Deck 1: Examples and Definitions of Abnormal Behavior

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سؤال
Sam displays symptoms of paranoid schizophrenia; she feels ill after eating her lunch two days in a row.One of her symptoms is a paranoid belief that her coworkers are poisoning her.This type of belief is associated with

A)conflicts with society.
B)a nervous breakdown.
C)a psychosis.
D)adaptive behavior.
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سؤال
A group of symptoms that appear together and are assumed to represent a specific type of disorder is referred to as a

A)syndrome.
B)sign.
C)psychosis.
D)disease.
سؤال
In what terms are mental disorders defined?

A)when a person is out of contact with reality
B)persistent maladaptive behaviors
C)inconsistent,socially unacceptable behaviors
D)unrealistic beliefs
سؤال
While you and your friends are watching a movie,one of the characters says,"That's an example of insanity" in reference to another character.Because you are taking a course in abnormal psychology,everyone turns to you.What do you say about the term "insanity"?

A)"The key to identifying insanity is the presence of delusions."
B)"In order to be insane,a person must show evidence of some biological cause of the symptoms."
C)"Insanity is a general term that refers to the presence of severe signs of mental deterioration."
D)"Insanity is a legal term that refers to judgments about whether a person should be held responsible for criminal behavior."
سؤال
Which is the best description of abnormal psychology?

A)a deviant personality trait
B)analysis of the childhood roots of pathology
C)study of unconscious influences on mental disorders
D)application of psychological science to the study of mental disorders
سؤال
Specific laboratory tests to confirm the presence of psychopathology

A)do not at present exist.
B)are used by psychologists but not by psychiatrists.
C)are used by psychiatrists but not by psychologists.
D)are used to test for the presence of some viral infection or brain lesion to confirm a diagnosis.
سؤال
Why did the staff at the psychiatric hospital give Kevin Warner injections of antipsychotic medication?

A)People with Kevin's blood type do not respond to medication in pill form.
B)A high level of gastric juices in his digestive system destroyed the medication.
C)He only pretended to take the pills because he believed people were trying to poison him.
D)Antipsychotic drugs given by injection do not have the same serious side effects as those in pill form.
سؤال
In the United States and other developed countries,mental disorders are the ___leading cause of disease-related disability and mortality.

A)2nd
B)5th
C)10th
D)30th
سؤال
Which of the following is a rare form of psychopathology?

A)schizophrenia
B)panic disorder
C)major depression
D)gender identity disorder
سؤال
What is the literal meaning of the word "psychopathology"?

A)demons within
B)deviant behavior
C)brain dysfunction
D)pathology of the mind
سؤال
Nate is a clinical psychologist and is trying to determine if Jennifer has schizophrenia.In what way will he make this determination?

A)blood tests
B)studying the concentration of schizophrenia in Jennifer's geographic area
C)heredity
D)making observations of Jennifer's behavior and her descriptions of personal experience
سؤال
If a person with an abnormal behavior is unable to or unwilling to appreciate the extent of their problem or the impact it had on other people,what would psychologists say that person lacked?

A)ignorance
B)insight
C)logic
D)common sense
سؤال
The point of view of this textbook is that

A)very few people will ever come into contact with the problems that are associated with mental illness.
B)isolation between people with mental illness and people without mental illness benefits both groups.
C)it is likely that everyone will be touched by the problems associated with mental illness at some point in their life.
D)mental illness is almost a thing of the past due to modern treatments.
سؤال
A problem with defining abnormal behavior in terms of deviation from statistical norms is that this definition

A)focuses only on very rare conditions.
B)focuses only on conditions that are actually relatively common.
C)does not specify how unusual the behavior must be to be considered abnormal.
D)only considers deviations that are harmful.
سؤال
Determining the presence of disorder is based on several criteria,including

A)the duration of a person's symptoms.
B)the presence of a specific symptom in isolation.
C)the outcome of laboratory tests.
D)a person's culture.
سؤال
The symptoms and signs of mental illness are known as

A)the analysis of the mind.
B)the treatment of mental disorders.
C)psychopathology.
D)the ancient philosophy of the interaction of mind and body.
سؤال
A magazine reporter wants to write a story describing the occurrence of mental disorders in the United States.She needs a title that captures the findings of a national survey completed several years ago.Which of the following would be the best title?

A)"Rate of Mental Disorders Considered Low"
B)"Almost Everyone Diagnosed with a Mental Disorder at Some Point in Their Life"
C)"Rate of Mental Disorders Overestimated in the Past"
D)"At Least Two out of Every Four Americans Experience a Serious Form of Abnormal Behavior at Some Point in Their Life"
سؤال
The case of Kevin Warner was presented in the text as an example of the diagnosis of schizophrenia.Which of Kevin's symptoms strongly suggested that he had lost touch with reality,which is the defining feature of schizophrenia?

