Deck 7: Anxiety Disorders
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Deck 7: Anxiety Disorders
1
The fear of separation from parent(s)is common among children ages:
A)1-5
B)3-6
C)6-9
D)8-11
A)1-5
B)3-6
C)6-9
D)8-11
1-5
2
_________ is characterized by feelings of apprehension and lack of control over upcoming events that might be threatening.
A)Anxiety
B)Panic
C)Fear
D)Worry
A)Anxiety
B)Panic
C)Fear
D)Worry
Anxiety
3
__________ is an immediate alarm reaction to current danger or life-threatening emergencies.
A)Anxiety
B)Panic
C)Fear
D)Worry
A)Anxiety
B)Panic
C)Fear
D)Worry
Fear
4
Which of the following is NOT true of anxiety disorders?
A)While prevalent in adults,they are relatively rare in children.
B)There are several different types of anxiety disorders.
C)Anxiety disorders can be persistent across the lifespan.
D)Anxiety disorders often occur with other disorders.
A)While prevalent in adults,they are relatively rare in children.
B)There are several different types of anxiety disorders.
C)Anxiety disorders can be persistent across the lifespan.
D)Anxiety disorders often occur with other disorders.
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5
The most common anxiety disorder of childhood is:
A)obsessive-compulsive disorder
B)panic disorder
C)generalized anxiety disorder
D)separation anxiety disorder
A)obsessive-compulsive disorder
B)panic disorder
C)generalized anxiety disorder
D)separation anxiety disorder
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6
In comparison to children without anxiety disorders,children with anxiety disorders experience more intense worries about:
A)schoolwork
B)aches and pains
C)being around strangers
D)all of the above
A)schoolwork
B)aches and pains
C)being around strangers
D)all of the above
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7
The average age of onset for separation anxiety disorder is:
A)2-3 years of age
B)4-6 years of age
C)7-8 years of age
D)9-10 years of age
A)2-3 years of age
B)4-6 years of age
C)7-8 years of age
D)9-10 years of age
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8
Ritualistic behavior is ___________ in young children.
A)nonexistent
B)uncommon
C)common
D)difficult to observe
A)nonexistent
B)uncommon
C)common
D)difficult to observe
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9
Which of the following is NOT a common occurrence among children with separation anxiety disorder?
A)co-occurrence of another anxiety disorder
B)co-occurrence of a depressive disorder
C)co-occurrence of conduct disorder
D)school refusal
A)co-occurrence of another anxiety disorder
B)co-occurrence of a depressive disorder
C)co-occurrence of conduct disorder
D)school refusal
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10
The anxiety disorder with the earliest age of onset is:
A)obsessive-compulsive disorder
B)panic disorder
C)generalized anxiety disorder
D)separation anxiety disorder
A)obsessive-compulsive disorder
B)panic disorder
C)generalized anxiety disorder
D)separation anxiety disorder
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11
Which of the following is least likely to lead to school refusal?
A)difficulty with academics
B)separation anxiety disorder
C)fear of being teased or bullied
D)fear of being socially evaluated
A)difficulty with academics
B)separation anxiety disorder
C)fear of being teased or bullied
D)fear of being socially evaluated
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12
When activated,the sympathetic nervous system causes the release of _____________ from glands on the kidney.
A)insulin
B)adrenaline
C)growth hormone
D)testosterone
A)insulin
B)adrenaline
C)growth hormone
D)testosterone
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13
The fear of death is common among children ages:
A)1-2
B)4-5
C)6-8
D)8-11
A)1-2
B)4-5
C)6-8
D)8-11
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14
The _______________ mobilizes the body for action in a fight/flight situation.
A)central nervous system
B)peripheral nervous system
C)sympathetic nervous system
D)parasympathetic nervous system
A)central nervous system
B)peripheral nervous system
C)sympathetic nervous system
D)parasympathetic nervous system
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15
_________ is a group of physical symptoms of the fight/flight response that unexpectedly occur in the absence of any obvious threat or danger.
