Professional Documents
Culture Documents
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
273
Topic Factual Conceptual Applied
True-False 244, 245, 246, 247,
248, 249
Essay
Learning Objective Multiple Choice 138, 139, 141 140 142, 143, 144
4.7
True-False
Essay
Learning Objective Multiple Choice 145, 149 146, 148 147, 150
4.8
True-False 250, 251, 252, 253,
254, 255, 256, 257,
258, 259, 260, 261,
262
Essay
Learning Objective Multiple Choice 153, 154, 155, 157, 151, 165 152, 156, 159, 160,
4.9 158, 163, 164, 169, 161, 162, 166, 167,
170, 171, 172, 173, 168
174
True-False 263, 264, 265, 266,
267, 268, 269, 270,
271, 272, 273, 274,
275, 276, 277, 278,
279
Essay 299 296, 297, 298
Learning Objective Multiple Choice 179, 180 175, 176, 177 178, 181
4.10
True-False
Essay
Learning Objective Multiple Choice 183, 184, 187 185, 186 182
4.11
True-False 280, 281
Essay 300, 301
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
274
4
Stress-Related Disorders
Multiple-Choice Questions
1. A psychologist who is studying the effects of stress on physical health is most likely a ______.
a. health psychologist c. positive psychologist
b. evolutionary psychologist d. psychiatrist
ANSWER: A
Level of Difficulty (1-3): 1 Page: 136
Topic: Introduction
Learning Objective: Introduction
Skill: Factual
2. Psychologists who study the interrelationships between psychological factors and physical well-being are
called ______.
a. positive psychologists c. health psychologists
b. evolutionary psychologists d. psychoneuroimmunologists
ANSWER: C
Level of Difficulty (1-3): 1 Page: 136
Topic: Introduction
Learning Objective: Introduction
Skill: Factual
3. Which of the following refers to a pressure or demand that is placed on an organism to adapt?
a. Eustress c. Situational stimulus
b. Immunological challenge d. stress
ANSWER: D
Level of Difficulty (1-3): 1 Page: 136
Topic: Introduction
Learning Objective: Introduction
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 1 Page: 136
Topic: Introduction
Learning Objective: Introduction
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
275
ANSWER: B
Level of Difficulty (1-3): 1 Page: 136
Topic: Introduction
Learning Objective: Introduction
Skill: Factual
6. Jody is suffering from severe tension headaches and anxiety due to an extremely overwhelming schedule.
The most precise term for Jody’s physical and emotional reaction is ______.
a. eustress c. stress
b. distress d. stressors
ANSWER: B
Level of Difficulty (1-3): 2 Page: 136
Topic: Introduction
Learning Objective: Introduction
Skill: Applied
ANSWER: B
Level of Difficulty (1-3): 3 Page: 137
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
8. The field of ______ studies the relationship between stress and the workings of the immune system.
a. psychoendocrinology c. psychoneuroimmunology
b. neuropsychology d. psychopathology
ANSWER: C
Level of Difficulty (1-3): 1 Page: 137
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
9. Which bodily system that releases hormones plays a key role in the physical reaction to stress?
a. Endocrine c. Circulatory
b. Excretory d. Musculoskeletal
ANSWER: A
Level of Difficulty (1-3): 2 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
10. The ______ system is a system of ductless glands that secrete hormones directly into the bloodstream.
a. immune c. endocrine
b. cardiovascular d. respiratory
ANSWER: C
Level of Difficulty (1-3): 1 Page: 138
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
276
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
11. The endocrine glands release ______ directly into the bloodstream.
a. acetylcholine c. antigens
b. antibodies d. hormones
ANSWER: D
Level of Difficulty (1-3): 1 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
12. During the stress response, the hypothalamus releases a hormone that stimulates the nearby pituitary gland
to secrete ___________.
a. human growth hormone
b. testosterone
c. adrenocorticotrophic hormone (ACTH)
d. cortisol
ANSWER: C
Level of Difficulty (1-3): 2 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
14. When you are under stress, the ______ releases a hormone that arouses the pituitary gland to release
adrenocorticotrophic hormone, or ACTH.
a. adrenal medulla c. kidney
b. hypothalamus d. adrenal gland
ANSWER: B
Level of Difficulty (1-3): 3 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
15. Hormones that boost resistance to stress, foster muscle development, induce the liver to release sugar, and
help the body defend against allergic reactions and inflammation are ______.
a. cortical steroids c. norepinephrines
b. epinephrines d. acetylcholines
ANSWER: A
Level of Difficulty (1-3): 2 Page: 138
Topic: Effects of Stress
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
277
Learning Objective: 4.1
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
17. Which branch of the autonomic nervous system is aroused to deal with threat?
a. Voluntary c. Parasympathetic
b. Sympathetic d. Involuntary
ANSWER: B
Level of Difficulty (1-3): 2 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
18. Which statement is most accurate about the relationship of stress and health?
a. Prolonged stress can damage multiple bodily systems.
b. The immune system is the only bodily system affected by prolonged stress.
c. Short-term significant stress is just as damaging as longer term stress.
d. Stress can lead to emotional problems and indirectly to health problems but does not
directly lead to health problems.
ANSWER: A
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
19. The ______ system is the body’s system of defense against disease.
a. autonomic c. immune
b. nervous d. respiratory
ANSWER: C
Level of Difficulty (1-3): 1 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
20. The body’s foot soldiers in the fight against disease are known as ______.
a. antigens c. leukocytes
b. microbes d. red blood cells
ANSWER: C
Level of Difficulty (1-3): 2 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
278
21. Leukocytes are ______.
a. white blood cells c. viruses
b. red blood cells d. bacteria
ANSWER: A
Level of Difficulty (1-3): 2 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
23. Surface fragments on pathogens that cause leukocytes to produce antibodies to destroy them are called
______.
a. antigens c. endocrines
b. lymphocytes d. platelets
ANSWER: A
Level of Difficulty (1-3): 1 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 3 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
26. _________ are a special type of “reserve” lymphocyte that can remain in the bloodstream for years and
form the basis for a quick immune response to an invader the second time around.
a. Reserve lymphocytes c. Memory lymphocytes
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
279
b. Antigens d. Antibodies
ANSWER: C
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
27. Barbara has continuous colds during the winter. A psychoneuroimmunologist would contend that Barbara
______.
a. has not been keeping herself warm enough
b. has not been absorbing enough Vitamin C and sunshine
c. has been too relaxed to activate her stress-combating white blood cells
d. may have a weakened immune system due to prolonged stress
ANSWER: D
Level of Difficulty (1-3): 2 Page: 137
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Applied
ANSWER: C
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
29. Scientists recently discovered that chronic stress increases levels of ______, which may contribute to the
physical health problems associated with psychological stress.
a. inflammation c. hair growth
b. immune system functioning d. positive moods
ANSWER: A
Level of Difficulty (1-3): 3 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
30. Prolonged stress has been linked to____________, which may contribute to asthma, arthritis, and
cardiovascular disease.
a. inflammation c. increased immune system functioning
b. ovulation d. leukocyte production
ANSWER: A
Level of Difficulty (1-3): 3 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
31. The harmful effects of stress on the immune system may be moderated by ______.
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
280
a. living alone c. travel
b. work that keeps you very busy d. social support
ANSWER: D
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Conceptual
32. Lance is a dental student who studies hard in his single-person studio apartment. He has not developed any
friendships in dental school. He has gotten numerous colds. Which recommendation would most
likely help Lance to protect his immune system?
a. Develop friendships c. Move to a larger apartment
b. Cut down on studying d. Drop out of dental school
ANSWER: A
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Applied
ANSWER: C
Level of Difficulty (1-3): 3 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
34. Recent research suggests that aside from social support, ______ may boost psychological and physical
well-being.
