Abnormal Psychology Canadian 6th Edition Flett Test Bank

Abnormal Psychology Canadian 6th
Edition Flett Test Bank

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Flett, Kocovski, Davison, Neale: Abnormal Psychology, Sixth Canadian Edition Testbank
Chapter 6
Obsessive-Compulsive, and Related Disorders
Question type: True/False
1) Obsessive-compulsive disorder is more common than most anxiety disorders.
Answer: False
Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

Difficulty: Easy
Learning Objective: 6.1 Describe the new diagnostic category of obsessive-compulsive and
related disorders.
Bloom’s: Knowledge
2) Many people with obsessive-compulsive disorder also have another disorder.
Answer: True

Difficulty: Easy
related disorders.
3) Obsessive-compulsive disorder is considered an anxiety disorder in DSM-5.
Answer: False

Difficulty: Easy
related disorders
4) Obsessive-compulsive disorder was considered an anxiety disorder in DSM-IV-TR.
Answer: True

Difficulty: Easy
related disorders
5) Trichotillomania is an obsessive-compulsive related disorder.
Answer: True

Difficulty: Easy
Learning Objective: 6.7 Describe trichotillomania (hair-pulling disorder) and excoriation (skin-
picking disorder).
6) Excoriation is an anxiety disorder.
Answer: False

Difficulty: Easy
Learning Objective: 6.2 Describe the diagnostic features of OCD.
7) Obsessions are repetitive actions a person performs to calm themselves down.
Answer: False
Section Reference: 6.2 Obsessive-Compulsive Disorder (OCD)

Difficulty: Easy
Bloom’s: Comprehension
8) OCD is diagnosed when obsessions interfere with normal functioning.
Answer: True

Difficulty: Medium
9) Obsessive-compulsive disorder is rarely misdiagnosed because the symptoms are clear.
Answer: False

Difficulty: Easy
10) Compulsive checking may be caused by memory deficits.
Answer: True
Section Reference: 6.3 Etiology of Obsessive-Compulsive Disorder

Difficulty: Medium
Learning Objective: 6.3 Outline the etiology of OCD.
11) Overimportance of thoughts is an example of a faulty appraisal that may be related to

obsessive-compulsive disorder.
Answer: True

Difficulty: Medium
12) Adler believed that OCD was the result of fixation at the anal stage.
Answer: False

Difficulty: Easy
13) Virtual reality exposure is the standard treatment for OCD.
Answer: False
Section Reference: 6.4 Therapies for OCD

Difficulty: Easy
Learning Objective: 6.4 Describe psychology and biological therapies for OCD.
14) Exposure with response prevention is the most widely used treatment for OCD.
Answer: True

Difficulty: Easy
15) Hoarding disorder is a type of anxiety disorder.
Answer: False
Section Reference: 6.5 Hoarding Disorder

Difficulty: Easy
Learning Objective: 6.5 Describe hoarding disorder.
16) People with hoarding disorder are obsessed with acquiring possessions.
Answer: False

Difficulty: Medium
17) Medication is often used in the treatment of hoarding disorder.
Answer: True

Difficulty: Easy
18) Individual’s with body dysmorphic disorder are often satisfied with results of cosmetic
surgery.
Answer: False
Section Reference: 6.6 Body Dysmorphic Disorder

Difficulty: Medium
Learning Objective: 6.6 Describe body dysmorphic disorder.
19) Body dysmorphic disorder is more common in women.
Answer: True

Difficulty: Easy
20) Body dysmorphic disorder is classified as a body-focused repetitive behaviour disorder.
Answer: False

Difficulty: Easy
Question type: Multiple Choice
21) Jan has obsessive-compulsive disorder. He is _________ to have another disorder, too.
a) less likely than anyone else

b) more likely than anyone else
c) as likely as anyone else

d) destined
Answer: b

Difficulty: Easy
related disorders
Bloom’s: Application
22. OCD is _______, but ________.
a) rare; debilitating
b) common; debilitating
c) common; easily managed
d) rare; easily managed
Answer: a

Difficulty: Medium
related disorders
Bloom’s: Analysis
23. About ______ of people with OCD attempt suicide.
a) One-half
b) One-third
c) One-quarter
d) One-tenth
Answer: d

