Test Questions 1 Flashcards
Which of the following would most likely be the focus of an object-relations therapist?
A communication skills training and facilitating catharsis
B paradoxical interventions and circular questioning
C helping the client identify introjects and providing support
D exploring intergenerational transmission processes and cognitive restructuring
The Correct Answer is “C”
There are a variety of object-relations theories and therapies based on them. However, most focus on how
introjects, or internalized images of significant others from the past, affect our current relationships and
functioning. In addition to helping clients identify introjects, an objects-relations therapist would be likely to
provide support and “re-parenting,” in order to help the client develop new, healthier introjects.
According to Holland, a highly differentiated person:
A is most flexible, possessing traits found in all six personality types.
B scores high on only one of the six personality types.
C scores high on two personality types that are on opposite sides of the personality hexagon.
D has the emotional maturity to effectively deal with many different personality types
The Correct Answer is “B”
Holland proposed that all behaviors, including career choice, are a function of personality and the social
environment. He distinguished between six personality types - realistic, investigative, artistic, social, enterprising,
and conventional. A highly differentiated person would be someone who scored high on only one of the
personality types. Holland believed that high differentiation would best predict the outcome of a personality and occupational match.
According to Self Verification Theory, a person who believes that he dances poorly would prefer to be told by
friends:
A “You are a pretty bad dancer”
B “You are not a bad dancer”
C “You should become a professional dancer”
D nothing about dancing
The Correct Answer is “A”
Self Verification theory proposes that people need and seek confirmation of their self-concept, regardless of
whether their self-concept is positive or negative. Thus, people prefer to be right rather than happy. According to
this theory, a person who dances poorly would prefer to be told so (assuming the other’s evaluation matches the
person’s self evaluation).
According to recent outcome studies, which of Yalom’s therapeutic factors is the most direct indicator of
group outcome success as well as growth within the individual group members?
A catharsis
B collusion
C cohesion
D universality
The Correct Answer is “C”
C. Recent studies indicate cohesiveness in a group, characterized by warmth and acceptance, self-disclosure and risk-taking behavior, freedom to express feelings openly (both positive and negative) is most associated with group member improvement and outcome success. As Yalom described, the therapeutic factors do not occur in isolation - they are interdependent and group cohesion serves as a necessary precondition for the other factors.
Early confrontation, later positive alliance, later affective confrontation and fewer leader interventions in later
sessions are also associated with successful group outcomes. (See: Burlingame, G.M., MacKenzie K.R., Strauss B. (2004). Small group treatment: evidence for effectiveness and mechanisms of change. In: Lambert, M., editor. Bergin and Garfield’s handbook of psychotherapy and behavior change. 5th ed. New York: John Wiley and Sons Inc, 647-96.)
A psychologist who obtained a Ph.D. in experimental psychology wants to change her specialty to clinical
psychology. To meet the requirements set forth by the General Guidelines for Providers, the psychologist must
A complete an internship in clinical psychology under the supervision of a professional clinical psychologist.
B complete appropriate doctoral-level classes and supervised post-doctoral training.
C obtain a Ph.D. in clinical psychology from an accredited college or university.
D meet her state’s requirements for licensure in clinical psychology.
The Correct Answer is “B”
The licensing exam often contains questions such as these, and in approaching them, you should remember these buzzwords: training AND experience. Specifically, the Specialty Guidelines state that “professional psychologists who wish to qualify as clinical psychologists meet the same requirements with respect to subject matter and professional skills that apply to doctoral and postdoctoral education and training in clinical psychology.” Choice “B” is the only one that includes an element of both training and experience, and is therefore the best answer. Moreover, unlike as stated by choice “C”, a second Ph.D. would not be necessary – doctoral level coursework in clinical psychology would be sufficient to meet the academic training aspect of this requirement
Children raised by parents who are very demanding but warm are likely to be highly: A neurotic B oppositional C insecure D resilient
The Correct Answer is “D”
Authoritative parents are very demanding but also warm and responsive to their children. Children raised by
authoritative parents tend be more mature and have better coping skills, or resilience to life stressors, than
children raised with other parenting styles.
The WAIS-III subtest which is least affected by normal aging processes is A comprehension. B similarities. C arithmetic. D vocabulary.
The Correct Answer is “D”
This is a variation on the question about the “classic aging pattern” on IQ. The accepted finding is that as we get older, certain cognitive functions begin to fail, particularly those which rely on the neurochemical substructure of
the nervous system. Thus our speed is not as quick, our motor skills show deficits, etc. But cognitive abilities
relying on crystallized processes, such as long-term memory, show little change. Hence, of the alternatives listed here, vocabulary skills would show the least age-related decline. We tend to retain our capacity for language throughout the lifespan.
