PT3 Flashcards
Question ID #25: Recent research has shown that single-session Psychological Debriefing (PD):
Select one:
A. is as effective as, or in some cases more effective than, multiple-session PD for preventing PTSD.
B. is as effective as multiple-session PD for preventing PTSD only when the session is sufficiently long to elicit a cathartic reaction.
C. is effective for preventing PTSD only when it is administered within 24 hours following exposure to the traumatic event.
D. is not effective for preventing PTSD and may actually exacerbate PTSD symptoms.
D
Question ID #380: The mother of a 35-year-old man says that, for the past five weeks, he has been acting very uncharacteristically. He seems perplexed and nervous much of the time, his tone of voice varies between flat and shrill, and his speech is sometimes like "word salad." The mother says that sometimes it seems like he is listening to voices or sounds that she cannot hear. Based on this information, the most likely diagnosis is: Select one: A. Schizophrenia. B. Schizoid Personality Disorder. C. Schizoaffective Disorder. D. Schizophreniform Disorder.
D
Question ID #1124: Information on which of the following would be most useful for determining whether a client’s impotence has a physiological or psychological etiology?
Select one:
A. the presence of nocturnal erections
B. the experience of pain during intercourse
C. the client’s level of performance anxiety
D. the presence of diabetes
A
Question ID #15022: Research on characteristics associated with successful smoking cessation suggests that which of the following individuals is most likely to relapse following an attempt to stop smoking cigarettes?
Select one:
A. a 51 year old married man who started smoking at age 32
B. a 25 year old single man who started smoking at age 16
C. a 34 year old married woman who started smoking at age 25
D. a 42 year old divorced woman who started smoking at age 20
B
Question ID #10178: A number of investigators have attempted to identify the factors that reduce the likelihood that a woman will seek or remain in substance abuse treatment. Of the factors that have been studied, which of the following has most often been identified as a primary barrier to substance-abuse treatment for women?
Select one:
A. child and childcare concerns
B. sexual harassment from male counselors
C. denial of a substance abuse problem
D. a perception that treatment is ineffective
A
Question ID #38899: As defined in the DSM-5, the essential feature of Delirium is:
Select one:
A. impaired ability to transfer information from short- to long-term memory.
B. a disturbance in attention and awareness.
C. a disturbance in psychomotor behavior.
D. disorientation.
B
Question ID #38665: A clinician notices that her client, age 28, experiences frequent periods in which she is very irritable, sensitive, anxious, and self-deprecating; but that, between these times, the client seems to be fairly well adjusted and even-tempered. When the clinician asks the client about these mood changes, the client says she has always become very moody during the week before her menstrual period. The client's symptoms are most suggestive of which of the following DSM-5 disorders? Select one: A. Dysmenorrhea B. Cyclothymic Disorder C. Premenstrual Syndrome D. Premenstrual Dysphoric Syndrome
D
Question ID #38885: For a DSM-5 diagnosis of Disruptive Mood Dysregulation Disorder, the onset of symptoms must be prior to \_\_\_ years of age. Select one: A. 6 B. 10 C. 12 D. 18
B
Question ID #10932: Research on high expressed emotion has linked it to a \_\_\_\_\_\_\_\_\_\_\_ for several psychiatric disorders including Schizophrenia, Bipolar Disorder, Major Depressive Disorder, and Eating Disorders. Select one: A. high risk for relapse B. better response to pharmacotherapy C. lower motivation for treatment D. increased potential for misdiagnosis
A
Question ID #931: The assessment of patients with Alzheimer’s disease is an ongoing process due to the degenerative nature of the disease and the consequent need to alter the nature of the treatment plan. During the 4th or 5th year of the disorder, an assessment is most likely to find which of the following?
Select one:
A. deficits in new learning with remote memory mildly to moderately impaired; anomia; sadness
B. severe impairments in recent and remote memory; fluent aphasia; indifference or irritability; restlessness
C. severe impairments in memory and executive functioning; motor rigidity; confusion and delusions
D. severely disturbed intellectual functioning; limb rigidity and flexion posture; apathy; seizures
B
Question ID #14335: The most commonly prescribed treatment for moderate to severe obstructive sleep apnea is:
Select one:
A. tracheostomy.
B. oral appliances.
C. adaptive servo-ventilation (ASV).
D. continuous positive airway pressure (CPAP).
D
Question ID #38679: During your first session with Mr. and Mrs. Desvelo, Mr. Desvelo says his wife has insisted that he get “some help” with his sleep problems. Mrs. Desvelo states that she’s awakened by his frightening screams at least once a week, usually a few hours after they go to sleep, and that this is having a negative effect on her mood and their relationship. Mr. Desvelo has no history of trauma or substance abuse, and he says he recently had a physical and his health is good. In response to your questions, Mrs. Desvelo tells you that her husband sometimes wakes up when he screams and seems agitated but usually goes right back to sleep and doesn’t respond to her attempts to calm him; and Mr. Desvelo says that, in the morning, he has no memory of the episode and usually can’t recall having had any dreams. Mr. Desvelo’s symptoms are most suggestive of which of the following DSM-5 diagnoses?