A)social withdrawal
B)difficulty in communicating
C)inability to succeed at work
D)belief that people were poisoning him
سؤال
According to the textbook,the line dividing normal from abnormal is

A)always clear.
B)often one of degree.
C)based on the exact form or content of behavior.
D)not a very important issue.
سؤال
According to Jerome Wakefield,one essential component of the definition of a mental disorder is

A)statistical rarity.
B)one distinguishing symptom.
C)an individual's subjective distress.
D)tissue damage revealed by medical tests.
سؤال
Olivia grew up in a society where mourners pull out their hair,go into an emotional frenzy,and speak in tongues.On a visit to the United States,she did these things in public when she heard that a relative had died.According to DSM-5,her behavior would be considered

A)psychopathological,because of her personal distress.
B)not psychopathological,because it is part of her culture.
C)psychopathological,because it disrupted her social functioning.
D)not psychopathological,because it caused no disruption in social functioning.
سؤال
Which publication contains the official criteria for diagnosing mental disorders?

A)Physicians' Desk Reference
B)Syndromes of Mental Disorders
C)Diagnostic and Statistical Manual of Mental Disorders
D)American Psychiatric Association Guidelines for Diagnosis
سؤال
Which organization publishes the Diagnostic and Statistical Manual of Mental Disorders,5th Edition (DSM-5)?

A)World Health Organization
B)American Psychiatric Association
C)American Psychological Association
D)National Institute of Mental Health
سؤال
In the term "harmful dysfunction," the word "dysfunction" refers to

A)a mental disorder.
B)a set of distinguishing symptoms.
C)a disruption of thought,feeling,or perception.
D)the inability of the person to function at work or school.
سؤال
What is one of the advantages of Jerome Wakefield's harmful dysfunction approach to defining mental disorders?

A)Cultural factors do not affect the definition.
B)The definition is based on established humanistic criteria.
C)The meaning of harmful is limited to life-threatening conditions.
D)As much as possible objective evaluation is used to define the dysfunction.
سؤال
Why were the actions of the Yippie Party not considered dysfunctional?

A)Their actions were an expectable response to cultural events.
B)The leaders of the party suffered from significant clinical distress.
C)Their actions were considered intentional political gestures.
D)Party members suffered psychological dysfunction.
سؤال
What problem in defining abnormal behavior is evident in the case of Kevin Warner described in the text?

A)Some statistically rare forms of behavior are desirable.
B)Some mental disorders have symptoms that are not harmful.
C)A behavior is not dysfunctional unless it is statistically unusual.
D)Some people do not perceive their abnormal behavior as personally stressful.
سؤال
Culture is defined in terms of the

A)level of education attained by most people in a specific group.
B)degree of emphasis a community places on art and literature.
C)values,beliefs,and practices shared by a specific group of people.
D)similarity of people within a group.
سؤال
Applying the concept of harmful dysfunction to the case of Kevin Warner,we can emphasize Kevin's failures of several mental mechanisms,including

A)perception.
B)motivation.
C)learning.
D)feeling.
سؤال
What principle guided developers of the DSM-5 as they wrote definitions of mental disorders?

A)Definitions should consider political factors.
B)Disorders should be associated with distress or disability.
C)Deviant behaviors that are encouraged by certain religions should be included.
D)Abnormal behaviors should have a biological basis to be considered mental disorders.
سؤال
On what does the DSM-5 place primary emphasis?

A)mechanisms that regulate emotion
B)the ability to distinguish between real or imagined auditory sensations
C)the consequences of certain behavioral syndromes
D)a person's social or occupational role
سؤال
What dysfunctions are considered to be disorders?

A)those resulting in significant harm to the person
B)those differing in any way from the ordinary function of a biological process
C)those eliciting abnormal behavior characteristics.
D)those leading to the inability to occasionally misconstrue reality.
سؤال
Conditions like albinism or fused toes are physical dysfunctions but would not be regarded as mental disorders because they

A)are physical.
B)do not cause any harm.
C)are rare.
D)are not easily diagnosed.
سؤال
A woman who is unable to achieve orgasm and who lives in a society that discourages female sexuality would probably not be given the DSM diagnosis of female orgasmic disorder because she

A)probably would not experience any distress or impairment.
B)would be distressed but not impaired.
C)would be impaired but not distressed.
D)would probably be both distressed and impaired.
سؤال
What was one of the factors that seems to have played a role in Mary's development of an eating disorder? (This is from one of the case studies.)

A)sexual abuse throughout childhood
B)being prone to sleepwalking episodes
C)a genetic predisposition to high levels of anxiety
D)being determined that she would never gain as much weight as her mother had
سؤال
How often is the official diagnostic manual for mental disorders revised by the American Psychiatric Association?

A)every year
B)every other year
C)every 5 to 10 years
D)every 15 to 20 years
سؤال
Beliefs and actions that are shared by religious,political,or sexual minority groups are not considered evidence of a mental disorder because such behaviors

A)are voluntary.
B)are rare and unusual.
C)can cause harm.
D)deviate from society's standards of proper behavior.
سؤال
What is the history of the "diagnosis" homosexuality in the DSM?

A)Homosexuality was never a diagnosis in the DSM.
B)Homosexuality was,and is,a possible diagnosis in the DSM.
C)Homosexuality was a diagnosis in the first two editions of the DSM,taken out for the third edition,and then reintroduced in the 4th.
D)Homosexuality was a diagnosis in the first two editions of the DSM,taken out for the third edition,and has never been reintroduced.
سؤال
What is the emphasis of the definition of abnormal behavior in the DSM?5?