An individual imagining others engaging in a variety of alternative or desirable behaviors is using the technique known as: A overcorrection B simple modeling C covert sensitization D covert modeling
The Correct Answer is “D”
D. Covert modeling is based on its overt, simple modeling equivalent. Covert modeling involves the learning of new behaviors or the altering of existing behaviors by imagining scenes of others interacting with the
environment. Overcorrection (a.) involves an individual consistently being reinforced for engaging in behaviors
other than the target behavior during a predetermined period of time. Covert sensitization (c.) uses counterconditioning in imagination to reduce or eliminate a target behavior. An individual imagines he/she is
engaging in the undesirable behavior and then imagines an aversive consequence for doing so.
Which of the following is most true about individuals with Moderate Mental Retardation?
A They constitute 3-4% of the population of mentally retarded individuals.
B They can reach up to about a sixth grade level in academic skills.
C They can be trained to perform unskilled work in the competitive job market under close supervision.
D They acquire little or no communicative speech during the pre-school period.
The Correct Answer is “C”
Individuals with moderate retardation have an IQ between 35-40 and 50-55. According to the DSM, as adults, they can contribute to their own support by performing unskilled or semi-skilled tasks under supervision – in
sheltered workshops or in the competitive job market. They constitute 10% of the mentally retarded population,
they are unlikely to progress beyond the second grade level in academic skills, and they can talk or learn to
communicate during the preschool years.
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.
The Correct Answer is “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.
While attending a staff meeting at a mental health facility where you work, you learn that one of your
colleagues, a psychologist, is behaving in an unethical manner toward one of her patients. Despite being advised
to do so by several members of the staff, she states that she will not change her behavior. What should you do in
this situation?
A Approach the colleague individually and urge her to change her behavior; if she refuses, report her to the
appropriate ethics committee.
B Approach the colleague individually and urge her to change her behavior; if she refuses, recommend to the
director of the facility that she be fired.
C Report the colleague to the appropriate ethics committee immediately, since she has already stated that she will not change her behavior.
D Announce in the staff meeting that you want to “go on the record” as noting that the psychologist is behaving
unethically.
The Correct Answer is “A”
The Ethics Code states that you should deal with ethical violations by another psychologist in an informal manner,
by bringing it to the attention of the psychologist. A report to an ethics committee should be made when the
attempt at informal resolution has failed or if the violation is not amenable to informal resolution. Thus, you
should speak to the psychologist privately and report her to an ethics committee if she still refuses to change her
behavior. You may have thought that, since the psychologist has already stated her refusal to behave ethically, you should go ahead and report her, without bothering to talk to her. This actually makes sense, but the Ethics Code requires that you attempt an informal attempt at resolution first. A staff meeting is a formal setting, and
does not personally give you the opportunity to attempt an informal resolution.
Of the following, the highest rate of suicide occurs among A married persons. B never-married persons. C widowed persons. D divorced persons.
The Correct Answer is “D”
Marriage, especially when reinforced with children, appears to lessen the risk of suicide. Among married people, the rate of suicide is about 11 per 100,000. This rate is higher for single, never-married persons (about 22 per 100,000), even higher for widows (24 per 100,000), and higher still for divorced individuals (40 per 100,000).
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
The Correct Answer is “A”
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.)
In regard to sensory memory, information is retained for
A less than two seconds.
B less than twenty seconds.
C a few minutes, if using rehearsal techniques.
D an indefinite amount of time, but it is difficult to access.
The Correct Answer is “A”
Sensory memory holds information from the senses for a very brief period of time–generally less than two
seconds. It is not held any longer than this, even with rehearsal techniques (answer C). While some researchers
hypothesize that information is retained in long-term memory indefinitely but may be difficult to access, this is
not a characteristic of sensory memory.
The Stroop Test is commonly used to assess: A posture B contralateral neglect C visual problems D attention problems
The Correct Answer is “D”
John Stroop, a psychologist, developed the Stroop Color Word Test in 1932 as a screening device for frontal lobe
damage. The test involves the presentation of a list of color words (blue, green, red, and so forth) with each word printed in colored ink, but not in the color denoted by the word (for example, the word “yellow” is printed in
blue, green or red ink). The participant’s task is to name the ink color in which each word is printed as quickly as
possible. A correct response requires the inhibition of reading the color name. Patients with left frontal lesions are often unable to inhibit reading the words and thus are impaired at this task. Others with attention deficits,
including those with ADHD, also perform more poorly on the Stroop Test compared to those without attention
deficits
Which of the following is likely to be most effective for alleviating chronic pain?
A biofeedback
B hypnotherapy
C relaxation and coping skills training
D autogenic training and contingency management
The Correct Answer is “C”
Most experts advocate a comprehensive treatment approach for chronic pain. Their recommended treatments involve teaching the patient a number of coping skills designed to alleviate pain and improve the patient’s feelings of control. See, for example, H. Philips, The effects of behavioral treatment on chronic pain, Behaviour Research and Therapy, 1987, 25, 365-377.
In schizophrenia, haldol is used primarily to treat: A negative symptoms B apathy C psychotic symptoms D blunted affect
The Correct Answer is “C”
Antipsychotic drugs such as haldol (butyrophenones) are more effective for alleviating the positive symptoms of
schizophrenia: hallucinations, delusions, disordered thought, and agitation, than the negative symptoms: apathy, blunted affect, autism, and social withdrawal. In clients with schizophrenia, antipsychotics induce a “neuroleptic state” characterized by emotional quieting (decreased hallucinations and delusions), psychomotor slowing (less agitation, impulsivity, and aggressiveness), and affective indifference (lower arousability and lack of concern with the external environment).