Difficulty: Easy
related disorders
24. Stella notices that her friend Polly, who has OCD, is starting to become more withdrawn.
She is concerned that Polly may be suicidal and she calls a psychologist for advice. The
psychologist will most likely tell her:
a) Not to worry, as it is unlikely for someone with OCD to commit suicide

b) To keep an eye on Polly – if her OCD gets worse, then she is at high risk for suiciding
c) That Polly is lucky to have such a caring friend who is right to be concerned
d) To get Polly to a hospital immediately, as her suicide is imminent
Answer: c

Difficulty: Hard
related disorders
25. Which of the following is NOT an obsessive-compulsive related disorder?
a) Excoriation
b) Exfoliation
c) Trichotillomania
d) They are all obsessive-compulsive related disorders.
Answer: b

Difficulty: Easy
related disorders
26. Which of the following is the best reason for OCD being moved out of the anxiety disorders
category?
a) Anxiety doesn’t seem to play a role in the disorder

b) Anxiety disorders are transient, whereas OCD is more persistent
c) Obsessions aren’t anxiety driven
d) Repetitive behaviours aren’t seen in anxiety disorders
Answer: d

Difficulty: Medium
related disorders
27. The common thread between the obsessive-compulsive related disorders is that:
a) The disorders have descriptive names

b) They all involve repetitive behaviours
c) The disorders are all highly comorbid with each other
d) They all used to be considered anxiety disorders
Answer: b

Difficulty: Medium
related disorders
28. Research has found that which two OCRD really do belong in the same category?
a) Body dysmorphic disorder and trichotillomania

b) Trichotillomania and obsessive-compulsive disorder
c) Obsessive-compulsive disorder and body dysmorphic disorder
d) Excoriation and body dysmorphic disorder
Answer: c

Difficulty: Medium
related disorders
29) Intrusive, irrational and unwanted thoughts are called
a) irrational beliefs.
b) generalized anxiety.
c) obsessions.
d) compulsions.
Answer: c

Difficulty: Easy
30) Felix feels the urge to turn a light switch on and off 12 times before leaving a room. This
would be referred to as
a) an irrational belief.
b) generalized anxiety.
c) an obsession.
d) a compulsion.
Answer: d

Difficulty: Easy
31) Which of the following is a compulsion?
a) Persistent fear of getting dirty

b) Persistent doubts about whether the stove was turned off that morning
c) Persistent checking for one's keys
d) Persistent thoughts about harming one's spouse
Answer: c

Difficulty: Medium
Bloom’s: Analysis
32) Which of the following is an obsession?
a) Repeatedly checking that the water is turned off.

b) Humming a tune over and over.

c) Recurring fear that one is giving others illnesses when they actually are not.
d) Excessive worry over finances.
Answer: c

Difficulty: Easy
Bloom’s: Analysis
33) What diagnosis is most appropriate for Nicole? She is constantly concerned with symmetry,
often spending hours arranging items in her room so that the room appears even on the left
and right. She also feels that when she eats, the items on the plate must be arranged
symmetrically. All of this effort interferes with her work.
a) Obsessive-compulsive disorder
b) Body dysmorphic disorder
c) Generalized anxiety disorder
d) Excoriation
Answer: a

Difficulty: Easy
Bloom’s: Analysis
34) Pierre avoids using public transportation because when he does, he cannot stop thinking
about touching the breasts of the women around him. His obsession is best described as a:
a) Contamination obsession
b) Violent obsession
c) Religious obsession
d) Sexual obsession
Answer: d

Difficulty: Easy
Bloom’s: Analysis
35) Research by Masellis, Rector, and Richter (2003) on obsessive-compulsive disorder indicates
that a poorer quality of life is predicted by the severity of:
a) Compulsions
b) Obsessions
c) Checking
d) None of the above
Answer: b

Difficulty: Medium
36) In people with obsessive-compulsive disorder, engaging in the compulsion:
a) Increases anxiety
b) Reduces anxiety
c) Neither increases nor decreases anxiety
d) Increases anxiety in the subset of OCD patients with high anxiety sensitivity
Answer: b

Difficulty: Medium
37) If an obsession is “ego-dystonic”, the person believes that the obsession:
a) Is due to his or her own behaviour

b) Is inconsistent with his or her self-definition
c) Is a way of satisfying the id
d) Is being controlled entirely by his or her id
Answer: b

Difficulty: Medium

38) According to Rachman (2002), the 3 “multipliers” that increase the intensity and frequency
of compulsive checking include the following EXCEPT:
a) Lack of control over the environment

b) A sense of personal responsibility
c) The probability of harm if checking not done
d) The predicted seriousness of harm
Answer: a

