Somatic Symptom And Dissociative + Ch8 + Complete Test Bank

Chapter 08 Test Bank
 

1. The predominant neurobiological model of pain is the: 

A. gate control theory.

B. trauma theory.

C. conversion theory.

D. somatoform theory.

E. diathesis-stress theory.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

2. Cognitive-behavioural models of the somatisation process centre on: 

A. the hormonal stress-response system.

B. the cycle of increasing somatosensory amplification.

C. direct representations of traumatic events through bodily memory.

D. personality characteristics that predispose the person to developing somatoform disorders.

E. the interaction between interpersonal stressors and pain.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

3. In the DSM-5, somatic symptoms and related disorders comprise all of the following except: 

A. conversion disorder.

B. illness anxiety disorder.

C. factitious disorder.

D. somatic symptom disorder.

E. somatoform disorder.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 8.1 Describe the similarities and differences between the two categories of somatic symptom and dissociative disorders and the various ways in which these conditions have been understood historically.
Topic: Somatic Symptom and Related Disorders
 

4. Dissociative disorders all involve which of the following? 

A. the presence of two or more distinct identities or personality states

B. hallucinations and delusions

C. somatosensory amplification

D. motor or sensory neurological disturbance, with a sudden onset after an episode of psychological stress

E. disconnection of normally integrated mental functions

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

5. Explanations of the apparently increasing prevalence of dissociative disorders include which of the following? 

A. Many apparently new cases are incorrectly diagnosed.

B. More cases are being detected by new and valid assessment tools.

C. It is a culture-bound syndrome in North America, where most prevalence studies are conducted.

D. All of the given options are correct.

E. None of the given options is correct.

Blooms: Comprehension
Difficulty: Medium
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

6. Most individuals with dissociative identity disorders also meet criteria for: 

A. schizophrenia.

B. bipolar disorder.

C. posttraumatic stress disorder (PTSD).

D. All of the given options are correct.

E. None of the given options is correct.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

7. Munchausen’s by proxy refers to: 

A. a factitious disorder.

B. a disorder whereby an individual, usually a parent, induces illness in a child.

C. a type of child abuse.

D. All of the given options are correct.

E. None of the given options is correct.

Blooms: Comprehension
Difficulty: Easy
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

8. Somatic disorders and dissociative disorders both involve: 

A. dissociative processes.

B. medically unexplained symptoms or illness.

C. dissociative processes and medically unexplained symptoms or illness.

D. neither dissociative processes nor medically unexplained symptoms or illness.

E. hallucinations and delusions.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 8.1 Describe the similarities and differences between the two categories of somatic symptom and dissociative disorders and the various ways in which these conditions have been understood historically.
Topic: Somatic Symptom and Related Disorders
 

9. The main difference between somatic disorders and psychosomatic disorders is that: 

A. somatic disorders are deliberately feigned.

B. psychosomatic disorders are deliberately feigned.

C. for psychosomatic disorders there is a physiological explanation linking the stress and the symptom.

D. for psychosomatic disorders there is no physiological explanation linking the stress and the symptom.

E. somatic disorders do not include dissociative processes.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.1 Describe the similarities and differences between the two categories of somatic symptom and dissociative disorders and the various ways in which these conditions have been understood historically.
Topic: Somatic Symptom and Related Disorders
 

10. A common feature of a conversion disorder is a lack of concern about the loss of bodily functioning. This is known as: 

A. repression.

B. supression.

C. denial.

D. la belle indifference.

E. conversion amnesia.

Blooms: Knowledge
Difficulty: Easy
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

11. Illness anxiety disorder is defined by the DSM-5 as: 

A. a fear of having (or belief that one has) a serious medical illness, for which clinical evidence is lacking.

B. a motor or sensory neurological disturbance, with a sudden onset after an episode of psychological stress.

C. a history of at least eight physical symptoms in at least four specified organ systems, not better explained by other physical or mental disorder(s).

