1A major sociocultural event that amplified the need for psychological testing, particularly intelligence testing, in the United States was
- Option C
a new requirement for public school education for all children. - Option B
the establishment of psychology departments in major universities. - Option D
The country’s entrance into World War I. - Option A
the establishment of the National Institute for Mental Health (NIMH).
2The assumption that psychopathology is caused by malfunctions in biological system is the foundation of the ________ model.
- biopsychosocial
- medical
- behavioral genetics
- neurogenic
3A major development in 1946 that supported clinical psychology as an applied field that offered psychotherapy was...
- the development of psychoanalytic institutes throughout Europe and North America.
- the VA’s launching of a program to support training in mental health disciplines.
- the advent of professional organizations that could be joined without cost.
- the proliferation of child guidance clinics in hospitals across the United States.
4“Evidence-Based Practices” are
- theoretically possible, but not currently in use.
- yet to be developed, however research is being planned.
- interventions based on the best empirical research currently available.
- found mainly at clinics whose programs are aimed at developing empirically supported treatments.
5A major emphasis of the psychometric tradition in clinical psychology is its attempt to measure
- group norms that govern all (or at least most) individuals.
- the differences between intrinsic and extrinsic motives.
- individual differences among people.
- the general differences between psychologically healthy and psychologically disturbed individuals.
6Which of the following is NOT a reason that most clinical psychology programs emphasize statistics and research courses and activities?
- It is essential that psychologists know how to critically evaluate published research in order to formulate appropriate treatment plans.
- Clinical psychologists often supervise and evaluate research projects that are conducted by their own students.
- Clinical psychologists inevitably end up involved in research and focusing on publishing their work or else they often lose their jobs.
- Often clinical psychologists need to evaluate the effectiveness of interventions for themselves or the agencies for which they work.
7All of the following are major differences between clinical and counseling psychologists except:
- only clinical psychologists can be licensed in most of the 50 United States.
- counseling psychologists deal mainly with normal life transitions and adjustments that people face.
- counseling psychology programs are sometimes housed in departments of education or other divisions, rather than psychology departments.
- clinical psychologists often deal with more severe pathological issues that do counseling psychologists.
8When did clinical psychology emerge as a distinct discipline?
- in the late 1800s
- in the early twentieth century
- just before WWII
- in the mid- to late-1900s
9For a clinical psychologist who is conducting an assessment of a client, what is the most important factor in the selection of the assessment instruments to be used?
- the referral question
- the time needed to administer each instrument
- the cost associated with using each instrument
- the research support of each instrument
10Among the most important changes in the DSM-5 was
- its reinstitution of a multi-axial diagnostic system.
- its attempt to weave treatment suggestions into the diagnostic process.
- the new organization of its chapters due to changes in some of the diagnostic categories.
- its publication by the American Psychological Association instead of the American Psychiatric Association.
11*The extent to which the results of an assessment tool are similar to those produced by other assessment methods that are designed to examine the same quality is called ________ validity, which is a form of construct validity.
- concurrent
- criterion
- predictive
- convergent
12Research has consistently found that clinical psychologists have inferential abilities, or “clinical intuition” skills, that are markedly stronger than the average individual. This explains why some people are drawn to the field.
13The breadth of the information covered by an assessment device is referred to as its ________; the depth of that information is called the instrument’s________.
- fidelity; bandwidth
- construct validity; test-retest reliability
- bandwidth; fidelity
- reliability; criterion validity
14Which of the following is the most accurate statement about clinical assessment?
- It can only performed by qualified clinical psychologists with an appropriate license.
- It has a singular goal of arriving at a diagnosis that is contained within DSM-5.
- It refers to the collection and synthesis of information to reach a clinical judgment about people and their problems.
- It only involves the administration of personality or intelligence tests.
15Clinical assessment has the lone goal of helping a clinician arrive at a diagnosis of a psychological disorder.
16When statistical analyses indicate that an assessment instrument measures the construct it is supposed to measure, we say that it is
- statistically significant
- reliable
- valid
- standardized
17Approximately how many diagnoses are contained in the DSM-5?
