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1-10.What is the most important characteristic used to distinguish dysthymia from major depression?


A) the length of time the person has had the symptoms
B) how severe the symptoms are
C) whether there are occasional brief periods of normal moods during the disorder
D) the types of symptoms the person has

E) B) and D)
F) All of the above

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1-72.Lori has periods of dejection and apathy that are not as severe as are seen in major depression.She also has periods when she abruptly becomes elated and has little need for sleep.Her symptoms never reach the level of psychosis,but the mood swings have been recurrent for over four years.The best diagnosis for Lori is


A) schizoaffective disorder.
B) bipolar I disorder.
C) recurrent dysthymia.
D) cyclothymia.

E) C) and D)
F) A) and D)

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1-110.Melissa is severely depressed and wants to commit suicide.If she is typical of most individuals who commit suicide,


A) she is determined to kill herself and will choose a lethal means such as a gun to ensure that she is successful.
B) she is ambivalent about committing suicide.
C) she will change her mind at the last minute and reexamine her problems in a more objective fashion.
D) she will show no outward signs of her distress.

E) B) and D)
F) None of the above

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Discuss Beck's cognitive theory of depression.

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Beck's theory is that thinking preceded ...

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1-60.Abramson revised the learned helplessness theory to suggest that


A) the worldview dimension of attributions is the most important to depression.
B) hopelessness is needed to produce depression,helplessness is not important.
C) the number of negative life events someone experiences is more important than his or her attributions for those events.
D) the pessimistic attributional style people have about negative events produces depression.

E) A) and D)
F) A) and C)

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1-26.Which of the following is a true statement about the recurrence of depressive symptoms?


A) If a recurrence is not experienced within 1 year after an initial depressive episode,recurrence is highly unlikely.
B) Most individuals diagnosed with major depression will exhibit a recurrence.
C) Those with depression with psychotic features are less likely to experience a recurrence.
D) Clients are usually asymptomatic between depressive episodes.

E) B) and C)
F) A) and D)

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1-50.Depressogenic schemas


A) are inherited.
B) predispose a person to develop depression.
C) serve a protective function and are readily modified by positive life experiences.
D) ensure that a low rate of reinforcement will be experienced.

E) A) and B)
F) A) and C)

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1-74.Although bipolar I disorder is described as "bipolar,"


A) a depressed episode is not necessary for a diagnosis.
B) few patients show both manic and depressed symptoms.
C) both depressed and manic symptoms typically occur simultaneously.
D) a year or two commonly passes between manic and depressed episodes.

E) B) and D)
F) B) and C)

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1-24.A recurrent depressive episode


A) is preceded by one or more previous episodes.
B) suggests that chronic major depression has developed.
C) typically lasts 2-3 weeks.
D) is characteristic of all forms of bipolar disorder.

E) A) and B)
F) A) and C)

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3-10.What are the warning signs of student suicide in college or university?

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Marked change in mood and behavior,espec...

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What is the difference between bipolar I and bipolar II disorder?

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A diagnosis of bipolar I is made when th...

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1-65.Which statement best describes the relationship between mood disorders and domestic distress?


A) Critical comments trigger negative affect in the spouse.
B) Women who are depressed avoid their partners.
C) Whenever there is a problem,it is caused by a man who,in a manic episode,is unaware of the nature of his behavior or even who he is attacking.
D) Men become violent as a way of protecting themselves when their wives,who suffer from depressive episodes,become impulsively aggressive.

E) C) and D)
F) B) and D)

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1-105.Which of the following is most likely to attempt suicide?


A) A 25-year-old single man
B) A 25-year-old single woman
C) A 25-year-old divorced man
D) A 25-year-old divorced woman

E) B) and D)
F) None of the above

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1-75.A diagnosis of bipolar I disorder indicates that the person has met DSM-5 criteria for


A) an episode of mania.
B) an episode of mania or major depression.
C) an episode of hypomania and a major depression.
D) an episode of mania and psychois.

E) A) and B)
F) All of the above

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1-33.Drugs that alter the availability of norepinephrine and serotonin are not clinically effective in the treatment of depression for several weeks.Which of the following does this finding suggest?


A) These neurotransmitters are not involved in depression.
B) It is overactivity of these neurotransmitters that underlies depression,not underactivity.
C) That the effectiveness of antidepressants is a placebo effect,as opposed to a result of a biochemical manipulation.
D) Changes in neurotransmitter function,as opposed to neurotransmitter level,cause depression.

E) C) and D)
F) None of the above

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1-13.George,a 22-year-old mechanic,always seems to have a cloud over his head.For the past three weeks,he has had problems sleeping and he has little appetite or enjoyment of food.While he may sometimes seem to be relatively content for short periods of time,this happens very rarely and it never lasts for more than a week.If George were to seek help for his negative mood state,which of the following diagnoses would he most likely receive?


A) Adjustment disorder with depressed mood
B) Chronic adjustment disorder with depressed mood
C) Bipolar II
D) Major depressive disorder

E) A) and C)
F) C) and D)

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1-21.Kerry suffers from depression.He is experiencing delusions that his brain is deteriorating and that he is aging quickly.These delusions


A) clearly suggest a diagnosis of schizophrenia.
B) are typical of depressive delusions because they are mood congruent.
C) suggest that he is suffering from a bipolar rather than a unipolar disorder.
D) are most likely to persist after the depression remits.

E) C) and D)
F) B) and C)

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1-37.Many people who are depressed


A) show very little REM sleep,instead they spend large amounts of time in the deeper stages (3 and 4) of sleep.
B) do not enter REM sleep until much later in the night than normal and have smaller amounts of REM sleep throughout the night than normal.
C) enter REM sleep earlier than normal and have larger amounts of REM sleep early in the night.
D) enter REM sleep at a normal time,but have very slow and mild rapid eye movements and have less overall time in REM sleep than normal.

E) C) and D)
F) A) and C)

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1-90.Stressful life events


A) do not trigger manic episodes.
B) appear to increase the time to recovery from a manic episode.
C) do not generally precipitate an initial manic episode,but tend to play more of a role over time.
D) play no role in the development or progression of bipolar II disorder.

E) All of the above
F) C) and D)

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1-86.Knowing what we know about the neurotransmitter imbalances in bipolar disorder,a physician should give which of the following pieces of advice?


A) "Eat lots of foods that are rich in norepinephrine."
B) "Don't take drugs that increase dopamine levels because they can produce manic-like behavior."
C) "Stay away from drugs that include lithium because bipolar is associated with excessive lithium activity."
D) "If you can keep your serotonin levels normal,you do not have to worry about having a manic episode."

E) A) and B)
F) All of the above

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