Deck 1: Introducing Health Psychology

ملء الشاشة (f)
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سؤال
In the United States during the early years of the 21st century,

A) deaths from Alzheimer's and Parkinson's diseases increased.
B) deaths from accidents increased significantly.
C) deaths from heart disease increased significantly.
D) deaths only moderately related to lifestyle decreased significantly.
استخدم زر المسافة أو
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لقلب البطاقة.
سؤال
During the last few years of the 20th century,chronic diseases in the United States

A) began to rise more rapidly than during the previous 50 years.
B) began to decrease while deaths not due to lifestyles began to increase.
C) began to increase while deaths not due to lifestyles began to decrease.
D) were replaced by acute diseases as the leading cause of death.
سؤال
The single most important contributor to an increase in life expectancy is

A) the decrease in the infant mortality rate.
B) the increase in individuals' beliefs in the importance of exercise.
C) advancement in medical technology.
D) advancement in medical care.
سؤال
Chronic diseases

A) develop and persist over a period of time.
B) are due to infectious agents such as bacteria or viruses.
C) are not as common today as during the 19th century.
D) include influenza and pneumonia.
سؤال
All of the following are factors in life expectancy EXCEPT:

A) age
B) education
C) ethnicity
D) mother's personality
سؤال
In the United States,the three leading causes of death for adults ages 35 to 44 are

A) unintentional injuries, cancer, and heart disease.
B) suicide, homicide, and HIV infection.
C) HIV infection, heart disease, and pneumonia.
D) cancer, HIV infection, and pneumonia.
سؤال
In 1900,most deaths in the United States were caused by ____,whereas today most are due to ____.

A) pneumonia. . . cancer
B) chronic diseases. . . cancer
C) infectious diseases. . . chronic diseases
D) cancer. . . alcohol-related causes
سؤال
The leading cause of death in the United States

A) is due to acute, infectious disease.
B) is due to risky sexual behaviors.
C) has shifted from cardiovascular disease to cancer.
D) has shifted from acute to chronic diseases.
سؤال
A century ago,life expectancy in the US was ______ years and currently life expectancy in the US is ______ years.

A) 20; 60
B) 30; 70
C) 50; 80
D) 50; 70
سؤال
Rhona is a 32-year-old African American college professor.Gena is a 32-year-old Hispanic American engineer.Leah is a 32-year-old European American who has been unemployed for most of the past 10 years and living below the poverty level.Helen is a 32-year-old Asian American dentist.The woman most at risk for poor health is

A) Rhona.
B) Gena.
C) Leah
D) Helen.
سؤال
What two factors can help explain some of the ethnic differences in health and life expectancy?

A) Poverty and age
B) Poverty and low education level
C) Low education level and age
D) Low education level and drug use
سؤال
People who graduate from college show the following positive outcomes EXCEPT

A) higher average incomes.
B) more likely to exercise.
C) better access to health care.
D) more likely to eat a high-fat diet.
سؤال
Cancer is the leading cause of death in which of the following ethnic groups?

A) European Americans
B) Hispanic Americans
C) African Americans
D) Asian Americans
سؤال
_________ diseases are a class of diseases that consist of heart disease,cancer,and stroke.

A) Infectious
B) Chronic
C) Unintentional
D) Cardiovascular
سؤال
The increase in life expectancy since 1900 is due mostly to

A) the decrease in cancer deaths.
B) the conquest of influenza.
C) major changes in lifestyle.
D) none of these.
سؤال
Cardiovascular disease and cancer account for about _____ of all deaths in the US.

A) 40%
B) 50%
C) 60%
D) 70%
سؤال
In the United States,young people have a low mortality rate; those who die are most likely to die from

A) cancer.
B) unintentional injuries.
C) homicide.
D) HIV infection.
سؤال
In the United States,people living below the poverty level generally

A) have low educational levels.
B) are more likely than other people to have health insurance.
C) are members of ethnic minority groups.
D) both a and c are correct.
سؤال
In the United States,young people ages 15 to 24 are most likely to die from _______ and _______.

A) cancer. . . . heart disease
B) unintentional injuries . . . . homicide
C) homicide . . . . cancer
D) suicide . . . . HIV infection
سؤال
People's beliefs about health and illness may be incorrect.Which of these common beliefs is true?

A) The United States ranks in the top five nations in the world in terms of life expectancy.
B) The 30-year increase in life expectancy that occurred in the United States during the 20th century was due mostly to improved medical care.
C) Good health is the absence of disease.
D) None of these is true.
سؤال
The discipline that emphasizes the prevention of illness and the enhancement of health in currently healthy people is called

A) behavioral health.
B) health psychology.
C) behavioral medicine.
D) medical psychology.
سؤال
Psychosomatic medicine sees physical illnesses as

A) having emotional and psychological components.
B) having biological causes.
C) causing stress and subsequent organic illnesses.
D) all of these.
سؤال
Which of the following has been the LEAST significant contributor to escalating medical costs?