A)Anxiety
B)Panic
C)Fear
D)Worry
A)Anxiety
B)Panic
C)Fear
D)Worry
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16
Anxiety disorders in the DSM-IV-TR are divided into categories that reflect:
A)primary dimensions of anxiety (biological/cognitive/behavioral)
B)varieties of reaction and avoidance
C)the response to treatment (good/poor)
D)typical age of onset
A)primary dimensions of anxiety (biological/cognitive/behavioral)
B)varieties of reaction and avoidance
C)the response to treatment (good/poor)
D)typical age of onset
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17
For many children,fear of school is a really a fear of what?
A)Children having a difficult time socializing
B)Children being afraid of the teacher
C)Children worried about test taking
D)Children leaving their parents
A)Children having a difficult time socializing
B)Children being afraid of the teacher
C)Children worried about test taking
D)Children leaving their parents
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18
When would an absence of separation anxiety suggest an insecure attachment?
A)at 2 months of age
B)at 7 months of age
C)at 10 years of age
D)never
A)at 2 months of age
B)at 7 months of age
C)at 10 years of age
D)never
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19
Which of the following is NOT a DSM diagnosis?
A)separation anxiety disorder
B)obsessive-compulsive disorder
C)panic disorder
D)test anxiety disorder
A)separation anxiety disorder
B)obsessive-compulsive disorder
C)panic disorder
D)test anxiety disorder
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20
___________ fears increase with age.
A)Social
B)School-related
C)Nighttime
D)Parental separation
A)Social
B)School-related
C)Nighttime
D)Parental separation
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21
An example of a situational specific phobia is:
A)heights
B)elevators
C)illnesses
D)injections
A)heights
B)elevators
C)illnesses
D)injections
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22
For a child whose obsession is cleanliness,the accompanying compulsion is likely to be:
A)washing hands
B)avoiding cracks in the sidewalk
C)thinking about dirt
D)repetitively touching dirty objects
A)washing hands
B)avoiding cracks in the sidewalk
C)thinking about dirt
D)repetitively touching dirty objects
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23
Which of the following is NOT a characteristic of a panic attack?
A)intense fear or discomfort
B)can last for a few days
C)sense of imminent danger
D)occur several times a week or month
A)intense fear or discomfort
B)can last for a few days
C)sense of imminent danger
D)occur several times a week or month
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24
Compulsions involving counting over and over to a certain number are frequently related to a concern about:
A)symmetry or order
B)harm
C)contamination
D)religious issues
A)symmetry or order
B)harm
C)contamination
D)religious issues
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25
Unlike adults,children with specific phobias:
A)avoid the feared stimuli
B)do not recognize that their fears are extreme and unreasonable
C)experience physiological arousal when presented with the feared stimuli
D)are more easily treated
A)avoid the feared stimuli
B)do not recognize that their fears are extreme and unreasonable
C)experience physiological arousal when presented with the feared stimuli
D)are more easily treated
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26
The fact that the most common specific phobia in children is a fear of animals is believed to be due to:
A)the high rates of exposure to animals in young childhood
B)evolutionary processes
C)parental over-protection when young children encounter animals
D)all of these
A)the high rates of exposure to animals in young childhood
B)evolutionary processes
C)parental over-protection when young children encounter animals
D)all of these
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27
Which of the following distinguishes children with generalized anxiety disorder from those with other anxiety disorders?
A)their worries are age-inappropriate
B)they experience somatic symptoms
C)they worry about minor events
D)they worry about minor events and experience somatic symptoms
A)their worries are age-inappropriate
B)they experience somatic symptoms
C)they worry about minor events
D)they worry about minor events and experience somatic symptoms
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28
The prevalence of Generalized Anxiety Disorder in children is:
A)1-2%
B)2-4%
C)3-6%
D)6-8%
A)1-2%
B)2-4%
C)3-6%
D)6-8%
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29
Panic attacks occur in about _____________ of adolescents.
A)3-4%
B)8-10%
C)15-20%
D)25-30%
A)3-4%
B)8-10%
C)15-20%
D)25-30%
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30
Children who exhibit selective mutism may also:
A)be developmentally delayed
B)have language impairments
C)have auditory processing deficits
D)all of the above
A)be developmentally delayed
B)have language impairments
C)have auditory processing deficits
D)all of the above
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31
_____________ influences have a greater role in early onset cases of obsessive-compulsive disorder than late onset cases of obsessive-compulsive disorder.