a. writing about stressful events c. moving to a rural area
b. taking regular vacations d. breaking up unhealthy relationships
ANSWER: A
Level of Difficulty (1-3): 2 Page: 140
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 140
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
36. Evidence gathered since the 9/11 attack showed which of the following helped buffer the effects of stress?
a. Living near a military base
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
281
b. Experiencing positive emotions
c. Spending a great deal of time watching coverage of the events on TV
d. Avoiding others and cutting off social ties
ANSWER: B
Level of Difficulty (1-3): 3 Page: 140
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
37. Your body has ______ of white blood cells fighting off microbes.
a. thousands c. billions
b. millions d. 17
ANSWER: B
Level of Difficulty (1-3): 3 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 140
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
39. The body’s three-stage physiological reaction to stress is called the ______.
a. Stockholm syndrome c. general adaptation syndrome
b. phi phenomenon d. Korsakoff syndrome
ANSWER: C
Level of Difficulty (1-3): 2 Page: 140
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
40. Selye figured out that our body responds_________ to various kinds of unpleasant stressors.
a. in a similar manner
b. in different response patterns
c. with varying degrees of intensity
d. in consistently different
ANSWER: A
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Conceptual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
282
ANSWER: A
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
42. The alarm reaction is initiated by the brain and the ______.
a. central nervous system c. voluntary nervous system
b. parasympathetic nervous system d. sympathetic nervous system
ANSWER: D
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 3 Page: 140
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
44. The “fight-or-flight” reaction characterizes the ______ stage of the general adaptation syndrome.
a. alarm reaction c. resistance
b. anxiety d. exhaustion
ANSWER: A
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Conceptual
45. During the alarm reaction stage, the ______ pump(s) out stress hormones.
a. thalamus c. adrenal glands
b. parietal lobe d. circulatory system
ANSWER: C
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
46. Which of the following changes in the body occurs during the alarm reaction stage of Selye’s General
Adaptation Syndrome?
a. Corticosteroids are released c. Heart rate decreases
b. Muscles relax d. Respiration decreases
ANSWER: A
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
283
47. During the alarm reaction stage of Selye’s GAS, which of the following changes in the body occurs?
a. Bone cells begin to rapidly multiply c. Heart rate increases
b. Muscles begin to atrophy d. Respiration decreases
ANSWER: C
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
48. Julia is walking through the forest when she encounters a bear. Her body enters the alarm reaction stage of
Selye’s General Adaptation Syndrome (GAS). Which of the following is most likely occurring in her
body?
a. Blood circulation is slowing c. Heart rate is decreasing
b. Muscles are tensing d. Digestion is increasing
ANSWER: B
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Applied
49. During the alarm reaction stage of Selye’s General Adaptation Syndrome, _________.
a. digestion is inhibited c. heart contractions stop
b. muscles tend to relax d. respiration tends to decrease
ANSWER: A
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
50. Thomas has just gotten into a fight with a bully and sustained a cut over his eye. This just happened and he
is in the alarm reaction stage of Selye’s General Adaptation Syndrome. Which of the following
changes in the body that occurs during this stage is most likely to help him with specific regard to the
cut over his eye?
a. Muscles relax c. Blood pressure drops
b. Blood-clotting ability is increased d. Respiration decreases
ANSWER: B
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
51. Which of the following is the adaptation stage of the general adaptation syndrome?
a. Alarm reaction c. Resistance
b. Anxiety d. Exhaustion
ANSWER: C
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
284
52. The proper sequence of stages in the general adaptation syndrome are ______.
a. alarm reaction, exhaustion, resistance
b. resistance, alarm reaction, exhaustion
c. alarm reaction, resistance, exhaustion
d. resistance, exhaustion, alarm reaction
ANSWER: C
Level of Difficulty (1-3): 1 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
53. Which of the following does the American Psychological Association suggest for coping with traumatic
experiences?
a. Try to adjust as soon as possible.
b. Communicate your experience.
c. Make major life decisions during this time.
d. Avoid exercise and your regular routines.
ANSWER: B
Level of Difficulty (1-3): 3 Page: 142
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
54. In the GAS, the body tries to renew spent energy and repair damage during the ______ stage.
a. alarm reaction c. resistance
b. arousal d. exhaustion
ANSWER: C
Level of Difficulty (1-3): 2 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 3 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
56. If a source of stress is unrelenting and enduring, Selye believed that we would develop ______.
a. a nervous breakdown c. burnout and meltdown
b. chronic resistance d. diseases of adaptation
ANSWER: D
Level of Difficulty (1-3): 3 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
285
a. saliva c. gastric juices
b. serotonin d. cortical steroids
ANSWER: D
Level of Difficulty (1-3): 3 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
58. As cited within your text, the American Psychological Association has at least ________ suggestion(s) for
coping with traumatic experiences.
a. one
b. two
c. four
d. eight
ANSWER: D
Level of Difficulty (1-3): 3 Page: 142
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 143
Topic: Effects of Stress
Learning Objective: 4.3
Skill: Conceptual
60. Research shows that people who experience greater numbers of life changes are ______ likely to suffer
from psychological problems and ______ likely to suffer from physical health problems.
a. less, less c. more, less
b. less, more d. more, more
ANSWER: D
Level of Difficulty (1-3): 1 Page: 143
Topic: Effects of Stress
Learning Objective: 4.3
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 1 Page: 143
Topic: Effects of Stress
Learning Objective: 4.3
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
286
a. neither positive nor negative c. only negative
b. only positive d. dependent upon the persons getting married
ANSWER: D
Level of Difficulty (1-3): 1 Page: 143
Topic: Effects of Stress
Learning Objective: 4.3
Skill: Factual
63. The process of adaptation by which immigrants, native groups, and ethnic minorities adjust to the new
culture through making behavioral and attitudinal changes is called ______.
a. assimilation c. acculturation
b. immersement d. appeasement
ANSWER: C
Level of Difficulty (1-3): 2 Page: 143
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
64. Pressure that results from the demands placed on immigrant, native, and ethnic minority groups to adjust to
life in the mainstream culture is called___________.
a. acculturative adaptation
b. bicultural adaptation
c. acculturative stress
d. bicultural stress
ANSWER: C
Level of Difficulty (1-3): 2 Page: 143
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
65. Which of the following is a one of the general theories about the relationship between acculturation and
psychological adjustment presented in your text?
a. Melting-pot theory
b. Adaptation theory
c. Immigrant adjustment theory
d. Assimilation theory
ANSWER: A
Level of Difficulty (1-3): 2 Page: 143
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
66. According to research (Caetano, 1987) highly acculturated Hispanic American women are more likely than relatively
unacculturated Hispanic American women to___________.
a. remain single
b. avoid drinking and smoking
c. become heavy drinkers
d. be victims of domestic violence
ANSWER: C
Level of Difficulty (1-3): 2 Page: 145
Topic: Effects of Stress
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
287
Learning Objective: 4.4
Skill: Conceptual
ANSWER: D
Level of Difficulty (1-3): 1 Page: 143
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
68. According to the melting pot theory, Hispanic Americans’ adjustment would improve by ______.
a. learning English
b. saving money for their children’s education
c. moving where there are many other Hispanic Americans
d. maintaining close contact with relatives and friends in their native countries
ANSWER: A
Level of Difficulty (1-3): 1 Page: 144
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Applied
69. The theory that psychosocial adjustment for immigrants is aided by identification with both the traditional and host
cultures is called the ______ theory.
a. melting pot c. bicultural
b. multicultural d. immersion
ANSWER: C
Level of Difficulty (1-3): 2 Page: 144
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
70. According to the bicultural theory, immigrants will adjust better if they ______.
a. replace their ethnic identity and traditional values with those of the new culture
b. learn the new culture’s language but otherwise resist assimilation
c. maintain their original culture while adapting to the new culture
d. maintain their original language but otherwise adapt to the new culture
ANSWER: C
Level of Difficulty (1-3): 2 Page: 144
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Conceptual
71. Highly acculturated adolescent Hispanic women have been found to be more likely to ______.
a. resist speaking Spanish c. cook only American foods
b. develop eating disorders d. show an increased involvement in sexual intercourse
ANSWER: D
Level of Difficulty (1-3): 3 Page: 145
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
288
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
72. In Latin American cultures, compared to women, men tend to drink ______ alcohol compared to female
Latin Americans.
a. much less c. slightly more
b. slightly less d. much more
ANSWER: D
Level of Difficulty (1-3): 2 Page: 145
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
73. Which of the following is true of Charles Negy’s research of Latinos in the United States?
a. Latinos greatly varied in their degree of acculturation to the U.S. culture.
b. The longer Latinos lived in the U.S, the less acculturated they tended to be.
c. Scores of more acculturated Mexican-Americans were very different to non-Hispanic whites on
standardized personality tests.
d. Mexican couples reported less verbal and/or physical aggression in their relationships than did
Mexican-American couples.
