    b. GABA
    c. norepinephrine
    d. serotonin
A
  1. A– Acetylcholine transmits messages from peripheral nerves to muscles which causes the muscles to contract. GABA (B), the most abundant neurotransmitter in the CNS, has an inhibitory role, particularly in the limbic system which controls emotions. Low levels of GABA are also associated with anxiety. Deficits of GABA in the motor regions of the brain are associated with Huntington’s Chorea, characterized by dementia and involuntary jerky movements in the arms and legs. Thus, GABA (or rather, the absence of GABA) does play a role in muscular contractions. However, acetylcholine is more specifically associated with muscular contractions than GABA. Norepinephrine (C) helps regulate arousal, dreaming, and moods. And serotonin (D) is associated with personality, mood, and drive states.
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63
Q
  1. Introducing a goal that requires cooperation between conflicting intergroups results in:
    a. increased hostility, increased competition
    b. increased hostility, reduced competition
    c. reduced hostility, increased competition
    d. reduced hostility, reduced competition
A
  1. D– The introduction of a superordinate goal, one that requires cooperation to accomplish, was found to be the most effective way of reducing or alleviating intergroup hostility and competition in Sherif et al.’s “Robber’s Cave” study.
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64
Q
  1. The object relations approach focuses on the role of ________ in personality development and views it as being an innate drive.
    a. sexuality
    b. social interest
    c. attachment
    d. identity
A
  1. C– Object relations theory emphasizes the role of early attachments between the individual and its caregivers on the individual’s personality development. It also views attachment as an innate capacity that has survival value.
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65
Q
  1. According to a recent meta-analysis on the “big five” traits and job satisfaction, which trait has the strongest relation with overall job satisfaction?
    a. agreeableness
    b. extraversion
    c. conscientiousness
    d. neuroticism
A
  1. D– The meta-analysis of 163 studies linking traits from the 5-factor model of personality to overall job satisfaction by Judge, Heller & Mound (2002) found neuroticism was the strongest, most consistent correlate of job satisfaction and also the Big-Five trait most often studied in relation to job satisfaction. Conscientiousness displayed the second strongest correlation followed by extraversion. The estimated true score correlations with job satisfaction include: Neuroticism (-.29), Conscientiousness (.26), Extraversion (.25), Agreeableness (.17), and (.02) for Openness to Experience. The findings support previous reviews that lower neuroticism and higher extraversion are associated with higher job satisfaction. The study also notes Conscientiousness, previously found to have positive effects in terms of job performance, has been overlooked in studies in terms of job satisfaction. (See: Judge, T.A., Heller, D., & Mount, M.K. (2002). Five-factor model of personality and job satisfaction. A meta-analysis. Journal of Applied Psychology. Vol. 87, No. 3, 530-541.)
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66
Q
  1. A psychologist serves as the head of a social service agency. The psychologist likes the job because, in addition to allowing her to work with clients in a clinical setting, it provides her with the opportunity for raises and promotions. On the Strong Interest Inventory, the psychologist would likely receive high scores for which of the following personality types?
    a. investigative and conventional
    b. realistic and artistic
    c. social and enterprising
    d. investigative and enterprising
A
  1. C– This questions is about Holland’s six personality types – realistic, investigative, artistic, social, enterprising, and conventional. One’s results on the Strong Interest Inventory include a 3-letter personality type that indicates, in order, which three types best describe the individual. Individuals in the mental health professions typically obtain a 3-letter code of social, enterprising, and artistic (SEA); if you knew this, you knew enough to answer the question. If you didn’t, the question helped you out by telling you that the psychologist likes to work hands-on with clients (which would be characteristic of the social type) and that she is interested in promotions and pay raises (which would be characteristic of the enterprising type).
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67
Q
  1. Relying on the work of Heinz Kohut, a therapist would stress the use of which of the following when working with a narcissistic client?
    a. coaching
    b. empathy
    c. congruence
    d. interpretation of drives
A
  1. B– According to Kohut, a consistent lack of parental empathy is what leads to narcissism in a child in the first place. Therefore, to help the narcissistic client develop a more healthy, cohesive sense of self, the therapist must provide empathy.
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68
Q
  1. You have conducted a study assessing the relationship between salary and job performance, and you find a significant correlation between these two variables. Your assistant tells you that the data fail to take into account a $25.00 cost of living raise which every employee received. You should:
    a. decide that the raise invalidated the research.
    b. reanalyze the data after the raises have been added to the current salary.
    c. not worry about small details; the actual amount is too small to make a significant difference.
    d. assume the correlation will not be affected.
A
  1. D– The basic point being tested here is that if you add a constant to each score – in either or both data sets – the relationship between the two variables won’t be affected. In other words, adding a constant to every score does not affect the correlation coefficient. The same is true of multiplying or dividing all scores by a constant, or subtracting a constant from every score.
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69
Q
  1. A kappa coefficient of .93 would indicate that the two tests
    a. measure what they are supposed to.
    b. have a high degree of agreement between their raters.
    c. aren’t especially reliable.
    d. present test items with a high level of difficulty.
A
  1. B– The kappa coefficient is used to evaluate inter-rater reliability. A coefficient in the lower .90s indicates high reliability. Answer A is a layman’s definition of the general concept of validity.
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70
Q
  1. According to Marlatt’s theory of substance dependence:
    a. a relapse of dependence is likely if the person makes non-dispositional attributions for use following a “slip” (use of a drug
    after a period of abstinence).
    b. substance use is “over-learned” in that it is maintained by itself as well as by multiple cognitive mediators and external
    reinforcers.
    c. addictions can be easily extinguished.
    d. excessive substance use is related to an unresolved need for power.
A

and guilt through a variety of cues and reinforcers, such as advertisements depicting people feeling cheerful when drinking and social occasions in which a carefree attitude is reinforced. In other words, there are a variety of cues and mediators that serve to encourage and reinforce use. Contrary to the person’s expectations, however, excessive substance use only exacerbates problems, such as interpersonal or work-related problems. This leads to more self-criticism and guilt, which the person again attempts to relieve by using. In other words, substance use is self-reinforcing – it is the cause of and the expected solution to the same problems. And it is “over-learned” in that, due to the multiplicity of its antecedents, it becomes a strongly ingrained behavior.
You might have gone for choice A, since you probably knew that Marlatt is associated with a theory of relapse prevention that has to do with attributions regarding the reasons for “slips.” However, according to Marlatt, a slip is likely to lead to a full-blown relapse when the person makes dispositional attributions for it, such as when the person blames him or herself. Relapse prevention involves teaching the person to make non-dispositional attributions, such as blaming the situation or the nature of the disease. So this question illustrates the importance of reading carefully and processing what you read, rather than relying on the recognition of “buzzwords.”

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71
Q
  1. Kohler’s classic studies of the role of cognition in learning examined the behaviors of:
    a. apes
    b. dolphins
    c. ducklings
    d. rats
A
  1. A– Wolfgang Kohler is best known for his research with chimpanzees, which is a type of ape. (Apes are considered more like humans than monkeys or lower primates.) In his classic experiments Kohler placed food outside the reach of the chimps to assess their problem solving abilities. In one study, food was placed outside the chimp’s cage, and the chimp was given two sticks, neither of which was long enough by itself to reach the food. As the chimp was sitting with the two sticks in his hand, he suddenly seemed to have an “a-ha!” experience: He quickly fit the two sticks together and used the new, elongated stick to reach the food. Kohler called this sudden novel solution “insight learning,” which he attributed to a sudden cognitive restructuring of the environment. If you chose ducklings (A) you were probably thinking of Conrad Lorenz’ research on instinctual behaviors.
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72
Q
  1. A therapist who assigns a couple the task of looking for things in their relationship that they would like to continue is most likely using which of the following therapeutic approaches?
    a. behavioral
    b. solution-focused
    c. structural
    d. strategic
A
  1. B– Solution-focused therapy uses a variety of techniques including formula tasks that help clients become aware of solutions they already have in place. For example, using the formula first session task the therapist asks the clients to observe, and describe in the next session, what happens in their lives that they would like to continue to have happen.
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73
Q
  1. Cluster analysis would most likely be used to
    a. construct a “taxonomy” of criminal personality types.
    b. obtain descriptive information about a particular case.
    c. test the hypothesis that an independent variable has an effect on a dependent variable.
    d. test statistical hypotheses when the assumption of independence of observations is violated.
A
  1. A– The purpose of cluster analysis is to place objects into categories. More technically, the technique is designed to help one develop a taxonomy, or classification system of variables. The results of a cluster analysis indicate which variables cluster together into categories. The technique is sometimes used to divide a population of individuals into subtypes.
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74
Q
  1. Adapting attitudes and behaviors to fit the expectations of what girls or boys are “supposed to do” within a sociocultural environment is reflective of which gender-role identity development theory?
    a. Kagan’s social learning theory
    b. Bem’s gender schema theory
    c. Kohlberg’s cognitive-developmental theory
    d. Freud’s psychodynamic theory
A
  1. B– Bem’s gender schema theory states children develop schema about what is expected of them as girls or boys and then apply those schemas to their own behavior. Because it emphasizes both social, notably sociocultural factors, and cognitive processes, it is classified as a social-cognitive approach. Kagan’s social learning theory (a.) focuses on social factors role on the development of gender-role identity, yet focuses primarily on the impact of modeling and reinforcement. Kohlberg’s cognitive-developmental theory (c.) emphasizes the cognitive processes that underlie gender-role identity development. Resolution of the psychosexual crisis of the phallic stage of development is the emphasis of Freud’s theory of gender-role identity (d.).
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75
Q
  1. To save time, a personnel manager interviews 10 job applicants and then picks the best one rather than interviewing all 30 people who applied for the job. This type of decision-making is predicted by the:
    a. administrative model.
    b. rational-economic model.
    c. transactional model.
    d. nonrational model.
A
  1. A– This is the way that people usually end up making decisions because they don’t have the time or resources to consider all possible alternatives. According to the administrative decision-making model, this type of decision-making is referred to as “satisficing.” (According to the rational-economic model, decision-making involves considering all possible alternatives.)
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76
Q
  1. According to Carol Gilligan, healthy identity development in early adolescence for females is
    a. traceable to a satisfactory infant-mother attachment.
    b. related to the girl’s ability to stay connected to self and others.
    c. related to the girl’s ability to develop a “gendered-less” identity.
    d. closely related to the girl’s acceptance by peers.
A
  1. B– Gilligan’s research found that girls remain self-confident until about age 11 or 12, when they begin to become disconnected from themselves and others due to denial of their feelings.
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77
Q
  1. Depressogenic schemata such as arbitrary inference and selective abstraction are associated with:
    a. Lewinsohn
    b. Beck
    c. Seligman
    d. Ellis
A
  1. B– Depressogenic schemata, or cognitive distortions, such as overgeneralization, personalization, magnification, arbitrary inference, and selective abstraction are reflected statements in Beck’s “depressive cognitive triad.” Lewinsohn (response “A”) is associated with the findings that depressed individuals’ self-evaluations reflect an unbiased perception of reality and more accurately correspond with observer evaluations, Seligman (response “C”) is associated with the theory of learned helplessness, and Ellis (response “D”) with Reactive Emotive Therapy (RET).
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78
Q
  1. When applied to substance dependence, the specifier “early full remission” means that the client has been without any symptoms of substance abuse or dependence:
    a. for at least six months but less than one year
    b. for at least three months but less than one year
    c. for at least one month but less than one year
    d. for at least one year
A
  1. C– Early full remission, early partial remission, sustained full remission, or sustained partial remission are specifiers used to describe a substance dependence diagnosis. “Early” means that there is more than one month but less than 12 months of remission. “Sustained” means that there is 12 months or longer of remission (response “D”). “Full” means that the person no longer meets any of the criteria for substance dependence or abuse, and “partial” means that one or more of the criteria for substance dependence are still met but the full criteria are no longer met.
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79
Q
  1. Research about job experience with the four day workweek suggests that it is correlated with:
    a. Satisfaction and productivity
    b. Absenteeism and satisfaction
    c. Productivity only
    d. Satisfaction, but not absenteeism or productivity
A
  1. B– Research on the effects of the CWW is mixed. Overall however, productivity is usually unaffected, absenteeism usually declines, and job satisfaction tends to increase, especially among younger and lower-level employees.
