Name: __________________________ Date: _____________



1.
One explanation for dissociative identity disorder is that it results from:
A.
extreme trauma in childhood; the alters are created to embody the dissociated memories and emotions that are too painful for the primary personality to acknowledge.
B.
a very repressed childhood; alters are created to allow the primary personality to enjoy activities that he or she would otherwise avoid.
C.
an extreme case of bipolar disorder, in which mood swings are so severe that “alternate personalities” seem to exist.
D.
the split personality present in chronic schizophrenia, which involves unpredictable behavior and extreme shifts in emotion.


2.
On three separate occasions when she was out in public over the past three months, Vanessa has had to rush home after being overwhelmed by dizzy spells during which her heart pounded and she felt as if she couldn't breathe. On the last occasion she went to the emergency room but a thorough examination ruled out any medical problem. Nevertheless, Vanessa has become increasingly fearful about having more episodes and she has restricted her activities to only the most essential outings. Vanessa seems to be displaying symptoms of which of the following psychological disorders?
A.
erythrophobia
B.
generalized anxiety disorder
C.
social phobia
D.
agoraphobia


3.
Personality traits are:
A.
relatively stable predispositions to behave or react in certain ways.
B.
consistently changing throughout the lifespan.
C.
the precursors to dissociative disorders.
D.
characteristic of dissociative disorders.


4.
Paul's girlfriend is very concerned about him because his thinking seems to have become increasingly confused. Today, Paul said that he was really the reincarnation of John Lennon, the former member of the Beatles who was shot and killed in 1980. Paul also told her that he had special musical powers and that he needed to start his own rock group so that he could deliver his message to the masses. Paul seems to be experiencing:
A.
auditory hallucinations.
B.
delusions of persecution.
C.
negative symptoms of schizophrenia.
D.
delusions of grandeur.


5.
Although Jenna had never given Rob any reason to suspect her of being unfaithful to him, whenever Jenna went out without him, Rob constantly questioned her about her behavior and whereabouts when she returned. After Rob's behavior started to become even more controlling, Jenna finally told Rob she didn't want to date him anymore. Rob reacted with rage and more accusations. After the breakup, Rob began following her. Jenna finally got a restraining order to make him stop. In this scenario, Rob is displaying behaviors that characterize:
A.
antisocial personality disorder.
B.
dissociative identity disorder.
C.
the catatonic type of schizophrenia.
D.
paranoid personality disorder.


6.
Priscilla's husband insisted that she go to a mental health clinic when she was unable to explain or remember her frequent absences from home, phone calls from people that she claimed she had never heard of, and check stubs from checks that she couldn't remember writing. At the clinic, Priscilla admitted there were long stretches of her life that were completely blank to her. Suddenly, Priscilla's voice, facial expression, and demeanor changed, and she said to the clinic psychologist, “Don't pay any attention to that old Priscilla. She's just a bore. My name is Patty, and I'm a lot more fun to talk to.” The clinic psychologist suspects that Priscilla may be suffering from:
A.
schizophrenia.
B.
amnesia.
C.
dissociative identity disorder.
D.
posttraumatic stress disorder.


7.
A relatively common symptom in schizophrenia is greatly reduced production of speech--the person's verbal responses are limited to very brief, empty comments. This particular symptom is termed:
A.
catatonia.
B.
echolalia.
C.
hebephrenia.
D.
alogia.


8.
Which of the following is cited as evidence supporting the viral infection theory of schizophrenia?
A.
The onset of schizophrenia almost always involves inflammation of the outer covering of the brain.
B.
Approximately two-thirds of the people with schizophrenia have been treated for hepatitis.
C.
Schizophrenia occurs more often in people who were born during the winter and spring months, when influenza and upper respiratory infections are most common.
D.
Schizophrenia is more common among people who live in wooded areas, which increases exposure to ticks and rodents.


9.
In obsessive-compulsive disorder, _____ are among the most common obsessions.
A.
worries about contamination or dirt
B.
delusions of grandeur
C.
fear of snakes and spiders
D.
auditory hallucinations


10.
According to the Critical Thinking box on smoking and psychological disorders:
A.
smoking seems to cause or trigger the development of psychological disorders in vulnerable people.
B.
smoking seems to delay the onset of symptoms of psychological disorders in many people.
C.
men with a psychological disorder are five times more likely to be a chronic smoker than women with a psychological disorder.
D.
an unknown substance in tobacco smoke seems to produce hallucinations in people who are vulnerable to schizophrenic symptoms.