ANSWER: A
Level of Difficulty (1-3): 3 Page: 147
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
74. In Latino adolescents, higher levels of acculturation are also linked to increased risk of__________.
a. gambling c. smoking
b. social anxiety d. depression
ANSWER: C
Level of Difficulty (1-3): 3 Page: 145
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
75. In Latino adolescents, higher levels of acculturation are also linked to increased risk of__________.
a. gambling c. eating disorders
b. social anxiety d. depression
ANSWER: C
Level of Difficulty (1-3): 3 Page: 145
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
76. According to research presented in the text, for Latina teens, acculturation makes them more vulnerable to
accepting and striving towards the demands of contemporary American ________.
a. cultural trend of casual sexual relationships
b. view that women should be assertive
c. ideal of the slender woman
d. model of women as career-oriented
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
289
ANSWER: C
Level of Difficulty (1-3):3 Page: 145
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
77. Compared to less acculturated Hispanic American high school girls, more acculturated girls
were more likely to ______.
a. show indications of having an eating disorder c. give up their religion
b. attend college d. use drugs
ANSWER: A
Level of Difficulty (1-3): 3 Page: 145
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 3 Page: 146
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
79. In a study of Mexican American elders, it was found that those who had the highest levels of depression
were ______.
a. moderately acculturated c. highly acculturated
b. minimally acculturated d. bicultural
ANSWER: B
Level of Difficulty (1-3): 2 Page: 145
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
80. Low levels of acculturation among Mexican American immigrants are ______ socioeconomic status.
a. not related to c. related to fluctuating
b. related to high d. related to low
ANSWER: D
Level of Difficulty (1-3): 2 Page: 145
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
81. Maria is a highly acculturated third-generation Mexican American teenager. Which behavior is most likely
to be adopted by Maria?
a. Avoiding sexual intercourse c. Being concerned about fitness
b. Improved subjective body image d. Disturbed eating behaviors
ANSWER: D
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
290
Level of Difficulty (1-3): 2 Page: 145
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Applied
82. It has been reported in a study that Mexican Americans who were more proficient in English generally had
______________ than did their less English-proficient counterparts.
a. more marital discord
b. fewer signs of depression and anxiety
c. stronger relationships with their country of origin
d. more signs of psychological distress
ANSWER: B
Level of Difficulty (1-3): 2 Page: 146
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
83. In a northern California sample, research found better mental health among Mexican immigrants than
among ______.
a. Korean immigrants
b. Mexican Americans born in the United States
c. homosexuals
d. African Americans
ANSWER: B
Level of Difficulty (1-3): 2 Page: 146
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
84. It appears that “Americanization” of Mexican American immigrants may have a ______ effect on mental
health and retention of cultural traditions may have a ______ effect.
a. damaging; damaging c. buffering; damaging
b. damaging; buffering d. buffering; buffering
ANSWER: B
Level of Difficulty (1-3): 2 Page: 146
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
85. Ethnic minority children with a high ethic identity are more likely to experience ______.
a. higher self-esteem
b. more conflicts with Anglo Americans
c. academic problem
d. loneliness
ANSWER: A
Level of Difficulty (1-3): 2 Page: 146
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
86. Kim is an Asian immigrant living in San Francisco. She is most likely to experience emotional problems if
______.
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
291
a. her parents are rich
b. her parents push her too hard academically
c. she is alienated from both of her cultures
d. she is an only child
ANSWER: C
Level of Difficulty (1-3): 3 Page: 146
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Applied
87. Wives in ______ acculturated Mexican American couples report greater marital distress than those in
______ acculturated couples.
a. wealthier; poorer c. less; more
b. first generation; third generation d. more; less
ANSWER: D
Level of Difficulty (1-3): 3 Page: 146
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
88. In a 1990 study by Salgado de Snyder, Cervantes, & Padilla, female immigrants exhibited higher levels of
______ than male immigrants.
a. socialization c. depression
b. tranquilizer addiction d. English usage
ANSWER: C
Level of Difficulty (1-3): 3 Page: 146
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
89. More acculturated Mexican-American college students tend to come from ______ socioeconomic
backgrounds.
a. lower c. mixed
b. moderate d. higher
ANSWER: D
Level of Difficulty (1-3): 2 Page: 147
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
90. The Mexican-American college students who are most likely to experience suicidal thinking have ______
levels of depression and ______ levels of acculturation.
a. low; low c. low; high
b. high; low d. high; high
ANSWER: D
Level of Difficulty (1-3): 2 Page: 147
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
292
91. When compared to Mexican couples, Mexican-American couples had ______ egalitarian relationships and
______ levels of marital satisfaction.
a. less; lower c. more; lower
b. less; higher d. more; higher
ANSWER: D
Level of Difficulty (1-3): 2 Page: 147
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
92. More highly acculturated women reported _____ satisfaction with the sexual component of their
relationships than did less acculturated women.
a. greater c. no
b. about the same d. less
ANSWER: D
Level of Difficulty (1-3): 2 Page: 147
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
93. Ann recognizes her stressors, evaluates them and modifies her reactions to render them less harmful. She is
applying ______ coping.
a. sensate-focused c. problem-focused
b. emotion-focused d. intuitive
ANSWER: C
Level of Difficulty (1-3): 2 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Applied
94. In emotion-focused coping, people take ______ measures to reduce the impact of the stressor.
a. provocative c. self-enhancing
b. immediate d. enduring
ANSWER: B
Level of Difficulty (1-3): 3 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Conceptual
95. A coping style that attempts to minimize emotional responsiveness rather than deal directly with a stressor
is known as ______ coping.
a. rational c. sensate-focused
b. problem-focused d. emotion-focused
ANSWER: D
Level of Difficulty (1-3): 3 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
96. A coping style that attempts to confront the stressor directly is ______ coping.
a. rational c. sensate-focused
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
293
b. problem-focused d. emotion-focused
ANSWER: B
Level of Difficulty (1-3): 2 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Conceptual
97. Which of the following is not an example of denying that an illness is present?
a. Recognizing the seriousness of the illness
b. Minimizing the emotional distress the illness causes
c. Misattributing symptoms to other causes
d. Ignoring threatening information about the illness
ANSWER: A
Level of Difficulty (1-3): 1 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Conceptual
ANSWER: D
Level of Difficulty (1-3): 1 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Applied
ANSWER: B
Level of Difficulty (1-3): 2 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Conceptual
100.In one study, people with cancer showed greater disease progression if they maintained ______ style of
coping.
a. a problem-focused c. an aggressive
b. an intuitive d. an avoidant
ANSWER: D
Level of Difficulty (1-3): 2 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
294
c. an example of emotion-focused coping
d. provides alternative plans for dealing with a stressor
ANSWER: C
Level of Difficulty (1-3): 3 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Conceptual
102.Informed cardiac patients with a repressive style showed ______ incidence of medical complications than
uninformed patients.
a. a lower c. an unpredictable
b. a similar d. a higher
ANSWER: D
Level of Difficulty (1-3): 3 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
103.Cardiac patients with a(n) ______ style who were informed about their conditions showed a higher
incidence of medical complications than their uninformed counterparts with the same style.
a. repressive c. vigilant
b. obsessive d. sensitized
ANSWER: A
Level of Difficulty (1-3): 3 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
104.Cardiac patients with a repressive style who were informed about their conditions showed a higher
incidence of ______ than uniformed patients with a repressive style.
a. spontaneous recovery c. anger
b. medical complications d. crying
ANSWER: B
Level of Difficulty (1-3): 2 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
295
ANSWER: B
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
107.In his study with spider-phobic women, Bandura found that stress declines with our ______.
a. knowledge about the stressful situation
b. ability to escape the situation quickly
c. confidence that we will be able to cope effectively
d. recognition that we are not alone in dealing with the situation
ANSWER: C
Level of Difficulty (1-3): 3 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
108.Max is afraid of dogs. According to Bandura, therapy should help Max to ______.
a. develop confidence that he can cope with the presence of dogs
b. learn to devise strategies to avoid dogs
c. focus on developing a close relationship with another kind of animal
d. dream about positive interaction with dogs
ANSWER: A
Level of Difficulty (1-3): 3 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Applied
109.The effects of self-efficacy expectancies on buffering stress were first investigated by ______.
a. Albert Ellis c. Hans Selye
b. Suzanne Kobasa d. Albert Bandura
ANSWER: D
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 3 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
296
ANSWER: B
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 3 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
113.The trait that Kobasa has conceptualized as helping people cope with stress is ______.
a. self-esteem c. hardiness
b. spirituality d. confidence
ANSWER: C
Level of Difficulty (1-3): 3 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 1 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
115.A cluster of stress-buffering traits characterized by commitment, challenge, and control are known as
______.
a. psychological hardiness c. self-efficacy expectancies
b. psychological perseveration d. self-enhancement heuristics
ANSWER: A
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Conceptual
ANSWER: C
Level of Difficulty (1-3): 3 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
297
117.Scott recently learned that he has a form of treatable cancer. Traits that will help Scott to cope more
effectively with his illness and its treatment are ______.
a. hardiness and optimism c. avoidance and denial
b. motivation and intelligence d. assertiveness and ambitiousness
ANSWER: A
Level of Difficulty (1-3): 1 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Applied
ANSWER: B
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Conceptual
119.Psychologically hardy people report ______ physical symptoms and ______ depression in the face of stress
than non-hardy people.
