Dissociative & Somatic Disorders Verified Test Bank Ch.8

CHAPTER 8

Dissociative Disorders and Somatic Symptom and Related Disorders

Question Type: Multiple Choice

1. Somatic symptom and related disorders and dissociative disorders are similar in that both

a) have symptoms suggesting a physical dysfunction.

b) are hypothesized to begin after stressful experiences.

c) involve aggressive outbursts.

d) are delusional in quality.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Medium

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Analysis

2. A symptom dissociative disorders share is

a) obsessive thoughts.

b) an alteration in consciousness or identity.

c) an inability to distinguish reality from fantasy.

d) physical complaints with no physiological basis.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

3. DSM-5 includes which dissociative disorder?

a) dissociative dementia

b) dissociative delusions

c) dissociative identity disorder

d) dissociative anxiety disorder

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

4. Which theorists view dissociative disorders as avoidance responses that protect the person from consciously experiencing stressful events?

a) humanistic

b) behavioral

c) cognitive

d) Gestalt

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Medium

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Analysis

5. Dissociative identity disorder must involve

a) conversion symptoms.

b) selective amnesia.

c) at least two distinct personalities.

d) depersonalization.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

6. Which of the following is an example of mild dissociation?

a) worrying excessively over your grades

b) not remembering material you studied for a test

c) difficulty committing to social relationships

d) being so preoccupied you forget an appointment

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Medium

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Application

7. Why are there questions with respect to dissociative disorders regarding how memory works under stress?

a) People have trouble recalling events.

b) Few brain-imaging studies have been conducted to date.

c) Research indicates that stress sometimes enhances memory.

d) Research indicates that, under stress, people store memories in different areas of the brain.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Medium

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Analysis

8. Pathological dissociation is considered

a) an alienating response.

b) an ambivalence response.

c) an arbitrary response.

d) an avoidance response.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

9. Which neurotransmitter, associated with heightened arousal, enhances memory consolidation and retrieval?

a) norepinephrine

b) dopamine

c) serotonin

d) histamine

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

10. Dissociative amnesia is the inability to recall

a) important dates.

b) important personal experiences.

c) important information.

d) important historical events.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Medium

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Analysis

11. Dissociative fugue may be characterized by

a) massive repression.

b) moving away and establishing a new identity.

c) sudden onset following severe stress.

d) memory loss for virtually all past events.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

12. Since seeing his mother die in a car accident 2 years ago, Chris has felt as if he were watching himself from outside of his body and has thought that voices sound strange. He may be experiencing

a) depersonalization/derealization disorder.

b) dissociative identity disorder.

c) dissociative amnesia.

d) dissociative fugue.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Medium

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Application

13. Mildred has been struggling with feelings of chronic depersonalization/derealization for several years. Based on these symptoms, it is most likely that she

s

a) has impaired memory functioning.

b) has a well-developed sense of self, just feelings of not being present.

c) experienced significant trauma at an earlier age.

d) is not employed.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Medium

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Application

14. Ms. Hall consulted a physician because of the following experience: The week before, she had felt that another voice was talking to her, although she had tried to ignore it. She then had a period of hours that she was unable to recall, but her boyfriend later reported that during that period she behaved like a completely different person, being loud and boisterous in contrast to her usual shy and sedate personality. She had had similar experiences in the past and is at a loss to explain them. Ms. Hall’s symptoms are most consistent with

a) dissociative fugue.

b) depersonalization/derealization disorder.

c) dissociative identity disorder.

d) dissociative amnesia.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Medium

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Application

15. Bradford reports the following unusual experiences: He found used tea bags in the wastebasket, although he does not like tea and lives alone; he discovered several suits in his closet that he had no memory of buying and did not like; and he has had people he has never met before greet him, calling him “William” or “Christian.” Which DSM-5 diagnosis would best fit Bradford’s symptoms?

a) dissociative amnesia

b) dissociative fugue

c) depersonalization/derealization disorder

d) dissociative identity disorder

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Medium

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Application

16. Dissociative identity disorder and schizophrenia

a) are two entirely different disorders.

b) are the same disorder.

c) are very similar, differ only in terms of the number of personalities.

d) are similar in that both have hallucinations and delusions.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Medium