A) increases in population
B) the aging of the population
C) more sophisticated medical technology
D) increases in the number of complex surgical procedures
سؤال
In Sheldon Cohen's research on the common cold,all participants received a cold virus injection and after a week,

A) all participants showed signs of having a cold.
B) only participants who were sick to begin with got a cold.
C) only health participants got a cold.
D) only participants who had dealt with a stressful experience got a cold.
سؤال
Health psychologists are most likely to see health

A) from a biomedical viewpoint.
B) from a biopsychosocial viewpoint.
C) as the absence of illness.
D) as a single dimensional condition.
سؤال
Presently,physicians and health psychologists are most likely to agree that psychosomatic illnesses are

A) a primary means of coping with acute pain.
B) all in the head of the person with the illness.
C) diseases linked to a complex of biological, psychological, and social factors.
D) flow from unconscious factors and are a means of reducing anxiety.
سؤال
College graduates generally live longer than people who drop out of high school.Which of these conditions is most likely to explain these differences?

A) College graduates are more likely to smoke cigars.
B) High school dropouts are more likely to seek health care.
C) High school dropouts are less likely to use illicit drugs.
D) College graduates are less likely to smoke cigarettes.
سؤال
During the past 30 years,death rate from heart disease in the United States has declined.At the same time,

A) medical costs have increased.
B) smoking rates have increased.
C) life expectancy has decreased.
D) acceptance of the biomedical model has increased.
سؤال
Which of these has been a major health trend in the U.S.since 1900?

A) Cost of medical care has risen faster than inflation.
B) Health has been more frequently defined as the absence of illness.
C) Acute illnesses have replaced chronic diseases as the leading causes of death.
D) The biomedical model has been accepted by most psychologists.
سؤال
In the biopsychosocial model proposed by the textbook's authors,health and disease outcomes flow DIRECTLY from

A) psychological factors.
B) biological factors.
C) sociological factors.
D) all of these.
سؤال
Cade attributes catching a "cold" to not getting enough sleep and feelings of distress.Thus,Cade has an implicit acceptance of the ____ model of health.

A) biochemical
B) biomedical
C) Cartesian
D) biopsychosocial
سؤال
The biomedical model of disease

A) was common during the 1800s but was replaced by the biopsychosocial model during the early 1900s.
B) views pathogens as the causes of disease.
C) is more common among the public than among health care professionals.
D) cannot explain infectious illness or the prevalence of viral illness.
سؤال
An inverse relationship exists between educational level and death rates,which means that

A) people who graduate from high school have higher death rates than those who do not.
B) people who attend college have higher death rates than those who drop out of high school.
C) people who attend college live longer than those who have never attended college.
D) both a and b
سؤال
Sheldon Cohen's research on the common cold showcase that the ________ approach to understanding sickness and infection is inadequate.

A) biopsychosocial
B) biomedical
C) the psychological
D) biochemical
سؤال
Health psychology is

A) a branch of medicine related to psychological health.
B) a discipline within psychology related to psychological health.
C) a new name for psychosomatic medicine.
D) a discipline within psychology related to health.
سؤال
Before 1950,psychologists were involved with physical health primarily in the area of

A) changing lifestyles.
B) changing attitudes.
C) pain management.
D) teaching in medical schools.
سؤال
Health psychology is best defined as the scientific study of those behaviors related to

A) the adoption of the sick role for persons who believe themselves to be ill.
B) health enhancement, disease prevention, and rehabilitation.
C) the development of psychosomatic illness.
D) the development of psychological and emotional illness.
سؤال
Many medical advances during the 19th century were prompted by the biomedical model that

A) emphasized emotional rather than physical factors in diseases.
B) replaced the Cartesian model.
C) led to a search for microscopic organisms that cause disease.
D) took a holistic view of health and disease.
سؤال
Behavioral medicine assumes

A) a link between individual behaviors and health.
B) the existence of a specific pathogen in illness.
C) that disease can be controlled, but that health cannot be enhanced.
D) that the goals of medicine and psychology are incompatible.
سؤال
In contrast to the biopsychosocial model,the biomedical model views health as

A) a positive condition.
B) an incorporation of psychological and social factors.
C) a result of a combination of factors such as genetics, beliefs, and stress.
D) the absence of disease.
سؤال
Janelle,a health psychologist,could do any of the following tasks EXCEPT