11.
The _____ type of schizophrenia is characterized by bizarre postures or grimacing, extremely agitated behavior, complete immobility, or echoing the words spoken by another person.
A.
catatonic
B.
paranoid
C.
undifferentiated
D.
disorganized


12.
The most common type of hallucination that occurs in schizophrenia is:
A.
visual.
B.
smell or taste.
C.
touch or tactile.
D.
auditory.


13.
Personality disorders are evident in up to _____ percent of the general population.
A.
1
B.
.5
C.
.15
D.
.30


14.
Which of the following is a negative symptom of schizophrenia?
A.
reduced emotional expressiveness and speech
B.
severely disorganized thought processes and behavior
C.
delusions
D.
hallucinations


15.
A relatively common symptom in schizophrenia is that the person responds with greatly reduced emotional expressiveness, including facial expressions. This particular symptom is referred to as:
A.
alogia.
B.
waxy flexibility.
C.
flat affect.
D.
poverty of speech.


16.
Antipsychotic medications, such as Thorazine or Haldol, help reduce symptoms of schizophrenia by:
A.
decreasing brain levels of serotonin.
B.
decreasing brain levels of norepinephrine.
C.
increasing serotonin activity in the brain.
D.
decreasing dopamine activity in the brain.


17.
After working in Austin, Texas, for five years, Rebecca's company transferred her to an upper management position in Minneapolis, Minnesota. Since moving to Minnesota, Rebecca is bothered by strong feelings of despondency during the long, dark winter months. When spring arrives in late April or May, her mood improves and she is back to normal. Rebecca's symptoms suggest that she is experiencing:
A.
seasonal affective disorder.
B.
bipolar disorder.
C.
dysthymic disorder.
D.
double depression.


18.
Claire stopped taking her medication a few weeks ago and has recently begun to experience some very odd symptoms. If someone asks her a question, her response makes no sense, as her sentences seem to just be strings of loosely connected ideas. She cannot concentrate on anything, and her thinking seems completely illogical and disorganized. She veers from one unrelated topic or activity to another for no apparent reason. Taken together, Claire appears to be experiencing schizophrenic symptoms which are called:
A.
waxy flexibility.
B.
disorganized thinking.
C.
flat affect.
D.
avolition.


19.
What do the famous writers Mark Twain, Ernest Hemingway, and Sylvia Plath share in common?
A.
They all suffered from delusions and were hospitalized for episodes of schizophrenia.
B.
They all committed suicide.
C.
They all suffered from dissociative identity disorder.
D.
They all suffered from episodes of major depression.


20.
Susan was treated for an episode of schizophrenia before she was married. In recent weeks, her husband has noticed that Susan's speech and facial expressions have become flat and expressionless and that she seems to have little motivation. Assuming that Susan is on the verge of another episode of schizophrenia, these symptoms are referred to as _____ symptoms of schizophrenia.
A.
secondary
B.
negative
C.
positive
D.
remote


21.
Which of the following is an example of a dissociative experience that is pathological or abnormal?
A.
waking up from a nap and momentarily thinking that a dream event really happened
B.
becoming so absorbed in the book you're reading that you don't hear the telephone ring
C.
automatically taking your usual exit off the highway because you are so preoccupied by your thoughts that you forget that you were planning to go to a different destination
D.
being unable to remember your own name or other important details about your life


22.
Peter and Luke are identical twins who are juniors at the same college. Throughout their college years, Peter has been treated for two episodes of major depression. In contrast, Luke has never been treated for major depression. Based on twin studies, Luke has about a _____ percent statistical chance of also developing a mood disorder.
A.
10
B.
40
C.
70
D.
90


23.
Keith was surprised when his boss invited a coworker to lunch but did not invite him. At first, Keith was convinced that he had not been invited because they wanted to discuss Keith's job performance at lunch. Later, the coworker told Keith that the boss had taken her to lunch to tell her that she was being laid off. Privately, Keith was relieved because it now made perfect sense to him why he had not been invited to lunch. In this scenario, Keith appears to be:
A.
experiencing delusions of grandeur.
B.
suffering from delusions of persecution.
C.
suffering from auditory hallucinations.
D.
having normal thought processes.


