Abnormal Psychology and Life A Dimensional Approach 1st Edition Kearney Test Bank

Abnormal Psychology and Life A
Dimensional Approach 1st Edition

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Chapter 7: Mood Disorders and Suicide
MULTIPLE CHOICE
1. Katey would often compensate for mood changes by ____ and ____.
a. drinking alcohol; working hard
b. working hard; vacationing
c. complaining; drinking alcohol
d. complaining; vacationing
ANS: A DIF: easy REF: p. 172 OBJ: Katey case

MSC: TYPE: factual
2. An intense state of happiness is
a. melancholy.
b. euphoria.
c. dysthymia.
d. depression.
ANS: B DIF: easy REF: p. 173 OBJ: normal mood changes

KEY: WWW MSC: TYPE: factual
3. Euphoria can be ____ or ____.
a. temporary; constant
b. stressful; calming
c. common; uncommon
d. lingering; ongoing
ANS: D DIF: moderate REF: p. 173 OBJ: normal mood changes

MSC: TYPE: factual
4. John believes that he is especially powerful or talented when this is not actually true. He is
experiencing
a. depression.
b. psychosis.
c. grandiosity.
d. hallucinations.
ANS: C DIF: easy REF: p. 173 OBJ: normal mood changes
MSC: TYPE: application
5. When a person's depression or mania becomes so severe that it interferes with daily functioning they
could be diagnosed with a(n)
a. anxiety disorder.
b. depressive disorder.
c. mood disorder.
d. antisocial personality.
ANS: C DIF: easy REF: p. 173 OBJ: mood disorders and suicide
MSC: TYPE: factual
6. Someone with depression only has a ____ mood disorder.
a. unipolar
b. bipolar
c. bipolar
d. tertiary
ANS: A DIF: easy REF: p. 173 OBJ: mood disorders and suicide
MSC: TYPE: factual
7. Depression and mania can occur in the same individual. When this happens they are diagnosed as a
a. unipolar mood disorder.
b. bipolar mood disorder.
c. anxiety disorder.
d. depressive disorder.
ANS: B DIF: easy REF: p. 173 OBJ: mood disorders and suicide
8. A period of time, typically at least two weeks but usually longer, where a person experiences sad or
empty moods most of the day, nearly every day, is
a. a normal state of awareness.
b. a major depressive episode.
c. hypersomnia.
d. unipolar disorder.
ANS: B DIF: easy REF: p. 174 OBJ: major depressive episode

MSC: TYPE: factual
9. People experiencing a major depressive episode lose
a. their thought process.
b. pleasure doing things they used to enjoy.
c. their memory.
d. their family connections.

MSC: TYPE: factual
10. Since Samuel has experienced very sad moods and a feeling of emptiness for periods of two weeks and
longer, this problem would be considered a
a. moderate depressive episode.
b. major depressive disorder.
c. chronic unit polar disorder.
d. lingering or persistent melancholy.

MSC: TYPE: conceptual
11. Major depressive episode may involve severe changes in
a. appetite.
b. weight.
c. sleep.
d. all of these may change during a depressive episode.
ANS: D DIF: easy REF: p. 174 OBJ: major depressive episode

MSC: TYPE: factual
12. A key characteristic of a major depressive episode is a feeling of ____, or trouble gathering energy.
a. slowness
b. euphoria
c. incapacitation
d. retardation
ANS: A DIF: moderate REF: p. 174 OBJ: major depressive episode

13. When mood disorders are studied on a continuum, which three main features are described?
a. interpersonal, extrapersonal, cognition
b. emotions, cognitions, behaviors
c. affect, intensity, debilitation
d. physiological, psychological, medical

MSC: TYPE: factual
14. Mood disorder symptoms that occur by continuum can be
a. normal, mild, moderate, less severe, and more severe.
b. normal range, moderate range, and severe range.
c. less than normal, normal, and more than normal.
d. individualized altogether.
ANS: A DIF: moderate REF: pp. 174-175 OBJ: major depressive episode
MSC: TYPE: factual
15. By the time Karen Gormandy was age 12, she was no longer the wild child formerly referred to as the
a. Queen of Play.
b. Queen of Energy.
c. Wild Child.
d. Queen of Hyperactivity.
ANS: A DIF: moderate REF: p. 176 OBJ: Karen Gormandy

MSC: TYPE: factual
16. People experiencing a major depressive episode tend to feel worthless and guilty about many things,
including
a. events within their control.
b. events beyond their control.
c. family events.
d. neighborhood events.

17. The most serious symptom of a major depressive episode is thoughts or ideas about ____ or ____.
a. academic failure; institutionalization
b. suicide or death; an actual suicide attempt
c. anxiety; panic attacks
d. commitment; relationships

18. The extreme slowness in withdrawal in one form of depression is referred to as
a. chronic depressive syndrome.
b. clinical unipolar disorder.
c. severe genetic disorder.
d. melancholia.
ANS: D DIF: easy REF: p. 176 OBJ: major depressive episode

MSC: TYPE: factual
19. Major depressive disorder is also known as
a. long-lasting depression.
b. extensive depression.
c. unipolar depression.
d. bipolar depression.
ANS: C DIF: easy REF: p. 177 OBJ: major depressive disorder

MSC: TYPE: factual
20. Bizarre ideas or hearing voices that are not real are referred to as
a. psychiatric dimensions.
b. dementia.
c. psychotic features.
d. psychoactive hypnosis.

