Question 1

In general, the treatment of choice for adjustment disorder is

Accepted Answer

A)   Pharmacotherapy
B)   Light therapy
C)   Psychotherapy
D)   Electroconvulsive therapy C

Question 2

The fear/anxiety circuit of the brain includes which of the following brain structures?

Accepted Answer

A)   Reticular activating system
B)   Amygdala and hippocampus
C)   Parietal lobe and cerebellum
D)   Corpus callosum B

Question 3

The process of allostasis includes

Accepted Answer

A)   Mobilization of energy, activation of cognition, and behavioral changes
B)   Reduction of production of cortisol
C)   Decreased levels of norepinephrine
D)   Development of a state of exhaustion A

Question 4

It can be said of exposure to traumatic events that

Accepted Answer

A)   The majority of people develop some form of psychopathology.
B)   The development of adjustment disorder is likely to follow exposure to life-threatening traumatic events.
C)   The normal reaction includes grief, anxiety, and thoughts of suicide.
D)   Cognitive appraisal and style of coping have greater influence on outcome than the physical aspects of the traumatic event.

Question 5

The response of exposure to stressors

Accepted Answer

A)   Is the same response in all humans
B)   Is the same for males and females
C)   Is followed by homeostasis
D)   Is buffered by the presence of three or more social contacts

Question 6

The key feature of adjustment disorder is

Accepted Answer

A)   An anxiety response to a social event such as speaking in public
B)   The response to a known stressor that occurs within 3 months of the stressor
C)   A response to an event that is catastrophic, such as witnessing a murder
D)   Pervasive anxiety related to a fear of being trapped in an enclosed place

Question 7

Patients who use direct methods of coping strategies when confronted with a stressful event would likely engage in

Accepted Answer

A)   Seeking to understand the value to be extracted from negative experiences
B)   Following the steps of problem-solving
C)   Increasing their sense of control over the situation
D)   Asking other people to manage the situation

Question 8

An important evidence-based finding about adjustment disorder among adolescents and young adults is that

Accepted Answer

A)   Pharmacotherapy is the frontline for treatment.
B)   The course of adjustment disorder is brief, with good outcomes.
C)   There is a short time between thoughts of suicide and carrying out suicide.
D)   Academic functioning is well preserved.

Question 9

Complicated grief differs from normal grief by the presence of

Accepted Answer

A)   Emotions of anger and regret
B)   Persistent longing and yearning for the deceased
C)   Physical symptoms of headaches and indigestion
D)   Problems with concentration and planning

Question 10

Adjustment disorder is often associated with

Accepted Answer

A)   Symptoms of dissociation
B)   Time lost from work
C)   Flashbacks and nightmares
D)   Delusions of persecution

Exam 9: Response to Stressors: Bridging Normal Responses and Psychiatric Disorders