A)statistical rarity
B)biological etiology
C)biological disadvantage in terms of reproduction
D)personal distress or impairment in social functioning
سؤال
The DSM definition of mental disorder excludes which of the following?

A)behaviors caused by personal distress
B)beliefs and actions shared by a religious group
C)impairment in social functioning
D)behavior of which the individual is unaware
سؤال
An epidemiologist studies rates of depression in a community over a one-year period.Her calculation of incidence will be based on the

A)average time between diagnosis and cure.
B)proportion of people who had ever been depressed.
C)number of new cases that developed during that year.
D)total number of active cases on the day of calculation.
سؤال
Compared to Kevin Warner,Mary Childress was much more acutely aware of her disorder; this tells us that

A)Mary has a disorder and Kevin doesn't.
B)Kevin has a disorder and Mary doesn't.
C)Mary probably experiences more distress than Kevin.
D)Mary is probably more impaired than Kevin.
سؤال
What is one of the signs of the possible presence of bingeing and purging that was noticed in the case of Mary?

A)loss of hearing
B)teeth/gum problems
C)frequent bone fractures
D)fluctuating dopamine levels
سؤال
Which disorder is more common in men than women?

A)depression
B)schizophrenia
C)bipolar disorder
D)alcohol abuse/dependence
سؤال
Epidemiology is the scientific study of the

A)effects of diets.
B)biological treatment of diseases.
C)frequency and distribution of disorders.
D)classification systems for mental disorders.
سؤال
What vital organs are affected by eating disorders?

A)the spleen and appendix
B)the gall bladder and lungs
C)the heart and kidneys
D)the large intestine and heart
سؤال
Which of these is an example of something an epidemiologist would do?

A)encourage people with the flu to avoid alcohol
B)study rates of alcoholism in urban versus rural areas
C)investigate the effects of clothing preference on social communication
D)study chromosomes to find abnormal genes associated with various diseases
سؤال
The only medical condition with a higher incidence than mental disorders is

A)closed head injury.
B)alcohol addiction.
C)cancer.
D)cardiovascular disease.
سؤال
In addition to incidence,what other term is particularly important in epidemiological research?

A)statistical validity
B)correlation
C)prevalence
D)N
سؤال
Which is the most accurate statement about the lifetime prevalence rates for bipolar disorder in the United States?

A)More men than women will be diagnosed with bipolar disorder.
B)More women than men will be diagnosed with bipolar disorder.
C)Almost twice as many women will receive this diagnosis.
D)The rates for this disorder are the same for men and women.
سؤال
What are common digestive problems associated with eating problems similar to Mary's?

A)ulcers and reflux
B)throat infections and stomach pains
C)constipation and Crohn's disease
D)gallstones and lactose intolerance
سؤال
If a disorder is short-term and typically has a high rate of recovery,then lifetime prevalence rates for that disorder will be ____________ one-year prevalence rates.

A)somewhat lower than
B)much higher than
C)equal to
D)much lower than
سؤال
According to the textbook,some disorders,such as __________,are found in virtually every culture social scientists have studied.

A)sleep apnea
B)alcoholism
C)schizophrenia
D)bulimia
سؤال
Based on the results of the National Comorbidity Survey Replication (NCS-R)Study,which disorder has the highest lifetime prevalence in the United States?

A)schizophrenia
B)major depression
C)bipolar mood disorder
D)obsessive-compulsive disorder
سؤال
Why are Mary Childress and Kevin Warner's behaviors considered abnormal?

A)because they found it impossible to see reality
B)because they were both acutely aware of their disorders
C)because their disorders affected their physical health
D)because both of their behaviors fits the criteria for one of the DSM-5 categories and they each suffered from a dysfunction
سؤال
Which disorder is about equally common in men and women in the United States?

A)depression
B)bipolar mood disorder
C)alcohol abuse/dependence
D)antisocial personality disorder
سؤال
Which of the following disorders is more common in women than men?

A)schizophrenia
B)anxiety disorders
C)bipolar disorder
D)alcoholism
سؤال
The presence of more than one condition within the same time period is known as

A)twin diagnosis.
B)double diagnosis.
C)comorbidity.
D)confounded morbidity.
سؤال
In a nearby town,two people had anxiety disorders in the past but not now.Three people developed anxiety disorders four or five years ago,and continue to have an anxiety disorder now.Six people developed anxiety disorders this year and continue to be so diagnosed.Which of the following might an epidemiologist write in her report concerning the rate of mental disorders in this community?

A)incidence (this year)= 5; lifetime prevalence = 6
B)incidence (this year)= 6; lifetime prevalence = 11
C)lifetime prevalence = 5; lifetime prevalence = 3
D)lifetime prevalence = 5; incidence (this year)= 11
سؤال
What was the focus of the underlying dysfunction in the case of Mary's bingeing-purging-eating disorder?

A)loss of neurons
B)mechanisms that regulate appetite
C)failure to process dream memories
D)poor motor skills resulting from lack of oxygen at birth
سؤال
Specialized mental health professionals treat _____ percent of those who seek help for mental disorders.

