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Under what circumstances is a physical complaint assumed to be part of a somatoform disorder?


A) There are gaps in memory.
B) The symptoms are gastrointestinal in nature.
C) Various known physical causes are ruled out.
D) There is a history of other psychiatric problems.

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Evidence suggests that individuals diagnosed with posttraumatic stress disorder have regions of their brains that are structurally and functionally different than controls. All of the following are suggested in the textbook as an explanation of this observation EXCEPT


A) damage caused by trauma.
B) damage caused by drug treatment of the PTSD.
C) normal biological adaptations to stress.
D) preexisting differences.

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_________ stress is defined in DSM-IV-TR as an event that involves actual or threatened death or serious injury to self or others and creates intense feelings of fear, helplessness, or horror.

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Terry is unable to see, even though a medical examination reveals no physical problems with her eyes or brain. What is the most likely diagnosis?


A) hypochondriasis
B) dissociative fugue
C) conversion disorder
D) psychosomatic disorder

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Which of the following is the best description of the development of posttraumatic stress disorder (PTSD) ?


A) Some individuals are predisposed to develop PTSD and there is nothing they can do to stop its emergence.
B) The severity of the traumatic event is the most important factor in the development of PTSD.
C) PTSD develops in individuals who have inherited certain physiological patterns, regardless of their level of exposure to trauma.
D) PTSD results from the interaction of a traumatic event occurring to individuals with certain risk factors such as a history of mental disorder or a susceptibility to PTSD.

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Norman's primary care physician is convinced that his symptoms are due to a somatoform disorder, and the physician is encouraging Norman to accept a referral to a mental health professional. Norman is likely to


A) accept the referral willingly.
B) drop out of all forms of treatment.
C) reject the referral because he feels belittled.
D) reject the referral because he is faking and does not want to be found out.

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A recent study found that ____ percent of rape survivors had thoughts of suicide?


A) 5
B) 10
C) 33
D) 66

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If a patient with somatization disorder is described as presenting symptoms in a histrionic manner what has the clinician concluded?


A) The physical symptoms do not make anatomical sense.
B) The patient's report is filled with suspicious gaps of memory.
C) The patient's symptoms are consistent with "la belle indifference."
D) The symptoms were presented in a vague but seductive and dramatic manner.

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There is dispute about the importance of trauma as a factor in the etiology of dissociative identity disorder (DID) because


A) there is no agreement as to what actually constitutes trauma.
B) studies of the long-term consequences of child physical or sexual abuse have found little evidence of dissociation.
C) it is not possible to confirm whether a person has ever experienced any trauma.
D) most people diagnosed with DID deny having ever experienced a trauma.

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Many people with PTSD also suffer from another mental disorder such as depression, anxiety, and/or drug abuse. This is known as __________ .

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While in his bedroom, Zack suddenly feels as if he in a strange and unfamiliar place. Later, he experiences the feeling that his body does not belong to him. What is Zack experiencing?


A) fugue
B) deja vu
C) depersonalization
D) identity disorder

Correct Answer

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How would a therapist use operant behavioral approaches to treat chronic pain?


A) use pain as a punisher
B) reward successful coping and life adaptation
C) reduce reinforcement for the sick role
D) induce relaxation by using biofeedback

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When people with PTSD are able to integrate the experience of trauma and find some broader reason or higher value for enduring it, they are engaging in the task of


A) emotional reintegration.
B) meaning making.
C) intellectualizing.
D) denying the reality of their pain.

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Which category of disorders is often associated with unnecessary medical treatment?


A) somatoform disorders
B) adjustment disorders
C) dissociative disorders
D) schizophrenic disorders

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Which of the following is a significant problem in confirming a diagnosis of somatoform disorder?


A) Patients don't always tell the truth about symptoms.
B) A true somatic illness will often be detected later on.
C) There is no objective measure of a person's pain.
D) Somatoform disorders overlap substantially with mood disorders.

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What is one of the major findings of research on memory and retrospective reports?


A) Parents report more negative memories than children do.
B) Anxiety is associated with long-term memory impairments.
C) Depressed people erroneously recall more negative events.
D) Specific memories are more reliable than global memories.

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A person with acute stress disorder is most likely to develop posttraumatic stress disorder when


A) the trauma is especially severe.
B) the trauma involves the possibility of death.
C) symptoms of numbing, depersonalization, and reliving the trauma are present.
D) the person develops a complete amnesia for the traumatic event.

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If you were to summarize the main results with regard to the biological factors in the cause of PTSD from the study of twins who served in Vietnam, what would you say?


A) Genetic factors account for little in PTSD.
B) Level of exposure did not predict PTSD symptoms.
C) Genetic factors were most significant in accounting for arousal/anxiety symptoms.
D) Whether individuals were exposed to trauma was not affected by genetic influences.

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What aspect of the somatoform disorders make them different from psychosomatic disorders?


A) They make sense neurologically.
B) They are due to an actual physical illness.
C) They are unrelated to psychological factors.
D) They cannot be explained by an underlying organic impairment.

Correct Answer

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An event that involves actual or threatened death or serious injury to self or others and creates intense feelings of fear, helplessness, or horror is defined by the DSM-IV-TR as involving


A) feelings of numbness.
B) stress.
C) traumatic stress.
D) eustress.

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