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80
Q
  1. Excessive variability in a behavior over time can make it difficult to obtain accurate information about the effects of an intervention on that behavior. Such variability poses the biggest threat for which of the following research designs?
    a. single-subject
    b. factorial
    c. split-plot
    d. Solomon four-group
A
  1. A– In a single-subject research design, the target behavior is measured at regular intervals throughout the baseline and treatment phases. If the behavior changes often in strength, intensity, or frequency, it would be difficult to obtain a clear baseline reading or to determine if the intervention is having the desired effect.
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81
Q
  1. In order to get an infant’s attention, a photographer shakes a rattle, which results in the infant turning toward the rattle and smiling. After numerous uses of this technique, the infant stops responding. This is most likely due to:
    a. adaptation
    b. extinction
    c. habituation
    d. satiation
A
  1. C– Habituation is defined as a decrease in response strength due to repeated stimulation. Satiation (D) occurs when a physiological need has been met, resulting in a decreased desire for that reinforcement. Extinction (B), in operant learning, involves eliminating reinforcement that previously followed a response. In classical conditioning, extinction refers to the presentation of a CS without the US. Neither of these two models adequately apply to this question.
82
Q
  1. According to this type of psychotherapy, feelings are acknowledged and accepted as uncontrollable and the focus is on taking constructive action, not the alleviation of discomfort or the attainment of some ideal feeling state.
    a. Naikan therapy
    b. Network therapy
    c. Morita therapy
    d. Rational-emotive therapy (RET)
A
  1. C– Morita Therapy, sometimes referred to as the psychology of action, is a Japanese therapeutic intervention developed by Japanese psychologist Shoma Morita in the early part of the twentieth century originally to treat anxiety and neurosis. Morita therapy doesn’t deal with the past, inner dynamics, or with emotions directly as a prerequisite to change. Emphasis is on learning to accept the internal fluctuations of thoughts and feelings and ground behavior in reality and the purpose of the moment. The focus is on the external environment, behavior, and distinguishing what is and is not controllable. All emotions are accepted as valid, pain is inevitable and there is no attempt to control or govern feelings. Concrete effort to take action, with or without success and despite the accompanying emotions, is encouraged. Progress is measured by degree of responsiveness to behavioral demands and in the effort for self improvement. Like cognitive behavioral therapy, Morita therapy deals with changing behaviors and dysfunctional cognitive processes through reframing the meaning of anxiety, focusing on attitudinal blocks to behavior and taking personal responsibility for behavior. Another Japanese approach, Naikan Therapy (a.), or the psychology of reflection, is based on clients asking themselves three questions: what have I received from? What have I given to? What troubles or difficulties have I caused to? Through such self-reflection, a client’s awareness of the role they play in the relationship or situation, the amount of support they’ve received, and an appreciation for others is said to be increased. It is often combined with use of Morita Therapy. In Network Therapy (b.), the client’s family, friends, and relatives (i.e. the client’s network) are brought together, through the therapist’s initiative, to implement the therapeutic process. Rational-emotive therapy (d.), views irrational thoughts as the cause of clients? problems and that the maintenance of problems is due primarily to self-indoctrination. (See: Ishiyama, F. I. (1990). A Japanese perspective on client inaction: Removing attitudinal blocks through Morita therapy. Journal of Counseling and Development, 68, 566-570. and Goddard, K. (1991) Morita therapy: A literature review. Transcultural Psychiatric Research Review. 28(2); 93-115.)
83
Q
  1. A new client tells you that she recently had sex with her previous therapist. She wants you to “help her put the experience behind her”. You should:
    a. Report this situation immediately
    b. Not report, but counsel her about the process
    c. Call the offending party but not give the client’s name
    d. Encourage her to recall the event so she doesn’t suffer from repression later
A
  1. B– You are obligated to protect your client’s confidentiality. However you want to educate her about the Ethical Standards regarding this situation and also explain to her avenues of recourse she could take.
84
Q
  1. A measure of relative strength of a score within an individual is referred to as a(n):
    a. ipsative score
    b. normative score
    c. standard score
    d. independent variable
A
  1. A– Ipsative scores report an examinee’s scores using the examinee him or herself as a frame of reference. They indicate the relative strength of a score within an individual but, unlike normative measures, do not provide the absolute strength of a domain relative to a normative group. Examples of ipsative scores are the results of a forced choice measure.
85
Q
  1. A needs assessment is usually conducted to:
    a. ascertain a job applicant’s skills
    b. describe the requirements of a job
    c. determine the relative worth of a job
    d. identify the needs of an organization
A
  1. D– A needs assessment involves identifying the needs of the organization. A needs assessment is often conducted to determine which employees need training and what should be included in that training. Choice B describes the purpose of a job analysis, which is to describe the requirements of a job. And choice C describes the purpose of a job evaluation, which is to determine the salary levels of jobs.
86
Q
  1. The use of the technique known as self-instruction with hyperactive children involves
    a. programmed learning.
    b. having the children write down their daily goals in advance.
    c. having the children make self-statements.
    d. having the children do the their schoolwork by themselves.
A
  1. C– Donald Meichenbaum developed the technique of self-instruction as a means of helping impulsive and hyperactive children to perform tasks more successfully. The technique involves teaching the subject to make appropriate self-statements while performing a desired task.
87
Q
  1. Decreased amounts of GABA are most associated with:
    a. depression
    b. eating disorders
    c. Huntington’s Disease
    d. Raynaud’s Disease
A
  1. C– Gamma Amino Butyric Acid (GABA) is the most common inhibitory neurotransmitter in the brain. Low levels of GABA have been linked to several disorders, including Huntington’s Disease, Parkinson’s Disease, and anxiety disorders.
88
Q
  1. In females, the gonadotrophic hormones are released by the ________ on a regular cycle.
    a. hypothalamus
    b. pituitary gland
    c. gonads
    d. adrenal glands
A
  1. B– The gonadotropic hormones are the same in males and females but they stimulate the gonads to release their own hormones (estrogen in females, androgens in males). The gonadotropic hormones are released by the pituitary gland.
89
Q
  1. A substance that stimulates or mimics the effects of a neurotransmitter is referred to as:
    a. agonistic
    b. antagonistic
    c. cholinergic
    d. dopaminergic
A
  1. A– An agonist or agonistic drug is one that facilitates the effects of a neurotransmitter. An antagonist (B) blocks or inhibits the effects of a neurotransmitter. Cholinergic (C) refers to synaptic transmission that is mediated by the release of acetylcholine. Dopamine (D) refers to synaptic transmission mediated by the release of dopamine.
90
Q
  1. When a child finds and uses clues from the context of a sentence to learn the meaning of a new word, this is referred to as:
    a. prosodic bootstrapping
    b. phonological bootstrapping
    c. syntactic bootstrapping
    d. semantic bootstrapping
A
  1. C– In the area of language development and acquisition, “bootstrapping” refers to how a child must somehow “lift him/herself up by his/her bootstraps” to begin formulating a grammar for the language. Syntactic bootstrapping proposes that the sentence structure surrounding a new word provides clues to its meaning and, in this case, the language-learning child uses his/her developed syntactic knowledge to help learn the meaning of new words. Semantic bootstrapping (d.) refers to the idea that children utilize conceptual knowledge to create grammatical categories. Under this approach, the meanings of words are used to identify the semantic category and then are inferred or “bootstrapped” to the syntax. Prosodic bootstrapping (a.) suggests children find and use clues to syntactic structure of language in the prosodic (intonation, stress) characteristics of the speech they hear. Phonological bootstrapping (b.) refers to the hypothesis that clues to the grammar of language are found in phonological (sound) properties of the speech heard. (See: Pinker, S. (1987). The Bootstrapping Problem in Language Acquisition. In B. MacWhinney (Ed.), Mechanisms of Language Acquisition. Hillsdale, NJ: Erlbaum. And: Weissenborn, J. & Hohle, B. (Eds.) (2001). Approaches to bootstrapping: Phonological, lexical, syntactic and neurophysiological aspects of early language acquisition. Amsterdam/Philadelphia: John Benjamins.)
91
Q
  1. Which of the following medications would be least likely to cause impaired concentration as a side effect?
    a. clomipramine
    b. tofranil
    c. anafranil
    d. fluoxetine
A
  1. D– Choices “A”, “B”, and “C” are all tricyclic anti-depressants. In fact, choices “A” and “C” are different names for the same medication; Anafranil is the brand name for clomipramine. Choice “D”, fluoxetine (brand name: Prozac) is one of the selective serotonin reuptake inhibitors (SSRIs). SSRIs have fewer and less severe side effects than tricyclics, and they are generally not associated with cognitive impairments. By contrast, tricyclics are associated with cognitive impairments such as deficits in concentration – especially in the elderly.
92
Q
  1. Experimenters find conformity is lowest when the:
    a. group size is reduced from 15 to 6.
    b. subject has a “partner” in the group who shares his or her opinion.
    c. subject is “deserted” by a partner.
    d. stimuli to be judged are highly ambiguous.
A
  1. B– Experimenters have found that just having a “partner” in a group liberates an individual to latch on to the partner and defy the wrong majority. Reducing the size isn’t correct, since, if anything, reducing the size is likely to increase group cohesiveness and thereby increase conformity. The remaining choices also are incorrect because they would increase the pressure to conform.
93
Q
  1. Lewinsohn’s behavioral model hypothesized depression is the result of:
    a. a distorted perception of reality
    b. low self-esteem and pessimism
    c. a high rate of response-contingent punishment
    d. a low rate of response-contingent reinforcement
A
  1. D– Based on operant conditioning, Lewinsohn’s theory proposes depression is associated with a low rate of response-contingent positive reinforcement. A low rate of reinforcement results in a low rate of social and other behaviors due to a lack of reinforcement which essentially extinguishes the contingent behaviors. The model also proposes the low rate of reinforcement elicits depressive behaviors, such as dysphoria, fatigue, and other somatic symptoms as well as cognitive symptoms such as low self -esteem, pessimism, and feelings of guilt. (See: Lewinsohn, P. M. (1974). A behavioral approach to depression. In R. J. Friedman & M. M. Katz (Eds.), Psychology of depression: Contemporary theory and research (pp. 157-178). Oxford, England: John Wiley & Sons.)
94
Q
  1. Which of the following statements regarding informed consent procedures in research is least true?
    a. Psychologists should inform research participants, in language that is reasonably understandable, about the nature of the
    research.
    b. Research participants should be informed of significant factors that may affect their willingness to participate in the
    research.
    c. Informed consent to research must be appropriately documented.
    d. Informed consent to research must be obtained in all cases.
A
  1. D– In most cases, informed consent to research must be obtained from participants. However, there are some exceptions, such as research involving anonymous questionnaires or naturalistic observations. Ethical standard 8.05 discusses the circumstances under which research does not require informed consent.
95
Q
  1. Employees are provided with a training program designed to improve the quality of their work. At the conclusion of the training program a supervisor administers a test to the employees. Three months later the same supervisor evaluates the employees on their job performance and correlates the two scores. The correlation between the scores is 0.70. The results are most likely biased due to:
    a. a contrast effect
    b. a restricted range of scores
    c. criterion contamination
    d. demand characteristics
A
  1. C– Criterion contamination occurs when a rater knows how a ratee did on a predictor test, and this knowledge affects the rating. For example, if an employee obtained a very high score on the post-training test and the supervisor knows this, the supervisor’s ratings of the employee’s on-the-job performance might be biased upward. To prevent criterion contamination, the rater should have no knowledge of the ratees’ predictor scores. Contrast effect (A) refers to the tendency to give ratings on the basis of comparisons to other ratees. There is no indication that there is a restricted range of scores (B), and if there was, that would reduce the correlation between the predictor and criterion scores. Demand characteristics (D) are cues in the environment that inform research participants what behaviors are expected of them.
