1 1. The most widely abused class of prescription drugs are A. stimulants. B. tranquilizers. C. pain relievers. D. sedatives. 2. The physical and psychological changes that accompany discontinuation of a substance are referred to as symptoms. A. tolerance B. intoxication C. withdrawal D. potentiation 3. Samira used to get drunk after drinking two gin and tonics. Now she must drink six to get the same effect. Samira s drinking illustrates the phenomenon of A. tolerance. B. withdrawal. C. intoxication. D. abuse. 4. describes a pattern of substance use involving the use of a drug in a way that creates significant problems in daily life. A. Abuse B. Dependence C. Addiction D. Habituation 5. Dependence refers to A. the need for larger amounts of a substance in order to achieve the same effects. B. a psychological and often physical need for a substance. C. the physical and psychological changes that accompany discontinuation of a substance. D. the combination of two or more substances. 6. All of the following variables are associated with higher rates of alcohol consumption EXCEPT A. having a higher education level. B. being male. C. being unemployed. D. being married. 7. In larger amounts, alcohol may make a person feel A. self-conscious. B. uninhibited. C. introverted. D. less confident.
2 8. Which of the following events in Celeste Chapman s life seems to have triggered her addiction difficulties? A. the death of her father B. the loss of her job C. her divorce D. the birth of her daughter 9. The devastating physical and psychological effects associated with long-term heavy alcohol use may be attributed to A. potentiation. B. withdrawal. C. abstinence syndrome. D. tolerance. 10. Which of the following is a symptom of alcohol-induced brain damage? A. dementia B. schizophrenia C. Parkinson s disease D. dyslexia 11. Which of the following is the cause of Wernicke s disease? A. brain damage caused by alcohol B. a thiamine deficiency C. glutamate buildup in the brain D. a niacin deficiency 12. Death from long-term, heavy alcohol use is most often associated with A. strokes. B. heart failure. C. brain damage. D. cirrhosis of the liver. 13. What pattern might one see on an EEG of an individual with a genetic prediposition to alcohol dependence? A. an abnormal ERP response B. an increased response in the delta wave C. a decrease in the alpha wave D. a flattening of the beta wave 14. All of the following neurotransmitter systems may have a role in the development and maintenance of alcohol dependence EXCEPT the system. A. GABA B. substance P C. serotonin D. dopamine
3 15. According to the expectancy model, what factor plays a significant role in determining whether or not an alcohol dependent individual will suffer a relapse? A. genetic B. biological C. cognitive D. unconscious 16. Which of the following is one of the characteristics apparent in adult children of alcoholics? A. interpersonal difficulties B. antisocial behavior C. shyness and reticence D. abuse to their own children 17. Yevgenia, an alcohol abuser, is given the drug naltrexone. What kind of effects can she expect after taking this medication? A. feeling somewhat intoxicated B. becoming extremely ill if she drinks C. feeling less motivated to drink D. experiencing an increased tolerance to alcohol 18. The physical condition consisting of autonomic nervous system dysfunction, confusion, and in some cases seizures is referred to as A. Korsakoff s syndrome. B. Wernicke s disease. C. Broca s aphasia. D. delirium tremens. 19. Aldehyde dehydrogenase is A. a medication prescribed to treat alcoholism. B. also referred to as disulfiram. C. an enzyme responsible for the metabolism of alcohol. D. a medication used to treat heroin addicts. 20. The fact that Alex, a college student with alcohol abuse problems, will be graduating from college and will no longer be going out with his drinking buddies would be most significant to a therapist working within the therapeutic framework. A. psychodynamic B. ACOA C. relapse prevention D. dysfunctional learning
4 21. The relapse prevention therapy program closely resembles components of which behavioral technique? A. response blocking B. aversive conditioning C. token economy D. systematic desensitization 22. Lamont is attending a therapy meeting. At the start of the meeting, one of the members stands up, states his first name, says that he is an alcoholic and proceeds to tell the story of how alcohol interfered with his life. Lamont is attending a meeting of A. Synanon. B. Alcoholics Anonymous. C. an Adult Children of Alcoholics meeting. D. a cue exposure group. 23. Kelly has just taken amphetamine and is experiencing a rush of pleasurable feelings. It is likely that she has taken it A. orally as a liquid. B. in pill form. C. by smoking it. D. intravenously. 24. Marnie has always had a problem losing weight. Her doctor has prescribed a drug that is very effective as an appetite suppressant. Marnie was most likely prescribed A. amphetamine. B. antabuse. C. fluoxetine. D. lithium. 25. The damage done to brain cells containing serotonin and dopamine by chronic use of methamphetamine can produce symptoms that are similar to A. Parkinson s disease. B. Alzheimer s disease. C. Korsakoff s disease D. Wernicke s encephalopathy. 26. The most intense effects of cocaine are felt A. one half hour after administration. B. two hours after administration. C. within 24 hours of administration. D. within the first ten minutes of administration.