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Analysis

17. The DSM-5 includes which dissociative disorder?

a) dissociative disintegrative disorder

b) dissociative depersonalization disorder

c) dissociative amnesia

d) depersonalization amnesia

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

18. In the DSM-5, which disorder is considered a subtype of dissociative amnesia?

a) dissociative fugue

b) dissociative delirium

c) depersonalization/derealization disorder

d) dissociative identity disorder

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

19. Following a dissociative fugue episode, the person often

a) does not remember the events that occurred during the episode.

b) remembers only bits and pieces of his or her life before the fugue.

c) denies anything is wrong and continues with his or her life.

d) is embarrassed to the point of nearly complete incapacitation.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Comprehension

20. Depersonalization/derealization disorder usually begins in

a) early childhood.

b) middle childhood.

c) adolescence.

d) adulthood.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

21. About 90% of individuals with depersonalization/derealization disorder have comorbid

a) anxiety and depression.

b) somatoform and substance abuse disorders.

c) bipolar disorder and depression.

d) schizophrenia and schizoaffective disorder.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

22. The prognosis for dissociative amnesia usually involves a

a) gradual remission with complete recovery.

b) gradual remission with partial recovery.

c) sudden remission with complete recovery.

d) sudden remission with partial recovery.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Easy

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Knowledge

23. Explicit memory is to conscious recall of experiences as implicit memory is to

a) repressed memories.

b) behaviors based on experiences that cannot be consciously recalled.

c) behaviors based on experiences that occurred before the onset of speech.

d) dreams.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Hard

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Synthesis

24. Donna was brutally assaulted outside a local convenience store. Although she cannot recall the details of the assault, she becomes terrified when she drives past that store. This is an example of a situation in which a person

a) has an explicit memory but no implicit memory.

b) has neither explicit nor implicit memory.

c) will most likely develop dissociative identity disorder.

d) has no explicit memory but has an implicit memory.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Medium

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Application

25. The onset of dissociative identity disorder is generally believed to

a) occur during adolescence and be unassociated with abuse.

b) occur during adolescence and be associated with a history of severe abuse.

c) occur during childhood and be unassociated with abuse.

d) occur during childhood and be associated with a history of severe abuse.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Easy

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Knowledge

26. Underactivity of which of the following has been implicated in depersonalization/derealization disorder?

a) nucleus accumbens

b) dopamine pathways

c) serotonergic pathways

d) anterior cingulate cortex

Section Reference: Etiology of Dissociative Disorders

Difficulty: Easy

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Comprehension

27. The two major theories about the etiology of dissociative identity disorder are the

a) posttraumatic and sociocognitive models.

b) posttraumatic and psychoanalytic models.

c) behavioral and psychoanalytic models.

d) posttraumatic and cognitive-behavioral models.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Easy

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Knowledge

28. The posttraumatic model of dissociative identity disorder (DID) assumes that DID

a) is a form of malingering.

b) begins in childhood as a result of severe abuse.

c) is created in therapy.

d) is due to suggestion from the popular culture.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Easy

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Knowledge

29. DID usually begins in

a) childhood but is rarely diagnosed until adulthood.

b) childhood but is rarely diagnosed until adolescence.

c) adolescence but is rarely diagnosed until adulthood.

d) adulthood but is rarely diagnosed until late adulthood.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Easy

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Comprehension

30. One major theory of the etiology of dissociative identity disorder is that DID results from

a) fear of facing the complexities of adult living.

b) drug use in predisposed individuals.

c) suggestion by therapists or media influences.

d) having a fantasy life that is more reinforcing than reality.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Easy

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Comprehension

31. According to Claire’s friends, she never exhibited signs of dissociative identity disorder. However, after watching Sybil on TV and visiting a therapist regularly, Claire began exhibiting different personalities. A sociocognitive theory about the development of Claire’s DID would suggest that

a) Claire must have been sexually abused as a child.

b) Claire must have come from a dysfunctional family and had few friends growing up.

c) Claire's alternative personalities appeared in response to exposure to media and the therapist’s suggestions.

d) Claire has repressed memories for too long.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Medium

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Application

32. Most people with dissociative identity disorder exhibit high

a) rates of criminal behavior.

b) susceptibility to suggestion.

c) preference for complexity.

d) levels of sensation seeking.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Easy

