Questions from chapter 1 School Refusal Behavior: Children Who Can't or Won't Go To School 1) A child-motivated absence is referred to by all the following EXCEPT a) Truancy b) School withdrawal c) School phobia d) Dropping out 2) According to the National Center for Education Statistics (2006), the dropout rate for 16-24 year olds in the United States is a) 2.3% b) 5.3% c) 10.3% d) 15.3% 3) Which is NOT mentioned by Berg (1997) as a condition of school refusal? It is characterized by reluctance or refusal to go to school by a child who: a) Seeks the comfort and security of home b) Displays evidence of emotional upset at the prospect of going to school c) Manifests no severe antisocial tendencies d) Attempts to conceal the problem from parents 4) Setzer and Salhauer s (2001) define Substantial School Refusal Behavior as occurring for a minimum of a) 1 week b) 2 weeks c) 4 weeks d) 8 weeks Questions from chapter 2 5) For some children in the foster care system, create an underlying anxiety which makes attending school difficult. a) Academic deficits b) Separations c) Neglect d) Malnutrition
6) The dominant aspect of families is an apparent lack of boundaries and individual dynamics which prevent boundaries from being recognized or honored. a) Enmeshed b) Conflicted c) Detached d) Healthy 7) Children from families may have difficulty attending school due to a specific situation like a punitive teacher, a bully, or other stressors. a) Enmeshed b) Healthy c) Conflicted d) Detached 8) Chou et al. (2006) and Halfors et al. (2006) have demonstrated a correlation between, school absenteeism, and school refusal behaviors. a) Alcohol abuse b) Autism c) First generation anxiety d) First generation immigration 9) Freemont (2003) found that about of all school refusing youth presented with some somatic complaints. a) 33% b) 44% c) 55% d) 66% Questions from chapter 3 10) A child with is very clear that they don t want to be at school and that being at school makes them feel yucky. a) SPNA b) ASB 11) For these youth, school refusal might be motivated by a desire to avoid certain people due to past embarrassment, shame, or ridicule. a) SPNA b) ASB
12) These school refusers may be seeking positive rewards for non-attendance including intangibles such as attention or sympathy. a) SPNA b) ASB 13) A boy who refuses to go to school so he can stay home and play Xbox may fall under which functional category? a) SPNA b) ASB Questions from chapter 4 14) What percent of individuals with Separation Anxiety Disorder continue to be symptomatic by ages 14 16? a) 1% b) 2% c) 4% d) 8% 15) Criteria for Generalized Anxiety Disorder call for the condition to have existed in excess of a) 3 months b) 6 months c) 9 months d) 12 months 16) In the DSM-5, the condition formerly known as Simple Phobia is now called a) Anxiety NOS b) Specific Phobia c) Phobic Spectrum Disorder d) Generalized Anxiety 17) Panic disorders are rarely seen in children until late adolescence less than a) 0.4% b) 2.4% c) 4.4% d) 6.4%
18) Which is a new diagnosis established by DSM-5, at least partially in response to a large number of children being diagnosed with Bipolar Disorder? a) Attention Deficit with mania b) Bipolar Disorder of Childhood c) Disruptive Mood Dysregulation Disorder d) Bipolar Disorder Childhood Onset 19) The typical progression is a) Oppositional Defiant D/O to Conduct D/O to Antisocial Personality D/O b) Antisocial Personality D/O to Oppositional Defiant D/O to Conduct D/O c) Conduct D/O to Antisocial Personality D/O to Oppositional Defiant D/O d) Oppositional Defiant D/O to Antisocial Personality D/O to Conduct D/O 20) Which is NOT one of the 3 specific presentations of ADHD identified by DSM-5? a) Combined Presentation b) Predominantly Inattentive Presentation c) Predominantly Hypomanic Presentation d) Predominantly Hyperactive/Impulsive Presentation 21) In DSM-5, which is now part of Autism Spectrum Disorder? a) Autistic Disorder b) Asperger s Disorder c) Childhood Disintegrative Disorder d) All the above 22) Approximately of students in public schools are identified as having a learning disorder. a) 2% b) 5% c) 7% d) 10% Questions from chapter 5 23) Kearney and Albano (2007) suggested that in cases of school refusal behavior, interview the a) Parents and children together b) Teachers before the family c) Parents before the children d) Children before the parents