Select one:
A. Nightmare Disorder
B. Sleep Terror Disorder
C. Rapid Eye Movement Sleep Behavior Disorder
D. Non-Rapid Eye Movement Sleep Arousal Disorder
D
Question ID #36749: Studies on effective treatments for Bulimia Nervosa have found that:
Select one:
A. cognitive behavioral therapy alone and treatment with an SSRI alone are about equally effective but, in most cases, combining the two treatments does not improve outcomes.
B. cognitive behavioral therapy alone and treatment with an SSRI alone are about equally effective and, in many cases, combining the two treatments improves outcomes.
C. treatment with an SSRI alone is superior to cognitive behavior therapy alone but, for some patients, combining the two treatments improves outcomes.
D. cognitive behavioral therapy alone is superior to treatment with an SSRI alone but, for some patients, combining the two treatments improves outcomes.
D
Question ID #38890: For a DSM-5 diagnosis of Binge-Eating Disorder, an individual must have engaged in binge eating, on average:
Select one:
A. once a week for at least one month.
B. once a week for at least three months.
C. twice a week for at least one month.
D. twice a week for at least three months.
B
Question ID #15018: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is the likely DSM diagnosis for a mother when her child's persistent vomiting stops whenever the child is removed from the mother's care for several days. Select one: A. Malingering B. Factitious Disorder C. Ganser syndrome D. folie a deux
B
Question ID #17412: A therapist who has adopted an etic perspective:
Select one:
A. believes that mental disorders may be manifested differently by people from different cultural groups.
B. believes that mental disorders are manifested in similar ways by all people, regardless of their cultural group.
C. adopts a psychodynamic model to describe the causes of mental disorders.
D. adopts a behavioral model to describe the causes of mental disorders.
B
Question ID #512: A structural family therapist’s interventions when working with a triangulated family will be designed to:
Select one:
a. foster insight in order to establish more appropriate hierarchies and boundaries.
b. create stress in order to unbalance the family’s homeostasis.
c. dilute the tension between family members in order to reduce triangulation.
d. alter the family’s implicit and explicit rules in order to increase differentiation.
B
Question ID #1030: According to Troiden (1988), homosexual identity development involves which of the following stages?
Select one:
A. confusion, comparison, acceptance, synthesis
B. feeling different, confusion, assumption, integration
C. dissonance, immersion, introspection, integrated awareness
D. dissonance, acceptance, assumption, integration
B
Question ID #17755: The notion that there are three major life tasks - friendship, occupation, and love - is MOST consistent with the philosophy of: Select one: A. Perls. B. Berne. C. Rogers. D. Adler.
D
Question ID #1987: “Culturally encapsulated” therapists:
Select one:
A. have become immersed in another culture at the expense of their own culture.
B. exhibit an overt type of racism while denying that they are prejudiced against members of other cultures.
C. define the reality of their clients according to their own cultural assumptions.
D. maximize cultural differences by consistently distinguishing between “us” and “them.”
C
Question ID #1555: Traditional American Indian social organization and decision-making is best described as: Select one: A. linear. B. bilateral. C. nuclear. D. collateral.
D
Question ID #17517: The traditional explanation for the beneficial effects of acupuncture is that it promotes healing by:
Select one:
A. restoring the flow of energy in the body.
B. creating a state of mental calmness.
C. altering the balance between cell growth and cell death.
D. restoring balance between the sympathetic and parasympathetic nervous systems.
A
Question ID #36753: The stages of change (transtheoretical) model identifies two factors as the primary predictors of successful transition from one stage to the next. These are:
Select one:
A. perceived self-efficacy and decisional balance.
B. locus of control and level of commitment.
C. motivation and persuasibility.
D. outcome expectancies and outcome value.
A
Question ID #17519: A number of studies have found that African American patients are less likely than White patients to complete advance directives. This research also indicates that this is due to:
Select one:
A. a low level of trust in the health care system.
B. techniques that help the therapist communicate empathy
C. reliance on family members to make end-of-life decisions.
D. the belief that advance directives violate cultural or religious values.
A