A) offer alternatives to pharmacological treatments.
B) provide behavioral interventions to treat physical disorders.
C) design effective health communication to promote positive physical health.
D) design drug trials to enable doctors to find a drug to treat breast cancer.
سؤال
The work of health psychologists is similar to other psychologists because it includes

A) counseling people with personal problems.
B) conducting research on personality and health habits.
C) assessment, research, and provision of services.
D) working in health care settings.
سؤال
Despite national media coverage to the contrary,poverty is not related to the mortality rate in the United States.
سؤال
Trace the development of behavioral medicine and health psychology.
سؤال
During the last quarter of the 20th century,psychology became involved in the changing field of health primarily by

A) treating physical diseases.
B) treating mental diseases.
C) studying behaviors that enhance health and prevent disease.
D) practicing psychosomatic medicine.
سؤال
Health psychologists are MOST likely to

A) be part of an interdisciplinary team.
B) work as a practitioner in a solo private practice.
C) go to medical school after finishing a doctoral degree in psychology.
D) do all of these.
سؤال
College graduates generally have a higher death rate than high school dropouts.
سؤال
Health psychologists rarely work in hospitals.
سؤال
Currently,the leading cause of death in the United States is cancer.
سؤال
Before the development of health psychology,how was psychology involved in health?
سؤال
Most people in the United States die of chronic diseases.
سؤال
Trace the changes in patterns of disease during the 20th century.Are there signs that those trends are changing? If so,how?
سؤال
The training of health psychologists includes earning doctoral degrees.
سؤال
What roles do age and ethnicity play in mortality?
سؤال
Stress is the leading cause of death in the United States.
سؤال
Death rates in the United States from both heart disease and cancer are declining.
سؤال
Health is generally defined as an absence of disease.
سؤال
Discuss the implications of the acceptance of the biopsychosocial model over the biomedical model.
سؤال
Most experts in health psychology recommend that

A) health psychologists should be physicians first.
B) health psychologists should receive at least two years of postdoctoral training.
C) health psychology should be a separate discipline from generic psychology.
D) the training of health psychologists should be shortened to meet the demands for workers in the field.
سؤال
African Americans have a higher death rate than European Americans.
سؤال
Discuss how the preparation and work of health psychologists differ from and are similar to those of other psychologists.
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ملء الشاشة (f)
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Deck 1: Introducing Health Psychology
1
In the United States during the early years of the 21st century,

A) deaths from Alzheimer's and Parkinson's diseases increased.
B) deaths from accidents increased significantly.
C) deaths from heart disease increased significantly.
D) deaths only moderately related to lifestyle decreased significantly.
deaths from Alzheimer's and Parkinson's diseases increased.
2
During the last few years of the 20th century,chronic diseases in the United States

A) began to rise more rapidly than during the previous 50 years.
B) began to decrease while deaths not due to lifestyles began to increase.
C) began to increase while deaths not due to lifestyles began to decrease.
D) were replaced by acute diseases as the leading cause of death.
began to decrease while deaths not due to lifestyles began to increase.
3
The single most important contributor to an increase in life expectancy is

A) the decrease in the infant mortality rate.
B) the increase in individuals' beliefs in the importance of exercise.
C) advancement in medical technology.
D) advancement in medical care.
the decrease in the infant mortality rate.
4
Chronic diseases

A) develop and persist over a period of time.
B) are due to infectious agents such as bacteria or viruses.
C) are not as common today as during the 19th century.
D) include influenza and pneumonia.
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5
All of the following are factors in life expectancy EXCEPT:

A) age
B) education
C) ethnicity
D) mother's personality
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افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
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6
In the United States,the three leading causes of death for adults ages 35 to 44 are

A) unintentional injuries, cancer, and heart disease.
B) suicide, homicide, and HIV infection.
C) HIV infection, heart disease, and pneumonia.
D) cancer, HIV infection, and pneumonia.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
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7
In 1900,most deaths in the United States were caused by ____,whereas today most are due to ____.

A) pneumonia. . . cancer
B) chronic diseases. . . cancer
C) infectious diseases. . . chronic diseases
D) cancer. . . alcohol-related causes
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8
The leading cause of death in the United States

A) is due to acute, infectious disease.
B) is due to risky sexual behaviors.
C) has shifted from cardiovascular disease to cancer.
D) has shifted from acute to chronic diseases.
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9
A century ago,life expectancy in the US was ______ years and currently life expectancy in the US is ______ years.

