ch 9/10 ab psych

Patients with anorexia nervosa receive a gradually increasing diet over the course of several weeks, encouragement, education, and reassurance that they will not become obese. The form of therapy they are receiving is:

autonomy and self-awareness training.

a correction of disturbed cognitions.

supportive nursing care.

changing family interactions.

supportive nursing care.
If a therapist thought that eating disorders were BEST explained by an interaction of sociocultural, psychological, and biological factors, that therapist would be taking a(n) ______ perspective.

monodimensional

multidimensional

cognitive-behavioral

outdated

multidimensional
Parents who feed their children when they are anxious and comfort them when they are tired, rather than giving them a nap, run the risk of producing children who:

can’t assess their own needs.

are insensitive to others.

are overly dependent on internal cues.

are too independent.

can’t assess their own needs.
The MOST accurate diagnosis for a woman who regularly eats a whole pizza, a carton of ice cream, and a box of donuts at one sitting, then forces herself to throw it all up, is:

obsessive-compulsive disorder.

bulimia nervosa.

depressive disorder.

anorexia nervosa.

bulimia nervosa.
Which professions put one MOST at risk for an eating disorder?

psychologists and psychiatrists

doctors and nurses

performers and certain athletes

dress designers and make-up artists

performers and certain athletes
A young woman has become very afraid of being overweight. She has recently reduced her food intake, although she feels hungry all the time. As a result, her weight has dropped sharply below average, but she still believes that she is overweight. She is MOST likely experiencing:

bulimia nervosa.

anorexia nervosa.

Carpenter’s syndrome.

carbohydrate deprivation.

anorexia nervosa.
A person who loses weight by forcing herself to vomit after meals or by using laxatives and who otherwise fits the definition of anorexia nervosa is experiencing:

binge-eating/purging-type anorexia nervosa.

food-phobia anorexia nervosa.

restricting-type anorexia nervosa.

variable-limited anorexia nervosa.

binge-eating/purging-type anorexia nervosa.
One of the therapy methods commonly used to treat bulimia nervosa is:

flooding.

exposure and response prevention.

aversive therapy.

systematic desensitization.

exposure and response prevention.
The peak age range for the development of anorexia nervosa is:

7 to 10.

10 to 13.

14 to 20.

20 to 25.

14 to 20.
The medication MOST helpful in the treatment of bulimia is an:

antianxiety drug.

antidepressant drug.

antipsychotic drug.

antiemetic drug (to eliminate vomiting.)

antidepressant drug.
The levels of _____ are low in many people with depression and those with eating disorders.

GABA

serotonin

dopamine

norepinephrine

serotonin
The part of the brain MOST closely associated with the control of eating and body weight is the:

thalamus.

brain stem.

hypothalamus.

cerebral cortex.

hypothalamus
Individuals with anorexia nervosa often show which personality characteristic?

obsessive-compulsive tendencies

low anxiety

multiple phobias

episodes of mania

obsessive-compulsive tendencies
The first step in treating anorexia nervosa is to:

correct family coping patterns.

resolve unresolved oral conflicts.

correct maladaptive thought patterns.

help the person start to regain the lost weight.

help the person start to regain the lost weight.
Men with this disorder are very muscular but still see themselves as scrawny and small and therefore continue to strive for a “perfect” body through extreme measures such as excessive weight lifting or the abuse of steroids.

muscle dysmorphia

anorexia nervosa

bulimia nervosa

binge-eating disorder

muscle dysmorphia
_____ is a therapy program conducted in a hospital ward. It emphasizes educating patients with anorexia, encouraging them, and providing a structured program for weight gain.Supportive nursing care
Eating disorders are more common in _____ countries than in other parts of the world.Western
The cessation of menstruation common to women with anorexia is known as _____.amenorrhea
The disorder characterized by low body weight and a disturbed body image is called _____.anorexia nervosa
_____ medication has been shown to be particularly effective with bulimia nervosa.Antidepressant
The perceptual distortions some drugs produce are called:

intoxication.

substance dependence.

substance abuse.

hallucinosis.