18Which of the following contribute to lack of clarity in assessment reports?
- overreliance on technical information and statistics
- excessive length
- excessive brevity
- all of the above
19The WAIS is the most popular adult intelligence test in the United States.
20Which of the following is the most accurate statement about the sequential system approach to psychological test construction?
- It combines the empirical and analytical approaches
- It eliminates the need for standardization and objectivity in test creation
- It recognizes that test results are usually of limited practical use
- It is also referred to as the rational approach
21*Most clinicians believe that nonverbal behaviors that conflict with a client’s stated answers indicate hidden, symbolic messages that are being expressed in an unconscious manner.
22Antonia has been having more tension headaches lately, and her therapist suspects that it may be related to the anxiety caused by increasing stressors in Antonia’s life. He asks Antonia to keep a record of how often she has the headaches, when they start, how intense they are, how long they last, and what she does to deal with them. This is a procedure called ________.
- somatic assessment
- self-directed orientation
- physiological journaling
- self-monitoring
23The extent to which tests can be used to specify treatment approaches or measure treatment outcomes is referred to as
- psychotherapy/assessment integration
- statistical significance
- concurrent validity
- clinical utility
24Dr. Williamson develops a new intelligence test for adolescent girls. She recruits a group of 1,000 adolescent girls, administers the test to them, and then establishes scoring norms based on their combined responses. This group of girls comprises a(n) ________.
- deviation sample
- validity grouping
- standardization sample
- parametric comparison group
25The questionable validity and reliability of the ________ has led the Division of Clinical Psychology of the American Psychological Association to remove this assessment tool from its recommended model assessment curriculum.
- Millon Clinical Multiaxial Inventory
- Myers-Briggs Type Indicator
- Rorschach Test
- Minnesota Multiphasic Personality Inventory
26Dr. Spiegelman has been working with his psychotherapy client, Pam, for several months, and now they agree that it is time to end the treatment. During the last session he conducts a(n) ________ interview, during which he helps Pam review the progress she’s made, reminds her of the skills she’s learned, provides resources for follow-up needs, and ties up other loose ends.
- consolidation
- discontinuation
- postvention
- termination
27In the simplest terms, an interview is
- a conversation with a purpose or goal.
- a set of responses to a preformed set of questions.
- the most valid method of gathering information.
- a way of gathering only verbal responses to questions.
28While being observed, clients’ behavior may be affected by their perceptions of what is expected of them in the observation situation. These social cues are called
- behavioral biases
- demands characteristics
- correlational stimuli
- observational assessment confounds
29There is clear research evidence that undergoing their own personal therapy enhances a clinician’s effectiveness.
30Which client variable is most strongly related to treatment outcome?
- the comfort and “warmth” of the treatment setting
- the client’s age
- the client’s openness and cooperation
- the therapist’s years of training
31Which of the following is true about treatment utilization in the United States?
- The median delay for seeking treatment for bipolar disorder is about one year.
- Mental health parity laws have improved utilization rates tremendously.
- Utilization rates are quite similar across cultural and ethnic groups.
- Many individuals with a psychological disorder go without treatment.
32According to the text, the “third participant” in a psychotherapeutic endeavor is the relationship that develops between the therapist and the client.
33Dr. Zimet typically charges $125 for a 55-minute therapy session. A new client, Bernard, informs Dr. Zimet that he has no insurance and cannot pay that amount. Dr. Zimet agrees to accept $65 for the sessions instead if Bernard is willing to have sessions during less in-demand office hours. Which statement about this situation is the most accurate?
- Dr. Zimet can make this offer but only if he makes the same offer to all other clients.
- Dr. Zimet’s offer is appropriate, as many therapists offer reduced fees under various circumstances.
- While Dr. Zimet’s choice is ethical, it is professionally irresponsible since it lowers the client’s valuing of his services.
- The APA Code of Ethics mandates that a therapist charge all clients the same amount, so Dr. Zimet should not reduce his fees.