96
Q
  1. Repetitive exercise and hypnosis are therapeutic techniques used to establish the “relaxation response” which involves ____________________________ activity.
    a. decreased parasympathetic nervous system
    b. decreased sympathetic nervous system
    c. increased somatic nervous system
    d. increased autonomic nervous system
A
  1. B– The relaxation response is, in effect, the opposite of the “fight or flight” response to stressful or threatening situations which over time may produce hypertension, cardiac and other problems that may seriously affect health. Herbert Benson and his colleagues (1971) studied the affects of meditation on people with high blood pressure brought on by the everyday stress of living and described a physiological response that decreased sympathetic nervous system activity resulting in decreased metabolism, decreased heart rate, decreased blood pressure, and decreased rate of breathing, as well as slower brain waves. This reaction was coined the “relaxation response.” Further findings indicate relaxing just 20 minutes each day can be beneficial to both physical and mental health. (See: Benson, H. (2000). The relaxation response - updated and expanded (25th anniversary edition). New York: Avon.)
97
Q
  1. Johnny, age 10, teaches his brother Justin, age 5, how to ride a skateboard. This interaction can best be described as:
    a. Parallel process
    b. Complementary communication
    c. Elaborative rehearsal
    d. Symmetrical communication
A
  1. B– Communication patterns can be characterized as either symmetrical or complementary. In symmetrical communication there is equality between the partners. In complementary communication there is inequality, with one member taking a dominant role and the other a subordinate role. In this example, Johnny, the older brother, took on the dominant teacher role and his younger brother was in the subordinate role of student. Although completely unrelated to this model, you should also be familiar with the other two terms – parallel process (A) and elaborative rehearsal (C). Parallel process is a phenomenon in clinical supervision where the therapist in training behaves toward the supervising therapist in ways that mirror how the client is behaving toward the therapist in training. Elaborative rehearsal involves thinking about how new information relates to existing memory.
98
Q
  1. Your new patient is a 20-year-old gang member who informs you that he has killed a couple of people in the past and that he will probably kill others in the future. He states that he has no intentions of leaving the gang but wants help dealing with his cocaine addiction. You should:
    a. notify the police of the patient’s previous murders
    b. notify the police of the patient’s danger to others
    c. provide the patient with substance abuse treatment
    d. refuse to provide treatment for this patient unless he agrees to leave the gang
A
  1. C– Many states have laws based on Tarasoff that require psychologists to warn or protect a potential victim from serious harm when there is an imminent threat to an identifiable victim. However, this question does not indicate an imminent threat nor an identifiable victim; therefore, confidentiality should be maintained. The Ethics Code similarly permits a breach of confidentiality without client consent in order to protect others from harm, but without an identifiable victim such a breach would not serve to protect others and would be inappropriate. The best option would be to provide the treatment requested (C). Refusing to provide treatment for this patient unless he leaves the gang (D) would be a clinical option, but would probably be ineffective at this stage because he has stated that he has no intentions of leaving the gang. Besides, engaging the patient in treatment for his substance abuse might later lead him to want to leave the gang.
99
Q
  1. Erik Erikson is known for all of the following except:
    a. eight developmental stages
    b. ecological model
    c. identity crisis
    d. psychosocial moratorium
A
  1. B– Erik Erikson is best known for his psychosocial developmental model which consists of 8 stages spanning from birth to death. Each stage is characterized by a “crisis,” the most famous of which, the “identity crisis” (“C”), is experienced in adolescence during the Identity vs. Role Confusion Stage. During this stage many adolescents also take a time-out by withdrawing from their responsibilities and exploring alternative identities, which Erikson and Marcia referred to as a “moratorium” (“D”). In fact, Erikson even encouraged adolescents to take such a moratorium. The only choice offered which is not associated with Erickson is the “ecological model” (“B”) which was developed by Bronfenbrenner to describe the four environmental systems which influence development: the microsystem, mesosystem, exosystem, and macrosystem.
100
Q
  1. Which of the following is the clearest indication that a person is suffering from a substance addiction?
    a. The person denies that he or she has a problem.
    b. The person displays clear signs of tolerance and/or withdrawal.
    c. The person uses the substance in situations when use is physically hazardous, such as when driving.
    d. The person sometimes misses work because he or she is intoxicated or hung over.
A
  1. B– Of the choices listed, marked tolerance and withdrawal are the most telling signs that a person should receive a diagnosis of Substance Dependence. Tolerance and withdrawal are among the diagnostic criteria for Substance Dependence.
    As for the other choices, C and D sound like the criteria for Substance Abuse, which according to DSM-IV, are that the person displays one or more of the following within a 12 month period: 1) recurrent substance use resulting in a failure to fulfill major school, work, or home obligations; 2) recurrent use in situations in which use is physically hazardous; 3) recurrent substance-related legal problems; and 4) continued substance use even though it causes or exacerbates a social or interpersonal problem. Although these signs may be present in Substance Dependence, they are not as clear a sign of Dependence as tolerance and withdrawal. Denial of the problem is not a diagnostic criterion for Dependence. Clearly, although individuals who are dependent are often in denial, not all those who deny they have a problem actually do have one.
101
Q
  1. In designing a new test of a psychological construct, you correlate it with an old test the new one will replace. Your assumption in this situation is that:
    a. the old test is invalid.
    b. the old test is valid but out of date.
    c. the old test is better than the new test.
    d. the old test and the new test are both culture-fair.
A
  1. B– Choice “B” is the only one that makes logical sense. In the assessment of the construct validity of a new test, a common practice is to correlate that test with another test that measures the same construct. For this technique to work, the other test must be a valid measure of the construct. So in this situation, it is assumed that the old test is valid, but at the same time, it is being replaced. Of the choices listed, only “B” provides a reason why a valid test would be replaced.
102
Q
  1. A peripheral message is more likely to alter a person’s attitude if the receiver:
    a. feels happy
    b. feels bored
    c. feels angry
    d. devotes considerable thought to the content of the message
A
  1. A– According to the Elaboration Likelihood Model, persuasive messages can be communicated via a central route or a peripheral route. The central route is used when listeners think carefully about the contents of the message. When listeners do not think carefully about an argument’s content, they rely more on superficial (peripheral) cues. Peripheral cues include the messengers’ perceived attractiveness or expertise, and the receivers’ mood. A positive mood, and in some cases fear, has been shown to increase the likelihood of attitude change. Advertisers and politicians often use strategies designed to elicit either a positive mood or fear in order to increase the persuasiveness of their message.
103
Q
  1. Which of the following techniques would be least useful when working cross-culturally with a traditional Japanese family in therapy?
    a. when possible, framing a family member’s problems in an academic or vocational context to increase comfort with the
    counseling process
    b. establishing your credibility by providing information about your education and background in the first session
    c. providing the family with an immediate benefit in order to prevent premature termination
    d. fostering empowerment of family members by adopting an egalitarian approach
A
  1. D– Japanese (and other Asian) clients vary. However, a common generalization is that they prefer a structured, direct approach; another is that they view the therapist as a knowledgeable expert, so adopting an egalitarian approach would not be desirable.
104
Q
  1. In regard to substance use, the Americans with Disabilities Act
    a. protects alcoholics and drug addicts as “qualified individuals” with a disability.
    b. prohibits administering a drug test to an individual who is participating in a drug rehabilitation program.
    c. prohibits drug testing from being administered to a prospective employee after a job offer is made.
    d. protects individuals participating in a drug rehabilitation program who are no longer using drugs.
A
  1. D– The Americans With Disabilities Act (ADA) does not consider individuals who are “currently engaging in the illegal use of drugs” as suffering from a disability on that basis. In other words, it does not protect current drug users. However, it does protect past substance addicts – as long as the individual is currently participating in or has completed a supervised rehabilitation program, and the person is not currently using drugs.
    In regard to drug testing, the act does not identify any circumstances in which drug testing is prohibited. In fact, even though it protects former substance addicts, the Act permits employers to use “reasonable means” – including drug tests – to verify that such persons are no longer using substances.
105
Q
  1. A psychologist is conducting research to evaluate the effectiveness of three predictor tests of overall mental health he has developed. He administers the predictors to 35 individuals randomly chosen from the population of interest and obtains a squared multiple correlation coefficient (R2) of .47. If the psychologist administers the predictors to another 70 individuals drawn from the same population, the best prediction is that, he would obtain an R2 that is:
    a. lower than .47.
    b. about equal to .47.
    c. slightly to moderately higher than .47.
    d. much higher than .47.
A
  1. C– The principle behind this question is that the greater the range of scores in both the predictor(s) and the criterion, the higher the validity coefficient will be. If you administer the predictors to 70 people as opposed to 35, you are likely to get a somewhat greater range of scores in the former case. Therefore, you will get a somewhat higher correlation coefficient. Choice D, a much higher correlation coefficient is not a good answer. Increasing the range of scores can only do so much for your correlation coefficient, especially if you already have a reasonably representative sample to begin with. Increasing the sample size from 35 to 70, for example, will not turn a poor set of predictors into a good one.
    Some of you might have gone for choice A, thinking that, due to shrinkage, the correlation coefficient would be smaller. Shrinkage, however, is associated with the development of a predictor or set of predictors. It occurs when, based on research with one sample, items for a predictor are chosen from a larger pool, and the newly developed predictor is then tested on a second sample. The correlation coefficient for the second sample is likely to be smaller, because the predictor was “tailor made” for the first sample. In this question, however, the predictors are not in the process of development, and the first group of 35 people is not a validation sample (i.e., a sample of people used to determine which items to retain for the final version of the test). To see if you understand this distinction, try to rewrite the question, changing as few words as possible, so that A becomes the best answer.
106
Q
  1. A patient of yours seeks help because he is depressed over his failures to advance in his career. The learned helplessness model of depression would predict that, of the following, the patient is most likely to attribute his lack of advancement to
    a. a lack of ability.
    b. difficult work.
    c. demanding bosses.
    d. not working hard enough.
A
  1. A– According to the learned helplessness model, depression is associated with an attributional style whereby negative events are viewed as stable over time rather than transient, global rather than specific, and internal rather than external. Of the choices, only a lack of ability (“A”) meets all three of these criteria.
107
Q
  1. You have been court ordered to complete an evaluation. As you start the evaluation, the client begins sharing information that she obviously would not want shared further. You should:
    a. Say nothing and remain objective
    b. Refer her to a different psychologist
    c. Advise her that the information she is giving you is not pertinent
    d. Reexplain the limits of confidentiality before proceeding
A
  1. D– Remember, that in this case the client is the court. And you are ethically bound to behave appropriately with all involved parties. You should have already explained the limits of confidentiality before beginning the evaluation, however, it is perfectly appropriate and most ethical to stop and re-clarify the limits of confidentiality.
108
Q
  1. Utilization review, an important component of managed health care, refers to the idea that it is useful to
    a. review benefits to eliminate or reduce unnecessary health care resources.
    b. determine the adequacy of health care standards by comparing them to predetermined standards.
    c. make decisions on patient care by a team of medical experts rather than an individual physician.
    d. allow a patient to choose from several insurance plans.
A
  1. A– Utilization review is concerned with conserving health care monies. It does this through having a utilization review committee assess the use of benefits and reduce or eliminate inappropriate or unnecessary use of health care resources. Answer B is a description of the concept of quality assurance and answer C is describing a medical team management approach to individual health care.
109
Q
  1. Communication-interaction therapy espouses that communication has both a “report” function and a
    a. Principle of equifinality
    b. Command function
    c. Circular model of causality
    d. Paradoxical strategy
A
  1. B– Family therapists from the Mental Research Institute in Palo Alto such as Gregory Bateson, Virginia Satir, and Jay Haley described communication as having a “report function” that contains the content or informational aspect of the communication, and the “command function”, that is often conveyed nonverbally and exemplifies the relationship between the communicators. The other choices are other concepts from the Mental Research Institute. “Principles of equifinality” refers to the idea that no matter where the system change occurs, the end result is the same. “Circular model of causality” is a concept in their approach that describes a symptom as both a cause and an effect of dysfunctional communication patterns. “Paradoxical strategies” include prescribing the symptom and relabeling, or changing the label a family attaches to a problem in order to change the meaning.
110
Q
  1. Anosognosia is:
    a. an inability to recognize objects
    b. a failure to recognize one’s own functional impairment
    c. a loss in ability to perform motor acts
    d. a ritual among certain cultures of rubbing noses together
A
  1. B– Anosognosia is an inability, or unwillingness, to recognize one’s own functional impairment. It usually results from damage to the right parietal lobe. Agnosia (A) is an inability to recognize objects. Apraxia (C) is a loss in ability to perform motor acts.