Difficulty: Easy
39) Most compulsions are viewed as ______________ by the person performing them.
a) pleasurable
b) rational
c) absurd
d) anxiety provoking
Answer: c

Difficulty: Easy
40) Which of the following is the best example of a clinical compulsion?
a) Stan, who is unable to control his urge to gamble despite being near bankruptcy
b) Brian, who cannot stop himself from drinking once he starts
c) Rhonda, who eats continuously, even when she is not hungry
d) Eleanor, who must wash her hands seven times before eating to prevent food poisoning
Answer: d

Difficulty: Hard
Bloom’s: Analysis
41. Tricia and Bill are at their wit’s end with their son Mike’s behaviour. His need for orderliness
and cleanliness leads to many arguments as they all try to get out the door in the morning and
their house is always full of tension. What might this family need to deal with Mike’s OCD?
a) Wine. lots of wine

b) Family therapy
c) Couples counselling for Tricia and Bill so that they can form a unified front
d) Individual therapy for Tricia so that she can be a more understanding mother
Answer: b

Difficulty: Medium
42. Dr. Wilson is a family doctor in Toronto. If he is like most physicians, when he is presented
with a patient with symptoms of OCD, he’s likely to:
a) Diagnose him with anxiety

b) Refer him to a psychiatrist for evaluation
c) Misdiagnose him
d) Prescribe antidepressants
Answer: c

Difficulty: Medium
43) Canadian comedian Howie Mandel refuses to shake hands with people he meets because of
fears of being contaminated. Howie suffers from:
a) Hypochondriasis
b) Obsessive-compulsive disorder
c) Excoriation
d) Social phobia
Answer: b

Difficulty: Easy
44) Dr. Fisher identifies as a behaviourist. As such, she thinks compulsions are:
a) Anxiety provoking
b) Biologically caused
c) Quirky
d) Learned behaviours
Answer: d

Difficulty: Medium
45) Cognitive biases may exist for people with OCD with __________ concerns.
a) contamination
b) religious
c) checking
d) aggressive
Answer: a

Difficulty: Easy
46) Jeanie often finds herself thinking about all the germs she’s been exposed to, but she
doesn’t take any action. Jeanie most likely:
a) Has OCD
b) Is a germaphobe
c) Is normal
d) Needs to wash her hands
Answer: c

Difficulty: Hard
47) Several Canadian researchers have found that people with _________ tend to think too
much about thinking per se (meta-cognition).
a) posttraumatic stress disorder

b) generalized anxiety disorder
c) obsessive-compulsive disorder
d) All of the above
Answer: c

Difficulty: Medium
48) In verifying the hypothesis that individuals with OCD have memory deficits, Cuttler and Graf
(2009) found the following:
a) Checkers and non-checkers show retrospective memory deficits

b) Checkers have deficits in prospective memory
c) The retrospective memory deficits hypothesis does not hold
d) All of the above
Answer: d

Difficulty: Medium
49) In studying the hypothesis that individuals with OCD have memory deficits, Cuttler and Graf
(2009) identified retrospective memory as:
a) The ability to remember recent events and experiences

b) The ability to look forward and to remember at the right time or place to perform an
intended action
c) The ability to remember recent events and to remember to perform an intended action
d) The ability to remember having performed compulsive activities
Answer: a

Difficulty: Medium
50) In studying the hypothesis that individuals with OCD have memory deficits, Cuttler and Graf
(2009) identified prospective memory as:
a) The ability to remember recent events and experiences

b) The ability to look forward and to remember at the right time or place to perform an
intended action
c) The ability to remember recent events and to remember to perform an intended action
d) The ability to remember having performed compulsive activities
Answer: b

Difficulty: Medium
51) Rachman and his colleagues have identified the importance of thought-action fusion in
OCD, which refers to:
a) Behaving as though one's thoughts have actually occurred

b) The belief that thinking about events will increase their likelihood
c) The belief that thinking something unpleasant is the same as doing it
d) All of the above
Answer: d

Difficulty: Medium
52) In thought-action fusion, the person with this characteristic blurs the distinction between:
a) The obsession and the compulsion

b) Thinking about an event and reacting as if it has occurred
c) The negative expression and the positive expression of emotional feelings
d) None of the above
Answer: b

Difficulty: Hard
53) A study of compulsive checkers (people who continually check to see if they have done
something such as turning off the stove) found that these individuals
a) have a memory deficit for actions they have performed.

b) are likely to confront sources of threat.
c) are more likely to live alone.
d) have a vulnerability schema.
Answer: a