A)Parenting
B)Learning
C)Neurobiological
D)Genetic
A)Parenting
B)Learning
C)Neurobiological
D)Genetic
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32
Agoraphobia can be best described as the fear of:
A)leaving home
B)being separated from one's parents
C)having a panic attack in situations in which escape would be difficult or help unavailable
D)spiders
A)leaving home
B)being separated from one's parents
C)having a panic attack in situations in which escape would be difficult or help unavailable
D)spiders
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33
Selective mutism is believed to be a type of:
A)specific phobia
B)generalized anxiety disorder
C)obsessive-compulsive disorder
D)social phobia
A)specific phobia
B)generalized anxiety disorder
C)obsessive-compulsive disorder
D)social phobia
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34
To be diagnosed with generalized anxiety disorder,a child must exhibit:
A)separation anxiety disorder
B)worry about academic performance
C)at least one somatic symptom
D)perfectionism and self-critical behavior
A)separation anxiety disorder
B)worry about academic performance
C)at least one somatic symptom
D)perfectionism and self-critical behavior
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35
The onset of spontaneous panic attacks is related to:
A)chronological age
B)pubertal stage
C)cognitive developmental stage
D)the development of internalized speech
A)chronological age
B)pubertal stage
C)cognitive developmental stage
D)the development of internalized speech
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36
The rate of obsessive-compulsive disorder in children is _____________ the rate of obsessive-compulsive disorder in adults.
A)less than
B)more than
C)equal to
D)more variable
A)less than
B)more than
C)equal to
D)more variable
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37
School refusal is equally common in boys and girls,and it occurs most often between the ages of _____________ years.
A)3 and 10
B)5 and 11
C)7 and 11
D)8 and 12
A)3 and 10
B)5 and 11
C)7 and 11
D)8 and 12
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38
_________ is the most common secondary diagnosis for children with another anxiety disorder:
A)specific phobia
B)social phobia
C)obsessive-compulsive disorder
D)general anxiety disorder
A)specific phobia
B)social phobia
C)obsessive-compulsive disorder
D)general anxiety disorder
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39
What is the intention of compulsions?
A)to consume time
B)to avoid focusing on other things
C)to reduce anxiety
D)they have no intention
A)to consume time
B)to avoid focusing on other things
C)to reduce anxiety
D)they have no intention
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40
Most social phobias first occur in:
A)the preschool years
B)the primary school years
C)late childhood
D)adolescence
A)the preschool years
B)the primary school years
C)late childhood
D)adolescence
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41
Children and adolescents with ______________ have the lowest rate of remission for any of the anxiety disorders.
A)separation anxiety disorder
B)generalized anxiety disorder
C)obsessive-compulsive disorder
D)panic disorder
A)separation anxiety disorder
B)generalized anxiety disorder
C)obsessive-compulsive disorder
D)panic disorder
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42
In most cases:
A)anxiety precedes depression
B)depression precedes anxiety
C)depression and anxiety occur simultaneously
D)there is not a clear relationship between anxiety and depression
A)anxiety precedes depression
B)depression precedes anxiety
C)depression and anxiety occur simultaneously
D)there is not a clear relationship between anxiety and depression
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43
The most effective treatment of a child's phobia of riding in a car would involve:
A)playing with toy cars
B)watching tapes of other children riding in cars
C)imagining riding in a car
D)actually riding in a car
A)playing with toy cars
B)watching tapes of other children riding in cars
C)imagining riding in a car
D)actually riding in a car
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44
The two-factor theory explains anxiety disorders as arising and persisting through a combination of:
A)attachment and social learning
B)temperament and exposure
C)classical and operant conditioning
D)modeling and reinforcement
A)attachment and social learning
B)temperament and exposure
C)classical and operant conditioning
D)modeling and reinforcement
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45
In most behavioral treatments aimed at decreasing children's anxieties and fears:
A)cognitive techniques are used
B)the family is involved
C)medications are given
D)the feared stimulus is presented
A)cognitive techniques are used
B)the family is involved
C)medications are given
D)the feared stimulus is presented
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46
Prolonged exposure to ______ as a result of early stress or trauma may have neurotoxic effects on the developing brain.