111
Q
  1. Glutamate is a neurotransmitter associated with
    a. alcohol cravings.
    b. dietary changes.
    c. cognitive abilities which are correlated with alcohol use.
    d. social ability which is correlated with alcohol use.
A
  1. C– Glutamate is a neurotransmitter that is associated with cognitive functions, more specifically learning and memory.
112
Q
  1. An older woman has had a gradual but consistent onset of poor self-care, apathy and slight deficiencies in the WAIS-III processing and attention scales. She has a normal MRI. One might suspect:
    a. Vascular dementia
    b. Pseudodementia
    c. Normal aging
    d. Malingering
A
  1. B– This is a question where one has to “rule out” the other choices. With vascular dementia, the onset is “patchy”. Poor self-care and apathy “should not be considered part of normal aging. There is nothing in the question to indicate malingering.” It is very possible that this person is depressed and that this is being overlooked due to her age, thus the suggestion of “pseudodementia”.
113
Q
  1. One of the highest correlations with smoking cessation outcome is related to
    a. gender.
    b. level of dependence.
    c. age.
    d. duration of smoking.
A
  1. B– The greater the level of dependence on nicotine, the harder it is to stop smoking (American Psychiatric Association, Practice Guidelines for the Treatment of Nicotine Dependence, Washington, DC, 1996). In terms of gender (answer A), and age (answer C), females and males and older and younger adults generally do equally well in treatment. The duration of smoking is not really a factor; it is far more critical to determine the amount of smoking in order to determine dependence.
114
Q
  1. Symptoms of Bipolar Disorder are typically treated with lithium and/or any of the following medications EXCEPT:
    a. phenelzine
    b. carbamazepine
    c. divalproex
    d. valproic
A
  1. A– Currently, lithium and/or an anti-seizure medication is the drug treatment-of-choice for Bipolar Disorder. Unlike the others, phenelzine is not used for the treatment of Bipolar Disorder as it is an MAOI antidepressant. Carbamazepine (Tegretol), divalproex (Depakote) and valproic acid (Depakene) are anti-seizure drugs that have been found to be useful for treating patients with Bipolar Disorder who have not responded well, or cannot tolerate, other treatments.
115
Q
  1. Standardized ratings of adaptive behavior, such as the Adaptive Behavior Scale and the Vineland, are completed by caretakers, teachers, trained observers, etc., and measure:
    a. abilities and competencies.
    b. competencies, but not necessarily abilities.
    c. abilities, but not necessarily competencies.
    d. neither abilities nor competencies.
A
  1. B– The idea behind these rating instruments is that we are determining what the person actually does in an average, expectable environment. That is, what his or her competencies are: can he get dressed by himself, can she eat appropriately, does he engage in conversation when addressed, etc.?
116
Q
  1. Which of the following sections of the 2002 Ethical Principles of Psychologists and Code of Conduct “discusses the intent, organization, procedural considerations, and scope of application of the Ethics Code.”
    a. Introduction only
    b. Introduction and Preamble
    c. Preamble only
    d. General Principles and Ethical Standards
A
  1. A– The 2002 Ethics Code is divided into four sections: Introduction, Preamble, General Principles, and Ethical Standards. The Introduction “discusses the intent, organization, procedural considerations, and scope of application of the Ethics Code.” The purpose of both the Preamble and General Principles is to provide “aspirational goals to guide psychologists toward the highest ideals of psychology.” The Ethical Standards “set forth enforceable rules.”
117
Q
  1. Briquet’s syndrome is also known as a:
    a. Conversion Disorder
    b. Somatization Disorder
    c. Body Dysmorphic Disorder
    d. Hypochondriasis
A
  1. B– Termed after the physican who described the condition in the 1850s, Briquet’s syndrome, or Somatization Disorder, is a chronic Somatoform Disorder with multiple physical symptoms that cannot be explained entirely by a general medical condition or the effects of a substance. The other three response choices are also Somatoform Disorders.
118
Q
  1. When using the WISC-III, the Symbol Search and Coding subtests provide information on
    a. learning disabilities.
    b. brain dysfunction.
    c. perceptual organization.
    d. processing speed.
A
  1. D– Processing speed is one of four factors that can be assessed with the WISC-III and is a measure of mental and motor speed while solving nonverbal problems. (The other factors are verbal comprehension, perceptual organization, and freedom from distractibility).
119
Q
  1. To determine the relationship between a dichotomous variable and a continuous variable, you would use which of the following correlation coefficients?
    a. point biserial
    b. biserial
    c. Spearman’s Rho
    d. eta
A
  1. A– You should memorize the different correlation coefficients and when they are used. The point-biserial coefficient is used when a dichotomous variable (e.g., gender) is correlated with continuous variable (e.g., IQ score). You might have thought the biserial coefficient is also correct, since it is used to correlate an artificial dichotomy with a continuous variable. An artificial dichotomy is one that is created arbitrarily by setting a cutoff score on a test; for instance, if you give the WAIS-III and classify everybody who scores over 110 as having “high intelligence” and everybody who scores below 110 as having “low intelligence,” you have created an artificial dichotomy. Because an artificial dichotomy is not, in a pure sense, a dichotomous variable, choice B is not as good an answer as choice A.
120
Q
  1. Boys who come from divorced families:
    a. Have low self-esteem
    b. Blame themselves
    c. Have poorer academic performance
    d. Are more apt to develop identity problems
A
  1. C– Parental divorce can have a substantial negative impact on the school performance of children. There is also evidence that the negative effects of divorce on school performance are worse for boy’s than for girls and for older than younger children (Guidubaldi et al., 1983)
121
Q
  1. In industrial settings, administration of a trainability test would be done for the purposes of determining whether
    a. the examinee is likely to do well on the job.
    b. the examinee is likely to do well on a job sample.
    c. the examinee will be satisfied on the job.
    d. the examinee is suited to train others.
A
  1. B– A trainability test is designed to determine whether or not potential employees are suitable for training. It is not designed to be directly predictive of how well the person will do on the job itself. Instead, it would more directly indicate how well the person would do on a job sample, which is likely to be a part of the training sessions. In fact, trainability tests typically include job samples and are described as a type of job sample.
122
Q
  1. A client of yours is insensitive to criticism or approval, doesn’t make eye contact during conversations, rarely smiles or frowns, didn’t do well in school, and expresses little interest in a sexual relationship or marriage. These symptoms are most suggestive of
    a. Schizoid Personality Disorder.
    b. Schizotypal Personality Disorder.
    c. Avoidant Personality Disorder.
    d. Asperger’s Disorder.
A
  1. A– This client is exhibiting detachment from social relationships and a lack of emotional responsivity, which are the core features of Schizoid Personality Disorder. With Schizotypal Personality Disorder (answer B), there would be cognitive and perceptual disturbances and eccentricities in behavior; with Avoidant Personality Disorder, the client would express a desire for relationships but avoid them due to fear of criticism and humiliation. For a diagnosis of Asperger’s Disorder (answer D), there would have to be more severe social impairment and the presence of stereotyped behaviors.
123
Q
  1. Your client comes to session and tells you that he is having trouble recognizing your face and those of others familiar to him. You realize that he may be suffering from prosopagnosia which is believed to be due to damage to the
    a. central sulcus.
    b. parieto-occipital sulcus.
    c. bilateral occipitotemporal area.
    d. optic chiasm.
A
  1. C– Prosopagnosia involves deficits in both visual processing and memory. Since the temporal lobe mediates long term memory and the occipital lobe is involved in visual processing, you may have been able to figure out the correct answer to this question by putting this information together. The central sulcus (answer A) divides the parietal and frontal lobes. The parieto-occipital sulcus (answer B) separates the occipital lobes. The optic chasm (answer D) is the point at which the optic nerve from one eye partially crosses to join the other.
124
Q
  1. The primary triggers of relapse in individuals attempting to quit smoking are withdrawal symptoms and
    a. emotional factors such as negative affect.
    b. environmental factors such as the presence of other smokers.
    c. the use of alcohol, caffeine, or other substances that were associated with smoking in the person’s past.
    d. events that are attributed to external, uncontrollable, and global factors.
A
  1. A– Research suggests that the primary physical factor in maintaining smoking is avoidance of withdrawal, and the primary psychological factor is regulation of emotional states. Specifically, smoking functions to minimize negative affects and evoke positive affects. This is why the most common triggers of relapse are withdrawal symptoms and negative affects.
125
Q
  1. When performing cognitive tests, most older adults are able to best perform at what time of day:
    a. morning
    b. early afternoon
    c. late afternoon
    d. evening
A
  1. A– May and Hasher (1998) referred to the beneficial effect of matching task demands and preferred time of day as the “synchrony effect.” Acknowledging age and individual differences in arousal patterns, research has found there are large differences in circadian cycles between young and older adults. The optimal time of day for successful completion of certain cognitive tasks for young children and individuals in late adulthood is primarily morning. There appears to be a shift beginning about the age of 12 away from morningness towards the peak arousal and task performance levels for young adults to the evening. Eventually, the life-span trend for time of day preference appears to come full circle. The research shows that synchrony between individual preferences and the time of testing is a powerful effect and that only highly practiced responses are invariant across the day - all others are affected. It is noted that attentional regulation over both incoming information and outgoing responses are particularly vulnerable to time of day effects. (See: May, C. P., & Hasher, L. (1998). Synchrony effects in inhibitory control over thought and action. Journal of Experimental Psychology: Human Perception and Performance, 24(2), 363-379. See: Hasher, L., Goldstein D., & May, C.P. (in press). It’s about time: Circadian rhythms, memory and aging. In C. Izawa & N. Ohta (Eds.), Human learning and memory: Advances in theory and application. Mahwah, NJ: Lawrence Erlbaum Associates, Inc.)
126
Q
  1. You have been retained by the court to make a recommendation concerning custody of a 4 year old girl. You have met with the mother on two occasions and also administered some psychological tests. You have completed a phone interview with the father who lives out of state. In reporting to the court, you should
    a. explain that you cannot present any data.
    b. recommend custody go to the parent you have determined is most competent to parent.
    c. present the results of your evaluation but refrain from making a recommendation.
    d. make a recommendation, but note that your evaluation of the father was incomplete.
A
  1. C– This is another question where it is tempting to do more than you are qualified to do. Answer C is correct; Standard 9.01(b) states that “psychologists provide opinions of the psychological characteristics of individuals only after they have conducted an examination of the individuals adequate to support their statements or conclusions. When, despite reasonable efforts, such an examination is not practical, psychologists document the efforts they made and the result of those efforts, clarify the probable impact of their limited information on the reliability and validity of their opinions, and appropriately limit the nature and extent of their conclusions or recommendations.” A phone conversation is not a psychological evaluation. You may have chosen response D, but it is pertinent to ask yourself the question that if you could not make a complete evaluation why would you make a recommendation.
127
Q
  1. Korsakoff’s Syndrome is characterized by:
    a. anterograde amnesia without retrograde amnesia.
    b. anterograde amnesia and retrograde amnesia that involves a temporal gradient in which remote events are recalled better
    than recent events.
    c. anterograde amnesia and retrograde amnesia that involves a temporal gradient in which recent events are recalled better
    than remote events.
    d. anterograde amnesia and “flat” retrograde amnesia in which deficits in remote and recent memory are about the same.
A
  1. B– Korsakoff’s Syndrome involves both anterograde and retrograde amnesia. The retrograde amnesia usually affects recent long-term memories more than remote memories (i.e., the person can recall events from early childhood but not from the last decade or two).
128
Q
  1. According to Sue and Sue (2003), what represents an “invisible veil” which operates outside the level of conscious awareness?
    a. class-bound values
    b. worldviews
    c. cultural-bound values
    d. cultural-universality
A
  1. B– Sue and Sue state that individuals are products of cultural conditioning with their worldviews, or values and beliefs, representing an “invisible veil” which operates outside the level of conscious awareness. The resulting assumption is that everyone shares the same reality and truth regardless of race, culture, ethnicity, or gender. This assumption of universality is erroneous yet seldom questioned due to being firmly ingrained in one’s worldview, and often results in people operating on misinformation. Cultural universality (d.) refers to the assumption that Western concepts of normality and abnormality can be considered universal and equally applicable across all cultures. Cultural relativism, including lifestyles, class values (a.), cultural values (c.) and worldviews, affect the expression and determination of deviant behavior. (Sue, D.W., & Sue, D. (2003). Counseling the culturally diverse: Theory and practice (4th ad.). New York: John Wiley.)