24.
Jeffrey is so preoccupied by his fear of germs that he always keeps his car and apartment windows sealed tightly, and refuses to allow anyone into his apartment. He carries his own silverware which he uses when he eats away from home, and washes his hands every time he touches anything that has been touched by someone else. Jeffrey would most likely be diagnosed with:
A.
dissociative identity disorder.
B.
paranoid schizophrenia.
C.
obsessive-compulsive disorder.
D.
cyclothymic disorder.


25.
Which of the following would be an example of a phobia that reflects biological preparedness?
A.
After being mugged on a subway platform, Annie is afraid to ride the subway and insists on taking buses or cabs.
B.
After being bitten by a strange dog, Eloise is phobic of dogs.
C.
Simply eating a meal with others in a restaurant evokes unbearable anxiety in Nels.
D.
Ever since he was a child, Alan has been terrified of snakes.


26.
In contrast to normal anxiety, pathological anxiety:
A.
is unreasonably intense, irrational, uncontrollable, and disruptive.
B.
is focused on relationship problems rather than work or academic concerns.
C.
alerts people to realistic problems that need to be addressed or solved.
D.
is unpleasant.


27.
The onset of bipolar disorder is most likely to occur:
A.
during the winter months.
B.
when the person is in his or her early twenties.
C.
very gradually over the course of several years.
D.
in females who are forty-five to fifty years old.


28.
The dopamine hypothesis is the theory that schizophrenia is due to:
A.
brain abnormalities in the frontal lobe.
B.
excess dopamine activity in the brain.
C.
reduced dopamine activity in the brain.
D.
childhood infection by a common cold virus of the dopamine strain.


29.
Deceiving and manipulating others for one's own personal gain is a hallmark of which personality disorder?
A.
antisocial
B.
dependent
C.
histrionic
D.
paranoid


30.
The highest rate of suicide in the United States occurs in which age group?
A.
the 15-to-24 age group
B.
the 6-to-14 age group
C.
the 35-to-44 age group
D.
the 75+ age group


31.
When people first meet fourteen-year-old Micah, they find him to be an attractive, charming, young man. But Micah's adoptive parents, his teachers, and his schoolmates know otherwise. Micah is a chronic liar, manipulator, and bully. In the past four years, he has been caught several times vandalizing other peoples' property in his neighborhood and at his school. He has been arrested twice for shoplifting and was also caught trying to cash a forged check. Based on this information, it is probably safe to say that Micah would be diagnosed as having:
A.
conduct disorder.
B.
borderline personality disorder.
C.
Tourette's disorder.
D.
paranoid schizophrenia.


32.
After not seeing Rita for almost a week, a neighbor went to check on her. He discovered that Rita had barricaded all the doors and windows to her apartment because she believed that “terrorist forces” were going to attack her and her three cats. Rita appears to be suffering from:
A.
visual hallucinations.
B.
delusions of persecution.
C.
delusions of reference.
D.
avolition.


33.
Ruth was hospitalized after a concerned coworker went to her house to find out why Ruth had unexpectedly failed to show up at work. When the coworker peered through a window, she saw Ruth standing motionless in the middle of her living room, much like a mannequin. Ruth appears to be experiencing the _____ type of schizophrenia.
A.
paranoid
B.
undifferentiated
C.
catatonic
D.
disorganized


34.
One important reason why some psychologists are skeptical of dissociative identity disorder is that:
A.
the number of reported cases has increased dramatically in recent decades.
B.
several famous dissociative identity disorder patients have publicly admitted that they were faking their symptoms in order to gain fame and make money.
C.
dissociative identity disorder is easy to produce through hypnotic suggestion and can also be easily cured by hypnosis.
D.
the symptoms of dissociative identity disorder are also present in schizophrenia, a much more likely diagnosis.