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Comprehension

33. Dr. Jones believes that, in individuals diagnosed with dissociative identity disorder, different alternative personalities appear during adulthood after the suggestion of a therapist. This is consistent with

a) psychoanalytic theory.

b) behavioral theory.

c) the sociocognitive model.

d) a self-fulfilling prophecy.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Medium

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Application

34. Almost all patients in therapy for dissociative identity disorder report

a) severe child abuse.

b) severe eating disorders.

c) severe OCD.

d) severe memory loss.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Easy

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Comprehension

35. Therapists who are most likely to diagnose dissociative identity disorder tend to

a) practice behavioral techniques.

b) use hypnosis.

c) use biofeedback.

d) support the use of antipsychotics.

Section Reference: Treatment of Dissociative Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for dissociative identity disorder.

Bloomcode: Comprehension

36. Most therapists agree that the goal of treatment of dissociative identity disorder should be to

a) encourage repression of the underlying trauma.

b) encourage others to reinforce symptoms.

c) convince the person that splitting into different personalities is no longer necessary.

d) provide a confrontational setting where symptoms are not heeded.

Section Reference: Treatment of Dissociative Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for dissociative identity disorder.

Bloomcode: Knowledge

37. Research on the effectiveness of psychological treatment of dissociative identity disorder

a) shows that cognitive behavior therapy is moderately effective.

b) has been hampered by the publicity surrounding known cases.

c) supports the posttraumatic model of its etiology.

d) is limited to observations from a few small, uncontrolled studies.

Section Reference: Treatment of Dissociative Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for dissociative identity disorder.

Bloomcode: Comprehension

38. Which type of treatment is used for DID and the other dissociative disorders more often than for any other psychological disorder?

a) cognitive

b) humanistic

c) behavior

d) psychodynamic

Section Reference: Treatment of Dissociative Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for dissociative identity disorder.

Bloomcode: Comprehension

39. Somatic symptom disorders all involve

a) physical symptoms.

b) dysphoric mood.

c) disruptions of consciousness.

d) hallucinations.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

40. Which of the following is categorized as a somatic symptom disorder in DSM-5?

a) illness anxiety disorder

b) synthetic symptom disorder

c) hypochondriasis

d) hysteria

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Analysis

41. Which of the following is a criticism of the diagnoses of somatic symptom and related disorders?

a) The diagnoses can be considered subjective.

b) The diagnosis is often excluded from insurance coverage.

c) The disorders have become sensationalized.

d) The diagnostic criteria are too strict to be useful.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Comprehension

42. According to DSM-5, what diagnosis is associated with unwarranted fears about a serious illness despite absence of any significant somatic symptoms?

a) illness anxiety disorder

b) depersonalization/derealization disorder

c) factitious disorder

d) conversion disorder

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

43. Louise arrived at the emergency room complaining of severe stomach pain. After careful evaluation, it became clear that Louise had purposely given herself food poisoning. Most likely, she

a) is malingering.

b) has somatic symptom disorder.

c) exhibits la belle indifference.

d) has factitious disorder.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

44. Unlike a malingerer, a person with factitious disorder

a) does not exhibit la belle indifference.

b) has primarily psychological, not physical, symptoms.

c) has physical symptoms that are not under voluntary control.

d) is motivated by a desire to achieve the patient role and not by other gain.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Analysis

45. Which of the following is most similar to somatic symptom disorder in that excessive worry occurs?

a) factitious disorder

b) conversion disorder

c) illness anxiety disorder

d) dissociative disorder

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Analysis

46. Which of the following best illustrates illness anxiety disorder?

a) an ulcer caused by stress

b) a persistent, unsubstantiated fear of having cancer

c) having obsessions about an imagined physical defect, such as facial wrinkles

d) experiencing recurring pain with no physical basis

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

47. Which of the following characterizes a diagnosis of somatic symptom disorder?

a) at least three somatic symptoms that are distressing or disrupt daily life

b) excessive thoughts, feelings, and behaviors related to somatic symptoms

c) preoccupation with and a high level of anxiety about having a serious disease

d) excessive illness behavior or maladaptive avoidance

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

48. The main feature of illness anxiety disorder is

a) a preoccupation with fears of having a serious disease.

b) excessive thoughts related to somatic symptoms.

c) an overwhelming fear of doctors and hospitals.