a. fewer; more c. fewer; less
b. greater; less d. greater; more
ANSWER: C
Level of Difficulty (1-3): 1 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
121.A limitation of research linking optimism and better health outcome is that it ______.
a. has not been conducted on children and adolescents
b. has only involved hospitalized patients
c. has been correlational
d. has focused almost exclusively on females
ANSWER: C
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
298
122.The study of optimism falls within a broader contemporary movement in psychology known as ______
psychology.
a. positive c. health
b. wish fulfillment d. evolutionary
ANSWER: A
Level of Difficulty (1-3): 1 Page: 150
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Conceptual
123.Researchers found that a broad network of social contacts strengthens resistance to ______.
a. propaganda c. colds
b. distraction d. flirting
ANSWER: C
Level of Difficulty (1-3): 1 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
124.Recent studies (Hernandez et al., 2015; Jaffe, 2013) suggest a relationship between greater optimism
and___________.
a. lower rates of heart disease and greater longevity
b. a lower divorce rate
c. fewer eating disorders such as obesity and bulimia
d. athleticism
ANSWER: A
Level of Difficulty (1-3): 2 Page: 150
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 3 Page: 150
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
126.The particular stressors that African Americans often face, such as racism, poverty, violence, and
overcrowded living conditions, may contribute to____________.
a. higher rates of anorexia nervosa
b. higher rates of emotion-focused coping
c. heightened risks of serious health-related problems
d. higher rates of bipolar illness
ANSWER: C
Level of Difficulty (1-3): 2 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
299
Skill: Factual
127.Compared to Whites, African Americans have a ______ risk of developing chronic and serious health-
related problems but also have a ______ degree of resiliency in coping with stress.
a. lower, low c. higher, low
b. higher, low d. higher, high
ANSWER: D
Level of Difficulty (1-3): 2 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
128.Strong social and family networks, coping skills, ethnic identity and self-efficacy are particular factors that
help buffer stress among ______.
a. Euro-Americans c. Hispanic Americans
b. Asian Americans d. African Americans
ANSWER: D
Level of Difficulty (1-3): 3 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Conceptual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
130.Evidence links____________ among ethnic minorities to poorer mental and physical health and to higher
rates of substance abuse.
a. perceived discrimination
b. pride in one’s ethnicity
c. preference in music
d. presence of a specific gene
ANSWER: A
Level of Difficulty (1-3): 2 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
131.Calvin, an African American, has a strong sense of ethnic identity. According to past research, Calvin will
most likely have ________.
a. fewer social networks c. a negative self-image
b. an external locus of control d. perceptions of a better quality of life
ANSWER: D
Level of Difficulty (1-3): 3 Page: 151
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
300
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
132.African Americans and other ethnic minorities who __________may be more vulnerable to the effects of
stress, which in turn may increase risks of physical and mental health problems.
a. become alienated from their ethnic identity
b. are more resilient
c. are more effective in coping
d. have stronger ties to their culture
ANSWER: A
Level of Difficulty (1-3): 2 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 151
Topic: Adjustment Disorders
Learning Objective: 4.6
Skill: Factual
134.According to the APA, what percentage of people seeking outpatient mental health services present with a
diagnosis of adjustment disorder?
a. 80% to 90%
b. 50% to 70%
c. 30% to 50%
d. 5% to 20%
ANSWER: D
Level of Difficulty (1-3): 2 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.6
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.6
Skill: Factual
136.Jean is so sad she is unable to go to work because her husband Bert left her for another woman a week ago.
Prior to Bert’s leaving Jean only missed work if she was physically ill. A likely diagnosis for Jean is
a(n) ______.
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
301
a. adjustment disorder c. major depressive disorder
b. marital dissolution disorder d. bereavement disorder
ANSWER: A
Level of Difficulty (1-3): 2 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.6
Skill: Applied
ANSWER: D
Level of Difficulty (1-3): 2 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.6
Skill: Factual
138.In the DSM-5, acute stress disorder and posttraumatic stress disorder are classified in which of the
following categories?
a. Schizophrenic Disorders
b. Substance Abuse Disorders
c. Trauma-and Stressor-Related Disorders,
d. Childhood Disorders
ANSWER: C
Level of Difficulty (1-3): 2 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.7
Skill: Factual
139.If an adjustment disorder lasts for more than six months after the stressor (or its consequences) has been
removed, the diagnosis may_______.
a. suggest that the client did not present an accurate history
b. be changed
c. be associated with an underlying physical malady
d. motivate the clinician to change his treatment methods to a more suitable course
ANSWER: B
Level of Difficulty (1-3): 3 Page: 153
Learning Objective: 4.7
Topic: Adjustment Disorders
Skill: Factual
140.In order for an adjustment disorder to be diagnosed, a person’s emotional reaction must ______.
a. include significant levels of anxiety c. exceed what would be expected with normal coping
b. not involve any loss of relationships d. equal the expected response for coping normally
ANSWER: C
Level of Difficulty (1-3): 2 Page: 153
Topic: Adjustment Disorders
Learning Objective: 4.7
Skill: Conceptual
141.Which of the following is a specific type of adjustment disorder found in the DSM-5?
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
302
a. Adjustment disorder with agitation
b. Adjustment disorder with psychomotor disturbance
c. Adjustment disorder with anhedonia
d. Adjustment disorder with disturbance of conduct
ANSWER: D
Level of Difficulty (1-3): 2 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.7
Skill: Factual
142.Danny, a first semester college freshman referred to the college counseling center. He has recently begun
spray painting obscenities on the student center bathroom walls. Several weeks ago, Danny’s longtime
girlfriend, who attends college in a neighboring state, broke up with him. Danny does not present in the
interview with emotional distress. He has no history of psychological problems and, until his recent
vandalism activities, was considered a peaceful and law-abiding member of the college community.
Based on the aforementioned history, which of the following diagnoses would a therapist would most
likely diagnose Danny with?
a. Adjustment disorder with disturbance of conduct
b. Adjustment disorder with anxiety
c. Adjustment disorder with mixed anxiety and depressed mood
d. Adjustment disorder with mixed disturbance of emotion and conduct
ANSWER: A
Level of Difficulty (1-3): 3 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.7
Skill: Applied
143.Abigail’s 18-year-old son has left home for the first time and now serving in the Army. Since her son’s
departure, Abigail has been experiencing uncontrolled crying episodes and loneliness. Based on this
information, a clinician might diagnose Abigail with a (n)
a. Acute Stress Disorder
b. Adjustment disorder with mixed anxiety and depressed mood
c. Adjustment disorder with depressed mood
d. Adjustment disorder with disturbance of conduct
ANSWER: C
Level of Difficulty (1-3): 2 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.7
Skill: Applied
144.Randy’s father recently died in an automobile accident. Since his father’s death, Randy has appeared
emotionally unchanged but is now frequently truant from school, engages in reckless driving, and
fights with other teens. A suitable diagnosis for Randy might be a (n) ___________.
a. adjustment disorder with mixed disturbance of emotion and conduct
b. adjustment disorder with mixed anxiety and depressed mood
c. adjustment disorder with disturbance of conduct
d. adjustment disorder unspecified
ANSWER: C
Level of Difficulty (1-3): 2 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.7
Skill: Applied
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
303
145.A maladaptive pattern of behavior for a period of three days to one month following exposure to a
traumatic event is called a (n) _____________disorder.
a. acute stress c. adjustment
b. posttraumatic stress d. personality
ANSWER: A
Level of Difficulty (1-3): 1 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Conceptual
147.Paul witnessed a murder while walking through the subway three weeks ago. Three days after witnessing
the murder, Paul began experiencing intense anxiety and reliving what he saw at night in his dreams.
Paul would most like be diagnosed with____________.
a. an anxiety disorder
b. an acute stress disorder
c. an adjustment disorder with anxiety
d. dissociative identity disorder
ANSWER: B
Level of Difficulty (1-3): 2 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Applied
148.In what way is Acute Stress Disorder different from Post-Traumatic Stress Disorder (PTSD)?
a. Acute Stress Disorder is a reaction to a less intense trauma than those experienced by someone with
PTSD.
b. The symptoms of Acute Stress Disorder are limited to one month.
c. Individuals with Acute Stress Disorder report more frequent flashbacks than an individual with PTSD
would.
d. Individuals with PTSD never recover from their trauma; those with Acute Stress Disorder do recover.