Difficulty: Easy
54) When presented with dirty items, Rauch et al. (1994) found that people with contamination
fears resulting from OCD show increased regional blood flow to the:
a) Parietal lobe
b) Basal ganglia and frontal lobe
c) Hippocampus and amygdala
d) Locus ceruleus
Answer: b

Difficulty: Hard
55) The obsessive thought that “if I have unwanted thoughts of harming others, then I must be
a latent psychopath”, is an example of which type of 'faulty appraisal'?
a) Over-importance of thoughts
b) Thought-action fusion
c) Ego-dystonicity
d) Catastrophic misinterpretation of significance
Answer: d

Difficulty: Medium
Bloom’s: Analysis
56) According to Clark's analysis of faulty appraisals that contribute to obsessions, people with
obsessions overestimate:
a) The importance of thoughts

b) The importance of thought control
c) The degree of threat
d) All of the above
Answer: d

Difficulty: Easy
57) Paul’s mother has OCD. What is the likelihood that he will be diagnosed with it too?
a) Extremely unlikely
b) More likely than if his mother didn’t have OCD
c) No more or less likely than if his mother didn’t have OCD
d) Highly likely – virtually guaranteed
Answer: b

Difficulty: Medium
58) Researchers trying to isolate a specific gene for OCD have found:
a) At least three genes that are directly linked to OCD

b) Several significant markers
c) Several interesting candidate genes
d) No genetic markers for OCD
Answer: c

Difficulty: Medium
59) PET scan studies have found ___________ in patients diagnosed with OCD.
a) enlarged ventricles
b) decreased activation in the hippocampus
c) increased activation in the frontal lobes
d) enlarged motor cortex
Answer: c

Difficulty: Medium
60) Dysfunction in the ___________________ brain region has been linked to both OCD and
Tourette's syndrome.
a) basal ganglia
b) corpus callosum
c) hypothalamus
d) cingulated gyrus
Answer: a

Difficulty: Medium
61) As compared to controls without OCD, people with OCD have been found to have
impairment in
a) visual processing.
b) auditory processing.
c) task oriented behaviours.
d) executive function.
Answer: d

Difficulty: Medium
62) Because only 40-60% of OCD sufferers do not respond to Selective Serotonin Reuptake
Inhibitors (SSRIs), current research (Van Nieuwerburgh et al., 2009) is now concentrating on:
a) Genetic polymorphisms
b) Epinephrine and GABA
c) Dopamine polymorphisms
d) Dopamine and GABA
Answer: a

Difficulty: Hard
63) A lot of OCD research has focused on which neurotransmitter?
a) GABA
b) Norepinephrine
c) Serotonin
d) Dopamine
Answer: c

Difficulty: Easy
64) According to the psychoanalytic view, obsessive-compulsive disorder is a result of
a) fixation at the oral stage.

b) reawakened childhood Oedipal fears.
c) introjected anger.
d) struggles to control instinctual impulses.
Answer: d

Difficulty: Hard
65) Izzy frequently feels that when he is driving, he accidently hit someone and left the scene of
the accident. If Izzy was in treatment with a therapist who was Adlerian, the therapist would
view his obsessions as
a) an attempt to repress unconscious impulses.

b) an inability to resolve a psychosexual stage.
c) an effort to gain mastery and competence.
d) a less severe form of thought disorder.
Answer: c

Difficulty: Medium
Bloom’s: Analysis
66) Adler viewed obsessive-compulsive disorder as due to:
a) Fixation in the anal stage

b) The content of the personal unconscious
c) A personal sense of incompetence and inferiority
d) A lack of social interest
Answer: c

Difficulty: Hard
67) Which of the following is the most widely used behavioural treatment for OCD?
a) Cognitive-behavioural therapy
b) Exposure and response prevention
c) Thought stoppage
d) Medication
Answer: b

Difficulty: Easy
68) A strictly behavioural therapist treating Steve for contamination fear due to OCD would use
which of the following interventions?
a) Have Steve meditate daily.

b) Have Steve challenge the idea it is necessary to be clean.
c) Have Steve purposely get dirty.
d) Have Steve say 'stop' to himself quietly when he feels he must wash.
Answer: c

Difficulty: Easy
69) The effectiveness of exposure with response prevention in the treatment of OCD is likely
due to
a) resistance.
b) extinction.
c) modeling.
d) operant conditioning.
Answer: b