5 27. What percentage of Americans over the age of 12 report having tried marijuana? A. 10% B. 20% C. 40% D. 60% 28. Which of the following is a hallucinogen? A. PCP B. LED C. PCB D. GABA 29. Individuals who use are more likely to contract HIV. A. marijuana B. LSD C. cocaine D. heroin 30. When individuals are trying to withdraw from heroin, they are often given which is a less dangerous opiate. A. mescaline B. methadone C. morphine D. marijuana 31. Which of the following is a guarantee that a clinician is capable of providing treatment to a client? A. a doctoral degree in clinical psychology B. a degree in medicine C. a state license to practice D. None of these. 32. Dr. Ward does not feel that she has the resources necessary to effectively treat Yajaira s condition so she gives Yajaira the name and phone number of another clinician. Dr. Ward provided Yajaira with A. informed consent. B. a referral. C. the right to refuse treatment. D. a mandated report.
6 33. Dr. Strickland has neglected to notify Oren, one of his newest clients, about the potential risks of therapy and the limits of confidentiality during therapy sessions. Dr. Strickland has not provided the information needed for Oren to give A. information on prognosis. B. preferences for therapy. C. restrictions on secrecy. D. informed consent. 34. Nathan has been brought to the emergency room. He is extremely disoriented and is out of touch with reality. He has just attempted to commit suicide and Dr. Gallina believes he is still at risk. Unfortunately, Nathan does not seem capable of providing informed consent for treatment. Dr. Gallina should A. respect Nathan s right to refuse treatment. B. get a court order to forcibly provide treatment. C. wait until Nathan becomes lucid. D. get consent from Nathan s family. 35. The notion that information provided by a client to a clinician cannot be disclosed in a court of law without the client s expressed permission is referred to as A. privileged communication. B. informed consent. C. debriefing. D. duty to warn. 36. Which of the following professionals is NOT legally bound to report suspected cases of child abuse? A. teachers B. clinicians C. doctors D. attorneys 37. Mandated reporting applies to all of the following groups EXCEPT A. college students. B. individuals with handicaps. C. individuals with developmental disabilities. D. impaired elders. 38. With regard to the business of psychotherapy, who might pressure a clinician to shorten an inpatient stay in a psychiatric facility when third party payment is involved? A. the client s family B. a health maintenance organization C. a judge D. the client
7 39. When a clinician is called on to provide specialized information not commonly known by people outside the mental health profession during court cases, he/she is considered to be a(n) A. guardian ad litem. B. expert witness. C. parens patriae. D. impartial party. 40. A person appointed by the court to represent or make decisions for a person who is legally incapable of doing so in a civil legal proceeding is referred to as a A. legal witness. B. parens patriae. C. parental authority. D. guardian ad litem. 41. A psychologist is appointed by a family court judge to make decisions regarding placement of an orphan. Based on interviews with the child, the clinician decides that the best placement for the child is with his aunt. In this instance, the clinician has served as a A. legal custodian. B. guardian ad litem. C. parental authority. D. parens patriae. 42. If someone has not committed a crime but is viewed as being a potential threat to one s self or others, he or she may be A. involuntarily committed to a psychiatric hospital. B. judged incompetent to stand trial. C. judged as not guilty by reason of insanity. D. judged as guilty but insane. 43. The legal principle that the state has the authority to protect those who are unable to protect themselves is referred to as A. commitment. B. guardian ad litem. C. ad hominen. D. parens patriae.