21. In major depressive disorder, symptoms may be ____ or they may be ____.
a. short-term; long-term
b. chronic; postpartum
c. psychoactive; dysthymic
d. neonatal; acute
ANS: B DIF: moderate REF: p. 178 OBJ: major depressive disorder

MSC: TYPE: factual
22. Depression in some people occurs more in fall or winter months, a condition called
a. fall depression disorder.
b. postpartum depression.
c. seasonal affective disorder.
d. situational affective disorder.

MSC: TYPE: factual
23. Depression that may occur following the birth of a child is
a. seasonal depression.
b. childbirth depression.
c. sensational depression.
d. postpartum depression.
ANS: D DIF: easy REF: p. 178 OBJ: major depressive disorder

MSC: TYPE: factual
24. A disorder that is similar to major depression and involves chronic feelings of depression for at least
two years is
a. dysthymic disorder.
b. chronic mood disorder.
c. long-term depression disorder.
d. none of the above defines this condition.
ANS: A DIF: easy REF: p. 178 OBJ: dysthymic disorder

MSC: TYPE: factual
25. The presence of dysthymia and a major depressive episode at the same time is
a. double jeopardy.
b. depression comorbidity.
c. double depression.
d. hypersensitivity depression.
ANS: C DIF: easy REF: p. 178 OBJ: dysthymic disorder

26. A period of time during which a person feels highly euphoric or extremely irritable is
a. mania.
b. hyperactivity.
c. hyposomnia.
d. hyperirritability.
ANS: A DIF: easy REF: p. 179 OBJ: manic and mixed episodes
MSC: TYPE: factual
27. Severe problems in functioning at school or work can result from extreme ____ that many people
experience during a manic episode.
a. distractibility.
b. contrast.
c. depression.
d. anxiety.
ANS: A DIF: moderate REF: p. 179 OBJ: manic and mixed episodes
MSC: TYPE: factual
28. During a manic episode when highly euphoric, if someone feels as though they can do something
impossible, it is called
a. delusional.
b. irrational fantasy.
c. grandiosity.
d. unbounded belief.
ANS: C DIF: easy REF: p. 179 OBJ: manic and mixed episodes
MSC: TYPE: factual
29. A mixed episode involves
a. both mood and anxiety symptoms.
b. both mania and depression for at least 1 week.
c. pain and pleasure.

d. neurotransmitter cycling.
ANS: B DIF: easy REF: p. 180 OBJ: manic and mixed episodes
MSC: TYPE: factual
30. Wayne experiences one or more manic or mixed episodes whereby he alternates between episodes of
major depression and mania. He most likely has
a. borderline personality.
b. bipolar I disorder.
c. bipolar II disorder.
d. continuous cycling disorder.
ANS: B DIF: easy REF: p. 180 OBJ: bipolar I disorder

MSC: TYPE: factual
31. Some people with bipolar disorder experience ____, which means they frequently switch from
depression to mania and back again with little or no period of abnormal mood.
a. bipolar change
b. manic cycling
c. rapid cycling
d. continuous cycling
ANS: C DIF: easy REF: p. 181 OBJ: bipolar I disorder

MSC: TYPE: factual
32. Individuals with changes in mood toward depression or mania occurring almost daily for a certain
period of time, especially in women, have
a. rapid cycling.
b. continuous cycling.
c. bipolar cycling.
d. manic-depressive cycling.
ANS: B DIF: easy REF: p. 181 OBJ: bipolar I disorder

MSC: TYPE: factual
33. A major distinction between bipolar I disorder and bipolar II disorder is
a. hypermania episode.
b. hypomanic episode.
c. hypermanic episode.
d. hypo-polar episode.
ANS: A DIF: easy REF: p. 181 OBJ: hypomanic episodes

MSC: TYPE: factual
34. An episode that comprises the same symptoms as a manic episode but may not cause severe
impairment in daily functioning is a
a. hypermania episode.
b. hypomaniac episode.
c. hypermaniac episode.
d. hypo-polar episode.
ANS: B DIF: easy REF: p. 181 OBJ: hypomanic episodes
MSC: TYPE: factual
35. Jan has episodes of hypomania that alternate with episodes of major depression. She is most likely
experiencing
a. bipolar I disorder.
b. bipolar II disorder.
c. bipolar III disorder.
d. manic depressive disorder type I.
ANS: B DIF: easy REF: p. 181 OBJ: hypomanic episodes

MSC: TYPE: factual
36. People with ____ do not have full-blown episodes of depression, mania, or hypomania, but the
symptoms of hypomania and depression have lasted over at least a two year period.
a. hypomania type I
b. bipolar type I
c. cyclothymia
d. borderline type I
ANS: C DIF: easy REF: p. 181 OBJ: cyclothymic disorder