Difficulty: Hard
Bloom’s: Analysis
70) Celine is a cognitively oriented therapist but when treating a patient with OCD, she
incorporates which of the following approaches?
a) Psychoanalytic
b) Behavioural
c) Humanistic
d) Psychopharmacological
Answer: b

Difficulty: Medium
71) Adding a cognitive component to ERP for OCD helps with
a) preventing the onset of OCD.

b) the client-therapist relationship.
c) eliminating dysfunctional beliefs.

d) restructuring the meaning of the obsession.
Answer: c

Difficulty: Medium
72) Douglas believes that adding three shakes of pepper to all of his food will keep him from
getting sick. A cognitive-behavioural therapist will focus mainly on
a) having Douglas remove all the pepper from his house so that he cannot put it on his food.
b) challenging Douglas’s beliefs about pepper and illness.
c) having Douglas research whether pepper is an antimicrobial substance.
d) challenging Douglas to try eating without adding pepper to see if he does in fact get sick.
Answer: d

Difficulty: Hard
73) According to Freeston and Ladouceur, an important fifth step in CBT for OCD is:
a) Exposure with response prevention

b) Challenging dysfunctional beliefs
c) Relapse prevention
d) Imaginary inference
Answer: c

Difficulty: Easy
74) The overall findings regarding treatment of OCD are that:

a) There is no difference between individual or group therapy

b) There is no difference between CBT and ERP
c) Medication and CBT together are no better than CBT and a placebo
d) All of the above
Answer: d

Difficulty: Easy
75) Sam can’t decide what type of treatment to seek for OCD. Your advice to him is to:
a) See a psychoanalyst
b) See a cognitive-behavioural therapist
c) See a medical doctor to get a prescription medication
d) Join a humanistic-based therapy group
Answer: b

Difficulty: Medium
76) About how many people either drop out or are not successfully treated when seeking
treatment for OCD?
a) Two-thirds
b) One-half
c) Two-fifths
d) One-quarter
Answer: b

Difficulty: Medium
77) Theresa’s therapist has suggested that she add a new component to her treatment for OCD.
Based on recent research, which of these seems like the most likely recommendation?
a) Going to bed no later than midnight and waking no later than 7 am

b) Taking a serotonin based medication
c) Going to the gym three days a week
d) Going for a hike every weekend
Answer: c
Section Reference: Canadian Perspectives 6.1

Difficulty: Easy
Bloom’s: Analysis
78) In a small study on adding exercise to CBT for OCD, the participants adherence rate was:
a) 20%
b) 40%
c) 60%
d) 80%
Answer: d

Difficulty: Easy
Bloom’s: K
79) One major advantage to advocating for exercise as part of treatment for mental health
disorders is that
a) it’s free.
b) therapists can free up their schedules.
c) it creates more jobs in the fitness industry.
d) All of the above.
Answer: a

Difficulty: Easy
80) First-line medical treatment for OCD is:
a) Beta blockers
b) Anxiolytics
c) SSRIs
d) SNRIs
Answer: c

Difficulty: Easy
81) One problem with SSRIs being first-line pharmacotherapy for OCD is
a) intolerable side effects.

b) lack of treatment response.
c) high cost.
d) people’s unwillingness to take pills.
Answer: b

Difficulty: Easy
82) Cingulotomy is a treatment method used on patients with OCD, and involves
a) removing the cingulate cortex.

b) destroying part of the cingulate gyrus.
c) destroying a small part of the white matter in the cingulum.
d) removing all grey matter in the corpus callosum.
Answer: c

Difficulty: Hard
83) A last-resort treatment option for OCD is:
a) Cingulotomy
b) Deep brain stimulation
c) Electroconvulsive shock therapy
d) Lobotomy
Answer: b

Difficulty: Medium
84) Dr. Watts is asking his patient with OCD what he truly fears. Dr. Watts is most likely a
_____________ therapist.
a) psychoanalytic
b) behavioural
c) cognitive
d) cognitive-behavioural
Answer: a

Difficulty: Easy
Bloom’s: Analysis
85) Newer psychoanalytic approaches to treating OCD include
a) having the client identify repressed thoughts.

b) having the client identify fears.
c) helping the client learn to tolerate uncertainty.
d) helping the client learn to repress anxiety.
Answer: c

Difficulty: Medium
86) Sarah called 9-1-1 when she became trapped under a box of decorations in her house.
When help arrived, they could barely get to her due to an excess of clutter blocking most paths.
Sarah most likely has:
a) Obsessive-compulsive disorder
b) Hoarding disorder
c) Excoriation
d) Trichotillomania
Answer: b