34The treatment planning model in which therapists treat all clients using methods consistent with their theoretical orientation to therapy is called the ________ approach.
- diagnosis-based
- top-down
- evidence-based
- bottom-up
35It is important for clients to experience some small successes early in the treatment process because
- even small changes help reinforce their confidence in their ability to change.
- it encourages them to discuss their problems with others outside of therapy.
- it helps them to learn that their problems are not as serious as they might have thought
- if the successes are too large in the beginning, clients might get discouraged if things slow down later in the process.
36Which of the following is an example of a clinician’s competency-related difficulty?
- A therapist who is seeing a client for depressive symptoms begins treating his substance use issues, even though she is not trained to do so.
- A clinician can’t seem to like one of his clients, and has begun to dread his scheduled sessions.
- A therapist tends to have a very short temper, and frequently feels angry when his clients are not fully compliant with his recommendations.
- A clinician who works in a hospice setting struggles with feelings of deep sadness as a result of continued interaction with grieving family members
37The basic components of psychotherapy described in the textbook include all but which of the following?
- a theoretical orientation (psychoanalytical or behavioral)
- a basic framework (professional relationship)
- participants (clients and therapists).
- a main goal (behavior change for the better)
38Therapist self-disclosure...
- should occur regularly so that clients can have breaks from discussing their own issues.
- is a violation of the APA Ethical Code.
- is associated with improved client functioning when done appropriately.
- should never occur because the therapy sessions are the client’s time.
39Which of the following is not a therapist variable associated with positive therapy outcomes?
- a sense of collaboration with the client
- higher levels of empathy
- strict adherence to a theoretical approach
- encouraging client feedback
40Box score reviews have been described as the “gold standard” for evaluating the effectiveness of individual psychotherapy.
41Research on couples therapy indicates that most couples
- were unable to improve communication skills during their sessions.
- experience generally positive effects and are better off after treatment.
- relapse to distressed states one to four years after treatment concludes.
- felt that their therapist sided with one member of the couple during sessions.
42*Research studies that use meta-analyses to examine psychotherapy outcomes generally indicate that
- individuals who receive psychotherapy fare as well as those who do.
- specific types of therapy produced very different effectiveness levels with different clients.
- psychological treatment is effective and its overall effectiveness is medium to large in magnitude.
- clients who receive psychotherapy fare no better than those who do.
43Strong group cohesion and therapeutic alliances enhance the benefits of group therapy.
44Charna is reviewing a series of studies on a new treatment approach that she wants to use. The articles find that in addition to working in controlled studies, they are also useful in clinical practice. This second point indicates that the treatment has high ________.
- reliability
- internal validity
- effectiveness
- adaptability
45Evidence-based practices are best described as
- increasing clients’ motivation to improve their functioning, which in turn leads to more engagement in psychotherapy.
- the use of treatments for which health insurance companies will provide financial support.
- training in graduate school that demonstrates the only clinical interventions that can produce positive behavior changes.
- techniques that are supported by research, experience-based clinical expertise, and information about client characteristics, culture, and preferences.
46Dr. Who is planning to apply for federal funding from the National Institutes of Mental Health for a study comparing two distinct forms of therapy that he encountered during his travels. He will most likely be funded if his research includes...
- therap and researh design international standards (TARDIS)
- a between subjects design
- a within-subjects design
- randomized controlled trials (RCT)
47Jordan, a 20-year-old undergraduate student, recently switched majors from engineering to fine arts. Although Jordan feels excited and energized in studio classes, they experience recurring anxiety before calling their parents, who strongly value financial stability and prestige. Jordan often thinks, “Maybe I’m being selfish,” yet also feels a deep sense of relief and authenticity when painting. Lately, Jordan has been having vivid dreams about being trapped in a small, windowless room.
Jordan’s thought, “Maybe I’m being selfish,” may reflect:
- unresolved conflict
- conditions of worth imposed by others
- the pleasure principle
- inferiority complex
48Maria is a university student studying in the library when she finds a copy of the midterm exam left unattended on a table. She immediately feels a surge of excitement and thinks, “I could look at this and guarantee an A.” At the same time, she feels guilty and hears an inner voice saying, “That would be dishonest and wrong.” After a few moments of tension, she decides to turn the exam in to her professor without looking at it.
