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Chapter 14 Test Bank/ practice intro to clinical psychology

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Chapter 14: Behavior Therapy
Test Bank
Multiple Choice
1. The career of Ivan Pavlov is most closely associated with _____ therapy.
A. humanistic
B. behavior
C. cognitive
D. psychodynamic
Ans: B
Learning Objective: 14.1 Discuss the origins of behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Origins of Behavior Therapy
Difficulty Level: Easy
2. Which of the following statements about Ivan Pavlov is NOT true?
A. He was a physiologist originally studying the digestive systems of dogs.
B. He conducted research that laid the groundwork for classical conditioning.
C. He found that dogs would salivate in response to a stimulus that had previously been paired with food.
D. He partnered with Albert Bandura on studies of social learning.
Ans: D
Learning Objective: 14.1 Discuss the origins of behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Origins of Behavior Therapy
Difficulty Level: Medium
3. In the early 1900s, _____ argued that the classical conditioning lessons learned from Ivan Pavlov’s experiments with
dogs should apply to humans also.
A. Edward Lee Thorndike
B. Sigmund Freud
C. John Watson
D. Donald Meichenbaum
Ans: C
Learning Objective: 14.1 Discuss the origins of behavior therapy.
Cognitive Domain: Knowledge
Answer Location: Origins of Behavior Therapy
Difficulty Level: Medium
4. Edward Lee Thorndike’s law of effect provides the theoretical basis for _____.
A. operant conditioning
B. classical conditioning
C. graduated exposure
D. successive approximations
Ans: A
Learning Objective: 14.1 Discuss the origins of behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Origins of Behavior Therapy
Difficulty Level: Medium
5. B. F. Skinner is most closely associated with _____.
A. motivational interviewing
B. interpersonal interviewing
C. classical conditioning
D. operant conditioning
Ans: D
Learning Objective: 14.1 Discuss the origins of behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Origins of Behavior Therapy
Difficulty Level: Medium
6. Thorndike is to _____ as Pavlov is to _____.
A. operant conditioning, classical conditioning
B. classical conditioning, operant conditioning
C. motivational interviewing, interpersonal interviewing
D. interpersonal interviewing, motivational interviewing
Ans: B
Learning Objective: 14.1 Discuss the origins of behavior therapy. 14.3 Differentiate between classical and operant
conditioning.
Cognitive Domain: Comprehension
Answer Location: Origins of Behavior Therapy
Difficulty Level: Medium
7. _____ is most closely associated with classical conditioning, while _____ is most closely associated with operant
conditioning.
A. Thorndike, Skinner
B. Watson, Pavlov
C. Pavlov, Skinner
D. Thorndike, Watson
Ans: C
Learning Objective: 14.1 Discuss the origins of behavior therapy. 14.3 Differentiate between classical and operant
conditioning.
Cognitive Domain: Comprehension
Answer Location: Origins of Behavior Therapy
Difficulty Level: Medium
8. Thorndike’s law of effect states that
A. actions followed by loud noises are more likely to occur.
B. repetition of actions followed by electrical shock can be most accurately predicted in the future.
C. actions followed by pleasurable consequences are more likely to occur.
D. an increase in physical stimulation will yield a decrease in mental agitation.
Ans: C
Learning Objective: 14.1 Discuss the origins of behavior therapy.
Cognitive Domain: Knowledge
Answer Location: Origins of Behavior Therapy
Difficulty Level: Medium
9. The main goal of behavior therapy is
A. to make the unconscious conscious.
B. self-actualization.
C. observable behavior change.
D. an increase in logical, rational thought.
Ans: C
Learning Objective: 14.2 Explain the goal of behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Goal of Behavior Therapy