37. Sharon has been experiencing thoughts about death, killing herself, funerals, and other morbid ideas
related to her death. Her therapist indicates that she is experiencing
a. suicide.
b. parasuicidal behavior.
c. suicidal ideation.
d. suicide attempt.
ANS: C DIF: easy REF: p. 182 OBJ: suicide

38. Paul has been repeatedly cutting himself and occasionally burning himself with a lighter. He is
demonstrating
a. attempted suicide.
b. parasuicidal behavior.
d. attention-getting behavior.
ANS: B DIF: easy REF: p. 183 OBJ: suicide

39. Thinking about suicide but not necessarily being driven toward the act is
a. morbid curiosity.
b. suicidal fantasy.
d. death wish.
ANS: C DIF: easy REF: p. 182 OBJ: suicide

MSC: TYPE: factual
40. When a person feels oppressed by society and believes that his or her only means of escape is through
death, he or she may be predisposed to
a. altruistic suicide.
b. fatalistic suicide.
c. egotistical suicide.
d. anomic suicide.
ANS: B DIF: easy REF: p. 183 OBJ: suicide

MSC: TYPE: factual
41. When a soldier sacrifices their life to save their comrades they have committed
a. altruistic suicide.
b. fatalistic suicide.
c. egoistic suicide.
d. anomic suicide.
ANS: A DIF: easy REF: p. 183 OBJ: suicide

MSC: TYPE: factual
42. The lifetime prevalence of major depressive disorder is ____ percent.
a. 6.16
b. 1.66
c. 16.6
d. 61.6
ANS: C DIF: moderate REF: p. 183

OBJ: epidemiology of mood disorders MSC: TYPE: factual
43. The lifetime prevalence of dysthymia is ____ percent.
a. 2.5
b. 1.0
c. 2.0
d. 5.2
ANS: A DIF: moderate REF: p. 183

44. Depression in females increases significantly around the beginning of
a. menopause.
b. adolescence.
c. pregnancy.
d. senility.
ANS: B DIF: easy REF: p. 184

45. Adolescent and adult females are depressed at ____ the rate of males.
a. one half
b. one fourth
c. three times
d. twice
ANS: D DIF: easy REF: p. 184

46. Rates of depression are relatively high in

a. Lebanon in France.
b. Chile and Brazil.
c. Italy and New Zealand.
d. all of the above have elevated rates of depression.

47. Severe depression and dysthymia are highly comorbid with many other mental disorders, particularly
a. anxiety.
b. personality disorders.
c. substance abuse.
d. all of the above are often comorbid with depression and dysthymia.

48. A controversial condition that refers to depressive symptoms which occur during most menstrual
cycles in the past year is
a. post-menstrual dysphoria.
b. premenstrual dysphoric disorder.
c. post-menstrual disorder.
d. premenstrual disorder.
ANS: B DIF: moderate REF: p. 185

OBJ: forms of depression among women KEY: WWW
MSC: TYPE: factual
49. Shortly after the birth of Pat’s daughter she experienced a major depressive episode that was referred
to as
a. post-menstrual depression.
b. pre-partum depression.
c. postpartum depression.
d. manic depressive disorder.
ANS: C DIF: easy REF: p. 185

OBJ: forms of depression among women MSC: TYPE: factual
50. A severe condition that affects about 13% of women after they give birth is called
a. hormonal mood syndrome.
b. after birth reality shock.
c. postpartum depression.
d. unipolar hormonal depression.

OBJ: forms of depression among women MSC: TYPE: factual
51. Compared to ____, Caribbean and African American groups are less likely to experience depression
but more likely to experience psychotic symptoms prior to mania.
a. white Americans
b. Hispanic Americans
c. white Europeans
d. Hispanic Europeans

52. Suicide is the ____ leading cause of death overall, third among adults, and is quite common among the
elderly.
a. top
b. second
c. eighth
d. fifth
ANS: C DIF: moderate REF: p. 186 OBJ: epidemiology of suicide

MSC: TYPE: factual
53. Higher risk factors for suicide include
a. advanced age, lower job satisfaction, and alienation.
b. cult membership, delusional beliefs, and discontent.
c. European ancestry, genetic predisposition, and poverty.
d. adolescence, unemployment, and social isolation.
ANS: D DIF: easy REF: p. 186 OBJ: epidemiology of suicide

MSC: TYPE: factual
54. Most suicides come from

a. firearms.
b. suffocation.
c. poisoning.
d. all of the above are common means of suicide.

MSC: TYPE: factual
55. Compared to United States, Taiwan, Korea, Japan, China, and Canada, suicide rates are highest in
a. Eastern Europe.
b. Western Europe.
c. Southern Europe.
d. Northern Europe.
ANS: A DIF: easy REF: p. 186 OBJ: epidemiology of suicide

MSC: TYPE: factual
56. Generally speaking, women ____ suicide ____ often than men.
a. attempt; more
b. attempt; less
c. complete; more
d. complete; as
ANS: A DIF: easy REF: p. 187 OBJ: epidemiology of suicide

MSC: TYPE: factual
57. Alcohol and stressful life events are
a. unrelated.
b. related to each other but not to suicide.
c. implicated in some mood disorders.
d. closely linked to suicide.