35.
The term _____ refers to the scientific study of the origins, symptoms, and development of psychological disorders.
A.
DSM-IV-TR
B.
psychopathology
C.
schizophrenia
D.
comorbidity prevalence


36.
Uncontrollable thoughts and worries are to _____ as uncontrollable behaviors are to _____.
A.
hallucinations; delusions
B.
preoccupations; addictions
C.
compulsions; obsessions
D.
obsessions; compulsions


37.
When a person is driven to perform repetitive behaviors in a particular sequence or pattern, he or she is said to be experiencing a(n):
A.
obsession.
B.
compulsion.
C.
delusion.
D.
hallucination.


38.
In obsessive-compulsive disorder, obsessions and compulsions frequently:
A.
oppose one another.
B.
change, often from one day to the next.
C.
are triggered by the use of drugs or alcohol.
D.
are linked in some way.


39.
Although she was very secretive when she was first admitted to the psychiatric hospital, Tiffany eventually told the doctor that the devil's voice was constantly telling her to hurt certain people and herself. Tiffany is experiencing:
A.
the most common type of hallucination associated with schizophrenia.
B.
tactile hallucinations.
C.
a very rare schizophrenic symptom called avolition.
D.
the disorganized type of schizophrenia.


40.
Over the last three months, Ivana's feelings of despondency have intensified for no apparent reason. Although her friends have tried to be encouraging and supportive, Ivana says that she feels completely detached from people, worthless, and has even thought about killing herself. Ivana's symptoms would suggest that she is probably suffering from:
A.
schizophrenia.
B.
dissociative fugue.
C.
major depression.
D.
posttraumatic stress disorder.


41.
Jason has periods when he feels extremely despondent for no apparent reason. During these periods, he finds it very difficult to be productive in his college classes or at his job. Jason's symptoms are characteristics of the DSM-IV-TR category of:
A.
anxiety disorders.
B.
dissociative disorders.
C.
mood disorders.
D.
schizophrenia.


42.
Although he has only been caught one time, Devin has repeatedly shoplifted small items that he could easily pay for or doesn't need. Which of the following psychological disorders is Devin most likely to have?
A.
pyromania
B.
kleptomania
C.
fetishism
D.
borderline personality disorder


43.
Carla has worked as a human resources specialist for several years, but she doesn't really like the job. Although her work performance is adequate, Carla almost always feels slightly down and sad. Carla's chronic case of “the blues” is characteristic of the psychological disorder called:
A.
dysthymic disorder.
B.
bipolar disorder.
C.
cyclothymic disorder.
D.
major depression.


44.
Researcher George Gerbner and his colleagues analyzed U.S. television shows. According to Gerbner's data, which of the following groups is portrayed most negatively on U.S. television?
A.
African-Americans
B.
Latino/Hispanic Americans
C.
mentally ill people
D.
women


45.
An unpleasant emotional state that involves feelings of worry, dread, apprehension, and tension, along with heightened physical arousal, is called:
A.
anxiety.
B.
mania.
C.
dissociation.
D.
alogia.


46.
According to the results of National Comorbidity Survey (NCS), approximately one out of _____ American adults has experienced the symptoms of a psychological disorder at some point in his or her lifetime.
A.
250
B.
50
C.
10
D.
2


47.
Which of the following is a positive symptom of schizophrenia?
A.
greatly reduced motivation
B.
reduced emotional expressiveness
C.
reduced speech
D.
delusions


48.
Antidepressant medications are often used in the treatment of major depression. In general, these medications work by:
A.
increasing brain levels of lithium.
B.
decreasing brain levels of lithium.
C.
increasing brain levels of serotonin and norepinephrine.
D.
decreasing brain levels of serotonin and norepinephrine.


49.
Research has shown that both major depression and bipolar disorder:
A.
tend to run in families.
B.
are caused by a specific combination of genes on the 1st and 8th pair of chromosomes.
C.
are less common among creative writers and artists than among the general population.
D.
are due to elevated brain levels of lithium.


50.
Darlene is constantly nervous, tense, and apprehensive. She worries about her health, her job, her children, and her relatives. Her husband has tried to reassure her that everything is going well, but she can't seem to shake her pervasive anxiety. Darlene is probably experiencing:
A.
normal anxiety.
B.
agoraphobia.
C.
generalized anxiety disorder.
D.
panic disorder.



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