Difficulty: Easy
87) According to DSM-5, people with hoarding disorder have difficulty
a) stopping themselves from buying new things.

b) stopping themselves from accepting items from friends and family.
c) parting with possessions.
Answer: c

Difficulty: Medium
88) People with hoarding disorder often have difficulty
a) stopping themselves from buying new things.

b) stopping themselves from accepting items from friends and family.
c) parting with possessions.
Answer: d

Difficulty: Medium
Learning Objective:5
89) Jack’s car collection is more like an “everything that could ever be affiliated with cars but
isn’t actually a car collection.” His neighbours worry about the clutter, especially since there are
many gasoline tanks lying around and twisted metal poking through the fence. His neighbours
should
a) mind their own business – it’s his yard, his problem.

b) ask Jack if he’d like help cleaning up his yard – he’ll probably accept.
c) call the police to have them ticket Jack for having an unsightly yard.
d) ask for help for Jack – this is a sign of hoarding disorder.
Answer: d

Difficulty: Easy
90) Which criterion for hoarding disorder is clear in this example: Jack’s car collection is more
like an “everything that could ever be affiliated with cars but isn’t actually a car collection.” His
neighbours worry about the clutter, especially since there are many gasoline tanks lying around
and twisted metal poking through the fence.
a) Jack has a perceived need to save items and distress associated with discarding them.
b) Jack has significant impairment in maintaining a safe environment for himself and others.
c) Jack accumulates items that congest and clutter active living areas.
d) None of the above.
Answer: b

Difficulty: Medium
Bloom’s: Analysis
91) Hoarding is _______ obsessive-compulsive disorder.
a) more common than

b) less common than
c) as common as
d) clinically indistinguishable from
Answer: a

Difficulty: Easy
92) Traci collects figurines – she has over 250 in her collection from all over the world and she
rotates her display of them on a seasonal basis. Amy has a collection of dolls – she has so many
that she has given them their own room in her house and also has them elsewhere in her
house. Traci most likely has __________ and Amy most likely has_________.
a) hoarding disorder; hoarding disorder

b) hoarding disorder; a normal collection
c) a normal collection; hoarding disorder
d) a normal collection; a normal collection
Answer: c

Difficulty: Medium
93) Hoarding disorder has been described as a disorder since the:
a) 1970s
b) 1980s
c) 1990s
d) 2000s
Answer: c

Difficulty: Easy
94) From a biological perspective, hoarding disorder is thought to be the result of
a) a genetic contribution.
b) a serotonin imbalance.
c) a dopamine imbalance.
d) There is no biological cause of hoarding disorder .
Answer: a

Difficulty: Easy
95) Hoarding symptoms typically have their onset in:
a) Adulthood
b) Older adulthood
c) Mid-life
d) Childhood/adolescence
Answer: d

Difficulty: Easy
96) A cognitive contributor to hoarding disorder may be
a) thinking that wealth is defined by possessions.

b) erroneous thoughts about the importance of possessions.
c) fear of having nothing.
d) inability to hold on to thoughts (i.e., inattention).
Answer: b

Difficulty: Medium
97) Which of the following medications is used to treat hoarding disorder?
a) Valium
b) Ativan
c) Venlafaxine
d) Prozac
Answer: c

Difficulty: Medium
98) Which type of medication is used to treat hoarding disorder?
a) Selective serotonin reuptake inhibitor

b) Benzodiazepines
c) Selective serotonin and norepinephrine inhibitor
d) Barbiturates
Answer: c

Difficulty: Medium
99) CBT for hoarding disorder is similar to treatment for
a) OCD.
b) trichotillomania.
c) GAD.
d) depression.
Answer: a

Difficulty: Easy
100) Who will be the most difficult patient with hoarding disorder to treat?
a) Alice, a 38 year old mother of two

b) Brenda, a 16 year old high school student
c) Carl, a 52 year old custodian
d) Darrell, a 78 year old retiree
Answer: d

Difficulty: Medium
Bloom’s: Analysis
101) Body dysmorphic disorder, given the excessive preoccupation with a perceived bodily
imperfection, has been considered most similar to which disorder?
a) Eating disorder
b) Obsessive-compulsive disorder
c) Social phobia
d) Conversion disorder
Answer: b

Difficulty: Easy
102) Which of the following best describes the occurrence of body dysmorphic disorder?
a) It is more common among men than women

b) It typically begins in the early 20s in both men and women
c) It is often comorbid with hypochondriasis
d) Thoughts of suicide are common
Answer: d