A)10
B)20
C)40
D)60
سؤال
How has research on comorbidity changed the focus of epidemiological research?

A)shifted the focus from the psychotic disorders to milder disorders that affect more people
B)higher than expected prevalence of mental retardation led to more emphasis on intellectual ability
C)shifted the focus from counting the number of people with a disorder to measuring the functional impairment associated with the problems
D)evidence for the biological etiology of more mental disorders has switched the focus to identifying the genes responsible for particular disorders
سؤال
Which category of disorders seems less affected by culture?

A)anxiety
B)neurotic
C)psychotic
D)personality
سؤال
Which individual is most likely to suffer bulimia nervosa?

A)Amy,a 19-year-old college student
B)Michael,a 30-year-old auto mechanic
C)Joe,a 45-year-old air traffic controller
D)Isabel,a 10-year-old grade-school student
سؤال
The World Health Organization estimates that all mental disorders combined account for _____ percent of all disability worldwide.

A)less than 1
B)11
C)28
D)52
سؤال
Epidemiological evidence suggests that which of the following factors is an important ingredient in establishing risk for developing an eating disorder?

A)comorbidity
B)genetics
C)holding particular sets of values related to women's appearance
D)early family relations
سؤال
Which of the following is the correct listing of the disease burden associated with the top three illness categories?

A)cardiovascular conditions,all drug use,all mental disorders
B)cardiovascular conditions,all mental disorders,all malignant diseases (cancer)
C)all drug use,all infectious and parasitic diseases,all respiratory diseases
D)all mental disorders,all respiratory conditions,all cardiovascular conditions
سؤال
An epidemiologist is about to testify to Congress on the findings of comorbidity.Which of the following points will she want to make after reviewing research on comorbidity?

A)Most mental disorders have a biological basis.
B)Those with severe impairment often have more than one disorder.
C)We have underestimated the role of toxins as the cause of disorders.
D)The majority of mental disorders tend to "run in families" as a result of genetic anomalies.
سؤال
Which of the following is the most accurate situation in the United States?

A)The incidence of bulimia is higher among university women and it is more common in older women.
B)The incidence of bulimia is higher among university women and it is more common in younger women.
C)The incidence of bulimia is higher in working women and it is more common in younger women.
سؤال
Investigators in the World Health Organization (WHO)predict that,relative to other types of health problems,the burden of mental health disorders will _________________ by 2020.

A)increase
B)decrease
C)stay about the same
D)increase in developing countries and decrease in developed countries
سؤال
What has research on disease burden found concerning the relative impact of medical illnesses and mental disorders?

A)Medical illnesses and mental disorders are associated with equal levels of disease burden.
B)Although quite prevalent,mental disorders account for insignificant levels of disease burden.
C)Mental disorders are responsible for more disease burden than all of the medical illnesses combined.
D)Although mental disorders account for a small number of deaths,they are a significant cause of disease burden.
سؤال
Which of the following is most true regarding bulimia?

A)The prevalence is higher in Western nations than other parts of the world,and the number of cases increased during the latter part of the twentieth century.
B)The prevalence is lower in Western nations than other parts of the world,and the number of cases increased during the latter part of the twentieth century.
C)The prevalence is higher in Western nations than other parts of the world,and the number of cases decreased during the latter part of the twentieth century.
D)The prevalence is higher in developing nations than other parts of the world,and the number of cases increased during the latter part of the twentieth century.
سؤال
An epidemiologist conducts a comparison of the incidence of bulimia nervosa in various groups.The data can be categorized in many ways.After analyzing the data,what is the epidemiologist likely to say her findings reveal?

A)The incidence is declining among all groups.
B)The rate is relatively even across socioeconomic and age groups.
C)The incidence is much higher among university women than among working women.
D)The incidence is high among older women who have recently entered the workforce.
سؤال
In order to compare the disability associated with different conditions,epidemiologists had to assume that the burden associated with certain mental disorders was equivalent to that associated with diseases and injuries.Which of the following is a correct association of a mental disorder with a medical condition?

A)mania: heart disease
B)panic disorder: cancer
C)depression: blindness
D)schizophrenia: diabetes
سؤال
Comorbidity exists when

A)two people have the same disorder.
B)one person has first one disorder,then later develops another.
C)one person has more than one condition within the same period of time.
D)a health professional cannot distinguish between two different conditions.
سؤال
What two factors are combined to measure disease burden?

A)mortality and disability
B)infection rates and poverty levels
C)physician visits and pollution levels
D)daily caloric intake and hospitalization rates
سؤال
Which of the following can be concluded from cross-cultural studies?

A)All mental disorders are shaped,to some extent,by cultural factors.
B)Several mental disorders are due entirely to cultural or social factors.
C)Psychotic disorders are more influenced by culture than other disorders.
D)The symptoms of certain disorders are just as likely to vary across cultures as are the disorders themselves.
سؤال
People who seek help for mental disorders are most likely to receive help from which of the following?

