Deck 16: Applications of Behavior Therapy to Medical Disorders

Question 1

In the University of Washington Pain Clinic program, rest is used as a consequence of

A)taking pain medication.
B)engaging in activity.
C)pain behaviors.
D)social interaction.

Answer 1

B

Question 2

The most common problem that patients present to physicians is

A)lethargy.
B)anxiety.
C)interpersonal.
D)pain.

Answer 2

D

Question 3

Pain is considered chronic if it lasts at least

A)1 month.
B)2 months.
C)3 months.
D)6 months.

Answer 3

D

Question 4

Behavioral treatments for medical conditions may be more desirable than medical treatments when

A)medical treatments are associated with risk.
B)conditions involve decreased bodily movement.
C)illnesses manifest in psychotic symptoms.
D)the primary symptoms are behavioral.

Question 5

While behavioral treatments are often more desirable than medical treatments, behavior therapy plays an especially important role when

A)clients dislike prevailing treatments.
B)existing treatments are highly invasive.
C)the illness affects cognitive functioning.
D)no viable medical treatments exist.

Question 6

Pain is described as chronic if it occurs

A)even when one is distracted.
B)in the absence of a sustaining injury.
C)more than three times per day.
D)during treatment sessions.

Question 7

Acute pain is the result of a bodily trauma and disappears

A)when the injury heals.
B)behind attention.
C)with medication.
D)almost immediately.

Question 8

Behavior therapists view pain as a set of overt behaviors because

A)methods exist to modify overt behaviors.
B)overt behaviors produce internal states.
C)subjective experience cannot be quantified.
D)clients response faster to visible change.

Question 9

In the University of Washington Pain Clinic, pain threshold is the amount of

A)pain without complaint.
B)activity without pain.
C)pain without damage.
D)medication without pain.

Question 10

The most common treatment for pain is

A)medication.
B)biofeedback.
C)muscle relaxation.
D)self-stimulation.

Question 11

Behavioral medicine is a multidisciplinary field that

A)directly treats a large number of medical illnesses.
B)incorporates pharmacology into behavioral treatment.
C)applies behavioral science to medical treatment.
D)treats those incapable of performing select behaviors.

Question 12

In behavior therapy, pain behaviors are believed to be

A)maintained by their antecedents and consequences.
B)the result of physiological processes.
C)adaptive expressions of coping in response to pain.
D)due to cognitive distortions and erroneous beliefs.

Question 13

A major aim of the University of Washington Pain Clinic program is to

A)empathize with a patient's pain.
B)forestall the use of pain medications.
C)encourage routine exercise.
D)reinforce overt well behaviors.

Question 14

A major maintaining condition for pain behaviors is

A)social reinforcement.
B)financial loss.
C)cognitive distortions.
D)depression.

Question 15

_____ behaviors that indicate sensations of pain are called _____ behaviors.

A)Overt; pain
B)Covert; pain
C)Covert; somatic
D)Overt; somatic

Question 16

In the University of Washington Pain Clinic program, pain medication is

A)issued on a fixed-time schedule.
B)contingent upon pain experience.
C)provided upon request.
D)discontinued after the first week.

Question 17

_____ behaviors that indicate the absence of pain are called _____ behaviors.

A)Overt; healthy
B)Covert; healthy
C)Covert; well
D)Overt; well

Question 18

The most common cause of disability is

A)concussion.
B)trauma.
C)pain.
D)depression.

Question 19

Behavioral treatment of chronic pain aims to reduce discomfort and increase

A)production.
B)movement.
C)tolerance.
D)interaction.

Question 20

An important treatment component in the University of Washington Pain Clinic program is

A)replacing distorted beliefs about pain.
B)teaching differential relaxation skills.
C)incorporating patients' families into therapy.
D)empathizing with patients' pain experiences.

Question 21

In the treatment of medically unexplained symptoms, cognitive-behavioral therapies

A)redirect treatment toward emotional causes.
B)supplement existing medical treatments.
C)increase adherence to diagnostic testing.
D)teach coping skills for defeatist feelings.