A) 20; 60
B) 30; 70
C) 50; 80
D) 50; 70
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10
Rhona is a 32-year-old African American college professor.Gena is a 32-year-old Hispanic American engineer.Leah is a 32-year-old European American who has been unemployed for most of the past 10 years and living below the poverty level.Helen is a 32-year-old Asian American dentist.The woman most at risk for poor health is

A) Rhona.
B) Gena.
C) Leah
D) Helen.
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11
What two factors can help explain some of the ethnic differences in health and life expectancy?

A) Poverty and age
B) Poverty and low education level
C) Low education level and age
D) Low education level and drug use
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12
People who graduate from college show the following positive outcomes EXCEPT

A) higher average incomes.
B) more likely to exercise.
C) better access to health care.
D) more likely to eat a high-fat diet.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
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13
Cancer is the leading cause of death in which of the following ethnic groups?

A) European Americans
B) Hispanic Americans
C) African Americans
D) Asian Americans
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14
_________ diseases are a class of diseases that consist of heart disease,cancer,and stroke.

A) Infectious
B) Chronic
C) Unintentional
D) Cardiovascular
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افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
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15
The increase in life expectancy since 1900 is due mostly to

A) the decrease in cancer deaths.
B) the conquest of influenza.
C) major changes in lifestyle.
D) none of these.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
16
Cardiovascular disease and cancer account for about _____ of all deaths in the US.

A) 40%
B) 50%
C) 60%
D) 70%
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افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
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17
In the United States,young people have a low mortality rate; those who die are most likely to die from

A) cancer.
B) unintentional injuries.
C) homicide.
D) HIV infection.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
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18
In the United States,people living below the poverty level generally

A) have low educational levels.
B) are more likely than other people to have health insurance.
C) are members of ethnic minority groups.
D) both a and c are correct.
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19
In the United States,young people ages 15 to 24 are most likely to die from _______ and _______.

A) cancer. . . . heart disease
B) unintentional injuries . . . . homicide
C) homicide . . . . cancer
D) suicide . . . . HIV infection
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20
People's beliefs about health and illness may be incorrect.Which of these common beliefs is true?

A) The United States ranks in the top five nations in the world in terms of life expectancy.
B) The 30-year increase in life expectancy that occurred in the United States during the 20th century was due mostly to improved medical care.
C) Good health is the absence of disease.
D) None of these is true.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
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21
The discipline that emphasizes the prevention of illness and the enhancement of health in currently healthy people is called

A) behavioral health.
B) health psychology.
C) behavioral medicine.
D) medical psychology.
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فتح الحزمة
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22
Psychosomatic medicine sees physical illnesses as

A) having emotional and psychological components.
B) having biological causes.
C) causing stress and subsequent organic illnesses.
D) all of these.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
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23
Which of the following has been the LEAST significant contributor to escalating medical costs?

A) increases in population
B) the aging of the population
C) more sophisticated medical technology
D) increases in the number of complex surgical procedures
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
24
In Sheldon Cohen's research on the common cold,all participants received a cold virus injection and after a week,

A) all participants showed signs of having a cold.
B) only participants who were sick to begin with got a cold.
C) only health participants got a cold.
D) only participants who had dealt with a stressful experience got a cold.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
25
Health psychologists are most likely to see health

A) from a biomedical viewpoint.
B) from a biopsychosocial viewpoint.
C) as the absence of illness.
D) as a single dimensional condition.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
26
Presently,physicians and health psychologists are most likely to agree that psychosomatic illnesses are

A) a primary means of coping with acute pain.
B) all in the head of the person with the illness.
C) diseases linked to a complex of biological, psychological, and social factors.
D) flow from unconscious factors and are a means of reducing anxiety.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
27
College graduates generally live longer than people who drop out of high school.Which of these conditions is most likely to explain these differences?

A) College graduates are more likely to smoke cigars.
B) High school dropouts are more likely to seek health care.
C) High school dropouts are less likely to use illicit drugs.
D) College graduates are less likely to smoke cigarettes.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
28
During the past 30 years,death rate from heart disease in the United States has declined.At the same time,

A) medical costs have increased.
B) smoking rates have increased.
C) life expectancy has decreased.
D) acceptance of the biomedical model has increased.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
29
Which of these has been a major health trend in the U.S.since 1900?

A) Cost of medical care has risen faster than inflation.
B) Health has been more frequently defined as the absence of illness.
C) Acute illnesses have replaced chronic diseases as the leading causes of death.
D) The biomedical model has been accepted by most psychologists.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
30
In the biopsychosocial model proposed by the textbook's authors,health and disease outcomes flow DIRECTLY from

A) psychological factors.
B) biological factors.
C) sociological factors.
D) all of these.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
31
Cade attributes catching a "cold" to not getting enough sleep and feelings of distress.Thus,Cade has an implicit acceptance of the ____ model of health.