129
Q
  1. Of the following, which is the best way to facilitate memory of something you have recently learned?
    a. sleep
    b. study related material
    c. study unrelated material
    d. engage in strenuous physical activity
A
  1. A– Research has demonstrated that recall of a particular piece of information is greater after a given time period of sleep than after the same period of wakeful activity. This finding lends support to the interference theory of forgetting, which proposes that forgetting of a given piece of information is caused by interference from other information. When one is sleeping, there is less potential for any such interference to occur.
130
Q
  1. From the perspective of Beck’s cognitive-behavioral model, automatic thoughts are
    a. basic irrational beliefs that underlie depression and other maladaptive behaviors.
    b. interpretations of a situation that determine one’s behavioral and emotional responses.
    c. central, firmly-held beliefs about the self.
    d. misinterpretations of situations that reflect some type of cognitive distortion.
A
  1. B– According to Beck, everyone has automatic thoughts – they’re not necessarily associated with cognitive distortions or psychological distress. However, when automatic thoughts provide an unrealistic interpretation of the situation (“This is awful!”), they may lead to maladaptive behavioral or emotional responses.
131
Q
  1. What is the area of the brain in which lesions cause indifference or apathy?
    a. Corpus callosum
    b. Frontal
    c. Parietal
    d. Pyramidal system
A
  1. B– The frontal lobe contains the prefrontal association cortex. Lesions in this area disrupts the control and regulation of cognition and planning (so-called executive functions). Individuals with such lesions show decreased initiative, deficient self-awareness and concreteness in thinking.
132
Q
  1. Research investigating methods for treating Dysthymia suggest that
    a. interpersonal therapy is superior to cognitive behavioral therapy in terms of both short- and long-term effects.
    b. cognitive behavioral therapy is superior to interpersonal therapy in terms of both short- and long-term effects.
    c. interpersonal therapy and cognitive behavioral therapy are similarly effective but somewhat less effective for Dysthymia
    than for Major Depression.
    d. interpersonal therapy and cognitive behavioral therapy are both ineffective when used alone and marginally effective when
    used in combination.
A
  1. C– The research on treatments for Dysthymia is pretty scarce but there are a few studies that have shown that IPT and CBT are both effective, although not quite as effective as they are for Major Depression. See J. C. Markowitz, Psychotherapy of dysthymia. Is it effective? American Journal of Psychiatry, 1994, 151, 1114-1121.
133
Q
  1. Aggressive thoughts result in aggressive behavior, which in turn has the effect of causing others to have aggressive thoughts. This is an example of:
    a. reciprocal determinism
    b. covert modeling
    c. impulsive aggression
    d. instinctual drift
A
  1. A– This is an example of Bandura’s (1986) concept of reciprocal determinism. From this perspective, the relationship between personal factors or cognitions, behavior and the environment take turns influencing or being influenced by each other. As in this case, not only does the environment influence thoughts and thoughts impact actions but also actions effect the environment. Covert modeling (b.) involves the learning of new behaviors or the altering of existing behaviors by imagining scenes of others interacting with the environment. Impulsive aggression (c.) describes emotion-driven aggression produced in reaction to situations in the “heat of the moment.” Instinctual drift (d.) refers to the tendency for learned behavior to drift toward instinctual behavior over time.
134
Q
  1. Eric Berne feels which of the following reflect a person’s characteristic pattern of giving and receiving strokes?
    a. Life position
    b. Transaction
    c. Script
    d. Ego state
A
  1. C– Berne called a person’s life plan a script, and espoused that it reflected the person’s characteristic pattern of giving and receiving strokes. The life position (A) is one of the I’m OK, You’re OK Sequence. Transaction (B) was the term for communication between ego states and (D) the ego states are parent, child, adult.
135
Q
  1. Damage to the orbitofrontal cortex is most likely to result in:
    a. impaired depth perception
    b. impaired motor coordination
    c. altered emotional behaviors
    d. left-right confusion
A
  1. C– The orbitofrontal cortex is part of the prefrontal cortex located just above the eye sockets. Damage to the orbitofrontal cortex is most likely to alter emotional behavior. The orbitofrontal cortex is believed to play a role in excitability, behavioral inhibition, personality, and judgment.
    The famous case of Phineas Gage, the 19th century railroad worker who survived an iron rod shooting through his head, suffered damage to his orbitofrontal cortex which is believed to have caused changes in his emotions and behaviors.
136
Q
  1. Cortisol is frequently used as measure of:
    a. stress
    b. anorexia and Bulimia
    c. steroid abuse
    d. cortical functioning
A
  1. A– Cortisol is a steroid hormone secreted by the adrenal cortex, which is located near the kidneys. It stimulates the liver to convert fat and protein into glucose for energy. Under stress, cortisol level rises to provide the energy needed to cope with the stress. However, chronic stress results in chronically elevated levels of cortisol which is believed to cause several health consequences. If you incorrectly guessed choice “C,” note that although cortisol is a steroid, it is not one of the common steroids of abuse.
137
Q
  1. According to Fiedler’s contingency model, a task-oriented leader is most effective when
    a. the task is very structured or very unstructured.
    b. the task is moderately structured.
    c. the employees are either very high or very low in ability.
    d. the employees are moderate in terms of ability level.
A
  1. A– To answer this question, you need to know that Fiedler referred to task-oriented leaders as “low-LPC” leaders and that he proposed that low-LPC leaders are most effective in very favorable and very unfavorable situations. The favorability of the situation is determined by several factors, including the structure of the task (but not the ability of the employees).
138
Q
  1. To reduce a client’s fear of cats, a behavioral psychologist has the client imagine approaching a cat and then, when anxiety occurs, pair that image with deep muscle relaxation. This technique is known as:
    a. covert sensitization.
    b. guided imagery.
    c. implosive therapy.
    d. reciprocal inhibition.
A
  1. D– You may have been looking for counterconditioning or systematic desensitization as the correct response. Both involve reducing anxiety by pairing it with relaxation or other incompatible response. This technique was originally described by Wolpe, who referred to it as reciprocal inhibition.
139
Q
  1. Research comparing patients with Schizophrenia from non-Western developing countries to those from Western industrialized countries has found that they differ in terms of:
    a. symptoms
    b. age and gender
    c. gender and prognosis
    d. course and outcome
A
  1. D– Several studies conducted by the World Health Organization have consistently found differences in the course and outcome of Schizophrenia patients from developing and industrialized countries. Patients from developing countries more often exhibit an acute onset of symptoms, a shorter clinical course, and a complete remission of symptoms. No consistent differences were found between these two groups in regards to age, gender, or type of symptoms.
140
Q
  1. As a successfully licensed psychologist, you are supervising your first intern. You need to
    a. inform your intern that he should use your name as a pseudonoym.
    b. inform your intern that he needs to let his clients know he is in supervision.
    c. let his clients know his limitations as a clinician.
    d. have the intern get informed assent from the clients; you are responsible for informed consent.
A
  1. B– Your intern needs to let his clients know his professional status, just as you as a licensed psychologist would explain your own status. According to Standard 10.01(c) “When the therapist is a trainee and the legal responsibility for the treatment provided resides with the supervisor, the client/patient, as part of the informed consent procedure, is informed that the therapist is in training and is being supervised and is given the name of the supervisor.” Your intern is responsible for getting informed consent, not assent (answer D) from the clients.
141
Q
  1. The concordance rate for IQ between children and adopted parents is around
    a. .17.
    b. .33.
    c. .50.
    d. .60.
A
  1. A– The concordance rate for unrelated people living in a similar environment, into which category this question falls, is around .17. As the genetics get more similar, of course the rate increases, as you’d expect.
142
Q
  1. Disinhibition, indifference, and jocularity are most likely caused by damage to the:
    a. right frontal lobe
    b. left frontal lobe
    c. corpus callosum
    d. left parietal lobe
A
  1. A– Disinhibition/impulsiveness, happy indifference, and jocularity frequently result from damage to the right frontal lobe. Damage to the left frontal lobe (B) most often results in reduced speech, depression, and apathy.
143
Q
  1. Illnesses, such as Chronic Fatigue Syndrome, which have an unknown cause are said to be:
    a. idiopathic
    b. allopathic
    c. autoplastic
    d. homeopathic
A
  1. A–“Idiopathic” simply means of unknown cause. Allopathic (“B”) refers to the typical biomedical treatments which are practiced by most physicians in North America and Europe today. Homeopathic (“D”) refers to a more natural approach to healing in which the patient is given small doses of substances, which in larger doses, cause the same symptoms that they are suffering from. Autoplastic (“C”) refers to adaptation through altering one’s own behavior.
144
Q
  1. A member of which of the following groups is most likely to be admitted to an inpatient mental health facility?
    a. never married men
    b. divorced/separated men
    c. married men
    d. never married women
A
  1. A– Of the groups listed, never married men have the highest rates of admission to inpatient mental health facilities regardless of the type of facility (state/county versus private). The other groups listed have similar rates; but, if you have to choose the group with the lowest rate, the best answer is never married women (answer D).
145
Q
  1. When an animal’s normal response rate is restricted, that behavior becomes more preferred and therefore reinforcing. This is a description of:
    a. probability-differential theory
    b. response deprivation theory
    c. matching law
    d. maximizing law
A
  1. B– All of the response choices are explanations or theories of operant/instrumental conditioning. Timberlake and Allison’s response deprivation theory proposes when an animal’s normal response rate (e.g., eating food) is restricted (e.g., by food deprivation), that behavior becomes more preferred and therefore reinforcing. The probability-differential theory (a.), also known as the Premack Principle, claims that an activity will have reinforcing properties when its probability of occurrence is greater than that of the behavior it is intended to reinforce. Herrnstein’s matching law (c.), based on economic principles of costs and rewards, predicts that when an animal can choose from two or more simultaneously available reinforcement contingencies, that responding to each contingency will be proportional to the reinforcement on each schedule. In contrast, the maximizing law (d) proposes an animal will respond in a manner to achieve the maximum rate/number of rewards possible.
146
Q
  1. A parent finds that she has to nag her son more and more to get him to stop teasing his sister. The last time it happened, the boy finally stopped his teasing after his mother’s 16th angry request. The boy’s compliance is best described as the result of
    a. escape conditioning.
    b. avoidance conditioning.
    c. stimulus discrimination.
    d. stimulus generalization.
A
  1. A– In this situation, the boy stops teasing his sister because, presumably, this stops his mother’s nagging. In other words, by complying with her request, he escapes an aversive stimulus.
147
Q
  1. Which of the following ethnic groups has the highest proportion of reported incidents of child abuse?
    a. Asian
    b. Hispanic
    c. Native American
    d. White
A
  1. C– Of the reported cases of child abuse, 50% are White; 25% are African American; 15% are Hispanic; 2% are Native American; and 1% are Asian/Pacific Islanders. However, the proportions of child abuse victims who are Native American or African American are two times greater than the proportions of these children in the general population [Child Maltreatment 2001: Summary of Key Findings. U.S. Department of Health and Human Services. Washington, DC: U.S. Government Printing Office].
148
Q
  1. The type of racism exemplified by the lack of quality health care, delivery of substandard health care services and unavailability of preventive health services in minority communities is:
    a. institutional racism
    b. personally mediated racism
    c. internalized racism
    d. subtle racism
A
  1. A– Institutional racism refers to restriction or denial of material conditions and access to power to members of minority groups. Personally mediated racism (b.) refers to prejudice and discrimination at the individual level. Internalized racism (c.) refers to acceptance of negative messages about the abilities and intrinsic worth by members of the stigmatized races. Subtle racism (d.) refers to the beliefs, attitudes, and actions of individuals (rather than institutions) and is a less obvious form of racism, which has been proposed to have replaced overt or “old-fashioned” prejudice and discrimination.
149
Q
  1. Item analysis is a procedure used to:
    a. Determine which items will be retained for the final version of the test
    b. Refer to the degree to which items differentiate among examinees
    c. Graph depictions of percentages of people
    d. Help the IRS with an audit
A
  1. A– The procedure used to determine what items will be retained for the final version of a test is the definition of item analysis. The degree to which items discriminate among examinees is the definition of Item Discrimination. A graph that depicts percentages of people is an item characteristic curve.
