Depressive Disorders Chapter 5 Test Questions & Answers

Chapter 05 Test Bank
 

1. The suicide rate in Australia has _______ since the late 1990s. 

A. declined

B. increased

C. stayed the same

D. doubled

E. None of the given options is correct.

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 5.2 Understand the prevalence of depression in various groups and its associated features.
Topic: Suicide
 

2. Unipolar depression is different from normal unhappiness in that: 

A. it is precipitated by psychosocial stressors.

B. it is precipitated by negative life events.

C. the depressed mood is more intense and/or lasts longer.

D. it involves manic episodes.

E. it is accompanied by physical symptoms.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 5.2 Understand the prevalence of depression in various groups and its associated features.
Topic: Disorders Involving Alterations in Mood
 

3. Postnatal depression is a: 

A. brief period of depression after childbirth, occurring in 70 per cent of women.

B. less common but serious disorder after childbirth.

C. mild long-term condition, involving low mood, which does not meet the criteria for depression.

D. type of depression that does not respond to medication.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 5.2 Understand the prevalence of depression in various groups and its associated features.
Topic: Disorders Involving Alterations in Mood
 

4. After a first episode of depression, most people will: 

A. seek professional treatment as soon as possible.

B. recover within one week.

C. make a suicide attempt.

D. never have another depressive episode (recovery).

E. have another depressive episode (relapse).

Blooms: Comprehension
Difficulty: Hard
Learning Objective: 5.2 Understand the prevalence of depression in various groups and its associated features.
Topic: Unipolar Depression/Depressive Disorders
 

5. A major depressive disorder is characterised by the following symptoms except: 

A. grandiosity.

B. weight loss.

C. sleep disturbance.

D. psychomotor agitation or retardation.

E. excessive guilt feelings.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 5.1 Describe the diagnostic criteria for depressive disorders.
Topic: Unipolar Depression/Depressive Disorders
 

6. Which of the following is not a specifier to major depressive disorder? 

A. elevated mood (mixed features)

B. onset of depression during season changes

C. onset due to grief

D. movement disturbances

E. inability to experience any positive feeling

Blooms: Analysis
Difficulty: Medium
Learning Objective: 5.1 Describe the diagnostic criteria for depressive disorders.
Topic: Unipolar Depression/Depressive Disorders
 

7. Among adolescents in developed countries, depressive disorders: 

A. are more common in boys than in girls.

B. are more common in girls than in boys.

C. are equally common in boys and girls.

D. are more common in urban than in rural young people.

E. have been decreasing in prevalence in the past 10–15 years.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 5.2 Understand the prevalence of depression in various groups and its associated features.
Topic: Unipolar Depression/Depressive Disorders
 

8. The association between depression and physical/medical illness is not explained by: 

A. better immune functioning in people with depression.

B. ongoing stressors of dealing with a medical illness.

C. physical/hormonal changes due to medical illness.

D. unhealthy lifestyle choices by people with depression.

E. increased rates of death following a cardiac event.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 5.2 Understand the prevalence of depression in various groups and its associated features.
Topic: Unipolar Depression/Depressive Disorders
 

9. Which of the following does current research evidence not support as an effective treatment for depression? 

A. interpersonal psychotherapy

B. medication

C. cognitive behaviour therapy

D. bright light therapy

E. All of the given options are effective treatments for depression.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 5.4 Understand the effective treatments for depressive disorders and approaches to reducing relapse and preventing the onset of depression.
Topic: Treatment of Depressive and Bipolar Disorders
 

10. Within six months following treatment, approximately what percentage of people with major depression will experience recovery? 

A. 5 per cent

B. 15 per cent

C. 35 per cent

D. 50 per cent

E. 80 per cent

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 5.2 Understand the prevalence of depression in various groups and its associated features.
Topic: Unipolar Depression/Depressive Disorders
 

11. Neuroendocrine (hormonal) theories of depression suggest that one cause of depression may be: 

A. an underactive HPA axis producing too few stress hormones.

B. an overactive HPA axis producing too many stress hormones.

C. reduced availability of monoamine neurotransmitters.

D. structural or functional abnormalities of brain structures.

E. decreased availability of dopamine within the brain.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 5.3 Understand the current biological, psychological and social theories of the causes of major depressive disorder.
Topic: Unipolar Depression/Depressive Disorders
 

12. Seligman's learned helplessness theory suggests that depressive disorders may develop when individuals interpret negative life events as being due to: 

A. external events that they cannot control.

B. magnification and minimisation.

C. negative events in childhood.

D. high levels of expressed emotion.

E. internal, global and stable factors.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 5.3 Understand the current biological, psychological and social theories of the causes of major depressive disorder.
Topic: Unipolar Depression/Depressive Disorders
 

13. Aaron Beck's definition of the 'negative cognitive triad' does not include a negative view of the: 

A. past.

B. future.

C. self.

D. world.

E. None of the given options is correct.

Blooms: Comprehension
Difficulty: Medium
Learning Objective: 5.3 Understand the current biological, psychological and social theories of the causes of major depressive disorder.
Topic: Treatment of Depressive and Bipolar Disorders
 

14. Aaron Beck's cognitive theory of depression suggests that in individuals with depression: 

A. dysfunctional negative cognitions result in depressive symptoms.

B. depressive symptoms lead to negative cognitions.

C. dysfunctional negative cognitions result in depressive symptoms and depressive symptoms lead to negative cognitions.

D. neither do dysfunctional negative cognitions result in depressive symptoms nor do depressive symptoms lead to negative cognitions.