MSC: TYPE: factual
58. African Americans, Hispanics, and Asian/Pacific islanders tend to have the ____ rates of suicide.
a. highest
b. lowest
c. middle
d. top
ANS: B DIF: easy REF: p. 187 OBJ: epidemiology of suicide

MSC: TYPE: factual
59. Suicide attempts are more common in ___ than in ____.
a. educated people; an educated people
b. country people; city people
c. men; women
d. women; men

MSC: TYPE: factual
60. About ____ to ____ percent of individuals with acute depression also have suicidal ideation.
a. 10; 20
b. 30; 40
c. 60; 70
d. 90; 100
ANS: C DIF: moderate REF: p. 188 OBJ: epidemiology of suicide

MSC: TYPE: factual
61. Twin studies suggest that mood disorders have a ____ basis.
a. psychogenic
b. psychoactive
c. genetic
d. biogeneric
ANS: C DIF: easy REF: p. 190 OBJ: biological risk factors

MSC: TYPE: factual
62. Several genes for depression have been implicated, especially those on chromosome ____ that may be
involved with serotonin.
a. 5
b. 10
c. 17
d. 21

MSC: TYPE: factual
63. Genetic predisposition toward a mood disorder seems
a. stronger for depression than for bipolar disorder.
b. stronger for bipolar disorder than for depression.
c. but the same for depression and bipolar disorder.
d. based on instability.
ANS: B DIF: easy REF: p. 190 OBJ: biological risk factors

MSC: TYPE: factual
64. Those with mood disorder often show a(n) ____ activity in the ____ brain areas.
a. increased; overall
b. average; mid
c. reduced; prefrontal and other cortical
d. intermittent; limbic system
ANS: C DIF: moderate REF: p. 190 OBJ: biological risk factors

MSC: TYPE: factual
65. Brain circuit functioning problems between depression and bipolar are
a. similar, except depression involves the limbic-thalamic-cortical circuits.
b. virtually identical.
c. similar, except bipolar involves the limbic-thalamic-cortical circuits.
d. variable by individual.

66. The amygdala, hippocampus, caudate nucleus, and anterior cingulated cortex are all implicated in
a. personality disorders.
b. mood disorders.
c. schizophrenia.
d. anxiety disorders.
ANS: B DIF: easy REF: pp. 190-191 OBJ: biological risk factors
MSC: TYPE: factual
67. People with bipolar disorder have reduced levels of ____ but higher than normal levels of ____.
a. serotonin; norepinephrine
b. norepinephrine; serotonin
c. epinephrine; serotonin
d. serotonin; epinephrine
ANS: A DIF: moderate REF: p. 192 OBJ: biological risk factors

MSC: TYPE: factual
68. People with severe depression and cognitive deficits such as memory problems often have increased
levels of
a. cortisone.
b. epinephrine.
c. cortisol.
d. norepinephrine.

MSC: TYPE: factual
69. A key thyroid hormone that interacts significantly with serotonin and works well with antidepressants
to relieve depression is
a. thyroxine.
b. thyrodine.
c. triiodothyronine.
d. trithyroxine.

MSC: TYPE: factual
70. People with depression move to which stage of sleep more quickly than normal?
a. I
b. II
c. III
d. REM
ANS: D DIF: easy REF: p. 192 OBJ: biological risk factors

MSC: TYPE: factual
71. One's internal sleep-wake clock is referred to as
a. circadian rhythms.
b. ultradian rhythms.
c. infradian rhythms.
d. sleep-wake rhythms.
ANS: A DIF: easy REF: p. 192 OBJ: biological risk factors

72. What percent of women with depression experienced a recent severe negative life event or major
difficulty compared to those without depression?
a. 10
b. 50
c. 75
d. 84
ANS: D DIF: easy REF: p. 193 OBJ: environmental risk factors

MSC: TYPE: factual
73. Stressful life events seem to have a triggering effect on
a. only major depressive episodes or reactions.
b. coping skills reaction building.
c. both depressive and manic episodes.
d. only manic type episodes.
ANS: C DIF: easy REF: p. 193 OBJ: environmental risk factors

MSC: TYPE: factual
74. When cognitive factors are examined in mood disorders and designated as being about oneself, the
world, and the future, this is called the
a. hopelessness and helplessness syndrome.
b. you're okay but I am not mentality.
c. attribution theory.
d. negative cognitive triad.

MSC: TYPE: factual
75. When determining why some people develop depression after a stressful life event, or why others do
not, we must examine the ____ and ____ of the event.
a. severity; meaning
b. duration; type
c. cultural aspects; diagnosis
d. cognitive distortion; severity
ANS: A DIF: easy REF: p. 194 OBJ: environmental risk factors

MSC: TYPE: factual
76. An environmental risk factor closely related to mood disorders is negative thought patterns, or
a. automatic thoughts.
b. hopefulness theory.
c. cognitive distortions.
d. delusions.