150
Q
  1. In a study, subjects are asked to memorize a list of 12 unrelated words. After a brief period of time, they are asked to count backwards from 100 and are then tested on the word list. These subjects are
    a. the experimental subjects in a study on retroactive interference.
    b. the control subjects in a study on retroactive interference.
    c. the experimental subjects in a study on proactive interference.
    d. the control subjects in a study on proactive interference.
A
  1. B– Knowing the difference between retroactive and proactive interference would have helped you narrow the choices down to responses A and B. (In retroactive interference subsequent learning interferes with previous learning). In studies on retroactive interference, experimental subjects learn material similar to the original list, while control subjects engage in a dissimilar activity (e.g., counting backwards) that keeps them from rehearsing the list.
151
Q
  1. “Flashbulb memories” are vivid memories of emotionally-arousing events. Flashbulb memories are considered part of
    a. procedural memory.
    b. implicit memory.
    c. episodic memory.
    d. prospective memory.
A
  1. C– Like other episodic memories, flashbulb memories are for events that involve specific people, places, or things and that occurred at a specific time.
152
Q
  1. The areas of the brain associated with declarative memory include all of the following except the:
    a. striatum
    b. diencephalons
    c. peripheral cortex
    d. hippocampus
A
  1. A– Declarative memory consists of both episodic memory, past and personally experienced events, and semantic memory, knowledge of the meaning of words and how to apply them. In general, declarative memory is associated with the hippocampus (d.) and temporal cortex. More specifically, declarative memory, primarily involves the diencephalon (b.). The diencephalon, comprised of the thalamus and hypothalamus, is located between the two hemispheres of the brain, sometimes referred to as the “between brain,” or the anterior to midbrain regions. The diencephalon contains important connections and relays for sensory, motor as well as limbic pathways that are involved with memory. Additional areas that are associated with declarative memory are the peripheral cortex (c.), the amygdala and the neocortex. In particular, this includes the right frontal & temporal lobes for the episodic component, and the temporal lobes for the semantic component. The striatum (a.) controls various muscular activities such as walking and balance. (See: Long, C. J. (2000). Neuropsychology and Behavioural Neuroscience. Memory, March 30, 2000.).
153
Q
  1. The best overall conclusion about psychological outcomes for children who are raised by two lesbian parents is that
    a. such children are no more likely to have negative developmental outcomes than children raised by heterosexual parents.
    b. boys raised by lesbian parents are more likely than girls to have negative developmental outcomes.
    c. girls raised by lesbian parents are more likely than boys to have negative developmental outcomes.
    d. regardless of their gender, such children are more likely to have negative developmental outcomes than children raised by
    heterosexual parents.
A
  1. A– Most research has found that being raised by gay or lesbian parents does not increase the risk of negative developmental outcomes in children. For instance, a recent, comprehensive review of the literature found no support for the hypothesis that children of lesbians and children of heterosexual differ in terms of emotional health, interpersonal relations, sexual orientation, or gender development. The same review found that lesbian and heterosexual mothers do not differ significantly in terms of psychological adjustment or parenting skill.
154
Q
  1. Rutter (1985) believes that there are six family risk factors that are particularly accurate predictors of child psychopathology. They include all of the following except:
    a. low socioeconomic status.
    b. paternal psychopathology.
    c. severe marital discord.
    d. large family size.
A
  1. B– For answer B to be correct, the answer should be maternal psychopathology. Rutter listed low socioeconomic status, severe marital discord, large family size, parental criminality, and placement of children outside the home, to be predictors of child psychopathology.
155
Q
  1. Minuchin, the founder of structural family therapy, defines “triangulation” as occurring when
    a. the child and one parent “gang up” on the other parent.
    b. the parents either consistently attack or protect the child.
    c. each parent demands that the child side with him/her.
    d. two members of the family consistently challenge the therapist’s authority.
A
  1. C– Minuchin defines three types of “rigid triangles” that involve chronic boundary disturbances – triangulation (answer C); detouring (answer B); and a stable coalition (answer A).
156
Q
  1. ECT would most likely be given to
    a. an older depressed woman.
    b. a female schizophrenic threatening suicide.
    c. a male schizophrenic during an acute psychotic episode.
    d. an elderly person with Dementia.
A
  1. A– ECT is used to treat depression that has not responded to other forms of treatment. Since choice A is the only one that directly refers to depression, it is the best answer. It’s also a good answer since women are more likely than men to suffer from the major depressive disorders, and because it’s more likely that this situation would occur in middle and late adulthood, when the symptoms become more intractable to other treatments. Dementia might have a depressive component along with it, but one wouldn’t recommend ECT strictly for Dementia.
157
Q
  1. Which of the following is true regarding Sleep Terror Disorder in children?
    a. It usually begins between 4 and 12 years and follows a chronic course
    b. It usually begins between 4 and 12 years and resolves spontaneously during adolescence
    c. The frequency of episodes remains constant throughout the course of the disorder
    d. It occurs three times more often in females than males
A
  1. B– According to DSM-IV-TR, Sleep Terror Disorder is characterized by “the repeated occurrence of sleep terrors, that is, abrupt awakenings from sleep usually beginning with a panicky scream or cry.” It usually begins between 4 and 12 years and resolves spontaneously during adolescence. The frequency of episodes varies over time. Among children it is somewhat more common in males than in females.
158
Q
  1. Brief dynamic therapy is least likely to involve
    a. a focus on specific problems.
    b. an emphasis on restoring the person to a previous level of normal functioning.
    c. an attempt to engender insight into the unconscious.
    d. the use of techniques such as free association and dream interpretation.
A
  1. B– B sounds more like the goal of crisis intervention than that of brief psychotherapy. Brief dynamic therapy is focused on specific symptoms; whereas, the goal of long-term psychodynamic therapy is usually global personality change. These symptoms are usually viewed as pathological; in other words, the emphasis is on altering the normal level of functioning rather than returning the person to it. C and D both describe possible aspects of brief dynamic therapy. Techniques of long-term dynamic therapy, such as free association and dream interpretation, may be used. In addition, there may be an attempt to engender insight into the unconscious, but (unlike as in long-term therapy) the patient is left to assimilate this insight on his or her own.
159
Q
  1. Research by Foa et al. (1999) found which of the following treatments most effective for post-traumatic stress disorder?
    a. prolonged exposure
    b. stress inoculation training
    c. response prevention
    d. prolonged exposure combined with stress inoculation training
A
  1. A– Foa et. al. (1999) compared prolonged exposure, stress inoculation training, combined prolonged exposure and stress inoculation training, and a waiting list control group. The results indicated that all treatments (except the waiting list) were effective; however, prolonged exposure was superior to either stress inoculation training or the combined treatment. Response prevention (C) was not included in the study, and is typically used with disorders that include more of a behavioral component, such as obsessive-compulsive disorder (E. Foa, C. Dancu, E. Hembree, L. Jaycox, E. Meadows, & G. Street, A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims. Journal of Consulting and Clinical Psychology, 1999, 67(2), 194-200).
160
Q
  1. Non-consensual childhood sexual abuse generally has a:
    a. more negative impact for females than males
    b. more negative impact for males than females
    c. similar impact for males and females
    d. similar impact for males and females but a very different pattern of symptoms
A
  1. C– This is a difficult question because the research results on childhood sexual abuse are inconsistent. Many studies have found no consistent gender differences in impact or pattern of symptoms, while other studies have found a more negative impact for females than for males. One of the complicating factors has been the definition of childhood sexual abuse – which includes consensual sex involving a minor when there is a significant age difference between the two parties. However, when only non-consensual types of childhood sexual abuse are examined, males and females are equivalently affected [B. Rind, P. Tromovitch, R. Bauserman, A meta-analytic examination of assumed properties of child sexual abuse using college samples, Psychological Bulletin, 124(1), 1998, 22-53].
161
Q
  1. Behavioral treatments for depression focus on increasing pleasurable activities and/or
    a. flooding.
    b. social skills training.
    c. overcorrection.
    d. self-instructional training.
A
  1. B– Behavioral explanations for depression focus on the role of too little reinforcement and too much punishment. Behavioral interventions attempt to reverse this situation by, for example, helping clients develop better social skills so that they will have more pleasurable social interactions.
162
Q
  1. The “terminal drop” phenomenon refers to:
    a. declines in intellectual functioning
    b. declines in sensory functioning
    c. declines in REM sleep
    d. declines in non-REM sleep
A
  1. A–“Terminal drop” refers to findings indicating in the months before death, a substantial drop in all facets of intelligence occurs.
163
Q
  1. According to Piaget, centration is:
    a. characteristic of the formal operational stage and is the belief that others are as concerned with a subject’s behavior as the
    subject is.
    b. characteristic of the preoperational stage and involves focusing on one aspect of a situation while neglecting others.
    c. characteristic of the preoperational stage and is an inability to consider another’s point of view.
    d. characteristic of the concrete operational stage in which it is understood that two objects can remain equal according to a
    certain measure despite changes to their perceived form.
A
  1. B– According to Piaget, centration refers to a limitation of preoperational thought that leads a child to focus on one aspect of a situation and neglect others, often leading to illogical conclusions. Choice A describes an imaginary audience (a term coined by David Elkind). Choice C refers to egocentrism and Choice D describes conservation.
164
Q
  1. A unilateral throbbing headache that is aggravated by light, sound, or any movement is characterized as a:
    a. cluster headache
    b. migraine headache
    c. tension headache
    d. sinus headache
A
  1. B– Migraine headaches are typically unilateral, that is, felt on one side of the head and are typically throbbing in nature. Migraines are also frequently accompanied by sensitivity to light, sound, and movement, and may be accompanied by nausea and vomiting. Cluster headaches (A) are characterized by severe pain usually behind one eye and typically last for a few minutes to several hours and reoccur at the same time each day for several weeks, until the cluster period is over. Tension headaches (C) are described as a constant, dull, pain on both sides of the head. They are typically accompanied by tension in the head or neck muscles and begin slowly and gradually. Sinus headaches (D) are usually located in the mid-facial area and are described as a dull ache often accompanied by nasal congestion.
165
Q
  1. To study perception in infants, you present an infant with a sight or sound until he/she stops looking at or turning toward it. The phenomenon you are using to study infant perception is called
    a. satiation.
    b. habituation.
    c. equilibration.
    d. adaptation.
A
  1. B– In learning theory, habituation occurs when an individual no longer responds to punishment. More generally, the term is used when a person no longer responds to a stimulus that is repeatedly presented. Habituation is often used to study infant perception.
166
Q
  1. The difference between the multiple hurdle and the multiple cut-off selection technique is that, in multiple hurdle,
    a. examinees must succeed on all predictors.
    b. not all predictors are administered to all examinees.
    c. predictors are specially designed to be “culture-fair.”
    d. predictive validity is empirically established.
A
  1. B– Both multiple hurdle and multiple cut-off involve administering a series of predictor measures to prospective applicants. And in both cases, the examinee must succeed on all predictors in order to be selected. The difference is that, in multiple hurdle, predictors are administered in a successive order. If the applicant fails on any predictor, he or she no longer completes subsequent ones. By contrast, when multiple cut-off is used, examinees usually take all the predictors and the predictors are not necessarily administered in any particular order.
167
Q
  1. According to Albert Bandura’s model of learning, participant modeling is more effective as a therapeutic technique than simple modeling because:
    a. participant modeling decreases the client’s initial level of anxiety.
    b. participant modeling increases the client’s feelings of self-efficacy.
    c. participant modeling can be used to treat a wider variety of problems.
    d. participant modeling is more logistically practical and less expensive than simple modeling.
A
  1. B– Participant modeling (sometimes called contact desensitization or modeling with guided participation) refers to the technique of demonstrating a task and then having the client participate. Usually, the participation portion involves guidance by the therapist, either verbally or through actual physical contact. According to Bandura, both simple modeling and participant modeling increase the client’s expectancies that performing the modeled behavior will lead to a desirable outcome. However, unlike simple modeling, participant modeling has the additional benefit of increasing the client’s feelings of self-efficacy; i.e., the expectancy that he or she will be able to perform the behaviors being modeled.
