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Total Assessment Guide

Topic Factual Conceptual Applied


Learning Objective Multiple Choice 1, 2, 3, 4, 5 6
Introduction
True-False
Essay
Learning Objective Multiple Choice 7, 8, 9, 10, 11, 12, 31 27, 32
4.1 13, 14, 15, 16, 17,
18, 19, 20, 21, 22,
23, 24, 25, 26, 28,
29, 30, 33, 34, 35,
36, 37
True-False 188, 189, 190, 191,
192, 193, 194, 195,
196, 197, 198, 199,
200, 201, 202, 203,
204, 205, 206, 207,
208, 209, 210
Essay 283, 285 282, 284
Learning Objective Multiple Choice 38, 39, 41, 42, 43, 40, 44 48
4.2 45, 46, 47, 49, 50,
51, 52, 53, 54, 55,
56, 57, 58
True-False 211, 212, 213
Essay 286, 287 288
Learning Objective Multiple Choice 60, 61, 62 59
4.3
True-False 214
Essay 289
Learning Objective Multiple Choice 63, 64, 65, 67, 69, 66, 70 68, 81, 86
4.4 71, 72, 73, 74, 75,
76, 77, 78, 79, 80,
82, 83, 84, 85, 87,
88, 89, 90, 91, 92
True-False 215, 216, 217, 218,
219, 220, 221, 222
Essay 290
Learning Objective Multiple Choice 95, 100, 102, 103, 94, 96, 97, 99, 101, 93, 98, 108, 117
4.5 104, 105, 106, 107, 115, 118, 122, 128
109, 110, 111, 112,
113, 114, 116, 119,
120, 121, 123, 124,
125, 126, 127, 129,
130, 131, 132
True-False 223, 224, 225, 226,
227, 228, 229, 230,
231, 232, 233, 234,
235, 236, 237, 238,
239, 240, 241, 242,
243
Essay 292, 293, 294, 295 291
Learning Objective Multiple Choice 133, 134, 135, 137 136
4.6

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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

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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

4. The term_________ refers to a state of physical or mental pain or suffering.


a. mourning c. distress
b. eustress d. stress

ANSWER: C
Level of Difficulty (1-3): 1 Page: 136
Topic: Introduction
Learning Objective: Introduction
Skill: Factual

5. The term used to describe something that is a source of stress is ______.


a. an antigen c. an antagonist
b. a stressor d. an initiating event

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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

7. According to a recent nationwide study by the American Psychological Association, _______percent of


Americans polled reported that their level of stress had increased during the preceding five years
(American Psychological Association, 2007a, 2007b, 2010).
a. 18 c. 68
b. 50 d. 93

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

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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

13. Cortisol and cortisone are ______.


a. leukocytes c. androgens
b. components of hemoglobin d. corticosteroids

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

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Learning Objective: 4.1
Skill: Factual

16. Adrenaline is synonymous with ______.


a. cortisol c. ACTH
b. cortisone d. epinephrine

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

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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

22. Which of the following is a pathogen?


a. White blood cells c. Worn-out body cells
b. Leukocytes d. Corticosteroids

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

24. Leukocytes recognize invading pathogens by their ____________.


a. sickle shape
b. protein transport
c. surface fragments
d. ability to attach to red blood cells

ANSWER: C
Level of Difficulty (1-3): 3 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

25. A lymphocyte is a type of ______.


a. pathogen c. platelet
b. leukocyte d. antigen

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

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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

28. Which of the following statements is true?


a. Occasional mild stress actually strengthens the body’s immune system.
b. Persistent exposure to stress improves the effectiveness of memory lymphocytes.
c. Exposure to stress reduces symptoms associated with the body’s reaction to allergens.
d. Even relatively brief periods of stress can weaken the body’s immune system.

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 ______.