MSC: TYPE: factual
77. People with depression often develop overly distorted, pessimistic views of themselves, the world
around them, and their future. This is the
a. negative cognitive triad.
b. distorted cognitive triad.
c. automatic cognition triad.
d. cognitive delusion triad.

78. A cognitive theory of depression that is referred to as ____ focuses on attitudes people make about an
event.
a. cognitive theory
b. cognitive factor theory
c. hope for the future theory
d. hopelessness theory

MSC: TYPE: factual
79. Cognitive theories of depression generally relate to mild or moderate cases of depression or what is
sometimes called nonbiological, environmentally based, or ____ depression.
a. exothermic
b. exogenous
c. interpersonal
d. internal
ANS: B DIF: easy REF: p. 195 OBJ: environmental risk factors

MSC: TYPE: factual
80. Nonbiological, environmental, basic depression is known as
a. psychosocial depression.
b. lethargic loser syndrome.
c. exogenous depression.
d. endogenic depression.

MSC: TYPE: factual
81. Children of parents with a mood disorder have ____mood disorders themselves compared to the
general population.
a. more
b. less
c. the same percentage of
d. no statistics have been developed regarding these children

MSC: TYPE: factual
82. Genetics may play a role in elevated mood disorder frequency for children of mood disordered parents,
but
a. nothing can be done to change this predisposition.
b. dysfunctional family relationships can play a role.
c. grandparent genetics are also involved.
d. severity is a subjective label.
ANS: B DIF: easy REF: p. 196 OBJ: environmental risk factors

MSC: TYPE: factual
83. Bipolar disorders are seen ____ across cultures.
a. equally
b. unequally
c. evenly distributed in America
d. unevenly distributed in America

MSC: TYPE: factual
84. Migrant workers and immigrants have been shown to be
a. practically immune to mood disorders.
b. more able to deal with adversity.
c. especially susceptible to depression.
d. quickly susceptible to bipolar disorder.

MSC: TYPE: factual
85. Evolutionary theories of mania are sparse, though some speculate that hypomanic states help improve
a. physical fitness.
b. invasion were settling in new territory.
c. enhance reproductive opportunities and characteristics attractive to potential mates.
d. all of the above are associated with evolutionary theories of mania.

MSC: TYPE: factual
86. Adam’s therapist thoroughly examined his genetic predisposition toward depression, and the stressful,
life-changing events he has experienced. These two main areas of assessment can be called
a. biological vulnerability and psychological vulnerability.
b. genetic push and environmental goal.
c. objective vs. subjective analysis.
d. scientific speculation and trauma induction.
ANS: A DIF: easy REF: p. 197 OBJ: causes of mood disorders

87. Internal or biologically-based depression is ____, and external or environmentally-based depression is

____.
a. exogenous, endogenous
b. genotypical, psychosocial
c. psychosocial, genotypical
d. endogenous, exogenous
ANS: D DIF: moderate REF: p. 198 OBJ: causes of mood disorders

MSC: TYPE: factual
88. Prevention programs for mood disorders typically address
a. people without any symptoms of mood disorders.
b. people at risk for developing mood disorders.
c. people who have a mood disorder and wish to prevent relapse.
d. all of the above are included in prevention programs for mood disorders.

OBJ: prevention of mood disorders MSC: TYPE: factual
89. The program which focuses on parents, involves stress management, education about normal teenager
development, promotes self-esteem, and teaches strategies to reduce family conflict is
a. FAMILY.
b. STOP.
c. RAP-F.
d. RA-FP.

90. The Gregory and Clarke evaluation of a depression prevention program involving unrealistic negative
thoughts found
a. a dismal lack of prevention.
b. cognitive restructuring to be quite effective.
c. all subjects improved dramatically.
d. both positive and negative aspects in the results.

91. The Brief Psychiatric Rating Scale and the Hamilton Rating Scale for Depression will both help
determine
a. how severe a person symptoms are or how a person is responding to treatment.
b. type of treatment to proceed with.
c. diagnosis of a disorder.
d. prognosis.
ANS: A DIF: easy REF: p. 200

OBJ: interviews and clinician ratings MSC: TYPE: factual
92. Topics covered in a(n) ____ are often related to past and present mood symptoms, relevant risk factors
such as interpersonal and cognitive factors, medical and treatment history, ongoing problems and
comorbid diagnoses, motivation for change, social support, suicidal thoughts and behaviors.
a. structured interviews
b. unstructured interviews
c. projective tests
d. personality tests
ANS: B DIF: easy REF: pp. 200-201

OBJ: interviews and clinician ratings MSC: TYPE: conceptual
93. Interview assessment techniques for mood disorders and suicide can be an important observational tool
beyond the questions and answers themselves. This would be considered
a. the symbolic content of answers.
b. nonverbal behaviors indicative of problems.
c. a psychosocial index of confidence.
d. a demonstration of their self-esteem level.