168
Q
  1. Which of the following proposed a behavioral theory of career decision making?
    a. Holland
    b. Super
    c. Herzberg
    d. Krumboltz
A
  1. D– Krumboltz’s Social Learning Theory of Career Decision Making (SLTCDM) includes four types of influences on making career decisions: genetic characteristics and special abilities; environmental conditions and events; learning experiences; and performance standards and values. Social learning influences can be positive or negative factors. (See: Krumboltz, J. D., Mitchell, A. M., & Jones, G. B. (1976). A social learning theory of career selection. Counseling Psychologist, 61, 71-81.) Holland’s theory (response “A”) states career choices are an expression of personality. Super’s (response “B”) is a developmental or stage theory. Herzberg’s two-factor theory addresses worker motivation and satisfaction, not career choices.
169
Q
  1. A managed health care organization decides that additional mental health services for one of your clients are not “medically necessary.” You disagree with this conclusion, because you believe that the client may experience severe and long-term mental distress without at least two or three more counseling sessions. Based on current standards of practice as well as the implications of the court’s ruling in Wickline v. California, your duty in this situation would be to:
    a. ensure that the client understands why you can no longer provide treatment and refer him to a place where he can obtain
    low-cost or free services.
    b. continue treating the client for a fee that is commensurate with his previous co-payment.
    c. appeal the decision of the managed health care organization.
    d. file a lawsuit against the managed health care organization.
A
  1. C– In the Wickline case, a patient sued a state-run managed care organization because it did not approve an eight-day post-surgical hospital stay and the patient later developed medical complications. The physician complied with the organization and released the patient without protest. The client lost the case against the organization, in part because the physician never appealed the organization’s decision. The court held that a treating professional who “complies without protest with the limitations imposed by a third-party payor, when his [professional] judgment dictates otherwise, cannot avoid his ultimate responsibility for the patient’s care.” This case suggests that it is the health professional’s obligation to protest in a situation such as the one described in the question, and a number of commentators suggest that advocacy for the patient’s needs in such situations is an ethical obligation.
170
Q
  1. According to Janet Helms, a White member of a city council meeting, which consists of members from different racial and cultural backgrounds, is most likely to work cooperatively if the member is in which stage of development:
    a. contact
    b. integration
    c. reintegration
    d. autonomy
A
  1. D– Janet Helms developed the White Racial Identity Development Model, which consists of six stages. “Contact”(A), the first stage, is characterized by ignorance and disregard of any racial differences. The next stage is “disintegration” which involves awareness of racial inequalities which results in moral confusion and conflict. This is followed by “reintegration” (C), in which Whites are viewed as superior to minorities. “Pseudo-Independence” is marked by dissatisfaction with reintegration. “Immersion-Emersion” follows, during which, people embrace their whiteness without rejecting minorities. “Autonomy”, the last stage, is reached when a person internalizes a nonracist White identity, whereby similarities and differences are acknowledged but are not perceived as threatening. Note that “Integration” (B) is not one of the stages in Helms’ model; rather, it refers to Berry’s Acculturation Model, in which a minority has a high retention for the minority culture and high maintenance of the mainstream culture.
171
Q
  1. Loss of declarative memory is associated with
    a. Alzheimer’s Dementia.
    b. Parkinson’s Disease.
    c. Dissociative Disorders.
    d. Personality Disorders.
A
  1. A– Alzheimer’s dementia affects declarative memory which includes both episodic memory (memory of your last birthday, how you spent your last vacation) and semantic memory (red is a color).
172
Q
  1. The brain part or system that manages the circadian rhythm is located in the
    a. caudate nucleus.
    b. cerebellum.
    c. reticular activating system.
    d. hypothalamus.
A
  1. D– You may have thought the answer was reticular activating system, which is involved in many functions related to sleep. However, the circadian rhythm, or the innate, 24-hour cycle of biological activity (i.e., the biological clock) is managed by the suprachiasmatic nucleus (SCN), a group of cells found within the hypothalamus. The SCN gets information about day length via a pathway between it and light receptors in the retina. The SCN interprets this information and passes it to the pineal gland, which secretes the hormone melatonin in response (nighttime increases melatonin secretion, while daylight inhibits it). Destruction of the SCN causes circadian rhythms to disappear entirely.
173
Q
  1. Which of the following WAIS-III subtests should be used to assess attention span and short-term memory?
    a. arithmetic
    b. digit span
    c. comprehension
    d. picture arrangement
A
  1. B– You will find a useful summary of the interpretation of the Wechsler intelligence test (e.g., WAIS-III, WISC-III) subscales in the School/Intelligence section of your materials. The digit span subtest measures attention and short-term memory; the arithmetic subtest measures reasoning ability and concentration; comprehension measures judgment and common sense; and picture arrangement measures nonverbal reasoning and interpretation of social situations.
174
Q
  1. The Montessori method can best be described as:
    a. Didactic group teaching
    b. Emphasis on cooperative activities
    c. Hands on learning
    d. Emphasizing a way to motivate children
A
  1. C– The Montessori method was developed from Maria Montessori’s idea that children are active learners and naturally motivated. Within this method there is very little didactic group teaching and the children are directed towards interactive “hands on” learning experience. While the method is highly regarded by many, other educators are concerned that it doesn’t allow for enough opportunities for cooperative play and small-group interaction.
175
Q
  1. Your client arrives at the fourth session with a small handgun in his coat. He says that when he leaves the session he is going to go by his ex-wife’s house and “shake up her new husband a bit.” He assures you that the gun is not loaded. You should
    a. insist he remain in your office and try to calm him down.
    b. ask him to turn over the gun.
    c. alert the new husband if possible.
    d. do nothing; this particular client has an odd sense of humor.
A
  1. C– Answer C is referring to a situation in which the Tarasoff law applies. You have a client who is threatening harm to an intended victim. “The discharge of such duty…may call for the therapist to warn the intended victim of the danger…” (Tarasoff vs. Regents of University of California 1976, p. 426). Choice A and B are heroic, but may place you at considerable risk; they also require clinical judgments you cannot make with the limited information available in this question.
176
Q
  1. Anticholinergic effects include all of the following EXCEPT:
    a. constipation
    b. diarrhea
    c. blurred vision
    d. dizziness
A
  1. B– Anticholinergic (side) effects occur as a result of interference with acetylcholine in the brain and peripheral nervous system. Tricyclic antidepressants and antipsychotics often have anticholinergic effects which include dry mouth, blurred vision, constipation, dizziness, urinary retention, tachycardia, and confusion.
177
Q
  1. A within-subjects design that involves changing the order in which each treatment is administered to different groups of participants is referred to as:
    a. counterbalancing
    b. changing criterion
    c. Latin square
    d. Solomon four-group
A
  1. A– Counterbalancing is a within-subjects design that involves changing the order in which each treatment is administered to different groups of participants. The goal is to use every possible treatment sequence with equal numbers of participants for each sequence. If the number of participants is too small to permit the use of a completely counterbalanced research design, then researchers may use a type of partial counterbalancing like the Latin square design (c.). This design is useful for determining what exact sequences of treatment will be administered to the different participant groups. The changing criterion design (b.) is a single case design consisting of a series of phases with differing behavioral criterion set for each. The treatment is considered effective if the behavior reaches the criterion level for each phase. The Solomon four-group design (d.) is used to evaluate the effects of pretesting on internal and external validity.
178
Q
  1. Which of the following procedures summarizes and identifies key variables that describe the consequences of HR programs to improve decision making?
    a. utilization review
    b. utility analysis
    c. concurrent review
    d. quality management
A
  1. B– Based on the logic that decision making will be improved by using a decision-support framework that explicitly considers the costs and benefits of human resources (HR) decisions, a utility analysis summarizes and identifies key variables that describe the consequences of HR programs. Utility analysis has most frequently been studied as applied to selection procedures although other cost/benefit analyses have been applied to HR interventions such as recruitment, training, performance feedback, promotion, turnover/layoff management and more recently, new policy implementation. Studies have purported to identify, with a high degree of precision, the financial payback to be realized through investments designed to improve employee productivity. Advances in utility analysis application and related research have been limited due to an inability to develop an agreed-upon method to estimate the dollar value of job performance and its standard deviation (SDy). The challenge arises in uniformly evaluating human inputs, actions, and/or the outcomes of those actions as well as the uncertainty of task characteristics, relationships, and levels of task independence across positions and organizations. Utilization Review (a.) is a cost containment procedure involving an evaluation of patients’ use of services to identify any unnecessary or inappropriate use of health care resources. Concurrent review (c.) describes the utilization review conducted during the course of treatment. Quality management (d.) is another name for quality assurance. (See: Boudreau, J.W. & Ramstad, P.M. (2001). Strategic I/O Psychology and Utility Analysis. In W. Borman, R. Klimoski & D. Ilgen (Eds.), Handbook of Industrial and Organizational Psychology, New York, NY: John Wiley and Sons; Latham, G.P., & Whyte, G. (1994). The futility of utility analysis. Personnel Psychology, 47, 31-46. and Boudreau, J.W. (1991). Utility analysis for decisions in human resource management. In M.D. Dunnette & L.M. Hough (Eds.), Handbook of industrial and organizational psychology (Vol. 2, pp. 621-745). Palo Alto, CA: Consulting Psychologists Press.)
179
Q
  1. Hand washing frequency by health care workers is low despite the importance of compliance for reducing rates of hospital-acquired infection. Research indicates the most effective interventions for increasing hand washing include:
    a. continued performance feedback and written materials
    b. education, continued performance feedback and reminders
    c. automated sinks, education and availability of moisturizing soap
    d. automated sinks, written materials and reminders
A
  1. B– Studies on interventions to increase compliance with hand hygiene practices have found that no single intervention has consistently improved handwashing frequency in healthcare workers. Individual intervention findings indicate: one-time educational interventions and performance feedback on compliance rates are associated with a short-term influence; distribution of written materials and strategically placed reminders had a modest but more sustained effect; automated sinks increased the quality of handwashing however decreased the frequency; and the availability of moisturizing soaps had little or no effect on frequency. Research suggests the most effective approach is a multifaceted one that includes education in combination with written material, reminders and continued feedback of performance. The availability of an alcohol-based hand gel, when added to the multifaceted approach also appears to result in a modest improvement in compliance. (See: Naikoba, S. & Hayward, A. (2001). The effectiveness of interventions aimed at increasing handwashing in healthcare workers - a systematic review. Journal of Hospital Infection. 47, 173-180.)
180
Q
  1. A reason why the rational-economic model of decision-making usually does not prove viable in an organization is that
    a. it allows for the consideration of a limited number of options.
    b. it places too many demands on the individual and the organization.
    c. it arouses resentment in organization members who are excluded from the decision-making process.
    d. humans are irrational and emotional by their nature.
A
  1. B– The rational-economic model assumes that decision-making involves a rational process in which all alternatives are considered and the best possible decision is eventually made. The model requires that decision-makers obtain information about and consider all possible alternatives before making a decision. This requirement places an inordinate demand on the people involved. Thus, in the real world, decisions are usually made based on the information that is available given restraints of resources such as time, money, and personnel.
181
Q
  1. The coefficient of determination indicates
    a. the proportion of variability in one variable that is accounted for by variability in another variable.
    b. the correlation between two variables with the effects of a third variable removed.
    c. the correlation between two variables without the effects of a third variable removed.
    d. the proportion of variability accounted for in a variable by all the factors in a factor analysis.
A
  1. A– The coefficient of determination is calculated by squaring a correlation coefficient. As compared to the correlation coefficient, it provides a more direct way of interpreting the calculated relationship between two variables. Specifically, it indicates the proportion of variability shared by the two variables, or the proportion of variability in one variable that can be accounted for by variability in the other.
182
Q
  1. Which of the following statements is true regarding the incidence of Major Depressive Disorder?
    a. The rate for prepubescent girls is twice that of prepubescent boys
    b. The rate for adolescent females is half that of adult females
    c. The rate for adolescent and adult females is half that of adolescent and adult males
    d. The rate for adolescent and adult females is twice that of adolescent and adult males
A
  1. D– According to the DSM-IV-TR, Major Depressive Disorder occurs at twice the rate for adolescent and adult females as compared to adolescent and adult males. The rates for prepubertal boys and girls are equal.