24) What does Kearney (2008b) define as the student s feelings of connectedness to the school and the degree of support of their academic and other needs. a) Comfort quotient b) Sense of belonging c) Tipping point d) School climate 25) Which instrument contains Withdrawal and Somatic Complaints Scales, as well as an overall Internalizing Scale? a) Behavioral Assessment System for Children b) State-Trait Anxiety Inventory for Children c) Child Behavior Checklist d) School Refusal Assessment Scale Questions from chapter 6 26) The number one factor increasing the likelihood of success with children who can t or won t go to school is a) An early return to school b) Early treatment of depression c) Early treatment of anxiety d) Early targeted psychopharmacology 27) Which treatment for school refusers has been particularly effective for those youth who struggle with the social aspects of the school experience? a) Exposure b) Modeling and role playing c) Systematic desensitization d) Parent training 28) Silverman et al. (2008) have concluded that sufficient information is available to include Cognitive Behavioral Therapy as fitting criteria as for school refusal. a) Definitely Efficacious b) Probably Efficacious c) Possibly Efficacious d) Candidate for further study 29) Medication may be effective at moderating the physical feelings of distress, as well as positively impacting the thinking or acting aspects of a child s distress. a) True b) False
30) Homebound instruction, online school, or other alternative instruction processes can be very useful in resolving school refusal behavioral issues. a) True b) False 31) What did Kearney (2007b) find to be the best predictor of school absenteeism? a) A measure of depression b) Using a structural model to find the function of school refusal behaviors c) Homeroom teacher ratings d) Peer feedback Questions from chapter 7 32) Children who are refusing school to avoid the stimuli associated with school (SPNA) and the accompanying anxiety levels or state of general negative affectivity are motivated by a) Discomfort b) Reinforcers at home c) Avoiding bullies d) Fear 33) The (Kendall et al, 1992) technique of tensing all the muscles in your body and holding it for 10 seconds and then releasing the tension is very effective with younger children. a) Robot-Rag Doll b) Saggy Scarecrow c) Limp Linguini d) Catatonic Kitty Questions from chapter 8 34) An effective tool toward normalizing social anxiety is helping the youth build a Social/Evaluative Anxiety versus Avoidance a) Toolbox b) Escape Plan c) Hierarchy d) Handbook 35) In the STOP anagram used for training the child to restructure their thinking and feeling reactions, the T stands from a) Turn b) Thinking c) Talk d) Trust
Questions from chapter 9 36) Which type of parental commands will move the child toward behaviors resulting in attendance at school? a) Question like b) Incomplete c) Multi-step d) None of the above 37) Utilizing the criteria of the three provides a way of avoiding the endless debates over psychosomatic physical symptoms. a) A s b) B s c) C s d) D s Questions from chapter 10 38) The first contract for school attendance should involve all the following EXCEPT a) Simple and straightforward b) Last at least 4 to 6 months c) Eliminate all loopholes or excuses d) Have exact definitions regarding timelines, responsibilities, and criteria for successful completion Questions from chapter 11 39) Forced attendance is viewed as a procedure with the goal of eventually creating habituation and a successful adaptation to attending school. a) Modeling b) Aversion c) Negative Reinforcement d) Flooding 40) Forced Attendance is most effective for those youth whose school refusal behavior is a) ASB b) SPNA
41) Kearney and Albano (2000) developed guidelines for the use of Forced Attendance. Their guidelines indicate that this technique is only appropriate when the child is under years of age a) 8 b) 11 c) 14 d) 17 42) It is recommended that school personnel be particularly concerned about the child s a) Gym teacher b) Homeroom teacher c) Lunchroom monitor d) Study hall teacher