D. the deliberate feigning of illness, with symptoms either inaccurately reported or self-induced.

E. fear of experiencing unexpected panic attacks.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

12. Which of the following is true of the finding that symptoms of anxiety and depression are common among people with medically unexplained physical symptoms? 

A. It supports the theory that psychological distress is converted into somatic symptoms.

B. It challenges the theory that psychological distress is converted into somatic symptoms.

C. It confirms that the traditional physical model of illness is well-suited to managing these disorders.

D. It challenges the view that the traditional physical model of illness is well-suited to managing these disorders.

E. None of the given options is correct.

Blooms: Comprehension
Difficulty: Hard
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

13. Psychological intervention for chronic somatic symptoms: 

A. is rarely effective.

B. is often requested by patients.

C. requires agreement that the problem is psychological.

D. requires a strong therapeutic relationship.

E. None of the given options is correct.

Blooms: Comprehension
Difficulty: Hard
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

14. The 'memory wars' debate centres on: 

A. whether dissociative amnesia occurs only in wartime.

B. whether 'recovered' memories of trauma are accurate and valid.

C. whether hypnotherapy is the best treatment for amnesia.

D. the ethics of laboratory research on children's memories.

E. whether individuals with somatoform disorders have impaired memory.

Blooms: Comprehension
Difficulty: Hard
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

15. The most common acute somatic symptom is: 

A. conversion disorder.

B. somatisation disorder.

C. hypochondriasis.

D. body dysmorphic disorder.

E. pain.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

16. The International Society for the Study of Trauma and Dissociation guidelines for the treatment of dissociative identity disorder emphasise all of the following treatment components except: 

A. hypnosis.

B. confronting traumatic memories.

C. establishment of a safe environment.

D. integration.

E. rehabilitation.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

17. Attribution theory suggests that people initially tend to explain bodily symptoms in terms of: 

A. physical causes.

B. psychological causes.

C. situational causes.

D. cultural causes.

E. interpersonal causes.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

18. In comparison with chronic somatic disorders, acute somatic disorders are: 

A. characterised by stronger illness conviction.

B. more difficult to treat.

C. more likely to involve multiple symptoms.

D. more responsive to a 'reattribution' intervention.

E. less responsive to a 'reattribution' intervention.

Blooms: Comprehension
Difficulty: Hard
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

19. There has been one addition in the DSM-5 to the criteria used in diagnosing dissociative identity disorder. What is it? 

A. Imaginary playmates are included.

B. Religious beliefs are included.

C. Pathological possession is included.

D. Pathological daydreaming is included.

E. Pathological fantasising is included.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

20. The dissociative disorder with the largest body of treatment literature is: 

A. dissociative identity disorder.

B. dissociative amnesia.

C. dissociative fugue.

D. depersonalisation disorder.

E. catatonic disorder.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

21. The disorder with the most overlap with dissociative identity disorder is: 

A. schizophrenia.

B. somatic disorder.

C. antisocial personality disorder.

D. hypochondriasis.

E. posttraumatic stress disorder.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

22. According to the iatrogenic theory, dissociative identity disorder is the product of: 

A. emotional abuse in childhood.

B. physical abuse in childhood.

C. lack of social contact.

D. therapy or the popular media.

E. None of the given options is correct.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

23. Pathological dissociation may involve all of the following except: 

A. depersonalisation.

B. derealisation.

C. amnesia.

D. identity confusion.

E. excessive daydreaming.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Dissociative Disorders
 

24. What percentage of patients presenting to their general practitioners have symptoms that remain medically unexplained? 