OBJ: interviews and clinician ratings KEY: WWW MSC: TYPE: factual
94. A common self-report measure that addresses negative attitudes towards oneself, level of impairment
due to depression, and physical symptoms is the
a. Beck Depression Inventory – II
b. DSM Depression Inventory
c. Maslow's Hierarchy Inventory
d. Depression Impairment Inventory
ANS: A DIF: moderate REF: p. 201 OBJ: self-report questionnaires

MSC: TYPE: factual
95. Jamie was given a questionnaire to assess level of pessimism she had about the future and suicidal
behavior. She was most likely given the
a. Beck Depression Inventory.
b. Beck Hierarchy Inventory.
c. Beck Impairment Inventory.
d. Beck Hopelessness Scale.
ANS: D DIF: easy REF: p. 201 OBJ: self-report questionnaires

MSC: TYPE: factual
96. The questionnaire that is used to assess negative thoughts common to people with depression is the
a. Automatic Thoughts Questionnaire Revised.
b. Negative Thoughts Questionnaire.
c. Negative Thoughts and Depression Questionnaire.
d. Depression and Hopelessness Scale.
ANS: A DIF: easy REF: p. 201 OBJ: self-report questionnaires

MSC: TYPE: factual
97. People with mood disorders are often asked to monitor and log their own symptoms
a. on a monthly basis.
b. on an as needed basis.
c. on an as they occur basis.
d. on a daily basis.

OBJ: self-monitoring and observations MSC: TYPE: factual
98. Because individuals with mood disorders are often unaware of the extent of abnormality, mental health
professionals should be interested in
a. observations from others.
b. the accuracy of the weekly log.
c. ongoing daily neurotransmitter variations.
d. confronting them with the severity of their problems.

OBJ: self-monitoring and observations MSC: TYPE: factual
99. The dexamethasone suppression test (DST) involves injecting a person with a _______________
known as dexamethasone.
a. coagulant
b. hormone
c. corticosteroid
d. beta blocker
ANS: C DIF: moderate REF: p. 202 OBJ: laboratory assessment

MSC: TYPE: factual
100. Severe risk for suicide is often associated with
a. hiding or masking such thoughts.
b. a day or for irrational challenge.
c. a strong sense of hopelessness.
d. no history of depression at all.
ANS: C DIF: easy REF: p. 203 OBJ: assessment of suicide

MSC: TYPE: factual
101. Medication treatment for depression has largely shifted from ____ to ____.
a. tricyclic antidepressants; SSRIs
b. MAOIs; tricyclic antidepressants
c. SSRIs; tricyclic antidepressants
d. SSRIs; MAOIs

OBJ: biological treatment of mood disorders KEY: WWW
MSC: TYPE: factual
102. Nausea, headache, education, sweating, gastrointestinal problems, sexual dysfunction, and insomnia
are all common side effects of
a. SSRIs
b. MAOs
c. TCAs
d. Antipsychotics

OBJ: biological treatment of mood disorders MSC: TYPE: factual
103. SSRIs have largely replaced ____ that produced the same neurotransmitter affect but had more side
effects.
a. MAOs
b. tricyclic antidepressants
c. antipsychotics
d. Plavix

104. If SSRIs or tricyclics are not effective, ___ may be prescribed to enhance tyramine to increase
norepinephrine and serotonin.
a. MAOIs
b. CBDKs
c. SSIRs
d. none of the above would be prescribed

105. Medication for people with bipolar disorder involves
a. anxiety reducing drugs.
b. psychosis reducing drugs.
c. mood stabilizing drugs.
d. anti-bipolar drugs.

OBJ: biological treatment of mood disorders KEY: WWW
MSC: TYPE: factual
106. Medication treatment for bipolar disorder is given via
a. mood elevating drugs.
b. reality altering drugs.
c. ECT.
d. mood stabilizing drugs.

107. If lithium is not effective alone, then ____ may also be prescribed.
a. Paxil
b. lithium II
c. Zoloft
d. divalproex

108. Mood stabilizing drugs are effective for ____ percent of people with mania.
a. 40 to 70
b. 10 to 20
c. 35 to 50
d. 70 to 95

109. An unusual, but often effective, treatment for people with very severe or melancholic depression that
involves the use of electrodes on a person's head, is
a. convulsion distortion therapy.
b. electrical therapy.
c. electroconvulsive therapy.
d. bioelectrical therapy.
ANS: C DIF: easy REF: p. 205 OBJ: electroconvulsive therapy

MSC: TYPE: factual
110. ECT is generally effective for people with very severe depression especially if ____ is/are used.
a. two electrodes and higher dosage
b. two electrodes and lower dosage
c. one electrode and higher dosage
d. one electrode and lower dosage
ANS: A DIF: easy REF: p. 205 OBJ: electroconvulsive therapy

MSC: TYPE: factual
111. An alternative to ECT is ____, which is a relatively new treatment that involves an electromagnetic
coil being placed on a person's scalp.
a. TMD
b. rTMS
c. TMDS
d. MEDS

OBJ: repetitive Transcranial magnetic stimulation MSC: TYPE: factual
112. Although both considered controversial, the two main non-medication biological interventions for
mood disorder and suicidality are
a. psychosurgery and gene splicing.
b. ECT and rTMS.
c. shock therapy and psychosurgery.
d. magnetic induction and acupuncture.