ANSWER: B
Level of Difficulty (1-3): 2 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Conceptual
149.First responders who are responsible for collecting human remains or police officers who regularly
interview children about the details of child abuse ________________as a result of exposure to trauma
in their work.
a. often develop dissociative identity disorder
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
304
b. rarely develop acute stress disorder
c. may develop acute stress disorder
d. may develop a personality disorder
ANSWER: C
Level of Difficulty (1-3): 1 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
150.Heather’s boyfriend Matt served combat duty in Iraq. After returning to the US last month and reuniting
with Heather, Matt shared the details of the battles he was involved with and the trauma he
experienced while serving. Heather has begun to experience intense periods of anxiety and feels as if
she is “in a daze”. It is possible Heather has developed _____________ as a result of listening to
Matt’s experiences.
a. Post-Traumatic Stress Disorder
b. an Acute Stress Disorder
c. an Adjustment disorder with anxiety
d. an Adjustment disorder unspecified
ANSWER: B
Level of Difficulty (1-3): 2 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Applied
151.For an individual with Acute Stress Disorder, stronger or more persistent symptoms of dissociation around
the time of the trauma is associated with a greater likelihood of later development of ________.
a. major depression
b. panic disorder
c. PTSD
d. Dissociative Identity Disorder
ANSWER: C
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Conceptual
152.Last year, Hannah witnessed an accident where a pedestrian was struck and killed by an automobile.
Since the accident, Hannah has experienced anxiety and actively avoids the street where she witnessed
the accident. A clinician might diagnose Hannah as having__________.
a. an adjustment disorder with anxiety
b. PTSD
c. reactive stress disorder
d. acute stress disorder
ANSWER: B
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Applied
153.Acute stress disorder has features similar to those of PTSD, but are limited to a period of______ following
direct exposure to the trauma, witnessing other people exposed to the trauma, or learning about a
trauma experienced by a close family member or friend.
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
305
a. 1 week c. one month
b. one year d. one decade
ANSWER: C
Level of Difficulty (1-3): 2 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
154.The lifetime prevalence rate of Posttraumatic Stress Disorder (PTSD) in the population is______.
a. 9% c. 50%
b. 90% d. unknown
ANSWER: A
Level of Difficulty (1-3): 2 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
155.A prolonged maladaptive reaction to an extreme stressor, such as combat or a natural disaster, is ______
disorder.
a. acute stress c. an adjustment
b. posttraumatic stress d. a chronic stress
ANSWER: B
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
156.Of the following situations, which is the most likely to result in PTSD?
a. Divorce
b. Death of a family member due to natural causes
c. Being in an airplane crash
d. Being involved in a “fender bender” accident
ANSWER: C
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Applied
157.About ______ of people suffer a traumatic experience at some point in their lives.
a. one-fourth c. one-half
b. one-third d. two-thirds
ANSWER: D
Level of Difficulty (1-3): 3 Page: 155
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
158.The prevalence of PTSD among U.S. soldiers who served in the Vietnam War is about one in ______.
a. two c. four
b. three d. five
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
306
ANSWER: D
Level of Difficulty (1-3): 2 Page: 155
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
159.If someone is having intrusive memories, recurrent disturbing dreams, or momentary flashbacks of a
traumatic event such as being pursued by an attacker, the individual is most likely experiencing which
of the following common features of traumatic stress disorders?
a. Re-experiencing the trauma
b. Emotional distress and impaired functioning
c. Heightened arousal
d. Emotional numbing
ANSWER: A
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Applied
160.After witnessing a terrible car accident, John is experiencing so much emotional distress that he is having
difficulty taking care of his responsibilities at work. He is most likely experiencing which of the
following common features of traumatic stress disorders?
a. Avoidance behavior
b. Emotional distress and impaired functioning
c. Heightened arousal
d. Emotional numbing
ANSWER: B
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Applied
161.Hector is hypervigilant, is having difficulty sleeping and concentrating, easily becomes irritable and has
outbursts of anger. He is most likely experiencing which of the following common features of
traumatic stress disorders?
a. Avoidance behavior
b. Re-experiencing the trauma
c. Emotional distress and impaired functioning
d. Heightened arousal
ANSWER: C
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Applied
162.Sheila just witnessed someone being brutally attacked. Now she seems to jump at any sudden noise. She is
most likely experiencing which of the following common features of traumatic stress disorders?
a. Avoidance behavior
b. Re-experiencing the trauma
c. Emotional distress and impaired functioning
d. Heightened arousal
ANSWER: D
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
307
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Applied
163.In PTSD, the loss of the ability to have loving feelings is which of the following common features of
traumatic stress disorders?
a. Avoidance behavior
b. Emotional distress and impaired functioning
c. Heightened arousal
d. Emotional numbing
ANSWER: D
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 1 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
165.The major difference between the features of an acute stress disorder and posttraumatic stress disorder is
the emphasis on ______ .
a. abreaction c. length of persistence of the symptoms
b. hallucinations d. compulsions
ANSWER: C
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Conceptual
166.Joe is a combat veteran who returned from active duty in Iraq one year ago. He is extremely anxious and
feels like he is in a "daze." Joe is also disorganized and unable to arrange for the medical help he
needs. It appears that Joe is suffering from a(n) _________ disorder.
a. acute stress c. adjustment
b. posttraumatic stress d. personality
ANSWER: A
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Applied
167.Ron is an Iraq War veteran. He wakes up in the middle of the night in a cold sweat due to nightmares in
which he relives his most frightening war experiences. He refuses to talk about the war with anyone
and is constantly fidgety and "on edge." He is unable to enjoy himself or develop intimate
relationships. His symptoms have continued for over three years. He is best diagnosed as suffering
from a(n) ______ disorder.
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
308
a. personality c. acute stress
b. adjustment d. posttraumatic stress
ANSWER: D
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Applied
168.Rhonda had undergone chemotherapy for a serious case of breast cancer. Even six months after this
successful treatment, she finds that she is on edge, has nightmares about death, and no longer enjoys
sex with her husband. She is probably experiencing ______ disorder.
a. sleep terror c. posttraumatic stress
b. dysthymia d. adjustment disorder
ANSWER: C
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Applied
ANSWER: C
Level of Difficulty (1-3): 2 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
170.Compared to women, men are ______ likely to have a traumatic experience and are ______ likely to
develop PTSD.
a. less, less c. more, less
b. less, more d. more, more
ANSWER: C
Level of Difficulty (1-3): 3 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
171.Investigators reported the ___________was smaller in a group of combat veterans with PTSD than in
combat veterans without PTSD (Moreyet al., 2012).
a. cerebellum c. amygdala
b. DNA d. corpus callosum
ANSWER: C
Level of Difficulty (1-3): 3 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
172.Morey et al. (2012) reported the amygdala was _________ in a group of combat veterans with PTSD
compared to combat veterans without PTSD.
a. smaller c. fluid-filled
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
309
b. not functioning d. larger
ANSWER: A
Level of Difficulty (1-3): 3 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
173.Research has shown people who experience __________during or immediately after the trauma stand a
greater risk of developing PTSD than do other trauma survivors.
a. dissociative experiences
b. positive emotions
c. extreme physical pain
d. significant temperature drop
ANSWER: A
Level of Difficulty (1-3): 3 Page: 157
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
174.Experts have asserted that ______ represent the type of trauma most often leading to PTSD.
a. natural disasters c. plane crashes
b. acts of terrorism d. vehicular accidents
ANSWER: D
Level of Difficulty (1-3): 3 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
175.In the classical conditioning model of posttraumatic stress disorder, the traumatic event serves as the
______.
a. unconditioned stimulus c. conditioned stimulus
b. unconditioned response d. conditioned response
ANSWER: A
Level of Difficulty (1-3): 2 Page: 157
Topic: Traumatic Stress Disorders
Learning Objective: 4.10
Skill: Conceptual
176.In the classical conditioning model of posttraumatic stress disorder, sights, smells, and sounds associated
with the original traumatic event serve as ______.
a. unconditioned stimuli c. conditioned stimuli
b. unconditioned responses d. conditioned responses
ANSWER: C
Level of Difficulty (1-3): 2 Page: 157
Topic: Traumatic Stress Disorders
Learning Objective: 4.10
Skill: Conceptual
177.From the learning perspective, the fear component of posttraumatic stress disorder is learned through
______.
a. classical conditioning c. operant conditioning
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
310
b. vicarious learning d. prepared conditioning
ANSWER: A
Level of Difficulty (1-3): 1 Page: 157
Topic: Traumatic Stress Disorders
Learning Objective: 4.10
Skill: Conceptual
178.In the classical conditioning model of posttraumatic stress disorder, anxiety that is elicited by exposure to
trauma-related stimuli serves as________.
