Abnormal Psych Final Test Bank Latest Update
2022
Oscar reports experiencing recurrent disturbing thoughts and fears that harm will
come to him if he
... [Show More] does not have these things aligned symmetrically. He knows this is
irrational, but he can't push the thought out of his mind. Which of the following terms
best describes his performance?
a) delusions
b) obsessions
c) rumination
d) compulsions - ANS- b) obsessions
Janelle is a 19 year old woman who was recently diagnosed with anorexia. With a
BMI of 15, Janelle has been admitted to an inpatient treatment facility. Which of the
following treatments would not be empirically supported for Janelle's long term
treatment plan?
a) weight restoration
b) CBT
c) inclusion of family members to help support treatment gain
d) SSRIs - ANS- d) SSRIs
Stephen, a 21 year old marketing major, has recently been refusing to answer or
make calls on his cell phone, claiming that if he does it will activate a deadly chip that
was implanted in his brain by evil aliens. What type of delusional thinking is this?
a) persecutory
b) grandiose
c) erotomania
d) somatic - ANS- a) persecutory
For the DSM-5 diagnostic criteria for hypersomnolence disorder, an individual must
self-report excessive sleepiness despite obtaining at least 7 hours of sleep, with at
least another symptom. Which of the following symptoms is not relevant?
a) a prolonged main sleep episode of more than 9 hours per day that is nonrestorative
b) difficulty being fully awake after abrupt awakening
c) difficulty sleeping despite adequate opportunity for sleep
d) recurrent patterns of sleep or lapses into sleep within the same day - ANS- c)
difficulty sleeping despite adequate opportunity for sleep
Which of the following is not true for the evidence-based psychological treatments for
eating disorders according to Division 12?
a) CBT has strong research support for bulimia nervosa, anorexia, and binge-eating
disorder
b) family-based treatment has strong research support for anorexia and modest
support for bulimia
c) interpersonal psychotherapy has strong research support for bulimia and bingeeating disorder
d) healthy weight program for bulimia has controversial support - ANS- a) CBT has
strong research support for bulimia nervosa, anorexia, and binge-eating disorder
James is a security guard at the mall who seems lost in his own world. Often, he
feels the presence of his dead mother nearby. He knows it is an illusion and that she
is not real. Her presence does give him comfort. This is an example of a
__________ symptom.
a) negative
b) disorganized
c) positive
d) cognitive - ANS- c) positive
Which of the following is the most effective treatment for insomnia?
a) a sleep study
b) sleeping pills, specifically benzodiazepines
c) melatonin
d) CBT-I - ANS- d) CBT-I
Tony has thoughts about hating his younger brother and wishing he would die. He
becomes very anxious about these thoughts because he has developed the idea that
if anything really happened to his brother, it would be his fault. For no explainable
reason, Tony starts mentally counting by odd numbers each time he walks past his
brother's room and discovers that this activity makes him less anxious. Tony's
behavior can be described as
a) a mental compulsion developed to neutralize his bad thoughts
b) an attempt to be better in math than his brother to gain personal acceptance
c) a compulsive ritual designed to make him like his brother more
d) a phobia of going into his brother's room because he is afraid his hatred will hurt
him - ANS- a) a mental compulsion developed to neutralize his bad thoughts
Which of the following is not true for non-REM sleep arousal disorder?
a) sleep walking may result in nocturnal eating
b) episodes can occur in the first third of the prominent sleep episode
c) sleep terrors are vivid bad dreams
d) an individual experiences amnesia of sleepwalking and/or sleep terrors - ANS- c)
sleep terrors are vivid bad dreams
What stage of the course of schizophrenia is the 1-2 year before serious symptom
manifestation?
a) Deterioration
b) Residual
c) Prodromal
d) Premorbid - ANS- c) Prodromal
Which of the following is the most common type of delusion experienced by those
with schizophrenia spectrum disorders?
a) Grandiose
b) Erotomanic
c) Persecutory
d) Somatic - ANS- c) Persecutory
Which of the following is NOT a required symptom for criterion A of schizophrenia?
a) Negative symptoms
b) Delusions
c) Hallucinations
d) Disorganized Speech - ANS- a) Negative symptoms
What is the difference between schizophreniform and schizoaffective disorder?