A)cortisol
B)serotonin
C)GABA
D)norepinephrine
A)cortisol
B)serotonin
C)GABA
D)norepinephrine
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47
The brain system associated with anxiety is called:
A)behavioral activation system
B)behavioral inhibition system
C)behavioral formation system
D)hypothalamic system
A)behavioral activation system
B)behavioral inhibition system
C)behavioral formation system
D)hypothalamic system
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48
The neurotransmitter system most often implicated in anxiety disorders is the __________ system.
A)dopaminergic
B)nordopaminergic
C)GABA-ergic
D)prominergic
A)dopaminergic
B)nordopaminergic
C)GABA-ergic
D)prominergic
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49
Child psychopathology reflects a mix of actual child __________ and the _________ through which others view it in a child's culture.
A)symptoms,structure
B)disorders,focus
C)behavior,perspective
D)behavior,lens
A)symptoms,structure
B)disorders,focus
C)behavior,perspective
D)behavior,lens
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50
The most effective procedure for treating most anxiety disorders is:
A)behavioral therapy
B)cognitive-behavioral therapy
C)family therapy
D)use of medications
A)behavioral therapy
B)cognitive-behavioral therapy
C)family therapy
D)use of medications
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51
In comparison to children with PTSD,children with acute stress disorder:
A)recover more quickly
B)experience less severe stressors
C)exhibit behavior problems later in life
D)have fewer sources of support
A)recover more quickly
B)experience less severe stressors
C)exhibit behavior problems later in life
D)have fewer sources of support
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52
Which of the following is NOT a core feature of posttraumatic stress disorder?
A)persistent re-experiencing of the traumatic event
B)persistent irritability and agitation
C)persistent avoidance of associated stimuli and numbing of general responsiveness
D)persistent symptoms of extreme arousal
A)persistent re-experiencing of the traumatic event
B)persistent irritability and agitation
C)persistent avoidance of associated stimuli and numbing of general responsiveness
D)persistent symptoms of extreme arousal
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53
Anxiety is associated with:
A)parenting practices
B)parent-child attachment
C)family functioning
D)all of the above
A)parenting practices
B)parent-child attachment
C)family functioning
D)all of the above
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54
In comparison to children who are anxious,children who are depressed display:
A)more negative affectivity
B)less negative affectivity
C)more positive affectivity
D)less positive affectivity
A)more negative affectivity
B)less negative affectivity
C)more positive affectivity
D)less positive affectivity
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55
To date,the strongest evidence for the effectiveness of medication to treat anxiety disorders in children and adolescents is for:
A)generalized anxiety disorder
B)panic disorder
C)obsessive-compulsive disorder
D)social phobia
A)generalized anxiety disorder
B)panic disorder
C)obsessive-compulsive disorder
D)social phobia
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56
The parenting style most often associated with anxiety disorders in children is one in which parents are:
A)uninvolved
B)overly controlling
C)overly permissive
D)overly positive
A)uninvolved
B)overly controlling
C)overly permissive
D)overly positive
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57
Children with a shy-inhibited temperament may be less likely to develop a later anxiety disorder if:
A)their parents protect them from stressful events
B)their parents set firm limits that teach them how to cope with stress
C)they have older siblings
D)their parents ignore their bids for comfort and protection
A)their parents protect them from stressful events
B)their parents set firm limits that teach them how to cope with stress
C)they have older siblings
D)their parents ignore their bids for comfort and protection
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58
Depression is least likely to be diagnosed with:
A)social phobia
B)specific phobia
C)generalized anxiety disorder
D)separation anxiety disorder
A)social phobia
B)specific phobia
C)generalized anxiety disorder
D)separation anxiety disorder
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59
Findings from twin and adoption studies of anxiety in children and adolescents suggest that the genetic contribution for anxiety:
A)decreases with age and is greater for boys than girls
B)decreases with age and is greater for girls than for boys
C)increases with age and is greater for boys than girls
D)increases with age and is greater for girls than boys
A)decreases with age and is greater for boys than girls
B)decreases with age and is greater for girls than for boys
C)increases with age and is greater for boys than girls
D)increases with age and is greater for girls than boys
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