Sample exam 1 questions Flashcards
Mrs. Jones has been coming to your family medicine practice for the past four years. She has a 20 month-old son, and has recently given birth to an infant daughter. She reports that she and her husband planned their second child so that their son would be old enough to spend time by himself while she cared for the new baby. She is concerned that while her son is happy playing by himself for short periods of time, he also searches her out after a while and wants her undivided attention. If she gives him attention, he seems interested in playing by himself again, but if she is busy with the baby, he continues to “bother” her until she responds to his request. She tells you she can’t figure out what her son wants, and she finds herself “frustrated” with him. 1. Based upon this description of her son’s behavior, what would you tell Mrs. Jones about his behavior? A. Her son has regressed to the symbiotic stage of development, which is normal when a new child enters the family. B. Her son’s behavior suggests he is in the practicing stage of development, and she needs to encourage him to do more things on his own. C. Her frustration with a child at this stage of development is not normal, and you would suggest she see a counselor. D. Her son’s behavior appears to be normal for a child his age. E. She should not give him the attention he is seeking, since that would reward his dependent behavior. 2. Based on the case information above, this young child’s behavior is representative of: A. the hatching sub-phase described by Mahler B. the practicing sub-phase described by Mahler C. the rapprochement sub-phase described by Mahler D. Freud’s Oedipal stage of psychosexual development E. the psychodynamic process of regression
- D 2. C
Which of the following techniques is MOST likely to facilitate engagement? A. An interrogatory interview style in the opening minutes of the interview B. Initially allowing the patient to do most of the talking C. Using closed-ended questions D. Beginning the encounter by telling the patient about the importance of annual examinations E. Ensuring that the patient understands the doctor’s agenda
B
A middle-aged woman is being treated for emphysema. She starts to cry and says she has been under a lot of stress lately. She states, “I know I should quit smoking, but I can’t.” Her physician nods and says, “You would like to quit smoking but you feel you can’t because you are under a lot of stress.” The physician’s response is an example of which of the following interview techniques? A. An evocative question B. Empathetic reflection C. Reframing D. Double-sided reflection E. Repeating
B
Piaget’s stage of development correlating with the “latency” phase in Freud’s psychosexual development is: A. sensory motor B. formal operations. C. preoperational thought. D. logical thought. E. concrete operations.
E
According to Mahler’s theory, the individuation process is a major focus of which of the following stages or sub-phases: A. Symbiosis B. Hatching C. Practicing D. Rapprochement E. Object Constancy
D
According to Freud’s structural model of the mind, internalization and identification are important processes that play a major role in the development of which of the following: A. the Id B. the Ego C. the Superego D. the preconscious level of the mind E. the unconscious level of the mind
C
Which of the following is NOTcharacteristic of the Transtheoretical Model of Change Stage of Precontemplation? A. Cons of changing outweigh pros of changing B. Pros of changing outweigh cons of changing C. May be unaware of negative consequences of unhealthy behavior(s) D. May be demoralized because of repeated past failures in changing behavior E.Lack confidence about ability to take action
B
Which of the following BEST describes the role of physicians in relation to facilitating health behavior change in patients? A. Physicians diagnose and treat illness, not behavior. B. Physicians provide information about the impact of health behavior. C. Physicians require compliance with health behavior plans D. Physicians help patients find motivation to change. E. Physicians tell patients what they need to do.
D
A developing child is very susceptible to shame and humiliation during which of the following stages or sub-phases of Mahler’s developmental process: A. Symbiosis B. Hatching C. Practicing D. Rapprochement E. Object Constancy
C
A 70-year-old woman has had three face-lifts and never leaves the house without makeup. She forbids her grandchildren to address her as “grandmother” and lies about her age. According to Erikson, she is having difficulty mastering which stage of development? A. Integrity vs Despair B. Egocentric C. Generativity vs stagnation D. Narcissistic E. Pragmatic Development
A
According to Mahler’s theory, separation is a process that begins during which of the following stages or sub-phases: A. Symbiosis B. Hatching C. Practicing D. Rapprochement E. Object Constancy
B
A 61-year-old man sees his physician because he is having trouble sleeping. He states, “I am having a hard time since my wife died three weeks ago. We were married for 40 years, and I can’t get used to her not being here. Nights are the worst. It takes me a couple of hours to fall asleep.” Which of the following responses by the physician would be the MOST empathic? A. “Have you thought about starting a new hobby? Staying busy helps.” B. “I know how you feel. My mother died when I was a kid, and it was really hard for me.” C. “I’ll give you a prescription that will help you get to sleep and sleep well through the night.” D. “It sounds like you miss your wife very much. Losing her has had an enormous impact on your life.” E. “You still have many good years to look forward to. You’ll feel better soon.”
D