a. unconditioned stimuli c. conditioned stimuli
b. an adaptive response d. a conditioned response
ANSWER: D
Level of Difficulty (1-3): 2 Page: 157
Topic: Traumatic Stress Disorders
Learning Objective: 4.10
Skill: Applied
179.Which of the following medications has recently been shown to reduce acquired fear reactions?
a. Seroquel c. Ritalin
b. Propranolol d. Prozac
ANSWER: B
Level of Difficulty (1-3): 2 Page: 157
Topic: Traumatic Stress Disorders
Learning Objective: 4.10
Skill: Factual
180.Propranolol blocks adrenaline receptors in the _________, which may weaken memories of fearful stimuli.
a. thalamus c. pons
b. hypothalamus d. amygdala
ANSWER: D
Level of Difficulty (1-3): 2 Page: 158
Topic: Traumatic Stress Disorders
Learning Objective: 4.10
Skill: Factual
181.As it pertains to the common features of traumatic stress disorders, the example of a rape survivor avoiding
traveling to the part of town where she was attacked is an example of __________.
a. Avoidance behavior
b. Re-experiencing the trauma
c. Emotional distress and impaired functioning
d. Heightened arousal
ANSWER: A
Level of Difficulty (1-3): 2 Page: 157
Topic: Traumatic Stress Disorders
Learning Objective: 4.10
Skill: Applied
182.An exposure-based homework assignment for a patient with combat-based PTSD could be ______.
a. volunteering as a little league coach c. supervising a Boy Scout troop
b. watching a war movie d. driving alone for two hours
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
311
ANSWER: B
Level of Difficulty (1-3): 1 Page: 159
Topic: Traumatic Stress Disorders
Learning Objective: 4.11
Skill: Applied
ANSWER: A
Level of Difficulty (1-3): 1 Page: 159
Topic: Traumatic Stress Disorders
Learning Objective: 4.11
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 3 Page: 160
Topic: Traumatic Stress Disorders
Learning Objective: 4.11
Skill: Factual
185.According to Taylor et al. (2003), the real reason EMDR works is because of ______.
a. rapid eye movements c. repeated exposure
b. aversive conditioning d. response cost
ANSWER: C
Level of Difficulty (1-3): 2 Page: 160
Topic: Traumatic Stress Disorders
Learning Objective: 4.11
Skill: Conceptual
186.If we invoke the principle of parsimony, then the most likely explanation for the success of EMDR is
______.
a. rapid eye movements c. repeated exposure
b. aversive conditioning d. response cost
ANSWER: C
Level of Difficulty (1-3): 2 Page: 160
Topic: Traumatic Stress Disorders
Learning Objective: 4.11
Skill: Conceptual
187.The idea that the simplest explanation is usually the best explanation is known as ______.
a. the Peter Principle c. the Law of Effect
b. Weber’s Law d. the Principle of Parsimony
ANSWER: D
Level of Difficulty (1-3): 2 Page: 160
Topic: Traumatic Stress Disorders
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
312
Learning Objective: 4.11
Skill: Factual
True-False Questions
188.Psychologists who study interrelationships between psychological factors, including stress, and physical
health are called health psychologists.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 136
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
189.Psychologists who study interrelationships between psychological factors, including stress, and physical
health are called positive psychologists.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 136
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 1 Page: 136
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 1 Page: 136
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 1 Page: 137
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 1 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
313
194.Endocrine glands pour their secretions—called hormones—directly into the bloodstream.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 1 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 2 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 1 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
314
201.There is a negative correlation between social support networks and general health.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
202.Through a conditioning process, stress improves the body’s resistance to the common cold.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
203.Writing about traumatic experiences may be good for physical and emotional health.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 140
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
204.Writing about traumatic experiences increases the probability a person will go through more stressful
situations.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 140
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 1 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
206.Although most people exposed to traumatic events do not develop PTSD, many do experience symptoms
associated with the disorder, such as difficulties concentrating and high levels of arousal.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 140
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 2 Page: 140
Topic: Effects of Stress
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
315
Learning Objective: 4.1
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 2 Page: 140
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
209.In more than 80% of households in New York City, parents reported that their children were upset by the
attacks of 9/11.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 140
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
210.Evidence gathered since 9/11 shows that experiencing positive emotions, such as feelings of gratitude and
love, helped buffer the effects of stress.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 140
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual
211.The GAS model suggests that our bodies, under stress, are like clocks with alarm systems that do not shut
off until their energy is perilously depleted.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 140
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
212.During the alarm reaction, the adrenal glands, controlled by the pituitary gland in the brain, pump out
cortical steroids.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 140
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
213.When a stressor is persistent, we progress to the second stage, also known as the exhaustion stage, of the
GAS.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 141
Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
316
214.Life changes are sources of stress because they force us to adjust.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 143
Topic: Effects of Stress
Learning Objective: 4.3
Skill: Factual
215.Bicultural theory holds that acculturation helps people adjust to living in the host culture.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 144
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
216.Evidence shows that highly acculturated Hispanic-American women are less likely than relatively
unacculturated Hispanic-American women to become heavy drinkers.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 145
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
217.A study of elderly Mexican Americans found that subjects who were minimally acculturated showed higher
levels of depression than either their highly acculturated or their bicultural counterparts.
ANSWER: T
Level of Difficulty (1-3): 3 Page: 145
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
218.People who are minimally acculturated often face less economic hardship and tend to occupy the higher
strata of socioeconomic status.
ANSWER: F
Level of Difficulty (1-3): 3 Page: 146
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
219.People who are fully acculturated often face less economic hardship and tend to occupy the higher strata of
socioeconomic status.
ANSWER: T
Level of Difficulty (1-3): 3 Page: 146
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
220.Highly acculturated Hispanic couples have less conflicted, more egalitarian, and more satisfying marriages.
ANSWER: T
Level of Difficulty (1-3): 3 Page: 147
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
317
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
221.The more acculturated Mexican American college students are, the more similar their scores are to those of
non-Hispanic Whites on standardized personality tests.
ANSWER: T
Level of Difficulty (1-3): 3 Page: 147
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
222.Among lower-income Mexican American adolescents who showed signs of depression, the more
acculturated they are, the more likely they are to have experienced thoughts of committing suicide.
ANSWER: T
Level of Difficulty (1-3): 3 Page: 147
Topic: Effects of Stress
Learning Objective: 4.4
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 2 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
224.In problem-focused coping, people examine the stressors they face and do what they can to change them or
modify their own reactions to render stressors less harmful.
ANSWER: T
Level of Difficulty (1-3): 3 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 1 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
226.As a form of coping, the use of wish-fulfillment fantasies, has been linked to poor adjustment in coping
with serious illness.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
318
227.Wishful thinking is a form of emotion-based coping.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
228.A mismatch between the individual’s style of coping and the amount of information provided about his
condition may impede recovery.
ANSWER: T
Level of Difficulty (1-3): 3 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
229.Self-efficacy expectancies refer to our expectations that we will not succeed in coping with the challenges
we face.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
230.Most of the initial scientific research on self-efficacy was performed by B.F. Skinner.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
231.Albert Bandura and colleagues found spider-phobic women showed high levels of GABA and serotonin.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
232.Albert Bandura and colleagues found spider-phobic women showed high levels of stress hormones.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
233.Three key traits identified by Kobasa that distinguished the psychologically hardy executives from other
executives were concern, contentment, and commitment.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 149
Topic: Effects of Stress
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
319
Learning Objective: 4.5
Skill: Factual
234.Kobasa distinguished the psychologically hardy from the un-hardy by using 10 key personality traits.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
235.Psychologically hardy people appear to cope more effectively with stress by using more emotion-focused
problem-solving approaches.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
236.Research links greater optimism to lower rates of heart disease and greater longevity.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 150
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
237.The developers of positive psychology believe that psychology should focus more of its efforts on the
positive aspects of the human experience.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 150
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 2 Page: 150
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
239.Evidence links perceived discrimination among ethnic minorities to poorer mental and physical health and
to higher rates of substance abuse
ANSWER: T
Level of Difficulty (1-3): 2 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
240.African Americans often demonstrate a low level of resiliency in coping with stress.