E. depressive symptoms result in negative cognitions.

Blooms: Comprehension
Difficulty: Medium
Learning Objective: 5.3 Understand the current biological, psychological and social theories of the causes of major depressive disorder.
Topic: Treatment of Depressive and Bipolar Disorders
 

15. A new specifier—major depressive disorder with anxious distress-has been incorporated into the DSM-5 for all of the following reasons except: 

A. the strong comorbidity between depression and anxiety problems.

B. the increased risk of suicide associated with mixed anxiety and depression.

C. the longer length of the depressive episode when depression is mixed with anxiety.

D. to enable clinicians to identify people at risk of a full-blown major depressive disorder or a significant anxiety disorder.

E. All of the given options are correct.

Blooms: Comprehension
Difficulty: Hard
Learning Objective: 5.1 Describe the diagnostic criteria for depressive disorders.
Topic: Unipolar Depression/Depressive Disorders
 

16. An Australian research team has argued for a subtyping model with three broad classes of depressive disorders: psychotic, melancholic and non-melancholic. Which of the following are theorised to be primarily biologically based? 

A. melancholic and non-melancholic depression

B. psychotic and melancholic depression

C. psychotic and non-melancholic depression

D. psychotic and non-psychotic depression

E. melancholic, non-melancholic and psychotic depression

Blooms: Analysis
Difficulty: Hard
Learning Objective: 5.1 Describe the diagnostic criteria for depressive disorders.
Topic: Unipolar Depression/Depressive Disorders
 

17. Behavioural theories of depression focus on the environmental conditions and contingencies and suggest that depression is maintained because of: 

A. negative beliefs about the self and others.

B. reduced opportunity for positive reinforcers.

C. reduced serotonin.

D. dysfunctional parent–child relationships.

E. None of the given options is correct.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 5.3 Understand the current biological, psychological and social theories of the causes of major depressive disorder.
Topic: Unipolar Depression/Depressive Disorders
 

18. The family communication style known as high expressed emotion (EE) entails high levels of all of the following except: 

A. support.

B. criticism.

C. hostility.

D. over-involvement.

E. All of the given options are correct.

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 5.3 Understand the current biological, psychological and social theories of the causes of major depressive disorder.
Topic: Unipolar Depression/Depressive Disorders
 

19. Which of the following are considered protective factors that reduce an individual's chance of depression? 

A. good interpersonal skills and positive relationships with others

B. high levels of family cohesion

C. a temperament characterised by optimism and low anxiety

D. an openness to the possibility of exploring new experiences

E. All of the given options are correct.

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 5.3 Understand the current biological, psychological and social theories of the causes of major depressive disorder.
Topic: Unipolar Depression/Depressive Disorders
 

20. A major depressive disorder with melancholy has all of the following features except: 

A. inability to experience pleasure.

B. early-morning wakening.

C. excessive guilt.

D. weight loss.

E. catatonic symptoms.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 5.1 Describe the diagnostic criteria for depressive disorders.
Topic: Unipolar Depression/Depressive Disorders
 

21. What percentage of people with a major depressive disorder also experience significant anxiety symptoms? 

A. 5 per cent

B. 10 per cent

C. 25 per cent

D. 50 per cent

E. 70 per cent

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 5.1 Describe the diagnostic criteria for depressive disorders.
Topic: Unipolar Depression/Depressive Disorders
 

22. In the DSM-5, dysthymic disorder has been renamed as: 

A. depressive personality disorder.

B. low-level chronic depressive disorder.

C. persistent depressive disorder.

D. mood dysregulation disorder.

E. endogenous depression.

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 5.1 Describe the diagnostic criteria for depressive disorders.
Topic: Unipolar Depression/Depressive Disorders
 

23. The shorter form of the 5-HTTLPT gene sequence is associated with: 

A. greater efficiency in serotonin reuptake at brain synapses.

B. lower efficiency in serotonin reuptake at brain synapses.

C. greater efficiency in dopamine reuptake at brain synapses.

D. lower efficiency in dopamine reuptake at brain synapses.

E. None of the given options is correct.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 5.3 Understand the current biological, psychological and social theories of the causes of major depressive disorder.
Topic: Unipolar Depression/Depressive Disorders
 

24. Risk factors associated with the development of a depressive disorder in young people include all of the following except: 

A. previous history of depression.

B. cigarette smoking.

C. history of abuse.

D. family conflict.

E. None of the options given is correct.

Blooms: Comprehension
Difficulty: Easy
Learning Objective: 5.3 Understand the current biological, psychological and social theories of the causes of major depressive disorder.
Topic: Unipolar Depression/Depressive Disorders
 

25. According to Aaron Beck, the negative cognitive triad is maintained by the following cognitive distortions, except: 

A. pessimism.

B. arbitrary inference.

C. magnification.

D. personalisation.

E. over-generalisation.

Blooms: Comprehension
Difficulty: Medium
Learning Objective: 5.4 Understand the effective treatments for depressive disorders and approaches to reducing relapse and preventing the onset of depression.
Topic: Treatment of Depressive and Bipolar Disorders
 

Chapter 05 Test Bank Summary