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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

33. Much of the research in the field of psychoneuroimmunology is ______.


a. experimental c. correlational
b. based on case studies d. anecdotal

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

35. Why is terrorism-related trauma a source of chronic stress?


a. Terrorism is most likely never to occur again.
b. Terrorism looms as a constant threat to our safety.
c. Most people don’t worry about terrorism.
d. The likelihood of an act of terrorism to occur again is very small.

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

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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

38. The general adaptation syndrome is based on the work of ______.


a. Lawrence Frank c. Oliver Sacks
b. Peter Kubiovsky d. Hans Selye

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

41. The alarm reaction mobilizes the body for ______.


a. defense c. threat
b. illness d. invasion

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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

43. The “fight-or-flight” response pattern was first described by ______.


a. Clifford Beers c. Wilhelm Wundt
b. William James d. Walter Cannon

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

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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

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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

55. The ______ nervous system dominates the exhaustion stage.


a. parasympathetic c. peripheral
b. sympathetic d. voluntary

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

57. The immune system is weakened by continuous secretion of ______.

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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

59. Life changes are sources of stress ______.


a. only when they are negative changes
b. only when they are unexpected or involve some sort of loss
c. because they force us to adjust
d. because they are emotionally upsetting

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

61. ______ life changes can be stressful.


a. Neither positive nor negative c. Only negative
b. Only positive d. Both positive and negative

ANSWER: D
Level of Difficulty (1-3): 1 Page: 143
Topic: Effects of Stress
Learning Objective: 4.3
Skill: Factual

62. Getting married is a stressful life change that is ____________.

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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

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Learning Objective: 4.4
Skill: Conceptual

67. The melting-pot theory holds that ______.


a. immigrants can never truly acculturate
b. immigrants themselves can never truly acculturate but their children can
c. acculturation should be resisted until the third generation after immigration
d. acculturation helps people adjust to the host culture

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

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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

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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

78. Increased bicultural adaptation among Mexican American elders ______.


a. created conflicts between spouses
b. accelerated decisions to retire
c. decreased likelihood of depression
d. resulted in rejection by relatives still in Mexico

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

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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
______.

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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

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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

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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

98. An example of emotion-focused coping is ______.


a. obsessing c. rationalizing
b. intellectualizing d. denial

ANSWER: D
Level of Difficulty (1-3): 1 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Applied

99. Avoidance and denial are forms of ______.


a. effective stress coping
b. emotion-focused coping
c. problem-focused coping
d. common coping strategies that recent immigrants from Mexico employ

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

101.Wish-fulfillment fantasy is ______.


a. an effective means of coping with an illness
b. a strategy that needs to result in real wish-fulfillment

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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

105.Seeking information about an illness through research is an example of ______.


a. a repressive style c. self-defeating obsessiveness
b. wish-fulfillment fantasy d. problem-focused coping

ANSWER: D
Level of Difficulty (1-3): 2 Page: 148
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual

106.Beliefs in one’s ability to accomplish certain tasks are known as ______.


a. psychological hardiness c. psychological perseveration
b. self-efficacy expectancies d. self-enhancement heuristics

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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

110.Epinephrine and norepinephrine make us feel ______.


a. generally nervous c. angry
b. relaxed d. generally confident

ANSWER: A
Level of Difficulty (1-3): 3 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual

111.Lower secretion of stress hormones is associated with ______.


a. emotion-focused coping
b. high self-efficacy expectancies
c. an avoidant or repressive style of coping
d. ability to effectively utilize the general adaptation syndrome

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296
ANSWER: B
Level of Difficulty (1-3): 2 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual

112.Psychological hardiness in business executives was investigated by ______.


a. Mary Ainsworth c. Eloise Ferrer
b. Janet Rafferty d. Suzanne Kobasa

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

114.The effects of stress can be moderated or buffered by which of the following?


a. Skepticism c. Self-efficacy expectation
b. Work d. Relocation to a new community

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

116.Which of the following is a trait associated with psychologically hardy executives?


a. adaptability c. commitment
b. concreteness d. detachment

ANSWER: C
Level of Difficulty (1-3): 3 Page: 149
Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual

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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

118.Which trait is characteristic of psychological hardy people?


a. Reliance on wish-fulfillment fantasies.
b. A preference for active problem-solving approaches.
c. The perception that they have no control over the stressors they face in life.
d. A tendency to deny the existence of problems.