Difficulty: Medium
103) Jaclyn is preoccupied with her eyes, feeling that they are asymmetrical. She spends hours
applying makeup in an effort to make her eyes appear exactly the same size and shape. The
extent of her routine requires hours, and has cost her several jobs. She has had plastic surgery,
but this has not alleviated her concerns. The most likely diagnosis for Jaclyn would be:
a) Body dysmorphic disorder

b) Trichotillomania
c) Hypochondriasis
d) Obsessive-compulsive disorder
Answer: a

Difficulty: Hard
104) Which of the following statements about body dysmorphic disorder is not true?
a) It occurs primarily among males

b) It begins typically in late adolescence
c) It is often comorbid with social phobia
d) It is typically a chronic illness
Answer: a

Difficulty: Hard
105) Which of the following statements about body dysmorphic disorder is not true?
a) It is often comorbid with depression

b) Plastic surgery typically fixes their concerns
c) It occurs primarily among females
d) Most people with BDD experience symptoms for many years
Answer: b

Difficulty: Medium
106) Compared to people without body dysmorphic disorder, those with BDD show
a) changes in the basal ganglia.

b) changes in the orbitofrontal cortex.
c) activation of the corpus callosum.
d) activation of the posterior cingulated cortex.
Answer: b

Difficulty: Medium
107) Like people with OCD, people with BDD focus on
a) unwanted thoughts.
b) unwanted actions.
c) inability to act.
Answer: a

Difficulty: Medium
Bloom’s: Analysis
108) Treatment for BDD will be more effective with ______ than _______.
a) medication; psychotherapy
b) medication; CBT
c) CBT; medication
d) medication and psychotherapy are equally effective
Answer: c

Difficulty: Medium
Learning Objective: 6
109) Amanda is sitting on the couch watching tv. When she gets up, her roommate notices a
small pile of hair next to her. Amanda may have:
a) Body dysmorphic disorder

b) Trichotillomania
c) Excoriation
d) Obsessive-compulsive disorder
Answer: b
Section Reference: 6.7 Body-Focused Repetitive Behaviours: Trichotillomania (Hair-Pulling) and

Excoriation (Skin-Picking)
Difficulty: Easy
picking disorder).
110) People with trichotillomania often feel __________ after pulling their hair
a) relief
b) scared
c) shame
d) happy
Answer: c

Difficulty: Easy
picking disorder).
111) Laura works at a hair salon that is considered a safe space, which means that people with
______________ can go there without having to explain themselves.
a) eating disorders
b) body dysmorphic disorder
c) obsessive-compulsive disorder
d) trichotillomania
Answer: d

Difficulty: Easy
picking disorder).
112) One potential complication that can arise from excoriation is
a) patches of missing hair.

b) infection.
c) hearing loss.
d) loss of sensation in the hands.
Answer: b

Difficulty: Easy
picking disorder).
113) Excoriation is the clinical term for
a) hair pulling.
b) nose picking.
c) skin picking.
d) excessive grooming.
Answer: c

Difficulty: Easy
picking disorder).
114) According to the frustrated action model, under what condition is someone likely to
engage in either hair pulling or skin picking?
a) Boredom
b) Relaxation
c) Stress
d) Happiness
Answer: a

Difficulty: Medium
picking disorder).
115) Joanne has been asked to keep track of what she is doing before she begins pulling her
hair out and is also encouraged to think of alternative actions she can engage in. The type of
treatment she is likely engaged in is:
a) Exposure with response prevention

b) Habit reversal training
c) Cognitive-behavioural training
d) Person-centered therapy
Answer: b

Difficulty: Medium
Learning Objective:7
Bloom’s: Analysis
Question Type: Essay
116) Obsessive-compulsive disorder (OCD) is often comorbid with other disorders. Name three
other disorders that are commonly comorbid with OCD and explain why they regularly co-
occur.

Difficulty: Hard
related disorders
Bloom’s: Synthesis
117) In DSM-5, obsessive-compulsive disorder is listed with other disorders and they are
termed the obsessive-compulsive and related disorders. What are the related disorders? Why
are they all listed together with OCD?

Difficulty: Hard
related disorders
Bloom’s: Analysis
118) Define obsessions and compulsions and given an example of each. How are obsessions and
compulsions different? How do they work together?

Difficulty: Medium
Bloom’s: Analysis
119) Describe the psychoanalytic theory of Adler and the behavioural theory of the etiology of
obsessive-compulsive disorder. Explain how these views may be unified using the cognitive
perspective.