A)primary care physicians
B)social workers
C)psychiatrists
D)psychologists
سؤال
The largest group of clinically trained professionals providing mental health services in the United States are

A)psychiatrists.
B)clinical psychologists.
C)social workers.
D)psychiatric nurses.
سؤال
In research on disease burden,the disability associated with schizophrenia is considered to be comparable to that associated with

A)diabetes.
B)hypertension.
C)quadriplegia.
D)Alzheimer's disease.
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Deck 1: Examples and Definitions of Abnormal Behavior
1
Sam displays symptoms of paranoid schizophrenia; she feels ill after eating her lunch two days in a row.One of her symptoms is a paranoid belief that her coworkers are poisoning her.This type of belief is associated with

A)conflicts with society.
B)a nervous breakdown.
C)a psychosis.
D)adaptive behavior.
a psychosis.
2
A group of symptoms that appear together and are assumed to represent a specific type of disorder is referred to as a

A)syndrome.
B)sign.
C)psychosis.
D)disease.
syndrome.
3
In what terms are mental disorders defined?

A)when a person is out of contact with reality
B)persistent maladaptive behaviors
C)inconsistent,socially unacceptable behaviors
D)unrealistic beliefs
persistent maladaptive behaviors
4
While you and your friends are watching a movie,one of the characters says,"That's an example of insanity" in reference to another character.Because you are taking a course in abnormal psychology,everyone turns to you.What do you say about the term "insanity"?

A)"The key to identifying insanity is the presence of delusions."
B)"In order to be insane,a person must show evidence of some biological cause of the symptoms."
C)"Insanity is a general term that refers to the presence of severe signs of mental deterioration."
D)"Insanity is a legal term that refers to judgments about whether a person should be held responsible for criminal behavior."
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5
Which is the best description of abnormal psychology?

A)a deviant personality trait
B)analysis of the childhood roots of pathology
C)study of unconscious influences on mental disorders
D)application of psychological science to the study of mental disorders
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6
Specific laboratory tests to confirm the presence of psychopathology

A)do not at present exist.
B)are used by psychologists but not by psychiatrists.
C)are used by psychiatrists but not by psychologists.
D)are used to test for the presence of some viral infection or brain lesion to confirm a diagnosis.
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7
Why did the staff at the psychiatric hospital give Kevin Warner injections of antipsychotic medication?

A)People with Kevin's blood type do not respond to medication in pill form.
B)A high level of gastric juices in his digestive system destroyed the medication.
C)He only pretended to take the pills because he believed people were trying to poison him.
D)Antipsychotic drugs given by injection do not have the same serious side effects as those in pill form.
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8
In the United States and other developed countries,mental disorders are the ___leading cause of disease-related disability and mortality.

A)2nd
B)5th
C)10th
D)30th
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9
Which of the following is a rare form of psychopathology?

A)schizophrenia
B)panic disorder
C)major depression
D)gender identity disorder
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10
What is the literal meaning of the word "psychopathology"?

A)demons within
B)deviant behavior
C)brain dysfunction
D)pathology of the mind
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11
Nate is a clinical psychologist and is trying to determine if Jennifer has schizophrenia.In what way will he make this determination?

A)blood tests
B)studying the concentration of schizophrenia in Jennifer's geographic area
C)heredity
D)making observations of Jennifer's behavior and her descriptions of personal experience
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12
If a person with an abnormal behavior is unable to or unwilling to appreciate the extent of their problem or the impact it had on other people,what would psychologists say that person lacked?

A)ignorance
B)insight
C)logic
D)common sense
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13
The point of view of this textbook is that

A)very few people will ever come into contact with the problems that are associated with mental illness.
B)isolation between people with mental illness and people without mental illness benefits both groups.
C)it is likely that everyone will be touched by the problems associated with mental illness at some point in their life.
D)mental illness is almost a thing of the past due to modern treatments.
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14
A problem with defining abnormal behavior in terms of deviation from statistical norms is that this definition

A)focuses only on very rare conditions.
B)focuses only on conditions that are actually relatively common.
C)does not specify how unusual the behavior must be to be considered abnormal.
D)only considers deviations that are harmful.
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15
Determining the presence of disorder is based on several criteria,including

A)the duration of a person's symptoms.
B)the presence of a specific symptom in isolation.
C)the outcome of laboratory tests.
D)a person's culture.
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16
The symptoms and signs of mental illness are known as

A)the analysis of the mind.
B)the treatment of mental disorders.
C)psychopathology.
D)the ancient philosophy of the interaction of mind and body.
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17
A magazine reporter wants to write a story describing the occurrence of mental disorders in the United States.She needs a title that captures the findings of a national survey completed several years ago.Which of the following would be the best title?

A)"Rate of Mental Disorders Considered Low"
B)"Almost Everyone Diagnosed with a Mental Disorder at Some Point in Their Life"
C)"Rate of Mental Disorders Overestimated in the Past"
D)"At Least Two out of Every Four Americans Experience a Serious Form of Abnormal Behavior at Some Point in Their Life"
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18
The case of Kevin Warner was presented in the text as an example of the diagnosis of schizophrenia.Which of Kevin's symptoms strongly suggested that he had lost touch with reality,which is the defining feature of schizophrenia?