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

120.Locus of control is a construct that was suggested by ______.


a. Gardner Murphy c. Gordon Allport
b. Julian Rotter d. Hans Eysenck

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

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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

125.The Optimism Scale measures ______.


a. stress levels c. career interests and goals
b. sexual preference d. whether someone tends to look on the bright side

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

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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

129.Stresses imposed by racism or perceived discrimination may be moderated by ______.


a. intermarriage
b. moving to a more tolerant community
c. ethnic pride
d. ethnic alienation

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

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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

133.Adjustment disorders are classified in the DSM-5 within a category of ____________.


a. Schizophrenic Disorders
b. Trauma and Stressor-Related Disorders
c. Anxiety Disorders
d. Childhood Disorders

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

135.According to DSM-5, a maladaptive reaction to an identified stressor, characterized by impaired


functioning or emotional distress that exceeds what would normally be expected is a (n)_______.
a. distress disorder c. stress disorder
b. adjustment disorder d. anxiety disorder

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) ______.

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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

137.Adjustment disorders are among the ______ types of disorders.


a. rarest c. most severe
b. most distressing d. mildest

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?

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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

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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

146.Individuals suffering from Acute Stress Disorder may feel ______________.


a. as though they are experiencing a heart attack
b. angry and betrayed by the world
c. “in a daze” or feel that the world seems like a dreamlike or unreal place.
d. unaware of their internal emotions

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

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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.

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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

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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

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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

164.The feeling of detachment from oneself or one's environment is known as ______.


a. dissociation c. a delusion
b. a hallucination d. a personality disorder

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.

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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

169.Women are ______ as likely as men to develop posttraumatic stress disorder.


a. half c. twice
b. equally d. four times

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

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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

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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

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311
ANSWER: B
Level of Difficulty (1-3): 1 Page: 159
Topic: Traumatic Stress Disorders
Learning Objective: 4.11
Skill: Applied

183.EMDR is a technique to treat ______.


a. PTSD c. generalized anxiety disorder
b. phobia d. obsessive-compulsive disorder

ANSWER: A
Level of Difficulty (1-3): 1 Page: 159
Topic: Traumatic Stress Disorders
Learning Objective: 4.11
Skill: Factual

184.The controversy related to EMDR is ______.


a. whether it works
b. whether the eye movements are necessary
c. the use of a blindfold that may cause anxiety in some PTSD victims
d. the ethical propriety of touching the patient as part of treatment

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

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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

190.The term distress refers to a state of physical or mental pain or suffering.

ANSWER: T
Level of Difficulty (1-3): 1 Page: 136
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

191.The term stress refers to a state of physical or mental pain or suffering.

ANSWER: F
Level of Difficulty (1-3): 1 Page: 136
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

192.The field of psychoneuroimmunology studies relationships between psychological


factors, especially stress, and the workings of the immune system

ANSWER: T
Level of Difficulty (1-3): 1 Page: 137
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

193.The endocrine system consists of ducts distributed throughout the body.

ANSWER: F
Level of Difficulty (1-3): 1 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

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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

195.Endocrine glands pour their secretions—called hormones—directly into the brain.

ANSWER: F
Level of Difficulty (1-3): 1 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

196.Norepinephrine is also produced in the amygdala, where it functions as a neurotransmitter.

ANSWER: F
Level of Difficulty (1-3): 2 Page: 138
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

197.Leukocytes stimulate the adrenal medulla to release hormones.

ANSWER: F
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

198.Leukocytes recognize invading pathogens by their surface fragments, called antigens.