A. 5 per cent

B. 12 per cent

C. 15 per cent

D. 18 per cent

E. 32 per cent

Blooms: Knowledge
Difficulty: Hard
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

25. The more physical symptoms an individual experiences, the more likely it is that: 

A. s/he will be depressed.

B. s/he will be anxious.

C. s/he will be both depressed and anxious.

D. s/he will be neither depressed nor anxious.

E. s/he will have psychosomatic complaints.

Blooms: Comprehension
Difficulty: Hard
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

26. Which answer best describes factitious disorder? 

A. An individual deliberately feigns illness.

B. An individual deliberately feigns illness for an obvious gain.

C. An individual deliberately feigns illness for no obvious gain.

D. None of the given options is correct.

E. All of the given options are correct.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

27. People with somatic disorders have been found to have higher levels of: 

A. alexithymia.

B. anhedonia.

C. anxiety sensitivity.

D. None of the given options is correct.

E. All of the given options are correct.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Dissociative Disorders
 

28. The posttraumatic model of dissociative identity disorder argues that most individuals with this disorder show the following except: 

A. a reported history of childhood trauma and abuse.

B. posttraumatic stress disorder.

C. high trait anxiety.

D. None of the given options is correct.

E. All of the given options are correct.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Dissociative Disorders
 

29. Brief experiences of depersonalisation are: 

A. rare in the general population.

B. common in the general population.

C. a sign of depersonalisation disorder.

D. a sign of derealisation disorder.

E. more common in those with dissociative identity disorder.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

30. Treatments for chronic somatic symptoms and related disorders include all of the following except: 

A. relaxation.

B. exploring unconscious thoughts.

C. graded exposure.

D. distraction.

E. challenging unhelpful thinking.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

31. Factors that help to identify somatic symptom disorder as a mental disorder rather than a medical condition include all of the following except: 

A. the persistence and number of symptoms.

B. bodily preoccupation.

C. presence of anxiety and depression.

D. illness worry.

E. constant seeking of medical help.

Blooms: Analysis
Difficulty: Medium
Learning Objective: 8.2 Identify the features, causes and treatments of the primary disorders in the ‘somatic symptom and related disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

32. The most common precipitants of depersonalisation include all of the following except: 

A. amnesia.

B. anxiety.

C. substance abuse.

D. stress.

E. depression.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

33. Brain activation associated with amnesia implicates: 

A. the cerebellum.

B. the occipital lobes.

C. the basal ganglia.

D. the pre-frontal cortex.

E. increased activation in the hippocampus.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

34. Cognitive behavioural models of somatisation emphasise all of the following except: 

A. sensitivity to physical sensations.

B. the presence of avoidance behaviours.

C. catastrophic attributions around symptoms.

D. preoccupation around illness and disease.

E. the presence of high anxiety and depression.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Somatic Symptom and Related Disorders
 

35. According to the fantasy model of dissociative identity disorder: 

A. highly dissociative individuals are highly fantasy prone.

B. highly fantasy-prone individuals easily dissociate.

C. highly dissociative persons have difficulty fantasising.

D. None of the given options is correct.

E. All of the given options are correct.

Blooms: Analysis
Difficulty: Easy
Learning Objective: 8.3 Identify the features, causes and treatments of the primary disorders in the ‘dissociative disorders’ category.
Topic: Dissociative Disorders
 

36. The case of Anna O and the account of psychoanalytic treatment of somatic symptoms is historically important because: 

A. it described different states of consciousness.

B. it described somatic symptoms occurring in the context of trauma.

C. it established psychotherapy as a treatment.

D. It was the first case of psychoanalysis described.

E. All of the given options are correct.

Blooms: Knowledge
Difficulty: Medium
Learning Objective: 8.1 Describe the similarities and differences between the two categories of somatic symptom and dissociative disorders and the various ways in which these conditions have been understood historically.
Topic: Dissociative Disorders
 

37. According to Freud’s psychoanalytic theory, a man who develops paralysis in his arm after seeing his wife flirting with another man, would be displaying signs of: 

A. suppression of an unacceptable aggressive impulse.

B. hysteria.

C. dissociative fantasising.

D. dissociative disorder.

E. unacceptable sexual fantasies.

Blooms: Analysis
Difficulty: Hard
Learning Objective: 8.1 Describe the similarities and differences between the two categories of somatic symptom and dissociative disorders and the various ways in which these conditions have been understood historically.
Topic: Dissociative Disorders
 

Chapter 08 Test Bank Summary