A)social withdrawal
B)difficulty in communicating
C)inability to succeed at work
D)belief that people were poisoning him
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19
According to the textbook,the line dividing normal from abnormal is

A)always clear.
B)often one of degree.
C)based on the exact form or content of behavior.
D)not a very important issue.
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20
According to Jerome Wakefield,one essential component of the definition of a mental disorder is

A)statistical rarity.
B)one distinguishing symptom.
C)an individual's subjective distress.
D)tissue damage revealed by medical tests.
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21
Olivia grew up in a society where mourners pull out their hair,go into an emotional frenzy,and speak in tongues.On a visit to the United States,she did these things in public when she heard that a relative had died.According to DSM-5,her behavior would be considered

A)psychopathological,because of her personal distress.
B)not psychopathological,because it is part of her culture.
C)psychopathological,because it disrupted her social functioning.
D)not psychopathological,because it caused no disruption in social functioning.
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22
Which publication contains the official criteria for diagnosing mental disorders?

A)Physicians' Desk Reference
B)Syndromes of Mental Disorders
C)Diagnostic and Statistical Manual of Mental Disorders
D)American Psychiatric Association Guidelines for Diagnosis
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23
Which organization publishes the Diagnostic and Statistical Manual of Mental Disorders,5th Edition (DSM-5)?

A)World Health Organization
B)American Psychiatric Association
C)American Psychological Association
D)National Institute of Mental Health
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24
In the term "harmful dysfunction," the word "dysfunction" refers to

A)a mental disorder.
B)a set of distinguishing symptoms.
C)a disruption of thought,feeling,or perception.
D)the inability of the person to function at work or school.
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25
What is one of the advantages of Jerome Wakefield's harmful dysfunction approach to defining mental disorders?

A)Cultural factors do not affect the definition.
B)The definition is based on established humanistic criteria.
C)The meaning of harmful is limited to life-threatening conditions.
D)As much as possible objective evaluation is used to define the dysfunction.
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26
Why were the actions of the Yippie Party not considered dysfunctional?

A)Their actions were an expectable response to cultural events.
B)The leaders of the party suffered from significant clinical distress.
C)Their actions were considered intentional political gestures.
D)Party members suffered psychological dysfunction.
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27
What problem in defining abnormal behavior is evident in the case of Kevin Warner described in the text?

A)Some statistically rare forms of behavior are desirable.
B)Some mental disorders have symptoms that are not harmful.
C)A behavior is not dysfunctional unless it is statistically unusual.
D)Some people do not perceive their abnormal behavior as personally stressful.
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28
Culture is defined in terms of the

A)level of education attained by most people in a specific group.
B)degree of emphasis a community places on art and literature.
C)values,beliefs,and practices shared by a specific group of people.
D)similarity of people within a group.
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29
Applying the concept of harmful dysfunction to the case of Kevin Warner,we can emphasize Kevin's failures of several mental mechanisms,including

A)perception.
B)motivation.
C)learning.
D)feeling.
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30
What principle guided developers of the DSM-5 as they wrote definitions of mental disorders?

A)Definitions should consider political factors.
B)Disorders should be associated with distress or disability.
C)Deviant behaviors that are encouraged by certain religions should be included.
D)Abnormal behaviors should have a biological basis to be considered mental disorders.
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31
On what does the DSM-5 place primary emphasis?

A)mechanisms that regulate emotion
B)the ability to distinguish between real or imagined auditory sensations
C)the consequences of certain behavioral syndromes
D)a person's social or occupational role
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32
What dysfunctions are considered to be disorders?

A)those resulting in significant harm to the person
B)those differing in any way from the ordinary function of a biological process
C)those eliciting abnormal behavior characteristics.
D)those leading to the inability to occasionally misconstrue reality.
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33
Conditions like albinism or fused toes are physical dysfunctions but would not be regarded as mental disorders because they

A)are physical.
B)do not cause any harm.
C)are rare.
D)are not easily diagnosed.
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34
A woman who is unable to achieve orgasm and who lives in a society that discourages female sexuality would probably not be given the DSM diagnosis of female orgasmic disorder because she

A)probably would not experience any distress or impairment.
B)would be distressed but not impaired.
C)would be impaired but not distressed.
D)would probably be both distressed and impaired.
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35
What was one of the factors that seems to have played a role in Mary's development of an eating disorder? (This is from one of the case studies.)

A)sexual abuse throughout childhood
B)being prone to sleepwalking episodes
C)a genetic predisposition to high levels of anxiety
D)being determined that she would never gain as much weight as her mother had
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36
How often is the official diagnostic manual for mental disorders revised by the American Psychiatric Association?

A)every year
B)every other year
C)every 5 to 10 years
D)every 15 to 20 years
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37
Beliefs and actions that are shared by religious,political,or sexual minority groups are not considered evidence of a mental disorder because such behaviors

A)are voluntary.
B)are rare and unusual.
C)can cause harm.
D)deviate from society's standards of proper behavior.
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38
What is the history of the "diagnosis" homosexuality in the DSM?

A)Homosexuality was never a diagnosis in the DSM.
B)Homosexuality was,and is,a possible diagnosis in the DSM.
C)Homosexuality was a diagnosis in the first two editions of the DSM,taken out for the third edition,and then reintroduced in the 4th.
D)Homosexuality was a diagnosis in the first two editions of the DSM,taken out for the third edition,and has never been reintroduced.
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39
What is the emphasis of the definition of abnormal behavior in the DSM?5?