ANSWER: T
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

199.Some leukocytes produce antigens which are specialized proteins.

ANSWER: F
Level of Difficulty (1-3): 2 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

200.Social support networks can act as a buffer against cold symptoms.

ANSWER: T
Level of Difficulty (1-3): 1 Page: 139
Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

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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

205.Correlational research helps scientists demonstrate causal connections.

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

207.People have basically similar reactions to traumatic stress.

ANSWER: F
Level of Difficulty (1-3): 2 Page: 140
Topic: Effects of Stress

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315
Learning Objective: 4.1
Skill: Factual

208.People’s reactions to trauma differ from one individual to the next.

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

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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

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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

223.Denial is an example of emotion-focused coping.

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

225.Avoidance 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

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

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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

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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

238.Positive psychology focuses on topics such as love and hope.

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.

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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

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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

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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

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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

265.First responders to traumatic events do not develop PTSD.

ANSWER: F

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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

269.PTSD is found in very few cultures.

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

272.Traumatic events are actually quite rare.

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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

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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.

Level of Difficulty (1-3): 1 Page: 137


Topic: Effects of Stress
Learning Objective: 4.1
Skill: Conceptual

283.Explain the role of the endocrine system in the experience of stress.

Level of Difficulty (1-3): 1 Page: 138


Topic: Effects of Stress
Learning Objective: 4.1
Skill: Factual

284.Describe the different parts of the immune system and the interplay with the experience of stress.

Level of Difficulty (1-3): 2 Page: 138


Topic: Effects of Stress
Learning Objective: 4.1
Skill: Conceptual

285.Describe how the experience of stress can lead to a compromised immune system.

Level of Difficulty (1-3): 2 Page: 138


Topic: Effects of Stress
Learning Objective: 4.1

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327
Skill: Factual

286.Describe how psychological factors translate into physical health problems.

Level of Difficulty (1-3): 1 Page: 140


Topic: Effects of Stress
Learning Objective: 4.2
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,

Level of Difficulty (1-3): 2 Page: 142


Topic: Effects of Stress
Learning Objective: 4.2
Skill: Factual

288.Describe the stages of General Adaptation Syndrome. What is the possible outcome of prolonged exposure
to stress?

Level of Difficulty (1-3): 1 Page: 140-141


Topic: Effects of Stress
Learning Objective: 4.2
Skill: Conceptual

289.Summarize research findings regarding life changes and their relationship to stress.

Level of Difficulty (1-3): 2 Page: 142


Topic: Effects of Stress
Learning Objective: 4.3
Skill: Factual

290.Discuss Charles Negy’s research that investigated the quality of relationships in acculturated and non-
acculturated Mexican-American couples.

Level of Difficulty (1-3): 2 Page: 146-147


Topic: Effects of Stress
Learning Objective: 4.4
Skill: Conceptual

291.Discuss the forms of denial of illness and the impact this coping strategy may have on health and recovery.

Level of Difficulty (1-3): 3 Page: 148


Topic: Effects of Stress
Learning Objective: 4.5
Skill: Conceptual

292.Compare and contrast the effectiveness of the problem-focused and emotion-focused styles of coping with
stress in dealing with serious illness.

Level of Difficulty (1-3): 3 Page: 148


Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual

293.Discuss research findings relating the concepts of self-efficacy expectancies, hardiness, and

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328
optimism to health.

Level of Difficulty (1-3): 1 Page: 149


Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual

294.Discuss the relationship between optimism and the subjective experience of pain.

Level of Difficulty (1-3): 2 Page: 150


Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual

295.Discuss the factors involved with African American ethnic identity and resiliency to stress.

Level of Difficulty (1-3): 2 Page: 151


Topic: Effects of Stress
Learning Objective: 4.5
Skill: Factual

296.Discuss the similarities and differences between Acute Stress disorder and PTSD.