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
320
ANSWER: F
Level of Difficulty (1-3): 1 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
241.Acquiring and maintaining pride in their racial identity and cultural heritage may help African Americans
and other ethnic minorities withstand stresses imposed by racism.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
242.African Americans and other ethnic minorities who become alienated from their culture or ethnic identity
may be more vulnerable to the effects of stress.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
243.Ethnic identity is associated with perceptions of a better quality of life among African Americans
ANSWER: F
Level of Difficulty (1-3): 2 Page: 151
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual
244.An adjustment disorder is a maladaptive reaction to a distressing life event or stressor that develops within
3 years of the onset of the stressor.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 151
Topic: Adjustment Disorders
Learning Objective: 4.6
Skill: Factual
245.An adjustment disorder is a maladaptive reaction to a distressing life event or stressor that develops within
3 months of the onset of the stressor.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 151
Topic: Adjustment Disorders
Learning Objective: 4.6
Skill: Factual
246.An adjustment disorder is a maladaptive reaction to a distressing life event or stressor that develops within
3 days of the onset of the stressor.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 151
Topic: Adjustment Disorders
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
321
Learning Objective: 4.6
Skill: Factual
247.For the diagnosis of an adjustment disorder to apply, the stress-related reaction must be sufficient enough to
also meet the diagnostic criteria for an anxiety disorder and a mood disorder.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.6
Skill: Factual
248.It is estimated that between 5% and 20% of people receiving outpatient mental health services present with
a diagnosis of adjustment disorder.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.6
Skill: Factual
249.If the adjustment disorder lasts for more than one month after the stressor (or its consequences) has been
removed, the diagnosis may be changed.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 152
Topic: Adjustment Disorders
Learning Objective: 4.6
Skill: Factual
250.Traumatic stress disorders are characterized by maladaptive patterns of behavior in response to trauma that
involve marked personal distress or significant impairment of functioning.
ANSWER: T
Level of Difficulty (1-3): 3 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
251.In acute stress disorder, the person shows a maladaptive pattern of behavior many months following
exposure to a traumatic event.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
252.People with acute stress disorder may feel they are “in a daze” or that the world seems like a dreamlike or
unreal place.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
322
253.In acute stress disorder, the person shows a maladaptive pattern of behavior many months following
exposure to a traumatic event.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
254.In acute stress disorder, the traumatic event may involve exposure to either actual or threatened death, a
serious accident, or a sexual violation.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
255.For a diagnosis of acute stress disorder, the traumatic events can only include a sexual violation.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
256.For a diagnosis of acute stress disorder, the traumatic events cannot be a battlefield trauma—battlefield
traumas are saved for posttraumatic stress disorder.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
257.In acute stress disorder, the person with acute stress disorder may have been directly exposed to the trauma,
witnessed other people experiencing the trauma, or learned about a trauma experienced by a close
friend or family member.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
258.In order to be diagnosed with acute stress disorder, the person with acute stress disorder must have been
directly exposed to the trauma.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 153
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
323
259.Stronger or more persistent symptoms of dissociation around the time of the trauma is associated with a
greater likelihood of later development of PTSD.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
260.A person with acute stress disorder may have problems sleeping; may develop irritable or aggressive
behavior or exhibit an exaggerated startle response to sudden noises.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
261.Individuals with traumatic stress disorders do not exhibit difficulty effectively meeting daily
responsibilities.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
262.Unlike individuals with PTSD, individuals with acute stress disorder never re-experience the trauma.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.8
Skill: Factual
263.One of the common features of PTSD is that the person may feel “numb” inside and lose the ability to have
loving feelings.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
264.Posttraumatic stress disorder is a prolonged maladaptive reaction that lasts longer than one month after the
traumatic experience.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 154
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
ANSWER: F
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
324
Level of Difficulty (1-3): 2 Page: 155
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
266.High rates of PTSD are found among earthquake and hurricane survivors in many countries.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 155
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
267.About 50% of combat veterans returning from the wars in Iraq and Afghanistan have developed PTSD.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 155
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
268.Investigators found that survivors of terrorist acts had double the rate of PTSD as compared with survivors
of motor vehicle accidents.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 155
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 1 Page: 155
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
270.As many as 300,000 American soldiers returning from the war zones in Iraq and Afghanistan show
symptoms of posttraumatic stress disorder or depression.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 155
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
271.Less than one-third of people suffer a traumatic experience at some point in their lives.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 155
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
325
ANSWER: F
Level of Difficulty (1-3): 1 Page: 155
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
273.An individual who experiences detachment or “dissociation” shortly following the trauma, or feeling numb
is more vulnerable to developing PTSD.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
274.The more direct the exposure to the trauma, the greater the person’s likelihood of developing PTSD.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
275.Although women more often have traumatic experiences, men are more likely to develop PTSD.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
276.Men are more likely to have traumatic experiences; women are more likely to develop PTSD.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
277.Investigators reported that the brain structure, amygdala, was larger in a group of combat veterans with
PTSD than in combat veterans without PTSD.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
278.Individuals with a history of childhood sexual abuse are more at risk for developing PTSD.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
326
279.Individuals with vivid imaginations are more at risk for developing PTSD.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 156
Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual
280.Evidence from carefully controlled studies demonstrates little in the way of therapeutic benefits for EMDR
in treating PTSD.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 159
Topic: Traumatic Stress Disorders
Learning Objective: 4.11
Skill: Factual
281.The Principle of Parsimony holds that the more complex the explanation, the better.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 160
Topic: Traumatic Stress Disorders
Learning Objective: 4.11
Skill: Factual
Essay Questions
282.How do Americans feel about stress? Discuss this within the context of the findings of the American
Psychological Association’s nationwide study.
284.Describe the different parts of the immune system and the interplay with the experience of stress.
285.Describe how the experience of stress can lead to a compromised immune system.
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
327
Skill: Factual
287.Summarize the steps one can take to restore emotional wellbeing and a sense of control following a disaster
or other traumatic experience,
288.Describe the stages of General Adaptation Syndrome. What is the possible outcome of prolonged exposure
to stress?
289.Summarize research findings regarding life changes and their relationship to stress.
290.Discuss Charles Negy’s research that investigated the quality of relationships in acculturated and non-
acculturated Mexican-American couples.
291.Discuss the forms of denial of illness and the impact this coping strategy may have on health and recovery.
292.Compare and contrast the effectiveness of the problem-focused and emotion-focused styles of coping with
stress in dealing with serious illness.
293.Discuss research findings relating the concepts of self-efficacy expectancies, hardiness, and
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
328
optimism to health.
294.Discuss the relationship between optimism and the subjective experience of pain.
295.Discuss the factors involved with African American ethnic identity and resiliency to stress.
296.Discuss the similarities and differences between Acute Stress disorder and PTSD.
297.Summarize the factors that could contribute to an individual having an increased vulnerability to PTSD.
298.Within a classical conditioning framework, describe the elements (conditioned response, unconditioned
stimuli, etc.) as they apply to the associations formed from a traumatic experience.
299.Summarize the research using the drug propranolol, in the treatment of traumatic memory. How might
morphine be used in treating traumatized soldiers?
300.Describe how cognitive behavioral therapy has been used in the treatment of PTSD.
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
329
Skill: Conceptual
301.Describe EMDR and discuss the controversy regarding its use. Why is it worthwhile to consider the famous
dictum known as Occam’s razor in evaluating EMDR?
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
330
REVEL QUIZ QUESTIONS
EOC Q4.1
White blood cells work by recognizing invading pathogens by their surface fragments, called
__________.
a) receptors
b) lymphocytes
c) antigens
d) antibodies
Answer: c
Learning Objective: 4.1 Evaluate the effects of stress on health.
Skill Level: Understand
Difficulty: Moderate
EOC Q4.2
The release of corticosteroids, an increase in heart rate, muscle tension, and the ability for blood
to clot are all stress-related changes in the body associated with __________ of the GAS.
Answer: c
Learning Objective: 4.2 Identify and describe the stages of the general adaptation syndrome.
Skill Level: Analyze
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
331
EOC Q4.3
The observation that people who experience a greater number of life changes are more likely to
suffer from a psychological health problem compared to people who experience fewer life
changes should be interpreted with caution because the relationship __________.
a) is correlational
b) is experimental
c) invalidates a cause and effect relationship
d) is the result of randomly assigning research participants to experimental
conditions
Answer: a
Learning Objective: 4.3 Evaluate evidence of the relationship between life changes and
psychological and physical health.
Skill Level: Analyze
Difficulty: Difficult
EOC Q4.4
The idea that acculturation helps people adjust to living in a host culture is termed the
__________.
a) American Dream
b) melting pot theory
c) bicultural theory
d) multicultural theory
Answer: b
Learning Objective: 4.4 Evaluate the role of acculturative stress in psychological adjustment.
Skill Level: Understand
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
332
EOC Q4.5
Answer: c
Learning Objective: 4.5 Identify psychological factors that moderate the effects of stress.
Skill Level: Understand
Difficulty: Moderate
EOC Q4.6
a) endocrine system
b) immune system
c) stress reaction
d) autonomic disease system
Answer: b
Learning Objective: 4.1 Evaluate the effects of stress on health.
