Ch3 | Test Bank + Answers – Obsessive-Compulsive And Related

Chapter 03 Test Bank
 

1. According to the research evidence, the most effective treatment for obsessive-compulsive disorder is: 

A. medication.

B. cognitive behaviour therapy.

C. psychosurgery.

D. behavioural macros.

E. skills training.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 3.3 Describe the essential elements of contemporary treatment approaches to OCD.
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

2. Which obsessive-compulsive disorder is reported to be associated with a substantial risk to health and safety? 

A. excessive concern about the appearance

B. compulsive checking

C. hoarding

D. hand washing

E. obsessional thoughts

Blooms: Analysis
Difficulty: Medium
Learning Objective: 3.4 Describe the nature and diagnostic criteria for hoarding disorder, body dysmorphic disorder, trichotillomania and excoriation disorder.
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

3. Obsessive-compulsive disorder has a prevalence rate of about: 

A. 2–3 per cent.

B. 1 per cent.

C. 0.2 per cent.

D. 0.1 per cent.

E. 0.3 per cent

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 3.2 Describe the epidemiology and aetiological accounts of OCD.
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

4. If John spends eight hours a day checking that electrical appliances in his house are switched off, he is: 

A. showing poor insight into his behaviour.

B. being obsessive.

C. being overly cautious.

D. distracting himself from unwanted impulses.

E. being compulsive.

Blooms: Application
Difficulty: Easy
Learning Objective: 3.1 Describe the nature and diagnostic criteria for obsessive-compulsive disorder (OCD).
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

5. In the DSM-5, OCD is now grouped with related disorders. Which of the following is not a related disorder? 

A. body dysmorphic disorder

B. hoarding disorder

C. generalised anxiety and worry disorder

D. trichotillomania

E. excoriation (skin picking)

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 3.1 Describe the nature and diagnostic criteria for obsessive-compulsive disorder (OCD).
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

6. Research supports the view that obsessional thoughts experienced by OCD sufferers are no different from those experienced by the general population. However, in OCD sufferers: 

A. the obsessional thoughts are very negative.

B. the obsessional thoughts are very aggressive and/or sexual in nature.

C. the obsessional thoughts are awarded a special significance.

D. the obsessional thoughts arise 'out of the blue'.

E. None of the options listed is correct.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 3.1 Describe the nature and diagnostic criteria for obsessive-compulsive disorder (OCD).
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

7. The main reason for the removal of OCD from the anxiety chapter in the DSM-5 was: 

A. to reflect that OCD, hair pulling, hoarding and skin picking are related in diagnosis and treatment.

B. to provide more space in the DSM for the diagnosis of hair pulling, hoarding and skin picking.

C. to reflect that OCD is not related to anxiety disorders.

D. to more accurately reflect the distinction between OCD and psychotic disorders.

E. None of the options listed is correct

Blooms: Knowledge
Difficulty: Hard
Learning Objective: 3.1 Describe the nature and diagnostic criteria for obsessive-compulsive disorder (OCD).
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

8. According to the DSM-5, the presence of OCD is diagnosed using which criteria? 

A. Obsessions and compulsions that cause distress and interfere with social and occupational functioning.

B. Obsessions or compulsions that cause distress and interfere with social and occupational functioning.

C. Obsessions and/or compulsions that are not a product of the person’s own mind and that cause distress and interfere with social and occupational functioning.

D. Obsessions, compulsions, poor insight, history of a tic disorder and distress that interfere with social and occupational functioning.

E. Obsessions and/or compulsions that cause distress, are time-consuming, interfere with social and occupational functioning and are not attributed to a substance, medical condition or other disorder.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 3.1 Describe the nature and diagnostic criteria for obsessive-compulsive disorder (OCD).
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

9. According to Australian research, what is a common element of obsession in individuals with OCD in the Australian population? 

A. Being contaminated by germs.

B. Fire, robbery or being assaulted.

C. Losing one’s mind.

D. Acting on an impulse such as stabbing a friend.

E. All of the listed options are correct.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 3.1 Describe the nature and diagnostic criteria for obsessive-compulsive disorder (OCD).
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

10. There are two models that attempt to explain the aetiology of OCD—the neuropsychological model and the cognitive model. Which of the following is not recognised as a possible trigger of OCD? 

A. Misinterpretation of intrusive thoughts.

B. Differences in the caudate nucleus and the basal ganglia.

C. Failure to inhibit ‘behavioural macros’ triggered by internal or external stimuli.

D. Fearful, obsessive or intrusive thoughts that are ignored and left untreated.

E. Behavioural responses driven by the desire to reduce threat.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 3.2 Describe the epidemiology and aetiological accounts of OCD.
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

11. OCD is regarded as a particularly serious condition because: 

A. anyone can develop it.

B. treatment is not generally effective.

C. it is associated with early onset and lifetime prevalence.

D. it can lead to hoarding or hair pulling.

E. most people do not seek treatment.

Blooms: Comprehension
Difficulty: Medium
Learning Objective: 3.2 Describe the epidemiology and aetiological accounts of OCD.
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

12. Which of these is not a common task in cognitive-behavioural treatment of OCD? 

A. exposure

B. behavioural experiments

C. confronting patients with germs and disease

D. challenging irrational beliefs

E. psychoeducation

Blooms: Comprehension
Difficulty: Medium
Learning Objective: 3.3 Describe the essential elements of contemporary treatment approaches to OCD.
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

13. What percentage of OCD sufferers benefit from pharmacological therapy such as clomipramine? 

A. 2–3 per cent

B. 40–60 per cent

C. 95 per cent

D. 10–20 per cent

E. 80–90 per cent

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 3.3 Describe the essential elements of contemporary treatment approaches to OCD.
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

14. Diana is concerned about her physical appearance. She constantly thinks that her body is the wrong shape and size, despite having had cosmetic surgery. Diana is displaying signs of: 

A. anorexia nervosa.

B. generalised anxiety.

C. body dysmorphic disorder.

D. obsessions.

E. bulimia.

Blooms: Application
Difficulty: Easy
Learning Objective: 3.4 Describe the nature and diagnostic criteria for hoarding disorder, body dysmorphic disorder, trichotillomania and excoriation disorder.
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

15. Trichotillomania is: 

A. obsession with what others are thinking.

B. recurrent pulling out of one’s own hair.

C. shoplifting.

D. repeated waxing or plucking of facial hair.

E. intrusive thoughts about death.

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 3.4 Describe the nature and diagnostic criteria for hoarding disorder, body dysmorphic disorder, trichotillomania and excoriation disorder.
Topic: Obsessive-Compulsive Disorder (OCD) and Related Disorders
 

Chapter 03 Test Bank Summary