Level of Difficulty (1-3): 2 Page: 154


Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Conceptual

297.Summarize the factors that could contribute to an individual having an increased vulnerability to PTSD.

Level of Difficulty (1-3): 2 Page: 156


Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Conceptual

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.

Level of Difficulty (1-3): 3 Page: 157


Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Conceptual

299.Summarize the research using the drug propranolol, in the treatment of traumatic memory. How might
morphine be used in treating traumatized soldiers?

Level of Difficulty (1-3): 2 Page: 157


Topic: Traumatic Stress Disorders
Learning Objective: 4.9
Skill: Factual

300.Describe how cognitive behavioral therapy has been used in the treatment of PTSD.

Level of Difficulty (1-3): 2 Page: 159


Topic: Traumatic Stress Disorders
Learning Objective: 4.11

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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?

Level of Difficulty (1-3): 2 Page: 160


Topic: Traumatic Stress Disorders
Learning Objective: 4.11
Skill: Conceptual

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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.

a) the exhaustion stage


b) the resistance stage
c) the alarm reaction
d) the alert stage

Answer: c
Learning Objective: 4.2 Identify and describe the stages of the general adaptation syndrome.
Skill Level: Analyze
Difficulty: Moderate

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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

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332
EOC Q4.5

Problem-focused coping involves ___________.

a) focusing on reducing one’s emotional response to a stressor


b) ignoring or escaping from a stressor
c) directly confronting a stressor
d) focusing on a problem to such an extent that one becomes unable to function
normally

Answer: c
Learning Objective: 4.5 Identify psychological factors that moderate the effects of stress.
Skill Level: Understand
Difficulty: Moderate

EOC Q4.6

The __________ is the body’s system of defense against disease.

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

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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

An adjustment disorder with disturbance of conduct is a maladaptive response to a stressor and is


likely to include __________.

a) violation of the rights of others


b) feelings of hopelessness
c) fear of separation from primary attachment figures
d) excessive crying

Answer: a
Learning Objective: 4.7 Identify the specific types of adjustment disorders.
Skill Level: Understand
Difficulty: Moderate

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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.

a) an acute stress disorder


b) posttraumatic stress disorder
c) an alarm reaction
d) generalized anxiety disorder

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

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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

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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

Acculturative stress is pressure __________.

a) on community residents that results from the influx of large numbers of


immigrants to their communities
b) on each new generation to adopt mainstream gender norms
c) that results from the demands placed on immigrant, native, and ethnic minority
groups to adjust to life in the mainstream culture
d) to assimilate experiences by new college students on campus for the first time

Answer: c
Learning Objective: 4.4 Evaluate the role of acculturative stress in psychological adjustment.
Skill Level: Understand
Difficulty: Difficult

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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 __________.

a) an external locus of control


b) high psychological hardiness
c) low self-efficacy
d) high dispositional readiness

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

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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

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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

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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
__________.

a) adjustment disorder with anxiety


b) adjustment disorder with disturbance of conduct
c) adjustment disorder with depressed mood
d) adjustment disorder with mixed disturbance of emotion and conduct

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 __________.

a) an acute stress reaction


b) an adjustment disorder
c) posttraumatic stress disorder
d) major depression

Answer: c
Learning Objective: 4.9 Describe the key features of posttraumatic stress disorder.
Skill Level: Apply
Difficulty: Moderate

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341
EOM Q4.3.2

According to the American Psychiatric Association, lifetime prevalence of posttraumatic stress


disorder is approximately __________.

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.

a) a decrease in physiological activity


b) an increase in emotional response
c) better memory of event details
d) an increase in perceptual sensitivity to the details of the event

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.

a) Progressive stress inoculation


b) Prolonged exposure
c) Systematic exposure
d) Exposure debriefing training

Answer: b
Learning Objective: 4.11 Describe treatment approaches to PTSD.
Skill Level: Understand
Difficulty: Moderate

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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

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