OBJ: repetitive Transcranial magnetic stimulation KEY: WWW
MSC: TYPE: factual
113. Among the psychological treatments for mood disorders and suicidality, ____ focuses on education,
increasing activities and exercise, and progress rewarding.
a. behavior modification
b. behavior activation
c. energizing reinforcement
d. token and major rewards

OBJ: psychological treatments for mood disorders MSC: TYPE: factual
114. People with depression often isolate themselves from others and lose interest in previously pleasurable
activities. Others may then provide sympathy and attention and socially reinforced depressed behavior.
Therapists rely on ____ to address this process.
a. behavioral modification
b. behavioral analysis
c. behavioral activation
d. behavioral education
ANS: C DIF: easy REF: p. 206 OBJ: behavioral activation

MSC: TYPE: factual
115. The process of training significant others not to reinforce depressive behavior and instead reinforce
active, prosocial behavior is
a. contingency management
b. self-control therapy
c. social skills training
d. coping or problem-solving skills training
ANS: A DIF: easy REF: p. 207 OBJ: behavioral activation

MSC: TYPE: factual
116. Having a person reinforce themselves for active, non-depressed behaviors is part of
ANS: B DIF: easy REF: p. 207 OBJ: behavioral activation

MSC: TYPE: factual
117. Michael is an adolescent with depression. He is undergoing ____ to help with his depression and to
improve methods of social interaction.
ANS: C DIF: easy REF: p. 207 OBJ: behavioral activation

118. The process of examining a person's negative statements and encouraging them to change the main
staple of treatment for people with mood disorders is
a. behavioral therapy.
b. cognitive therapy.
c. cognitive emotive therapy.
d. psychosomatic therapy.
ANS: B DIF: easy REF: p. 207 OBJ: cognitive therapy

119. Examining evidence for and against a certain thought, hypothesis testing to see the actual chances
something bad will happen, and catastrophizing worst-case scenarios are all part of
a. behavioral therapy.
c. cognitive behavioral therapy.
d. psychosomatic therapy.
ANS: B DIF: easy REF: p. 207 OBJ: cognitive therapy

MSC: TYPE: factual
120. The main goals of cognitive therapy, as applied to mood disorders, is to get a person to
a. minimize negative thoughts through denial and fantasy.
b. cope with mental and physical challenges.
c. effectively challenge negative thoughts and develop a sense of control.
d. realize that life is hard and everyone has difficulties.
ANS: C DIF: easy REF: p. 208 OBJ: cognitive therapy

121. When therapists help people focus to experience the present rather than dwell on past failures or
negative expectations about the future, they are applying
a. psychoanalysis.
b. psychodynamic.
c. mindfulness.
d. mindful meditation.
ANS: C DIF: easy OBJ: mindfulness MSC: TYPE: factual
122. A therapist engaging in ____ encourages a client to view a sad mood, thoughts, and physical feelings
as events that passed through the mind and not as indicators of reality.
a. psychoanalysis
b. behavior modification
c. mindfulness
d. hypnosis
ANS: C DIF: easy REF: p. 208 OBJ: mindfulness

MSC: TYPE: factual
123. The psychological approach to treating mood disorders that concentrates on four main categories of
relationship difficulty that include grief, roll disputes, roll transitions, and interpersonal deficits is
referred to as
a. behavior therapy.
c. interpersonal therapy.
d. personal therapy.
ANS: C DIF: easy REF: p. 208 OBJ: interpersonal therapy

MSC: TYPE: factual
124. Interpersonal therapy is referred to as a(n) ____ approach because it uses techniques from different
theoretical orientations.
a. multidimensional
b. eclectic
c. behavioral
d. cognitive
ANS: B DIF: easy REF: p. 208 OBJ: interpersonal therapy

MSC: TYPE: factual
125. Marital therapy is commonly used to treat ____, especially in ____.
a. anxiety; women
b. anxiety; men
c. depression; men
d. depression; women
ANS: D DIF: easy REF: p. 209 OBJ: family and marital therapy
MSC: TYPE: factual
126. Getting other people involved in the support system of an individual to help in the treatment of a mood
disorder can be achieved with
a. family and marital therapy.
b. support groups and self-help books.
c. pleading for help from strangers.
d. considering that therapist and family as human beings.
ANS: A DIF: easy REF: p. 209 OBJ: family and marital therapy
MSC: TYPE: factual
127. While a ‘no suicide contract’ may be helpful, a client's ____ has been shown to be more effective.
a. consent for treatment
b. informed consent
c. commitment to a treatment statement
d. previous behavior
ANS: C DIF: easy REF: p. 209 OBJ: treatment of suicidality

MSC: TYPE: factual
128. People with bipolar disorder tend to go in three different directions over time with about ____ percent
of people eventually having good overall functioning.
a. 10 to 20
b. 15 to 25
c. 15 to 20
d. 25 to 50
ANS: C DIF: moderate REF: p. 210 OBJ: long-term outcome

MSC: TYPE: factual
ESSAY
1. Describe the features and epidemiology of mood disorders.
ANS:
Student answers should include:
- mood disorders refer to extreme emotional states of sadness or euphoria
- a major depressive episode is a lengthy period of sad or empty mood
- dysthymic disorder is a chronic feeling of depression for at least two years
- a manic episode is a period of uncontrollable euphoria and potentially self-destructive

behavior
- bipolar I disorder involves one or more manic or mixed episodes
- bipolar II disorder refers to hypomanic episodes that alternate with major depressive episodes
- cyclothymic disorder refers to symptoms of hypomania and depression that fluctuate over
longtime
- mood disorders are common in the general population and often occur with anxiety,
personality, eating, and substance use disorders
2. Describe the features and epidemiology of suicide.