Maria’s final decision to turn in the exam without looking at it reflects the role of the:
- id
- ego
- sublimation
- rationalization
49Amari recently earned a B on her chemistry test, and is now telling her therapist, “I know I’m going to fail this class, and I need this class in order to get into graduate school!” Amari is demonstrating
- dichotomous thinking
- personalization
- catastrophizing
- selective abstraction
50
Jordan, a 20-year-old undergraduate student, recently switched majors from engineering to fine arts. Although Jordan feels excited and energized in studio classes, they experience recurring anxiety before calling their parents, who strongly value financial stability and prestige. Jordan often thinks, “Maybe I’m being selfish,” yet also feels a deep sense of relief and authenticity when painting. Lately, Jordan has been having vivid dreams about being trapped in a small, windowless room.
From a psychodynamic perspective, Jordan’s anxiety about calling their parents is most likely understood as:
- A lack of unconditional positive regard
- A conflict between unconscious wishes and internalized parental expectations
- A failure to achieve self-actualization
- A distortion in self-concept due to societal labeling
51Sara often engages in minimization, avoids conflict, and is unable to recall feelings of sadness. If you were a psychoanalyst what defense mechanisms would you say are at play here?
- displacement
- avoidance
- repression
- projections
52The intelligence test most commonly used with children is the ___________
- sterberg triarchic abilities test (STAT)
- wechsler
- stanford-binet
- california acheivement test (ACT)
53A professional who provides assessment and treatment service for older adults is called a(n) ________.
- psychiatric social worker
- behavioral neuroscientist
- geropsychologist
- senior psychiatrist
54What is the most accurate response to those who think that old age necessarily brings cognitive decline and symptoms of dementia?
- Only about 10% of older adults develop dementia, and fewer than half experience mild cognitive impairment.
- While memory impairment is seen in about 80% of all older adults, dementia is actually rather rare.
- Dementia is far more common in adult women than men, but more than 30% of all older adults do develop the condition.
- This is probably accurate, as more than three-quarters of those over 65 show signs of dementia.
55In addition to conducting research on treatment of children’s psychological disorders, clinical child psychologists are also involved in efforts to prevent such disorders from developing in the first place.
56The ________is severed in “split-brain” patients to control severe epilepsy.
- corpus callosum
- amygdala
- hippocampus
- bed nucleus of the stria terminalis
57A person may experience visual agnosia when there is damage to the
- posterior and inferior temporal lobes.
- ventral and lateral frontal lobes.
- anterior and superior parietal lobes
- dorsal and medial occipital lobes.
58In most right-handed people, the left hemisphere is specialized for
- analyzing visual information
- processing negative emotions
- speech and linguistic processing
- analyzing nonverbal information
59Anything that increases the likelihood of a person developing an illness or disorder is called a ____ factor.
- resilience
- risk
- diathesis
- stress
60The _________ model describes varying patient attitudes that affect treatment compliance or adherence.
- behavioral contingency
- health belief
- health compliance
- general adaptation
61The concept of coping is
- regarded as maladaptive because it leads to avoidance and escape responses.
- outdated because it implies that people cannot change the events occurring in their lives.
- defined as cognitive, emotional, and behavioral efforts to deal with stressors.
- assessed by health psychologists mainly at the beginning of treatment.
62Research evidence about the timing of cognitive development plays a role in decisions about
- the validity of psychological autopsies.
- whether defendants are competent to stand trial.
- the role of psychologists in determining a defendant’s sanity.
- whether juvenile defendants should be tried as adults.
63When testifying as expert witnesses in criminal trials, psychologists are not permitted to
- give an opinion about a defendant’s sanity at the time the person committed a crime.
- describe the symptoms of a defendant’s mental disorder.
- reveal the details of their evaluation procedures and copyrighted assessment instruments.
- draw a final conclusions about a defendant’s DSM-5 diagnosis.