d) severe and prolonged somatic symptoms.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Comprehension

49. Anesthesia and aphonia may occur in

a) illness anxiety disorder.

b) conversion disorder.

c) factitious disorder.

d) somatic symptom disorder.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

50. Genuine physical problems are misdiagnosed as conversion disorder

a) less than 5% of the time.

b) about 10% of the time.

c) about 25% of the time.

d) about 33% of the time.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

51. The term conversion, as used in conversion disorders, originated with

a) Sigmund Freud.

b) Abraham Maslow.

c) Ivan Pavlov.

d) Dermott Helmich.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

52. DSM-5 symptoms of conversion disorder include

a) one or more neurological symptoms affecting voluntary motor function.

b) preoccupation with having or acquiring a serious disease.

c) excessive time and energy devoted to health concerns.

d) disproportionate and persistent concerns about the seriousness of symptoms.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

53. Factitious disorder imposed on another used to be referred to as Munchausen syndrome

a) by imposition.

b) diversion.

c) by proxy.

d) substitution.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

54. Julie experienced inexplicable blindness. She visited several ophthalmologists, all of whom indicated that there was no physical basis for her blindness. She most likely has

a) illness anxiety disorder.

b) dissociative disorder.

c) conversion disorder.

d) somatic symptom disorder.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

55. Conversion disorder is marked by one or more symptoms affecting voluntary

a) psychological or physiological functions.

b) cognitive or affective functions.

c) motor or sensory functions.

d) sympathetic or parasympathetic nervous system functions.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

56. Which of the following is a potential symptom of conversion disorder?

a) extreme anxiety

b) paralysis in the hand

c) chronic sweating

d) hypersensitivity to pain

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

57. Robert complained of complete lack of sensation in both knees, but a physical exam revealed no physiological damage. Which diagnosis is most consistent with Robert’s symptoms?

a) factitious disorder

b) somatic symptom disorder

c) conversion disorder

d) illness anxiety disorder

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

58. When fears about a serious disease are accompanied by somatic symptoms, the appropriate DSM-5 diagnosis is

a) illness anxiety disorder.

b) somatic symptom disorder.

c) conversion disorder.

d) factitious disorder.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Comprehension

59. Aphonia refers to loss of

a) hearing, but only in the range of human voices.

b) speech above a whisper.

c) the ability to swallow.

d) movement planning skills.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

60. People with somatic symptom and related disorders tend to

a) avoid doctors, considering them to be incompetent.

b) frequently and repeatedly seek medical care.

c) prefer seeing psychologists to seeing medical doctors.

d) favor naturopaths and similar alternative practitioners.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

61. Lucy complained of paralysis in her leg that made it impossible for her to work or do household chores. When in the emergency room, she appeared unconcerned about her ailment and discussed it at great length. She even invited people to come and poke her leg to see that she experienced no sensations. Lucy’s symptoms are most consistent with

a) somatic symptom disorder.

b) conversion disorder.

c) malingering.

d) illness anxiety disorder.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

62. People with somatic symptom and related disorders

a) are usually hysterical.

b) tend to worry or have anxiety about physical symptoms.

c) are more often men than women.

d) tend to blame others for their physical imperfections.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

63. Nina has illness anxiety disorder. If she notices a red splotch on her face that seems to be getting larger each day, Nina will most likely believe that this symptom

a) is due to a psychological problem.

b) is due to a serious underlying disease.

c) will go away once she visits a doctor.

d) is a bug bite.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

64. In the Clinical Case of Anna O. in the text, Anna’s conversion disorder symptoms appeared

a) while she was sitting at the bedside of her seriously ill father.

b) after her brother’s death.

c) after she experienced a sexual assault.

d) only under hypnosis.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

65. Miguel experienced sudden, inexplicable blindness. Tests showed no physical basis for his symptoms. Miguel’s symptoms are most consistent with

a) conversion disorder.

b) somatic symptom disorder.

c) dissociative identity disorder.

d) illness anxiety disorder.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

66. Conversion disorder might be diagnosed in someone who

a) experiences unexplained amnesia.

b) experiences a sense of unreality.

c) suddenly can speak only in a whisper.

d) seems to get one infection after another.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Comprehension

67. Claudia is experiencing intermittent pain in her stomach and back. Medical examination and testing have revealed no physical explanation for her symptoms. Claudia is experiencing symptoms consistent with

a) somatic symptom disorder.