Difficulty: Hard
Bloom’s: Analysis
120) In DSM-IV, obsessive-compulsive disorder (OCD) was listed as an anxiety disorder. In DSM-
5, it’s are in its own section. Do you think that OCD should be listed on its own or with anxiety
disorders? Why?

Difficulty: Hard
Bloom’s: Evaluation
121) What is exposure and response prevention? How would you modify it to make it less likely
that people would drop out of treatment if that’s the treatment modality?

Difficulty: Medium
Bloom’s: Synthesis
122) How are normal collectors similar and different from people with hoarding disorder?

Difficulty: Medium
Bloom’s: Analysis
123) Body dysmorphic disorder used to be considered a somatoform disorder and is now listed
together with the obsessive-compulsive disorders in DSM-5. Do you think this makes sense?
Why or why not?

Difficulty: Medium
Learning Objective: 6
124) What are the two body-focused repetitive behaviours? How are they similar? How are
they different?

Difficulty: Medium
picking disorder).
Bloom’s: Analysis
125) How would you treat a client with trichotillomania? Why would it work?

Difficulty: Hard
picking disorder).
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Abnormal Psychology Canadian 6th Edition Flett Test Bank

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Abnormal Psychology Canadian 6th

Edition Flett Test Bank

Question type: True/False

1) Obsessive-compulsive disorder is more common than most anxiety disorders.

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

2) Many people with obsessive-compulsive disorder also have another disorder.

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

3) Obsessive-compulsive disorder is considered an anxiety disorder in DSM-5.

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

4) Obsessive-compulsive disorder was considered an anxiety disorder in DSM-IV-TR.

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

5) Trichotillomania is an obsessive-compulsive related disorder.

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

6) Excoriation is an anxiety disorder.

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

7) Obsessions are repetitive actions a person performs to calm themselves down.

Section Reference: 6.2 Obsessive-Compulsive Disorder (OCD)

8) OCD is diagnosed when obsessions interfere with normal functioning.

Section Reference: 6.2 Obsessive-Compulsive Disorder (OCD)

9) Obsessive-compulsive disorder is rarely misdiagnosed because the symptoms are clear.

Section Reference: 6.2 Obsessive-Compulsive Disorder (OCD)

10) Compulsive checking may be caused by memory deficits.

Section Reference: 6.3 Etiology of Obsessive-Compulsive Disorder

11) Overimportance of thoughts is an example of a faulty appraisal that may be related to

Section Reference: 6.3 Etiology of Obsessive-Compulsive Disorder

Section Reference: 6.3 Etiology of Obsessive-Compulsive Disorder

13) Virtual reality exposure is the standard treatment for OCD.

Section Reference: 6.4 Therapies for OCD

Section Reference: 6.4 Therapies for OCD

15) Hoarding disorder is a type of anxiety disorder.

Section Reference: 6.5 Hoarding Disorder

Section Reference: 6.5 Hoarding Disorder

17) Medication is often used in the treatment of hoarding disorder.

Section Reference: 6.5 Hoarding Disorder

Section Reference: 6.6 Body Dysmorphic Disorder

19) Body dysmorphic disorder is more common in women.

Section Reference: 6.6 Body Dysmorphic Disorder

20) Body dysmorphic disorder is classified as a body-focused repetitive behaviour disorder.

Section Reference: 6.6 Body Dysmorphic Disorder

Question type: Multiple Choice

a) less likely than anyone else

c) as likely as anyone else

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

22. OCD is _______, but ________.

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

23. About ______ of people with OCD attempt suicide.

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

a) Not to worry, as it is unlikely for someone with OCD to commit suicide

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

25. Which of the following is NOT an obsessive-compulsive related disorder?

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

a) Anxiety doesn’t seem to play a role in the disorder

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

a) The disorders have descriptive names

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

a) Body dysmorphic disorder and trichotillomania

Section Reference: 6.1 Obsessive-Compulsive and Related Disorders (OCRDs)

29) Intrusive, irrational and unwanted thoughts are called

Section Reference: 6.2 Obsessive-Compulsive Disorder (OCD)

Section Reference: 6.2 Obsessive-Compulsive Disorder (OCD)

31) Which of the following is a compulsion?

a) Persistent fear of getting dirty

Section Reference: 6.2 Obsessive-Compulsive Disorder (OCD)

32) Which of the following is an obsession?

22. OCD is _, but __.