ANS:
- suicide is commonly seen in people with mood disorders, especially among men, European
Americans, nonmarried people, and the elderly
3. Identify the causes of mood disorders.
ANS:
- evidence indicating that mood disorders result from the combination of early biological factors
and environmental factors related to the ability to cope, think rationally, and develop competent social
and academic skills
- biological and environmental risk factors can make a person vulnerable to a mood disorder
- environmental risk factors for mood disorders include stressful and uncontrollable life events,
negative thought processes and misattributions
- biological risk factors for mood disorders include genetics, neurochemical and hormonal
differences, sleep deficiencies, and brain changes
4. Identify the methods to assess and treat mood disorders.
ANS:
- assessing people with mood disorders often includes structured and unstructured interviews
and self-report questionnaires
- observations and information from therapist, spouses, partners, children, parents, and others
are important for assessing mood disorders
- laboratory assessments for mood disorders include the dexamethasone test
5. Identify and describe the methods to assess and treat suicide.
ANS:
- assessing risk of suicide is critical in mood disorders and often focuses on details of a suicide
plan, access to weapons, and support from others
- addressing suicidal behavior, sometimes via hospitalization, is a critical aspect of treating

people with mood disorders

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Abnormal Psychology and Life A

Dimensional Approach 1st Edition

a. drinking alcohol; working hard

b. working hard; vacationing

c. complaining; drinking alcohol

ANS: A DIF: easy REF: p. 172 OBJ: Katey case

2. An intense state of happiness is

ANS: B DIF: easy REF: p. 173 OBJ: normal mood changes

3. Euphoria can be ____ or ____.

ANS: D DIF: moderate REF: p. 173 OBJ: normal mood changes

6. Someone with depression only has a ____ mood disorder.

a. unipolar mood disorder.

b. bipolar mood disorder.

a. a normal state of awareness.

b. a major depressive episode.

ANS: B DIF: easy REF: p. 174 OBJ: major depressive episode

9. People experiencing a major depressive episode lose

a. their thought process.

b. pleasure doing things they used to enjoy.

d. their family connections.

ANS: B DIF: easy REF: p. 174 OBJ: major depressive episode

a. moderate depressive episode.

b. major depressive disorder.

c. chronic unit polar disorder.

d. lingering or persistent melancholy.

ANS: B DIF: easy REF: p. 174 OBJ: major depressive episode

11. Major depressive episode may involve severe changes in

d. all of these may change during a depressive episode.

ANS: D DIF: easy REF: p. 174 OBJ: major depressive episode

ANS: A DIF: moderate REF: p. 174 OBJ: major depressive episode

a. interpersonal, extrapersonal, cognition

b. emotions, cognitions, behaviors

c. affect, intensity, debilitation

d. physiological, psychological, medical

ANS: B DIF: easy REF: p. 174 OBJ: major depressive episode

14. Mood disorder symptoms that occur by continuum can be

a. normal, mild, moderate, less severe, and more severe.

b. normal range, moderate range, and severe range.

c. less than normal, normal, and more than normal.

ANS: A DIF: moderate REF: p. 176 OBJ: Karen Gormandy

a. events within their control.

b. events beyond their control.

ANS: B DIF: easy REF: p. 176 OBJ: major depressive episode

b. suicide or death; an actual suicide attempt

c. anxiety; panic attacks

ANS: B DIF: easy REF: p. 176 OBJ: major depressive episode

18. The extreme slowness in withdrawal in one form of depression is referred to as

a. chronic depressive syndrome.

b. clinical unipolar disorder.

c. severe genetic disorder.

ANS: D DIF: easy REF: p. 176 OBJ: major depressive episode

19. Major depressive disorder is also known as

ANS: C DIF: easy REF: p. 177 OBJ: major depressive disorder

ANS: C DIF: easy REF: p. 178 OBJ: major depressive disorder

ANS: B DIF: moderate REF: p. 178 OBJ: major depressive disorder

a. fall depression disorder.

c. seasonal affective disorder.

d. situational affective disorder.

ANS: C DIF: easy REF: p. 178 OBJ: major depressive disorder

23. Depression that may occur following the birth of a child is

ANS: D DIF: easy REF: p. 178 OBJ: major depressive disorder

b. chronic mood disorder.

c. long-term depression disorder.

3. Euphoria can be or .

59. Suicide attempts are more common in _ than in __.