In terms of interviews as selection techniques, which of the following is most consistent with the research?
A
Panel interviews generally have the highest levels of validity, and they are especially valid when an average
(versus consensus) rating is derived.
B
When interviewers are given biodata information about an interviewee prior to the interview, interviewers give
less credence to interview information when the biodata is not supportive of a decision to hire than when the
biodata is very supportive of a decision to hire.
C
Although the research is inconsistent, the best conclusion about interviews is that future-oriented (situational)
interviews are more valid than past-oriented (behavior description) interviews regardless of whether the interview
is structured or unstructured.
D
One of the difficulties with interviews, even when they are structured, is that they are highly susceptible to gender
biases, especially when the interviewee and the interviewer are of different genders.
The Correct Answer is “B”
There is some evidence that interviewers place less importance on interview information when biodata is not very favorable and more importance when it is supportive of a hiring decision. Apparently, a good interview cannot
make up for a bad history, but a good history can be supported or canceled out by the results of the interview.
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
The Correct Answer is “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.)
You have been working with a couple in marital therapy for four months, with slow but notable progress.
After a session one day, the wife pulls you aside and asks to make some individual appointments with you. You
should
A
refer her to another therapist.
B
wait until the completion of marital therapy and then see her individually.
C
terminate with the couple and see the woman individually.
D
encourage her to discuss any relevant issues within the context of marital therapy.
The Correct Answer is “A”There is a potential for role conflict when a client in conjoint therapy asks you to see him or her individually. It’s possible that there may be a conflict between your considerations as a couple’s therapist and as an individual therapist. Thus, although your actions would vary depending on the parameters of the individual case, the best answer in light of the information we have is to refer the woman to another therapist for individual therapy.
Functional nocturnal enuresis
A
is associated with some physical medical disorder.
B
most often occurs during REM sleep and is associated with dreaming.
C
is not found in children above 12 years of age.
D
is not associated with any particular stage of sleep.
The Correct Answer is “D”
If the wetting is associated with a physical cause, then it is not diagnosed as “functional” enuresis. This disorder is
not associated with dreaming REM-sleep as one might expect. It actually is not significantly correlated with any
particular sleep stage, although it is most likely to occur during the first third of the night. And, while it is less
common in older than in younger children, it does exist in older children and adolescents.
Raising the cutoff score on a predictor test would have the effect of A increasing true positives B decreasing false positives C decreasing true negatives D decreasing false negatives.
The Correct Answer is “B”A simple way to answer this question is with reference to a chart such as the one displayed under the topic
“Criterion-Related Validity” in the Test Construction section of your materials. If you look at this chart, you can
see that increasing the predictor cutoff score (i.e., moving the vertical line to the right) decreases the number of
false positives as well as true positives (you can also see that the number of both true and false negatives would
be increased).
You can also think about this question more abstractly by coming up with an example. Imagine, for instance, that
a general knowledge test is used as a predictor of job success. If the cutoff score on this test is raised, fewer
people will score above this cutoff and, therefore, fewer people will be predicted to be successful. Another way of
saying this is that fewer people will come up “positive” on this predictor. This applies to both true positives and
false positives.
The research has shown that, in the treatment of nicotine dependence, adding a behavioral intervention to
nicotine replacement therapy
A
has little or no effect in terms of either short- or long-term abstinence.
B
has little additional effect in terms of short-term abstinence but does improve long-term abstinence.
C
has some additional effect in terms of short-term abstinence but doesn’t improve long-term abstinence.
D
has a substantial effect on both short- and long-term abstinence.
The Correct Answer is “B”
This question is difficult since the research on this issue has been inconsistent. However, there is evidence that a
combined treatment (behavioral intervention plus nicotine replacement therapy) is best, especially in terms of
long-term abstinence (abstinence for six months or more). See, for example, R. C. Klesges et al., Smoking
cessation: A successful behavioral/pharmacologic interface, Clinical Psychology Review, 1996, 16(6), 479-496.
Bill comes to session and reports that for the last five months, his wife and employer have been poisoning his
food. In addition, his next door neighbor has assisted them by switching lunch boxes with him. The local DJ is in
on the scheme–telling him over the radio to “eat right to stay fit.” The appropriate diagnosis is
A
Schizophrenia, Paranoid Type.
B
Schizophrenia, Disorganized Type.
C
Brief Psychotic Disorder.
D
food poisoning.
The Correct Answer is “A”
Bill’s symptoms meet the criteria for Schizophrenia, Paranoid Type. He has one or more delusions and auditory
hallucinations. He does not have the symptoms of Disorganized Type (answer B), which requires a prominence of disorganized speech, disorganized behavior, and flat affect. His symptoms have lasted for more than one month
which rules out Brief Psychotic Disorder (answer C).