Question 22

Maintenance of complex health-related regimens is best achieved with

A)response cost.
B)elaborate prompting and reinforcement.
C)specific physician instructions and visual prompting.
D)self-monitoring.

Question 23

One advantage of behavioral treatments over medical treatments for headaches is the superior

A)transfer.
B)acceptability.
C)maintenance.
D)adherence.

Question 24

Biofeedback uses electromechanical equipment to

A)help individuals manage physiological behaviors.
B)gauge internal states of pain and anxiety.
C)identify biological singularities maintaining pain.
D)motivate clients to engage in healthy life changes.

Question 25

For children suffering from migraine headaches, the treatment of choice may be

A)relaxation training.
B)thermal biofeedback.
C)electromyographic biofeedback.
D)systematic desensitization.

Question 26

Besides modeling, another procedure to reduce treatment-related anxiety is

A)thought stopping.
B)verbal instruction.
C)cognitive restructuring.
D)coping skills training.

Question 27

The majority of clients treated behaviorally for chronic pain show

A)some reduction in pain.
B)superior adherence to medical procedures.
C)shorter post-operative healing times.
D)nearly an elimination of pain.

Question 28

Remembering to take medication is often aided with the use of

A)reinforcement.
B)modeling.
C)prompts.
D)punishment.

Question 29

Cognitive-behavioral coping skills therapy is often used to help clients

A)overcome the lethargic effects of opiates.
B)deal with life changes due to chronic pain.
C)manage daunting long-term treatments.
D)learn to tolerate unyielding pain.

Question 30

The average reduction in headaches attained across studies evaluating the use of relaxation training and biofeedback is

A)20%.
B)30%.
C)40%.
D)50%.

Question 31

In the treatment of migraine headaches, biofeedback is often offered as part of a treatment package which also includes

A)relaxation training.
B)problem solving.
C)systematic desensitization.
D)in vivo exposure.

Question 32

Relaxation training and biofeedback are common behavioral treatments for

A)arthritis.
B)headaches.
C)enuresis.
D)seizures.

Question 33

Behavioral momentum compliance training is a procedure used to get clients to

A)control physiological behaviors.
B)behave pro-socially with staff.
C)obey verbal requests.
D)generalize learned skills.

Question 34

One common element of treatment packages for chronic pain is

A)desensitization.
B)assertion training.
C)problem-solving.
D)biofeedback.

Question 35

The most successful interventions to increase attendance at appointments used

A)punishment.
B)prompts.
C)reinforcement.
D)modeling.

Question 36

One way to increase patient motivation to take medication involves the use of

A)reinforcement.
B)modeling.
C)biofeedback.
D)exposure.

Question 37

Failure to follow medical advice occurs as frequently as _____ percent of the time.

A)70
B)65
C)50
D)30

Question 38

In order to adhere to medical instructions, patients must remember and

A)recognize the value of treatment.
B)possess adequate motivation.
C)be sufficiently tolerant to related pain.
D)observe models engaging similarly.

Question 39

When low adherence is maintained by a skill deficit in the prescribed medical procedure, _______ can increase adherence.

A)modeling
B)reinforcement
C)prompting
D)self-instructional training

Question 40

Behavioral momentum compliance training is a type of

A)stimulus control.
B)participant modeling.
C)shaping.
D)prompting.

Question 41

The primary behavior therapy approach to AIDS prevention is

A)cognitive-behavioral/coping skills training.
B)modeling and cognitive restructuring.
C)problem-solving therapy.
D)prompting and reinforcement.

Question 42

_____ is a procedure in which a series of high-probability requests are followed with a low-probability request in order to get the client to perform the low-probability request.

A)The Premack principle
B)Reinforcer sampling
C)Behavioral momentum compliance training
D)Differential reinforcement of other behaviors

Question 43

_____ has successfully reduced the frequency and severity of nausea and vomiting in cancer patients undergoing chemotherapy.

A)Stress inoculation training
B)Self-instructional training
C)Self-monitoring
D)Relaxation training