Deck 14: Exposure Therapy for Anxiety, Fear, and Trauma

Question 1

EMDR is an acronym for:

A) exposure, monitoring, defusing, and reduction.
B) eye movement desensitization and reprocessing.
C) external musculature decompression and relaxation.
D) energy, motivation, and drive revitalization.

Answer 1

B

Question 2

When a client engages in exposure therapy involving virtual reality equipment or the use of confederates, this would be an example of exposure.

A) EMDR
B) in vivo
C) in vitro
D) imaginal

Answer 2

C

Question 3

All the following statements are true of flooding EXCEPT:

A) it is an intensive form of in vivo exposure.
B) it commences with the stimuli that elicits the most fear.
C) it is an intensive form of in vitro exposure.
D) a session of flooding typically may last several hours.

Answer 3

C

Question 4

Intensive exposure requires extended blocks of time but usually fewer sessions are required.

Question 5

When conducting in vivo exposure, the helper should be mindful that new learning is fostered when:

A) brief exposure to the feared stimulus or situation is followed immediately by a planned relaxation response.
B) the client remains in the presence of the feared stimulus or situation until his or her SUDS rating decreases.
C) the client learns successfully to avoid the feared stimulus or situation in real life.
D) the client learns to distract him/herself whenever thoughts associated with the feared stimulus or situation begin to intrude.

Question 6

When a helper engages a client in a role-play related to a situation that induces anxiety for the client, this is an example of:

A) imaginal exposure.
B) in vitro exposure.
C) in vivo exposure.
D) non-exposure therapy.

Question 7

A tool for helping clients construct an exposure hierarchy is the SUDS which stands for .

A) Subject Under Duress Scale
B) Scaled Units of Difficulty Survey
C) Subjective Units of Distress (or Discomfort) Scale
D) Self-Understanding and Discovery Survey

Question 8

All of the following possible disadvantages of virtual reality exposure therapy (VRET) were identified EXCEPT:

A) high cost of equipment.
B) inability to control key variables (e.g., number of mice present for a client with a fear of mice).
C) technical errors associated with the utilization of equipment.
D) potential difficulties in creating situations that are real enough for clients.

Question 9

When working with a client who has a fear of spiders, the helper asks the client to touch a tarantula. This would be an example of exposure.

A) imaginal
B) confrontative
C) in vitro
D) in vivo

Question 10

Flooding and implosive therapy are examples of exposure therapy methods.

A) extensive
B) intensive
C) gradual
D) aversive

Question 11

Exposure therapy is contraindicated in work with individuals experiencing depressive symptoms.

Question 12

Exposure therapy is considered to be a form of therapy.

A) psychodynamic
B) interpersonal
C) cognitive
D) behavior

Question 13

cues are internal physiological sensations that the client fears, such as dizziness, shortness of breath, or an increased heart rate.

A) Stimulation
B) Interoceptive
C) Interactive
D) Behavior

Question 14

When determining if the helper should be present during in vivo exposure, all of the following issues are discussed EXCEPT:

A) in some instances, for safety reasons, two clinicians may need to be present.
B) a helper being present may cue others that the client is under care of a helper which compromises confidentiality.
C) in vivo exposure should occur in isolation from others to ensure the clients safety and confidentiality.
D) prior permission from a company or site where in vivo exposure may occur may be necessary.

Question 15

Following successful exposure treatment for a specific fear, the helper should recommend that the client:

A) consider him/herself cured.
B) continue to engage in periodic in vivo exposure to prevent return of the fear.
C) avoid the source of the original fear to prevent resurrection of the fear.
D) engage in daily imaginal exposure to ensure inoculation against the fear.

Question 16

When a client utilizes a relaxation techniques during exposure, they may avoid experiencing the full force of the anxiety-provoking stimuli.

Question 17

Exposure therapy may incorporate all of the following EXCEPT:

A) systematic desensitization.
B) flooding.
C) implosive therapy.
D) acceptance and commitment therapy.

Question 18

is a method of exposure therapy in which there is gradual exposure over time to the feared stimulus using imagery, virtual reality, role plays, or in vivo approaches.

A) Systematic desensitization
B) Flooding
C) Implosive therapy
D) Acceptance and commitment therapy

Question 19

Which of the following represents a continuum of exposure approaches from lowest to highest in realism?

A) Imaginal, in vitro, in vivo
B) In vitro, in vivo, imaginal
C) In vivo, imaginal, in vitro
D) In vivo, in vitro, imaginal

Question 20

Which of the following exposure approaches emphasize relaxation as a crucial component?

A) Habituation and counterconditioning
B) Counterconditioning and reciprocal inhibition
C) Reciprocal inhibition and extinction
D) Extinction and habituation

Question 21

includes imaginal exposure and subsequent cognitive restructuring and meaning-making strategies, explicitly attentive to themes of traumatic loss and moral injury.

A) Acceptance and Commitment therapy
B) Adaptive Disclosure Treatment
C) Self-efficacy exposure
D) Direct confrontation exposure

Question 22

What is the difference between in vivo exposure and flooding?

Question 23

A client presents with a fear of dogs. Please describe how a helper would assist the client in imaginal, in vivo, and
in vitro exposure.

Question 24

Thinking about something else while being exposed to anxiety-provoking stimuli is a form of avoidance.

Question 25

Identify and describe two types of problems in which the client may benefit from exposure.

Question 26

Ethnic/racial minority individuals in the United States are more likely to seek treatment for PTSD than white individuals who share the same diagnosis.

Question 27

A helper assists a client in listing in order the client's fears based on severity. This would be:

A) exposure hierarchy.
B) exposure rationale.
C) conditioning hierarchy.
D) conditioning rationale.

Question 28

One concern identified with using anti-anxiety medication during exposure is the client may attribute their successes to medication instead of their own efforts.

Question 29

Describe the usual sequence of imaginal exposure (be sure to include the SUDS in your response).

Question 30

What is in vivo exposure? Identify and describe the benefit and limitations of this approach.