A)statistical rarity
B)biological etiology
C)biological disadvantage in terms of reproduction
D)personal distress or impairment in social functioning
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40
The DSM definition of mental disorder excludes which of the following?

A)behaviors caused by personal distress
B)beliefs and actions shared by a religious group
C)impairment in social functioning
D)behavior of which the individual is unaware
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41
An epidemiologist studies rates of depression in a community over a one-year period.Her calculation of incidence will be based on the

A)average time between diagnosis and cure.
B)proportion of people who had ever been depressed.
C)number of new cases that developed during that year.
D)total number of active cases on the day of calculation.
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42
Compared to Kevin Warner,Mary Childress was much more acutely aware of her disorder; this tells us that

A)Mary has a disorder and Kevin doesn't.
B)Kevin has a disorder and Mary doesn't.
C)Mary probably experiences more distress than Kevin.
D)Mary is probably more impaired than Kevin.
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43
What is one of the signs of the possible presence of bingeing and purging that was noticed in the case of Mary?

A)loss of hearing
B)teeth/gum problems
C)frequent bone fractures
D)fluctuating dopamine levels
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44
Which disorder is more common in men than women?

A)depression
B)schizophrenia
C)bipolar disorder
D)alcohol abuse/dependence
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45
Epidemiology is the scientific study of the

A)effects of diets.
B)biological treatment of diseases.
C)frequency and distribution of disorders.
D)classification systems for mental disorders.
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46
What vital organs are affected by eating disorders?

A)the spleen and appendix
B)the gall bladder and lungs
C)the heart and kidneys
D)the large intestine and heart
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47
Which of these is an example of something an epidemiologist would do?

A)encourage people with the flu to avoid alcohol
B)study rates of alcoholism in urban versus rural areas
C)investigate the effects of clothing preference on social communication
D)study chromosomes to find abnormal genes associated with various diseases
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48
The only medical condition with a higher incidence than mental disorders is

A)closed head injury.
B)alcohol addiction.
C)cancer.
D)cardiovascular disease.
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49
In addition to incidence,what other term is particularly important in epidemiological research?

A)statistical validity
B)correlation
C)prevalence
D)N
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50
Which is the most accurate statement about the lifetime prevalence rates for bipolar disorder in the United States?

A)More men than women will be diagnosed with bipolar disorder.
B)More women than men will be diagnosed with bipolar disorder.
C)Almost twice as many women will receive this diagnosis.
D)The rates for this disorder are the same for men and women.
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51
What are common digestive problems associated with eating problems similar to Mary's?

A)ulcers and reflux
B)throat infections and stomach pains
C)constipation and Crohn's disease
D)gallstones and lactose intolerance
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52
If a disorder is short-term and typically has a high rate of recovery,then lifetime prevalence rates for that disorder will be ____________ one-year prevalence rates.

A)somewhat lower than
B)much higher than
C)equal to
D)much lower than
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53
According to the textbook,some disorders,such as __________,are found in virtually every culture social scientists have studied.

A)sleep apnea
B)alcoholism
C)schizophrenia
D)bulimia
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54
Based on the results of the National Comorbidity Survey Replication (NCS-R)Study,which disorder has the highest lifetime prevalence in the United States?

A)schizophrenia
B)major depression
C)bipolar mood disorder
D)obsessive-compulsive disorder
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55
Why are Mary Childress and Kevin Warner's behaviors considered abnormal?

A)because they found it impossible to see reality
B)because they were both acutely aware of their disorders
C)because their disorders affected their physical health
D)because both of their behaviors fits the criteria for one of the DSM-5 categories and they each suffered from a dysfunction
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56
Which disorder is about equally common in men and women in the United States?

A)depression
B)bipolar mood disorder
C)alcohol abuse/dependence
D)antisocial personality disorder
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57
Which of the following disorders is more common in women than men?

A)schizophrenia
B)anxiety disorders
C)bipolar disorder
D)alcoholism
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58
The presence of more than one condition within the same time period is known as

A)twin diagnosis.
B)double diagnosis.
C)comorbidity.
D)confounded morbidity.
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59
In a nearby town,two people had anxiety disorders in the past but not now.Three people developed anxiety disorders four or five years ago,and continue to have an anxiety disorder now.Six people developed anxiety disorders this year and continue to be so diagnosed.Which of the following might an epidemiologist write in her report concerning the rate of mental disorders in this community?

A)incidence (this year)= 5; lifetime prevalence = 6
B)incidence (this year)= 6; lifetime prevalence = 11
C)lifetime prevalence = 5; lifetime prevalence = 3
D)lifetime prevalence = 5; incidence (this year)= 11
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60
What was the focus of the underlying dysfunction in the case of Mary's bingeing-purging-eating disorder?

A)loss of neurons
B)mechanisms that regulate appetite
C)failure to process dream memories
D)poor motor skills resulting from lack of oxygen at birth
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61
Specialized mental health professionals treat _____ percent of those who seek help for mental disorders.

A)10
B)20
C)40
D)60
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62
How has research on comorbidity changed the focus of epidemiological research?