hallucinosis
The long-term pattern of maladaptive behavior caused by the regular use of some chemical or drug is called:

tolerance.

intoxication disorder.

substance use disorder.

hallucinosis.

substance use disorder.
A frequent drug user finds that larger doses of a drug are necessary to produce the same “high” that much lower doses once produced. That drug user is developing:

withdrawal symptoms.

tolerance.

hallucinosis.

intoxication.

tolerance.
The purpose of an antagonist drug is to:

stimulate the client to care about becoming drug-free.

block or change the effect of an addictive drug.

reduce withdrawal effects as one goes off a drug.

provide a placebo effect to replace the drug effect.

block or change the effect of an addictive drug.
Detoxification procedures may involve any of the following EXCEPT:

giving the client other drugs to reduce substance withdrawal symptoms during detoxification.

gradually reducing the dose of the substance the client uses.

initially increasing the substance dose to make the substance aversive.

both outpatient and “full service” inpatient detoxification options

initially increasing the substance dose to make the substance aversive.
A client receiving treatment for substance abuse keeps track of times the substance is used and develops strategies to deal with the substance when there is an opportunity to use it. The client is MOST likely receiving:

contingency management training.

aversion therapy.

relapse-prevention training.

Cognitive-Antagonist Training (CAT).

relapse-prevention training.
In general, behavioral treatments for substance use disorders are more successful when:

the person receiving the therapy is highly motivated to continue.

the behavioral treatments are not combined with other forms of treatment.

the focus of therapy is strictly behavioral (not cognitive-behavioral).

initial attempts at contingency management have failed.

the person receiving the therapy is highly motivated to continue.
Psychodynamic therapies may not be very effective in the treatment of substance use disorders because:

they teach only new behaviors, not new thought patterns.

they teach only new thought patterns, not new behaviors.

finding the cause of a substance use disorder is less important than treating the use as an independent problem.

psychodynamic therapists unilaterally reject any use of multidimensional treatment programs.

finding the cause of a substance use disorder is less important than treating the use as an independent problem.
The MOST commonly used form of treatment for a substance use disorder is:

hospital inpatient.

outpatient mental health center.

treatment from a general practice physician.

self-help groups

self-help groups
“Drug dependence may develop because one finds drug use rewarding when it reduces tension.” Which view of substance abuse would MOST agree with this statement?

biological

sociocultural

behavioral

psychodynamic

behavioral
“I’ve been diagnosed with gambling disorder,” a friend says. “What kind of therapy works best?” Based on current research, your BEST response is:

“Short-term psychodynamic therapy seems best.”

“Only narcotic antagonist therapy that blocks the reward pathway has shown to be effective.”

“I’d suggest a self-help group.”

“I’d suggest a combination of cognitive-behavioral therapies, biological therapies, and self-help groups.”

“I’d suggest a combination of cognitive-behavioral therapies, biological therapies, and self-help groups.”
Research indicates that the MOST important neurotransmitter in the “pleasure pathway” of the brain is probably:

acetylcholine.

anandamide.

dopamine.

one of the endorphins.

dopamine.
A clinician wishes to begin a drug abuse prevention campaign in a community. The most important thing the clinician can do is to:

concentrate on radio and TV public service announcements.

enlist the help of those who are admired in the community.

provide a consistent message across the media about drug abuse.

obtain permission to focus the campaign in the local high school.

provide a consistent message across the media about drug abuse.
A newly developed drug causes users to lose some muscle control and slur their words. The drug also results in a slowing of central nervous system activity. MOST likely this drug is a:

depressant.

hallucinogen.

stimulant.

polydrug.

depressant.
Which is a depressant?

opioids

cocaine

LSD

amphetamines

opioids
The MOST well-known self-help group for alcohol abusers is _____.Alcoholics Anonymous
_____ is a drug that has been used as a substitute for heroin in the treatment of addiction.Methadone
The effects of cocaine are MOST like those of _____.amphetamines
Pairing the craving for a drug with an electric shock is an example of _____.aversion therapy
Crack is a form of _____.cocain