Skill Level: Remember
Difficulty: Easy
EOC Q4.7
Which stress researcher is responsible for coining the term “general adaptation syndrome”?
a) Hans Selye
b) Walter Cannon
c) Albert Bandura
d) Suzanne Kobasa
Answer: a
Learning Objective: 4.2 Identify and describe the stages of the general adaptation syndrome.
Skill Level: Remember
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
333
EOC Q4.8
Our beliefs regarding our ability to cope with challenges, perform skillfully, and produce
positive changes in our lives are referred to as our __________.
a) self-directed expectancies
b) self-efficacy expectancies
c) self-esteem expectancies
d) externalized locus of control
Answer: b
Learning Objective: 4.5 Identify psychological factors that moderate the effects of stress.
Skill Level: Understand
Difficulty: Moderate
EOC Q4.9
About two months ago, Justin’s parents announced they were getting a divorce. Before this
Justin had never been in trouble in school, but since he learned about the divorce Justin has been
cutting classes. Justin is most likely experiencing __________.
a) an adjustment disorder
b) acculturative stress
c) emotion-focused coping
d) acute stress disorder
Answer: a
Learning Objective: 4.6 Define the concept of an adjustment disorder and describe its key
features.
Skill Level: Apply
Difficulty: Moderate
EOC Q4.10
Answer: a
Learning Objective: 4.7 Identify the specific types of adjustment disorders.
Skill Level: Understand
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
334
EOC Q4.11
Which psychologist is famous for studying self-efficacy and for measuring how self-efficacy
expectancies impact our likelihood to feel anxious in stressful situations?
a) Walter Cannon
b) Albert Bandura
c) Suzanne Kobasa
d) Charles Negy
Answer: b
Learning Objective: 4.5 Identify psychological factors that moderate the effects of stress.
Skill Level: Remember
Difficulty: Moderate
EOC Q4.12
With __________, a person shows a maladaptive pattern of behavior for a period of three days to
one month following a traumatic event.
Answer: a
Learning Objective: 4.8 Describe the key features of acute stress disorder.
Skill Level: Analyze
Difficulty: Difficult
EOC Q4.13
Many, but not all, people with acute stress disorder go on to develop __________.
a) major depression
b) PTSD
c) acculturative stress disorder
d) avoidant personality disorder
Answer: b
Learning Objective: 4.9 Describe the key features of posttraumatic stress disorder.
Skill Level: Understand
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
335
EOC Q4.14
Within a classical conditioning framework of assessing PTSD, the traumatic experience is the
__________.
a) conditioned stimulus
b) unconditioned stimulus
c) conditioned response
d) neutral stimulus
Answer: b
Learning Objective: 4.10 Describe theoretical understandings of PTSD.
Skill Level: Analyze
Difficulty: Difficult
EOC Q4.15
In the __________ method of treatment, the client is asked to form a mental picture of an image
associated with the trauma while the therapist rapidly moves a finger back and forth in front of
the client’s eyes for about 20 to 30 seconds.
a) physiological rerouting
b) EMDR
c) psycho-physical retraining
d) emotional reconditioning
Answer: b
Learning Objective: 4.11 Describe treatment approaches to PTSD.
Skill Level: Understanding
Difficulty: Moderate
EOM Q4.1.1
What does the endocrine system secrete directly into the bloodstream?
a) red-blood cells
b) hormones
c) steroids
d) antigens
Answer: b
Learning Objective: 4.1 Evaluate the effects of stress on health.
Skill Level: Remember
Difficulty: Easy
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
336
EOM Q4.1.2
When Mary saw the man in the hooded sweatshirt approach her on the dark street, she began to
breathe rapidly and her heart rate increased. She was experiencing which stage of the general
adaptation syndrome?
a) alarm reaction
b) adaptation stage
c) exhaustion stage
d) resistance stage
Answer: a
Learning Objective: 4.2 Identify and describe the stages of the general adaptation syndrome.
Skill Level: Apply
Difficulty: Moderate
EOM Q4.1.3
Answer: c
Learning Objective: 4.4 Evaluate the role of acculturative stress in psychological adjustment.
Skill Level: Understand
Difficulty: Difficult
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
337
EOM Q4.1.4
Samantha is a business executive who effectively deals with stress in her life by fully committing
to the work at hand, seeing challenge as normal, and believing that she has control over her life.
Psychologists would most probably describe Samantha as having __________.
Answer: b
Learning Objective: 4.5 Identify psychological factors that moderate the effects of stress.
Skill Level: Apply
Difficulty: Difficult
EOM Q4.1.5
Anne recently noticed that a mole on her arm has become irregular in shape and “mushy” to
touch. Her roommate suggests that Anne make an appointment with a dermatologist. Anne
cheerfully responds “It’s no big deal. It will probably go away on its own.” Anne is using
__________.
a) positive-focused coping
b) sensate-focused coping
c) emotion-focused coping
d) problem-focused coping
Answer: c
Learning Objective: 4.5 Identify psychological factors that moderate the effects of stress.
Skill Level: Analyze
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
338
EOM Q4.2.1
To be diagnosed with an adjustment order, an individual must be dealing with a distressing life
event or stressor in a(n) __________ way.
a) antisocial
b) positive
c) maladaptive
d) inconsistent
Answer: c
Learning Objective: 4.6 Define the concept of an adjustment disorder and describe its key
features.
Skill Level: Understand
Difficulty: Moderate
EOM Q4.2.2
Susan broke up with her boyfriend at the beginning of the semester. Two months later, she
continues to feel sad much of the time and has difficulty concentrating on her schoolwork. Susan
is most likely experiencing __________.
a) a social disorder
b) major depression
c) an acute stress reaction
d) an adjustment disorder
Answer: d
Learning Objective: 4.6 Define the concept of an adjustment disorder and describe its key
features.
Skill Level: Apply
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
339
EOM Q4.2.3
The percentage of people receiving outpatient mental health services who present with a
diagnosis of adjustment disorder is estimated to be between __________.
a) 1%–3%
b) 5%–20%
c) 25%–30%
d) 40%–50%
Answer: b
Learning Objective: 4.6 Define the concept of an adjustment disorder and describe its key
features.
Skill Level: Remember
Difficulty: Easy
EOM Q4.2.4
If an adjustment disorder lasts longer than __________ after the removal of the stressor or its
consequences, the diagnosis may be changed to another clinical syndrome.
a) two weeks
b) one month
c) three months
d) six months
Answer: d
Learning Objective: 4.7 Identify the specific types of adjustment disorders.
Skill Level: Understand
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
340
EOM Q4.2.5
Seven-year-old Amanda has been experiencing intense fear of being separated from her mother
for the last few months. Her fear began after her mother was hospitalized for a serious infection.
The specific type of adjustment disorder that best describes Amanda’s maladaptive reaction is
__________.
Answer: a
Learning Objective: 4.7 Identify the specific types of adjustment disorders.
Skill Level: Analyze
Difficulty: Difficult
EOM Q4.3.1
Mike served in Iraq four years ago and saw combat activity. Since returning home, Mike
experiences nightmares about his past combat involvement, startles easily when he hears loud
noises, and constantly feels on edge. Mike would most likely be diagnosed with __________.
Answer: c
Learning Objective: 4.9 Describe the key features of posttraumatic stress disorder.
Skill Level: Apply
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
341
EOM Q4.3.2
a) 4%
b) 9%
c) 15%
d) 21%
Answer: b
Learning Objective: Traumatic Stress Disorders
Skill Level: Remember
Difficulty: Easy
EOM Q4.3.3
Researchers have found that sufferers of PTSD who were asked to recall the PTSD-related
traumatic event after being given the drug propranolol had __________ compared to a group
who received a placebo.
Answer: a
Learning Objective: 4.10 Describe theoretical understandings of PTSD.
Skill Level: Analyze
Difficulty: Difficult
EOM Q4.3.4
__________ is an intense form of exposure treatment for PTSD in which the person repeatedly
reexperiences the traumatic event in imagination during treatment sessions or directly confronts
situations linked to the trauma in real life without seeking to escape from the anxiety.
Answer: b
Learning Objective: 4.11 Describe treatment approaches to PTSD.
Skill Level: Understand
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
342
EOM Q4.3.5
In which type of therapy for PTSD does the individual gradually reexperience the anxiety
associated with the traumatic event, allowing extinction of the anxiety to occur?
a) cognitive-behavioral
b) self-relaxation
c) anger management training
d) EMDR
Answer: a
Learning Objective: 4.11 Describe treatment approaches to PTSD.
Skill Level: Understand
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
343