A)shifted the focus from the psychotic disorders to milder disorders that affect more people
B)higher than expected prevalence of mental retardation led to more emphasis on intellectual ability
C)shifted the focus from counting the number of people with a disorder to measuring the functional impairment associated with the problems
D)evidence for the biological etiology of more mental disorders has switched the focus to identifying the genes responsible for particular disorders
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63
Which category of disorders seems less affected by culture?

A)anxiety
B)neurotic
C)psychotic
D)personality
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64
Which individual is most likely to suffer bulimia nervosa?

A)Amy,a 19-year-old college student
B)Michael,a 30-year-old auto mechanic
C)Joe,a 45-year-old air traffic controller
D)Isabel,a 10-year-old grade-school student
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65
The World Health Organization estimates that all mental disorders combined account for _____ percent of all disability worldwide.

A)less than 1
B)11
C)28
D)52
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66
Epidemiological evidence suggests that which of the following factors is an important ingredient in establishing risk for developing an eating disorder?

A)comorbidity
B)genetics
C)holding particular sets of values related to women's appearance
D)early family relations
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67
Which of the following is the correct listing of the disease burden associated with the top three illness categories?

A)cardiovascular conditions,all drug use,all mental disorders
B)cardiovascular conditions,all mental disorders,all malignant diseases (cancer)
C)all drug use,all infectious and parasitic diseases,all respiratory diseases
D)all mental disorders,all respiratory conditions,all cardiovascular conditions
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68
An epidemiologist is about to testify to Congress on the findings of comorbidity.Which of the following points will she want to make after reviewing research on comorbidity?

A)Most mental disorders have a biological basis.
B)Those with severe impairment often have more than one disorder.
C)We have underestimated the role of toxins as the cause of disorders.
D)The majority of mental disorders tend to "run in families" as a result of genetic anomalies.
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69
Which of the following is the most accurate situation in the United States?

A)The incidence of bulimia is higher among university women and it is more common in older women.
B)The incidence of bulimia is higher among university women and it is more common in younger women.
C)The incidence of bulimia is higher in working women and it is more common in younger women.
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70
Investigators in the World Health Organization (WHO)predict that,relative to other types of health problems,the burden of mental health disorders will _________________ by 2020.

A)increase
B)decrease
C)stay about the same
D)increase in developing countries and decrease in developed countries
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71
What has research on disease burden found concerning the relative impact of medical illnesses and mental disorders?

A)Medical illnesses and mental disorders are associated with equal levels of disease burden.
B)Although quite prevalent,mental disorders account for insignificant levels of disease burden.
C)Mental disorders are responsible for more disease burden than all of the medical illnesses combined.
D)Although mental disorders account for a small number of deaths,they are a significant cause of disease burden.
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72
Which of the following is most true regarding bulimia?

A)The prevalence is higher in Western nations than other parts of the world,and the number of cases increased during the latter part of the twentieth century.
B)The prevalence is lower in Western nations than other parts of the world,and the number of cases increased during the latter part of the twentieth century.
C)The prevalence is higher in Western nations than other parts of the world,and the number of cases decreased during the latter part of the twentieth century.
D)The prevalence is higher in developing nations than other parts of the world,and the number of cases increased during the latter part of the twentieth century.
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73
An epidemiologist conducts a comparison of the incidence of bulimia nervosa in various groups.The data can be categorized in many ways.After analyzing the data,what is the epidemiologist likely to say her findings reveal?

A)The incidence is declining among all groups.
B)The rate is relatively even across socioeconomic and age groups.
C)The incidence is much higher among university women than among working women.
D)The incidence is high among older women who have recently entered the workforce.
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74
In order to compare the disability associated with different conditions,epidemiologists had to assume that the burden associated with certain mental disorders was equivalent to that associated with diseases and injuries.Which of the following is a correct association of a mental disorder with a medical condition?

A)mania: heart disease
B)panic disorder: cancer
C)depression: blindness
D)schizophrenia: diabetes
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75
Comorbidity exists when

A)two people have the same disorder.
B)one person has first one disorder,then later develops another.
C)one person has more than one condition within the same period of time.
D)a health professional cannot distinguish between two different conditions.
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76
What two factors are combined to measure disease burden?

A)mortality and disability
B)infection rates and poverty levels
C)physician visits and pollution levels
D)daily caloric intake and hospitalization rates
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77
Which of the following can be concluded from cross-cultural studies?

A)All mental disorders are shaped,to some extent,by cultural factors.
B)Several mental disorders are due entirely to cultural or social factors.
C)Psychotic disorders are more influenced by culture than other disorders.
D)The symptoms of certain disorders are just as likely to vary across cultures as are the disorders themselves.
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78
People who seek help for mental disorders are most likely to receive help from which of the following?

A)primary care physicians
B)social workers
C)psychiatrists
D)psychologists
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79
The largest group of clinically trained professionals providing mental health services in the United States are

A)psychiatrists.
B)clinical psychologists.
C)social workers.
D)psychiatric nurses.
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80
In research on disease burden,the disability associated with schizophrenia is considered to be comparable to that associated with

A)diabetes.
B)hypertension.
C)quadriplegia.
D)Alzheimer's disease.
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