183
Q
  1. A person calls into a radio talk show psychic, hears the psychic’s reading and says “that is exactly my situation.” This is NOT an example of:
    a. subjective validation
    b. functional fixedness
    c. the Barnum effect
    d. the Forer effect
A
  1. B– Functional fixedness refers to the tendency to think of objects only in terms of their usual functions. Subjective validation (a.) is the process of validating words, initials, statements or signs as accurate because one is able to find them personally meaningful and significant. The other two response choices are frequently used interchangeably to describe the tendency of people to accept vague and general personality descriptions as uniquely applicable to themselves without realizing that the same description could be applied to just about anyone. Specifically, the Barnum effect (c.) is the name given to a type of subjective validation in which a person finds personal meaning in statements that could apply to many people; and the Forer effect (d.) refers to the tendency of people to rate such statements as highly accurate for them personally. (See: Dickson, D.H., & Kelly, I.W. (1985) “The ‘Barnum effect’ in personality assessment: A review of the literature,” Psychological Reports, 57, 367-382. and Forer, B.R. (1949) “The fallacy of personal validation: A classroom demonstration of gullibility,” Journal of Abnormal Psychology, 44, 118-121.)
184
Q
  1. Communication networks in which information passes along a chain of command are associated with:
    a. complex job tasks
    b. simple job tasks
    c. increased individual satisfaction
    d. collaborative job tasks
A
  1. B– Centralized communication networks, where all communication passes through one position or person, have been shown to be more efficient when tasks are mundane and simple. Formal communication networks where information moves between many positions or people (decentralized communication networks) work best with complex and/or collaborative job tasks. Research indicates decentralized networks also result in more individual satisfaction.
185
Q
  1. Classical Adlerian psychotherapy:
    a. provides six stages as a systematic procedure
    b. provides twelve phases as a teaching guideline
    c. is a progression through twelve stages
    d. is a creatively practiced art without stages
A
  1. C– Classical Alderian psychotherapy is characterized as a diplomatic, warm, empathetic, and Socratic style of treatment. For teaching purposes, Adlerian psychotherapy can be divided into twelve stages, and within each stage, cognitive, affective, and behavioral changes are gradually advanced. The stages reflect progressive strategies for awakening a client’s underdeveloped feeling of community. There are six different phases in this psychotherapy and within these phases there can be up to three stages. These are not rigid, systematized steps as therapy is considered a creative practice and unique for the individual. (See: Stein, H. (1988). Twelve Stages of Creative Adlerian Psychotherapy. Individual Psychology, 44, 138-143.)
186
Q
  1. The Racial Identity Attitude Scale, developed by Helms and Parham (1996), is used to assess the stages of African-American racial identity development which are:
    a. conformity, dissonance, resistance and immersion, introspection, and articulation and awareness
    b. separation, marginalization, assimilation, and integration
    c. pre-encounter, encounter, immersion-emersion, and internalization
    d. encounter, resistance, integration, and awareness
A
  1. C– The Racial Identity Attitude Scale, developed by Helms and Parham (1996), is based on Cross’ (1971, 1978) stages of African-American identity development. The stages are pre-encounter, encounter, immersion-emersion, and internalization. Choice A includes the stages of Atkinson, Morten, and Sue’s Minority Identity Development Model. Choice B refers to Berry’s Acculturation model, which consists of independent dimensions, rather than stages. And choice D contains terms from each of the other models.
187
Q
  1. Job commitment has the highest correlation with
    a. job satisfaction.
    b. absenteeism and turnover.
    c. productivity.
    d. quality of work.
A
  1. B– The research on job commitment, or the degree to which a person identifies with an organization and is willing to work to help the organization reach its goals, suggests that it has a moderate to strong negative correlation with absenteeism and turnover. In this respect, it is similar to job satisfaction, which also is more highly correlated with absenteeism and turnover than with other variables (such as productivity) typically studied in the organizational psychology literature.
188
Q
  1. Of the following relationships, the one which, according to empirical research, is stronger is:
    a. job enlargement and job satisfaction.
    b. job turnover and job dissatisfaction.
    c. gender and job dissatisfaction.
    d. job satisfaction and productivity.
A
  1. B– Of the four choices, only the relationship between job dissatisfaction and job turnover has been found to be significant.
189
Q
  1. Damage to the prefrontal cortex is most likely to cause:
    a. impaired motor coordination
    b. impaired memory and attention
    c. alterations in the sleep/wake cycle
    d. “psychic blindness”
A
  1. B– The prefrontal cortex is associated with a variety of cognitive functions, including attention and certain aspects of memory. An individual with damage to the prefrontal cortex may exhibit distractibility, impaired working memory, a reduced attention span, and impaired prospective memory. “Psychic blindness” (d.) is associated with Kluver-Bucy syndrome, which is caused by damage to certain areas of the temporal lobes.
190
Q
  1. A high level of expressed emotion by family members has been found to be predictive of relapse for which of the following disorders?
    a. schizophrenia
    b. eating disorders
    c. mood disorders
    d. all of the above
A
  1. D– The relationship between a family’s level of expressed emotion (EE) and the risk of relapse among patients with Schizophrenia has been known for many years; however, recently EE has also been linked to eating disorders and mood disorders. In fact, in a meta-analysis the relationship of EE to relapse in eating disorders and mood disorders was significantly greater than the relationship found for Schizophrenia (mean effect sizes were .51, .39, and .31, respectively) [R.L. Butzlaff & J.M. Hooley, Expressed emotion and psychiatric relapse: A meta-analysis, Archives of General Psychiatry, 55, 1998, 547-552].
191
Q
  1. During the acute phase, hypoglycemia is most likely to be misdiagnosed as:
    a. Schizophrenia.
    b. Major Depression.
    c. Panic Disorder.
    d. Dementia.
A
  1. C– Many of the endocrine disorders produce symptoms that can be mistaken for a psychiatric illness. Hypoglycemia has both acute and chronic phases, which involve different symptoms. During the acute phase, which this question is asking about, symptoms include panic and anxiety. However, these are replaced during the chronic phase with depression, psychosis, and/or personality change.
192
Q
  1. Large amounts of information can be kept in short-term memory through the use of:
    a. the “savings” method.
    b. eidetic memory.
    c. chunking.
    d. mnemonics.
A
  1. C– The classic finding in the area of research into short-term memory (STM) is the “7 +/- 2” finding; i.e., that STM has the capacity of storing 7 plus or minus 2 pieces of information at one time. Chunking is a technique designed to increase the amount of information that can be kept in STM – it involves grouping larger amount of information into single chunks. In other words, STM is used to store 7 +/- 2 chunks rather than 7 +/- 2 isolated bits of information. Mnemonics (choice D) are used to increase the efficiency of encoding newly learned information, which increases the ease with which that information is retrieved from long-term memory.
193
Q
  1. A 14-year old is brought to your office. He does not want to be there. His mother notes that they are referred by the school. The only presenting complaint is that his grades are much poorer than last year. Your evaluation indicates no significant other problematic areas in his life. Your best course of action is to:
    a. schedule ongoing treatment with yourself.
    b. continue your assessment to ascertain the presence of hidden pathology.
    c. explore the possibility of an educational intervention.
    d. not do anything.
A
  1. C– This is a practical, and often realistic, problem. You have a 14-year-old who doesn’t want to come to you. You have a referral from the school that his grades are going down. You made an assessment that there doesn’t appear, now anyway, to be any psychiatric disorder. So, what would you do? There’s no need to suggest treatment since he doesn’t want to come see you. And, besides, you haven’t found any problems. You wouldn’t continue an assessment since, from the information given, you already concluded there isn’t much psychological conflict present. You could do nothing, telling him to come back to you if things get worse. That’s one possibility. Another possibility presented as a choice is to explore some educational intervention, such as talking to his teachers to investigate how his school environment might be optimized. So you could certainly propose intervening with the school. And between suggesting this, and doing nothing, we’d go with exploring a school-based intervention.
194
Q
  1. According to Anne Cleary’s model of test fairness, a job selection test would be considered unfair if
    a. Based on the use of the test, a higher proportion of Caucasians than African-Americans are chosen for the job.
    b. the test has a higher validity coefficient for Caucasians than for African-Americans.
    c. the slope of the test’s regression line is different for African-Americans than for Caucasians.
    d. the content of the test is culturally biased.
A
  1. C– Under the Cleary model, a test is considered unfair if the slope and/or the y-intercept of the regression line is different for one subgroup than for another. The effect of these statistical phenomena is that differences between subgroups on predictor scores would not be reflective of differences between the groups on the criterion. For instance, low scorers in one subgroup might do just as well on the criterion as high scorers in the other subgroup.
195
Q
  1. Approximately what percent of women experience full-blown postpartum (clinical) depression?
    a. 1 to 5%.
    b. 10 to 20%.
    c. 20 to 30%.
    d. 30 to 40%.
A
  1. B– The majority of women experience some depression following childbirth but, for most, these symptoms are mild. For about 10 to 20% of women, symptoms are sufficiently severe to qualify for a diagnosis of Major Depression.
196
Q
  1. Increased awareness is the primary goal of which of the following types of therapy?
    a. Self Psychology
    b. Reality Therapy
    c. Gestalt Therapy
    d. Existential Therapy
A
  1. C– Although increased awareness can be considered an important goal of many types of therapy, it is perhaps most central to Gestalt Therapy. Gestalt therapy strives to increase an individual’s awareness of the self, the environment, and the nature of the self-environment boundary.
197
Q
  1. The “pseudopatients” who were admitted to mental hospitals in Rosenhan’s (1973) study were:
    a. all discharged from the hospitals within72 hours due to their “remission”
    b. identified by hospital staff as being “normal” during the second week of their stay
    c. identified by other patients but not staff members as being “normal”
    d. identified by staff members as being “normal” only after they stopped feigning symptoms
A
  1. C– Rosenhan’s famous “pseudopatient study” involved 8 confederates who presented themselves to mental hospitals complaining of hearing voices. All were admitted to the hospital and7 of the 8 were given the diagnosis “Schizophrenia.” Once admitted, they all stopped feigning any symptoms and behaved normally. Nevertheless, their hospital stays ranged from7 to 52 days with an average stay of 19 days and although nearly one-third of the other patients recognized the pseudopatients as “normal,” none of the hospital staff recognized them as such.
198
Q
  1. Asian-American clients are LEAST likely to:
    a. prefer a direct-structured approach to therapy
    b. be inhibited and reserved in therapy
    c. smile to express disapproval
    d. use silence as a way of communicating respect
A
  1. C– Although Asian-Americans are a diverse group, certain generalizations have been found. Asian-Americans tend to prefer a direct-structured approach to therapy (A), are inhibited and reserved in therapy (B), and use silence as a way of communicating respect (D). When Asian-Americans smile and laugh it may convey meanings other than happiness, in particular, embarrassment, discomfort, or shyness; however, smiling is less likely to be used to express disapproval. Sue and Sue (1999) have noted that this cultural difference may have contributed to conflicts in Los Angeles following the Rodney King verdict, when African-Americans misinterpreted Korean store owners’ smiling as arrogance and a lack of compassion, when they were actually expressing embarrassment and apprehension [Counseling the Culturally Different: Theory and Practice, 3rd Ed., New York: John Wiley].
199
Q
  1. Kuder-Richardson reliability applies to
    a. split-half reliability.
    b. test-retest stability.
    c. Likert scales.
    d. tests with dichotomously scored questions.
A
  1. D– The Kuder-Richardson formula is one of several statistical indices of a test’s internal consistency reliability. It is used to assess the inter-item consistency of tests that are dichotomously scored (e.g., scored as right or wrong).
200
Q
  1. Holland’s social type is most similar to which other one of his types?
    a. artistic
    b. investigative
    c. realistic
    d. conventional
A
  1. A– Holland’s theory categorizes individuals based on their resemblance to six personality types: realistic, investigative, artistic, social, enterprising, and conventional (you can remember the sequence as “RIASEC”). The personality types reflect a person’s primary interest, or an environment’s primary characteristic; for example, the social type enjoys working with others and avoids ordered, systematic activities that involve tools or machinery. There is overlap between the types, though some types overlap more than others. For example, the social type is relatively more similar to the artistic and enterprising types, and less similar to the realistic, investigative, and conventional types.