b) illness anxiety disorder.

c) factitious disorder.

d) conversion disorder.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

68. In factitious disorder imposed on another, the individual with the disorder causes symptoms in another person and then presents that person as ill in order to

a) receive reinforcement for being an attentive, loving caregiver.

b) receive financial gain.

c) distract attention from his or her own psychological pain.

d) cause suffering to the other person.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

69. An insurance company hired a private investigator to ascertain whether a claimant alleging a back injury was really disabled or was acting that way to receive financial gain. Such acting is known as

a) malingering.

b) illness anxiety disorder.

c) conversion disorder.

d) factitious disorder.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

70. Most people with somatic symptom and related disorders want

a) medical care, not mental health care.

b) mental health care, not medical care.

c) alternative medicine, not traditional medicine.

d) traditional medicine, not alternative medicine.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Application

71. Confronted with a patient who might have a somatic disorder, what might a physician gently remind the patient to consider?

a) the effectiveness of psychological interventions

b) the effectiveness of medication in treating psychological disorders

c) the connection between the mind and the body

d) the connection between symptoms and gain for the sick role

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Knowledge

72. The brain regions most strongly linked to the somatosensory cortex are the

a) rostral anterior insula and posterior insula.

b) posterior insula and posterior cingulate cortex.

c) anterior cingulate cortex and posterior insula.

d) rostral anterior insula and anterior cingulate cortex.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Knowledge

73. In understanding somatic symptom and related disorders, the key issue is why some people

a) seek gain by presenting themselves as being sick.

b) experience specific, distressing bodily sensations.

c) seem to enjoy the experience of sickness and pain.

d) are more focused on and distressed by bodily sensations.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Comprehension

74. Once a somatic symptom develops, the cognitive variable that appears important is attention to and interpretation of

a) affective responses.

b) social reinforcement.

c) body sensations.

d) medical information.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Comprehension

75. In the Clinical Case of Anna O. in the text, Anna’s conversion disorder symptoms involved her

a) left leg.

b) sexual responses.

c) right side, beginning with her arm.

d) scalp, nose, and lips.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Knowledge

76. The onset of conversion disorder symptoms is usually

a) sudden and related to a stressful situation.

b) gradual and subtle.

c) not associated with psychological distress.

d) preceded by a period of physical illness.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Comprehension

77. The cognitive processes involved in conversion disorder are similar to those in

a) panic disorder.

b) major depressive disorder.

c) social anxiety disorder.

d) bipolar disorder.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Knowledge

78. The psychodynamic perspective on conversion disorder was revised in light of experimental findings with hysterically blind people who

a) have underlying brain defects.

b) can see when under hypnosis.

c) have neurological responses to visual stimuli.

d) experienced traumatic visual events.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Comprehension

79. Contemporary psychodynamic research on hysterically blind individuals indicates that they repress

a) the awareness that they see.

b) all visual stimuli.

c) information extracted from visual stimuli.

d) their motives about seeing.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Comprehension

80. People with unexplained blindness show diminished activity in areas of the brain involved in

a) processing simple visual input like lines.

b) storing visual memories.

c) responding to threatening sights.

d) integrating visual information.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Comprehension

81. Conversion disorder symptoms typically begin

a) in adolescence or early adulthood.

b) in childhood.

c) in late adulthood.

d) earlier for males than for females.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Knowledge

82. A behavioral reinforcer for someone with somatic symptom disorder might be

a) receiving a dollar each time the person goes out.

b) feeling refreshed after taking a hot shower.

c) receiving attention and sympathy.

d) successfully avoiding social situations.

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Application

83. The treatment of somatic symptom and related disorders is relatively primitive because

a) individuals with these disorders rarely seek mental health treatment.

b) only psychodynamic therapies have been implemented.

c) efforts to treat them have been unsuccessful.

d) legal and professional prohibitions pose barriers.

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Comprehension

84. In an effort to reduce Alan’s somatic symptoms, his behaviorally oriented therapist would most likely

a) suggest that his family reinforce his efforts to return to work.

b) train him in relaxation skills.

c) spend time uncovering stressors that led to the problem.

d) dispute the validity of his pain.