a) people with schizophreniform disorder tend to get better on their own
b) people with schizoaffective disorder tend to not get better on their own
c) schizoaffective disorder requires a mood episode
d) schizophreniform disorder requires a mood episode - ANS- c) schizoaffective
disorder requires a mood episode
Diego reveals to his therapist that for the past six weeks he has been hearing
numerous voices talking to him and giving him orders. His affect appears blunted
and his speech seems disorganized. Additionally, he reports that his mood has been
markedly more depressed during the past two weeks. He indicated he's been feeling
suicidal and has had difficulty getting out of bed in the morning. Which of the
following diagnoses would be most appropriate for Diego?
a) Schizoaffective disorder
b) Major depressive disorder with psychotic features
c) Schizophrenia
d) Brief psychotic disorder - ANS- a) Schizoaffective disorder
Which of the following should providers consider when determining whether
disordered eating habits meet criteria for anorexia or bulimia?
a) consider physical signs; anorexia presents as underweight, while bulimia typically
presents are normal weight
b) consider binging patterns; anorexia binges are typically smaller but happen more
regularly, while bulimia binges are usually less extreme but happen less frequently
c) consider psychological factors; anorexia involves severe anxiety about gaining
weight, but in cases of bulimia, self-esteem is based on weight
d) all are correct - ANS- d) all are correct
Which of the following examples would not influence and maintain an individual's
inability to synchronize circadian rhythms resulting in the sleep-wake disorder?
a) anyone who experiences daylight savings time
b) a surgeon who works irregular hours at the hospital
c) an individual who frequently flies and experiences jet lag
d) an adolescent who naturally falls asleep at 11:00 pm but has to wake up for
school at 6:00 am - ANS- a) anyone who experiences daylight savings time
Manny presents to his PA describing stomach aches and pains. The PA notes some
behavioral observations and finds he is of average weight and stature and has
calluses on his hands and knuckles. Which of the following DSM-5 eating disorder
diagnoses would best capture Manny's physical symptoms?
a) bulimia
b) binge-eating
c) obesity
d) anorexia - ANS- a) bulimia
Avolition, anhedonia, and asociality can be classified as what type of schizophrenia
spectrum symptoms?
a) disorganized symptoms
b) negative symptoms
c) depressive symptoms
d) positive symptoms - ANS- b) negative symptoms
Which of the following is the most common parasomnia disorder?
a) nightmare disorder
b) periodic limb movement disorder
c) NREM sleep arousal disorder
d) REM behavior disorder - ANS- a) nightmare disorder
Binge-eating disorder is characterized by __________
a) purging
b) emaciation
c) laxative use
d) a lack of compensatory behaviors - ANS- d) a lack of compensatory behaviors
Clarissa is a new mother and hasn't been sleeping well. Since she brought the baby
home three weeks ago, she's averaging only four hours of sleep per night. When she
wakes up, she feels unrefreshed and her mood and functioning are markedly
impaired. Which of the following diagnoses would best capture Clarissa's symptoms?
a) insomnia
b) parasomnia
c) she does not meet criteria for a diagnosis
d) hypersomnia - ANS- c) she does not meet criteria for a diagnosis
Though medication for sleep disorders can be effective in the short term, it is
important to be mindful of __________, where an individual may develop a
dependence for sleep medication, exacerbating the sleep dysfunction - ANSrebound insomnia
Noncompliance of antipsychotics for persons diagnosed with schizophrenia and
other psychotic disorders is common, especially due to the negative __________
side effects common among neuroleptics - ANS- extrapyramidal
The obsessions or compulsions are time-consuming, taking more than _________
per day, or cause clinically significant distress or impairment - ANS- one hour
True or False: Charlene, a 17 year old cisgender Caucasian female has a diagnosis
of anorexia nervosa. She is medically stable, though continues to engage in
compensatory behaviors by purging, which is impacting her family relationships and
academic progress in high school. The best level of care for Charlene is intensive
outpatient. - ANS- False
True or False: Dyssomnias are sleep disorders where the individual engages in
atypical behaviors during the sleep cycle whereas parasomnias are sleep disorders
where the individuals have difficulties in obtaining the ideal amount of quality sleep -
ANS- False
True or False: Cataplexy, stupor, and posturing are all examples of catatonic
features that can be present for individuals with schizophrenia and mood disorders -
ANS- True
Which is true regarding opiates?
a) all answers are true
b) heroin, methadone, hydrocodone, oxycodone, and fentanyl are all examples of
opiates
c) because often administered intravenously, high risk for hepatitis C and HIV
d) people will use the drug to avoid withdrawal - ANS- a) all answers are true
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