A) biochemical
B) biomedical
C) Cartesian
D) biopsychosocial
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
32
The biomedical model of disease

A) was common during the 1800s but was replaced by the biopsychosocial model during the early 1900s.
B) views pathogens as the causes of disease.
C) is more common among the public than among health care professionals.
D) cannot explain infectious illness or the prevalence of viral illness.
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
33
An inverse relationship exists between educational level and death rates,which means that

A) people who graduate from high school have higher death rates than those who do not.
B) people who attend college have higher death rates than those who drop out of high school.
C) people who attend college live longer than those who have never attended college.
D) both a and b
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
34
Sheldon Cohen's research on the common cold showcase that the ________ approach to understanding sickness and infection is inadequate.

A) biopsychosocial
B) biomedical
C) the psychological
D) biochemical
فتح الحزمة
افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
35
Health psychology is

A) a branch of medicine related to psychological health.
B) a discipline within psychology related to psychological health.
C) a new name for psychosomatic medicine.
D) a discipline within psychology related to health.
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افتح القفل للوصول البطاقات البالغ عددها 61 في هذه المجموعة.
فتح الحزمة
k this deck
36
Before 1950,psychologists were involved with physical health primarily in the area of

A) changing lifestyles.
B) changing attitudes.
C) pain management.
D) teaching in medical schools.
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37
Health psychology is best defined as the scientific study of those behaviors related to

A) the adoption of the sick role for persons who believe themselves to be ill.
B) health enhancement, disease prevention, and rehabilitation.
C) the development of psychosomatic illness.
D) the development of psychological and emotional illness.
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38
Many medical advances during the 19th century were prompted by the biomedical model that

A) emphasized emotional rather than physical factors in diseases.
B) replaced the Cartesian model.
C) led to a search for microscopic organisms that cause disease.
D) took a holistic view of health and disease.
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39
Behavioral medicine assumes

A) a link between individual behaviors and health.
B) the existence of a specific pathogen in illness.
C) that disease can be controlled, but that health cannot be enhanced.
D) that the goals of medicine and psychology are incompatible.
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40
In contrast to the biopsychosocial model,the biomedical model views health as

A) a positive condition.
B) an incorporation of psychological and social factors.
C) a result of a combination of factors such as genetics, beliefs, and stress.
D) the absence of disease.
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41
Janelle,a health psychologist,could do any of the following tasks EXCEPT

A) offer alternatives to pharmacological treatments.
B) provide behavioral interventions to treat physical disorders.
C) design effective health communication to promote positive physical health.
D) design drug trials to enable doctors to find a drug to treat breast cancer.
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42
The work of health psychologists is similar to other psychologists because it includes

A) counseling people with personal problems.
B) conducting research on personality and health habits.
C) assessment, research, and provision of services.
D) working in health care settings.
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43
Despite national media coverage to the contrary,poverty is not related to the mortality rate in the United States.
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44
Trace the development of behavioral medicine and health psychology.
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45
During the last quarter of the 20th century,psychology became involved in the changing field of health primarily by

A) treating physical diseases.
B) treating mental diseases.
C) studying behaviors that enhance health and prevent disease.
D) practicing psychosomatic medicine.
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46
Health psychologists are MOST likely to

A) be part of an interdisciplinary team.
B) work as a practitioner in a solo private practice.
C) go to medical school after finishing a doctoral degree in psychology.
D) do all of these.
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47
College graduates generally have a higher death rate than high school dropouts.
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48
Health psychologists rarely work in hospitals.
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49
Currently,the leading cause of death in the United States is cancer.
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50
Before the development of health psychology,how was psychology involved in health?
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51
Most people in the United States die of chronic diseases.
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52
Trace the changes in patterns of disease during the 20th century.Are there signs that those trends are changing? If so,how?
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53
The training of health psychologists includes earning doctoral degrees.
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54
What roles do age and ethnicity play in mortality?
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55
Stress is the leading cause of death in the United States.
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56
Death rates in the United States from both heart disease and cancer are declining.
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57
Health is generally defined as an absence of disease.
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58
Discuss the implications of the acceptance of the biopsychosocial model over the biomedical model.
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59
Most experts in health psychology recommend that

A) health psychologists should be physicians first.
B) health psychologists should receive at least two years of postdoctoral training.
C) health psychology should be a separate discipline from generic psychology.
D) the training of health psychologists should be shortened to meet the demands for workers in the field.
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60
African Americans have a higher death rate than European Americans.
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61
Discuss how the preparation and work of health psychologists differ from and are similar to those of other psychologists.
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