Exam Three

Question 1

When it comes to comparing different types of psychotherapy for treating symptoms of eating problems, is there evidence that any of them are effective?
a. Emotion-focused therapy has the largest and most compelling evidence for successful treatment of anorexia
b. Overall, there is minimal research to support the effectiveness of any type of psychotherapy
c. There is evidence for cognitive-behavioral therapy (CBT), interpersonal therapy (IPT), and even psychodynamic therapies
d. Yes, but CBT-E doesn’t work because people with anorexia are unable to think logically about their symptoms

Answer 1

c. There is evidence for cognitive-behavioral therapy (CBT), interpersonal therapy (IPT), and even psychodynamic therapies

Question 2

“Here’s the key to working with your client,” said the supervisor. “Don’t let her spend too much time simply describing her eating problems. Instead, you must focus on how her eating problems relate to her dysfunctional relational patterns.” What approach is the supervisor using?
a. Interpersonal therapy
b. Enhanced cognitive-behavioral therapy
c. Acceptance and commitment therapy
d. Emotion-focused therapy

Answer 2

a. Interpersonal therapy

Question 3

Dick binges and purges regularly. His therapist is considering diagnosing him with bulimia. What piece of information is important to consider?
a. The binging and purging suggest that a binge-eating disorder diagnosis should be considered
b. If Dick has body image issues, the only appropriate diagnosis would be bulimia
c. If Dick isn’t maintaining minimal body weight, then the diagnosis should be anorexia
d. Avoidant / restrictive food intake disorder often involves purging

Answer 3

c. If Dick isn’t maintaining minimal body weight, then the diagnosis should be anorexia

Question 4

Who is NOT engaging in an act of purging?
a. Denise, who exercises strenuously after a binge
b. Wanda, who vomits her food after a binge
c. Remo, who ingests laxatives after a binge
d. Douglas, who uses diuretics after a binge

Answer 4

a. Denise, who exercises strenuously after a binge

Question 5

Which of the following about pharmacology and eating disorders is TRUE?
a. Compared to other disorders, individuals with bulimia on SSRIs often experience fewer side effects
b. SSRIs appear to help those with bulimia diagnoses more than those with anorexia diagnoses
c. SSRIs have been found to be a consistently effective treatment for anorexia nervosa
d. SSRI doses for bulimia are usually lower than for other disorders

Answer 5

b. SSRIs appear to help those with bulimia diagnoses more than those with anorexia diagnoses

Question 6

It has been linked to feelings of disgust in people who have anorexia and may explain their lack of interest in food
a. Lateral hypothalamus
b. Anterior insula
c. Mesolimbic pathway
d. Hypothalamic-pituitary adrenal (HPA) axis

Answer 6

b. Anterior insula

Question 7

As anorexia patients recover and gain weight, brain volume is believed to _______
a. Decrease
b. Change from round to oblong
c. Stay the same
d. Increase

Answer 7

d. Increase

Question 8

Which two spectra are suspected of being important in assessing eating disorders?
a. Somatoform and internalizing
b. Internalizing and disinhibited externalizing
c. Thought disorder and detachment
d. Antagonistic externalizing and somatoform

Answer 8

a. Somatoform and internalizing

Question 9

What is the most central distinction between feeding and eating disorders?
a. Feeding disorders occur most often in adults, while eating disorders occur most often in children
b. Eating disorders involve distorted body image, while feeding disorders usually do not
c. Eating disorders include eating inappropriate or non-food materials, like dirt, chalk, paper, clay, or coins
d. Overall, feeding disorders are more common and more serious than eating disorders

Answer 9

a. Feeding disorders occur most often in adults, while eating disorders occur most often in children

Question 10

What are the least to most intensive and restrictive levels of care for eating issues?
a. Outpatient treatment, intensive outpatient treatment, partial hospitalization, residential treatment, medical hospitalization
b. Outpatient treatment, residential treatment, intensive outpatient treatment, partial hospitalization, medical hospitalization
c. Outpatient treatment, intensive outpatient treatment, partial hospitalization, medical hospitalization, residential treatment
d. Outpatient treatment, intensive outpatient treatment, residential treatment, partial hospitalization, medical hospitalization

Answer 10

a. Outpatient treatment, intensive outpatient treatment, partial hospitalization, residential treatment, medical hospitalization

Question 11

Which HiTOP spectrum captures the impulsive and reckless behavior of substance abusers?
a. Somatoform
b. Thought disorder
c. Antagonistic externalizing
d. Disinhibited externalizing

Answer 11

d. Disinhibited externalizing

Question 12

Which is NOT a stage in the transtheoretical model of change?
a. Action
b. Post Contemplation
c. Precontemplation
d. Contemplation

Answer 12

b. Post Contemplation

Question 13

Which is NOT true of alcoholics anonymous (AA)?
a. It advocates an illness model of alcoholism
b. It encourages alcoholics to cease drinking entirely
c. It believes that fellowship and mutual support can help alcoholics control their drinking
d. It rejects the disease model in favor of a religious model

Answer 13

d. It rejects the disease model in favor of a religious model

Question 14

Which brain pathway tied to rewards is implicated in addiction?
a. Intracranial cortico-addictive loop
b. Mesolimbic dopamine pathway
c. Hypothalamic-pituitary-adrenal (HPA) axis
d. Gut-brain axis