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Application

85. One type of behavioral treatment for somatic symptom and related disorders seeks to

a) reduce anxiety levels using somatic methods.

b) eliminate the problem behaviors using punishment.

c) teach more appropriate techniques for interacting with others.

d) use hypnosis to alleviate the symptoms.

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Knowledge

86. Cognitive treatments for somatic symptom and related disorders seek to

a) reduce attention to the body and challenge negative thoughts.

b) teach more appropriate techniques for interactions with others.

c) teach relaxation techniques to alleviate the symptoms.

d) use operant conditioning to increase attention paid to the patient.

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Knowledge

87. Cognitive-behavioral treatments for somatic symptom disorder

a) are aimed at focusing the person on bodily sensations.

b) encourage the person to seek reassurance from a medical doctor.

c) reduce comorbid depressive symptoms but not anxiety symptoms.

d) have a greater effect on distress about symptoms than on the actual symptoms.

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Comprehension

88. Psychological treatment of somatic symptom and related disorders often includes

a) conducting medical tests to show that symptoms have no medical basis.

b) focusing on reducing the underlying anxiety and depression.

c) keeping a diary of symptoms and complaints.

d) exploring childhood experiences of being sick.

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Comprehension

89. Controlled trials of psychological treatment for conversion disorder indicate that

a) supportive psychotherapy reduces patients’ concerns.

b) biofeedback is more effective than any other type of treatment.

c) relaxation training is highly effective in reducing symptoms.

d) cognitive behavior therapy has beneficial effects for certain forms of the disorder.

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Knowledge

90. In which type of therapy would the therapist help the client learn to regard moments of pain, suffering, depression, and anxiety as part of life?

a) rational emotive therapy

b) dialectical behavior therapy

c) behavior activation therapy

d) acceptance and commitment therapy

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Comprehension

91. Which medication has been used effectively in the treatment of somatic symptom disorder?

a) high-dose sedative/hypnotics

b) low-dose antidepressants

c) low-dose opioids

d) high-dose benzodiazepines

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Easy

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Knowledge

Question Type: Essay

92. Justify the inclusion of depersonalization/derealization disorder in the dissociative disorders even though it does not involve disturbances of memory.

Section Reference: Clinical Descriptions and Epidemiology of the Dissociative Disorders

Difficulty: Hard

Learning Objective: Summarize the symptoms and epidemiology of the three major dissociative disorders.

Bloomcode: Evaluation

93. What is the controversy surrounding repressed memory? Explain the importance of this controversy in the diagnosis of dissociative identity disorder.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Easy

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder. Bloomcode: Evaluation

94. Compare and contrast the two major theories for the etiology of dissociative identity disorder.

Section Reference: Etiology of Dissociative Disorders

Difficulty: Medium

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Evaluation

95. Discuss the difference between implicit and explicit memories. What is the controversy surrounding implicit memories in dissociative identity disorder?

Section Reference: Etiology of Dissociative Disorders

Difficulty: Medium

Learning Objective: Discuss the current debate regarding the etiology of dissociative identity disorder.

Bloomcode: Synthesis

96. Discuss the common treatment approach for dissociative identity disorder.

Section Reference: Treatment of Dissociative Disorders

Difficulty: Medium

Learning Objective: Describe the available treatments for dissociative identity disorder.

Bloomcode: Evaluation

97. Differentiate between factitious disorder and malingering.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Analysis

98. Describe malingering, and explain how it differs from conversion disorder.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Evaluation

99. Discuss the criteria for diagnosing somatic symptom disorder.

Section Reference: Clinical Description of Somatic Symptom and Related Disorders

Difficulty: Hard

Learning Objective: Define the symptoms of the somatic symptom and related disorders.

Bloomcode: Evaluation

100. Compare and contrast the psychoanalytical and behavioral approaches to the etiology of conversion disorder.

Section Reference: Etiology of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Explain the etiology of the somatic symptom and related disorders.

Bloomcode: Synthesis

101. Describe the treatment options for people with somatic symptom disorder.

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Synthesis

102. Compare and contrast the psychoanalytic and behavioral approaches to treatment of conversion disorder.

Section Reference: Treatment of Somatic Symptom and Related Disorders

Difficulty: Medium

Learning Objective: Describe the available treatments for somatic symptom and related disorders.

Bloomcode: Synthesis