8 44. According to the text, which of the following statements best characterizes the current situation with regard to involuntarily committing homeless individuals who are mentally ill? A. Increasing numbers of homeless people are being involuntarily hospitalized to provide them with shelter. B. The standards for involuntary commitment have become more conservative which has left many of the homeless on the streets. C. Because of increased funding, institutions are being more conservative with regard to involuntary commitment. D. There is considerable debate and disagreement across the U.S. regarding the involuntary hospitalization of the homeless. 45. Outpatient commitment is viewed as an alternative to A. involuntary institutionalization. B. the insanity plea. C. the Americans with Disabilities Act. D. CMHCs. 46. Carol has been hospitalized after her most recent bout with depression since it nearly resulted in her suicide. Her doctor insists that she receive electroconvulsive therapy. Despite the fact that she does not want the treatment, her doctor performs it anyway. Which of Carol s rights are being violated? A. right to the least restrictive environment B. right to refuse treatment C. right to a humane environment D. right to treatment 47. Had Mark Chen been cognitively alert and responsive in the textbook case, he would have had the legal right to decline Dr. Tobin s recommendation for an ECT. His decision would have been supported by A. the Americans with Disabilities Act. B. parens patriae. C. the Durham rule. D. the right to refuse treatment. 48. What is the name of the rapidly growing subfield of psychology that examines issues pertaining to the relationship between criminal behavior and psychological disturbance? A. psychopathology B. clinical psychology C. forensic psychology D. legal psychology
9 49. Which of the following was created to remedy the difficulties with the previous rules and tests for determining insanity? A. M Naghten Rule B. Durham Rule C. irresistible impulse test D. ALI guidelines 50. What alternative verdict have some states utilized to separate the questions of guilt and mental disorder? A. not competent to stand trial B. the irresistible impulse verdict C. the least restrictive environment verdict D. the guilty, but mentally ill verdict 51. Which of the following individuals was found not guilt by reason of insanity and was sent to a mental hospital? A. Jeffrey Dahmer B. John Hinckley C. David Berkowitz D. Lorena Bobbitt 52. John Hinckley attempted to assassinate A. John Lennon. B. Ronald Reagan. C. Jimmy Carter. D. Jodie Foster. 53. John Hinckley identified with a character in the movie A. Midnight Cowboy. B. Full Metal Jacket. C. Taxi Driver. D. The Deer Hunter. 54. Which of the following individuals was found guilty but insane, and sent to prison? A. Jeffrey Dahmer B. John Hinkley C. David Berkowitz D. Lorena Bobbitt 55. Which of the following statements best summarizes the research on racial disparity in the justice system in regards to the insanity plea? A. Asian-Americans are more likely to be judged not guilty by reason of insanity. B. Members of minorities are more likely to plead not guilty by reason of insanity. C. Whites are more likely to be judged not guilty by reason of insanity. D. African-Americans are more likely to be judged not guilty by reason of insanity.
10 56. The ability to understand the nature, character and consequence of an act is referred to as a(n) prong, whereas the ability to resist the impulse of an act is referred to as a(n) prong. A. affective; behavioral B. volitional; cognitive C. cognitive; affective D. cognitive; volitional 57. Yareli has been accused of committing a crime. As she is being tried, her schizophrenic symptoms re-emerge and her behavior is extremely psychotic. It is likely that the attorneys and the judge involved in this case will A. judge her not guilty by reason of insanity. B. judge her guilty but insane. C. judge her not competent to stand trial. D. think she is faking her behavior and continue with the proceedings. 58. After seriously assaulting his parents, David Moser s court-appointed psychologist found him A. not competent to stand trial. B. not guilt by reason of insanity. C. guilty, but insane. D. competent to stand trial. 59. Which behavior description would warrant someone being kept in the hospital involuntarily? A. an attempt to smother a roommate B. suicidal ideation C. incoherent rambling D. manic symptoms 60. According to the guidelines for psychotherapy with gay, lesbian, and bisexual clients, psychologists should A. recognize that homosexuality and bisexuality are not mental illnesses. B. understand the ways in which social stigmatization affects the mental health of these clients. C. be aware of their own biases or prejudices toward homosexuality and bisexuality and consider how these personal views might impact the therapeutic process. D. All of these.
11 Key 1. C 2. C 3. A 4. A 5. B 6. C 7. B 8. D 9. D 10. A 11. B 12. D 13. A 14. B 15. C 16. A 17. C 18. D 19. C 20. C 21. D 22. B 23. D 24. A 25. A 26. D 27. C 28. A 29. D 30. B 31. D 32. B 33. D 34. D 35. A 36. D 37. A 38. B 39. B 40. D 41. B 42. A 43. D 44. D 45. A 46. B 47. D 48. C 49. D 50. D 51. B 52. B 53. C 54. A 55. C 56. D 57. C 58. D 59. A 60. D
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