Answer 14

b. Mesolimbic dopamine pathway

Question 15

Antagonist drugs for substance abuse do the following EXCEPT:
a. Reduce the body’s pleasurable response to addictive substances
b. Interfere with the addictive substance’s effects
c. Diminish cravings
d. Eliminate tolerance and withdrawal

Answer 15

d. Eliminate tolerance and withdrawal

Question 16

Someone diagnosed with hallucinogen persisting perception disorder is experiencing:
a. Withdrawal
b. Delirium tremens
c. Substance dependence
d. Drug flashbacks

Answer 16

d. Drug flashbacks

Question 17

Which statement about cannabis is FALSE?
a. Regular users can develop tolerance to it
b. Tolerance and withdrawal to it cannot occur
c. As countries legalize it, health and safety issues tied to it are expected to increase
d. When regular users stop taking it, they can experience withdrawal

Answer 17

b. Tolerance and withdrawal to it cannot occur

Question 18

How do DSM and ICD differ when it comes to substance use diagnoses?
a. ICD combined abuse and dependence into one diagnosis while DSM kept them separate
b. DSM eliminated the distinction between tolerance and withdrawal while ICD kept it
c. DSM combined abuse and dependence into one diagnosis while ICD kept them separate
d. DSM eliminated the distinction between tolerance and withdrawal while ICD kept it

Answer 18

c. DSM combined abuse and dependence into one diagnosis while ICD kept them separate

Question 19

Who is experiencing Korsakoff syndrome?
a. Ben’s daughter, who was born with atypical facial features
b. Ray, who is shaking and hallucinating
c. Padma, whose liver is not functioning
d. Leah, who invents explanations for her memory problems

Answer 19

d. Leah, who invents explanations for her memory problems

Question 20

This neurotransmitter, whose activity is enhanced by nicotine, is important in muscle movement, arousal, memory, and learning:
a. GABA
b. Norepinephrine
c. Serotonin
d. Acetylcholine

Answer 20

d. Acetylcholine

Question 21

How might Dr. Ferrari use countertransference to provide clients with a corrective emotional experience?
a. By helping the client to project negative feelings about past relationships onto the therapist, without fear of rejection from the therapist
b. By noticing her reactions to her client and then sharing that information with the client
c. By forming a strong bond with the client and providing the client with unconditional self-acceptance
d. By pointing out the emotional defenses that the client displays in therapy and modeling more adaptive ways of emotional coping

Answer 21

b. By noticing her reactions to her client and then sharing that information with the client

Question 22

Psychopathy is to _____ as sociopathy is to ______
a. Hallucinations; delusions
b. Antisocial personality; borderline personality
c. Crime; punishment
d. Biology; environment

Answer 22

d. Biology; environment

Question 23

Which is true about independent personality disorder and restricted personality disorder?
a. ICD-11 removed them because they proved to be gender biased
b. They are in DSM’s section III for further study because evidence of their validity and lack of gender bias is lacking
c. They were finally added to DSM-5-TR in 2022
d. A feminist psychologist proposed them to illustrate that many DSM categories are biased against women

Answer 23

d. A feminist psychologist proposed them to illustrate that many DSM categories are biased against women

Question 24

Dialectical behavioral therapy (DBT):
a. Involves a process of rationally integrating conflicting thoughts
b. Was originally developed to treat depression but has since been used for personality disorders
c. Emerges from the tradition of Zen Buddhism, and as such, is based on little scientific evidence
d. Is used primarily for Paranoid Personality Disorder

Answer 24

a. Involves a process of rationally integrating conflicting thoughts

Question 25

Who is most likely to have been diagnosed with antisocial personality disorder?
a. Lily, who says she can see the future
b. Minerva, who has few friends and believes that she is a messenger from God
c. Ted, a serial killer
d. Ronnie, who is extremely shy and rarely leaves her house

Answer 25

c. Ted, a serial killer

Question 26

Kanjira is perfectionistic and inflexible. Which DSM personality disorder best reflects such behavior?
a. Obsessive-compulsive personality disorder
b. Perfectionistic personality disorder
c. Histrionic personality disorder
d. Borderline personality disorder

Answer 26

a. Obsessive-compulsive personality disorder

Question 27

Psychopathic traits are adaptive but only when few people display them, according to which hypothesis?
a. Obsessive trait complex hypothesis
b. Psychopathic regularity hypothesis
c. Frequency-dependent selection hypothesis
d. This is a misrepresentation of evolutionary theory, because no hypothesis says psychopathic traits are sometimes adaptive

Answer 27

c. Frequency-dependent selection hypothesis

Question 28

Molly uses terms like “punitive parent mode” and “avoidant protector mode” when discussing her family life. You suspect she is undergoing what type of therapy?
a. Schema therapy
b. Object relations therapy
c. Brief psychodynamic therapy
d. Dialectical behavior therapy

Answer 28

a. Schema therapy

Question 29

Bizarre and magical thinking reminiscent of psychosis best reflects which diagnosis?
a. Borderline personality disorder
b. Schizotypal personality disorder
c. Paranoid personality disorder
d. Schizoid personality disorder

Answer 29

b. Schizotypal personality disorder

Question 30

Arjun keeps to himself. He desperately wants to make friends but fears being made fun of or rejected by others. Arjun might qualify for which diagnosis?
a. Avoidant personality disorder
b. Antisocial personality disorder
c. Dependent personality disorder
d. Schizoid personality disorder

Answer 30

a. Avoidant personality disorder