Difficulty Level: Easy
10. Compared to humanistic and psychodynamic approaches to psychotherapy, behavioral psychotherapy
A. emphasizes empiricism.
B. defines problems in terms of observable behaviors.
C. both emphasizes empiricism and defines problems in terms of observable behaviors.
D. neither emphasizes empiricism nor defines problems in terms of observable behaviors.
Ans: C
Learning Objective: 14.2 Explain the goal of behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Emphasis on Empiricism
Difficulty Level: Medium
11. Compared to humanistic and psychodynamic approaches to psychotherapy, behavior therapy
A. emphasizes inferential, introspective methods of measuring change within the mind of the client.
B. employs testable hypotheses and observable, measurable outcome measures.
C. is effective with children but not adults.
D. eschews the scientific method.
Ans: B
Learning Objective: 14.2 Explain the goal of behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Emphasis on Empiricism
Difficulty Level: Medium
12. Which of the following places the steps of the scientific method in correct order?
A. Develop hypotheses, test the hypotheses, observe a phenomenon, observe the outcome of the tests, revise the
hypotheses
B. Observe a phenomenon, develop hypotheses, test the hypotheses, observe the outcome of the tests, revise the
hypotheses
C. Observe a phenomenon, develop hypotheses, revise the hypotheses, test the hypotheses, observe the outcome of
the tests
D. Test the hypotheses, observe the outcome of the tests, observe a phenomenon, develop hypotheses, revise the
hypotheses
Ans: B
Learning Objective: 14.2 Explain the goal of behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Emphasis on Empiricism
Difficulty Level: Medium
13. According to behavior therapists,
A. client behaviors are symptoms of an underlying problem.
B. client behaviors are the problem.
C. phobias are behavioral manifestations of a disturbance in the unconscious.
D. phobias result from incongruence between the real and ideal selves.
Ans: B
Learning Objective: 14.2 Explain the goal of behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Defining Problems Behaviorally
Difficulty Level: Medium
14. Sherrie is diagnosed with depression. She believes she is unlovable, cries several hours per day, consumes less
calories, and thinks her symptoms will never end. In treatment, a behavior therapist is most likely to target
A. Sherrie’s emotional sadness.
B. the amount of time Sherrie cries each day.
C. the number of calories Sherrie consumes and her belief that she is unlovable.
D. Sherrie’s thought that her symptoms will never end.
Ans: B
Learning Objective: 14.2 Explain the goal of behavior therapy.
Cognitive Domain: Application
Answer Location: Defining Problems Behaviorally
Difficulty Level: Hard
15. A behavior therapist is most likely to judge the success of treatment via changes in the patient’s
A. level of introspection.
B. number of illogical cognitions.
C. observable behaviors.
D. positive self-regard.
Ans: C
Learning Objective: 14.2 Explain the goal of behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Measuring Change Observably
Difficulty Level: Medium
16. In Pavlov’s famous experiment with dogs, the dog’s food was a(n) _____.
A. conditioned stimulus
B. unconditioned stimulus
C. neutral stimulus
D. conditioned response
Ans: B
Learning Objective: 14.1 Discuss the origins of behavior therapy. 14.4 Describe behavior therapy techniques based on
classical conditioning.
Cognitive Domain: Knowledge
Answer Location: Classical Conditioning
Difficulty Level: Easy
17. In a lab, Albert is conditioned to fear a white mouse. However, after leaving the lab, he not only continues to fear
white mice; he also demonstrates fear of other white, fluffy objects (e.g., Santa Claus’ beard, white bunnies). Which of
the following behavior therapy terms best describes what has happened to Albert?
A. Discrimination
B. Operant conditioning
C. Generalization
D. Stimulus expansion
Ans: C
Learning Objective: 14.4 Describe behavior therapy techniques based on classical conditioning.
Cognitive Domain: Application
Answer Location: Classical Conditioning
Difficulty Level: Medium
18. Operant conditioning proposes that all human (and animal) actions are governed by _____.
A. contingencies
B. cognitions.
C. primary reinforcers
D. secondary reinforcers
Ans: A
Learning Objective: 14.5 Review behavior therapy techniques based on operant conditioning.
Cognitive Domain: Knowledge
Answer Location: Operant Conditioning
Difficulty Level: Medium
19. Which of the following behavior therapy techniques is primarily based on classical conditioning?
A. Contingency management
B. Systematic desensitization
C. Token economies
D. Shaping
Ans: B
Learning Objective: 14.4 Describe behavior therapy techniques based on classical conditioning.
Cognitive Domain: Comprehension
Answer Location: Techniques Based on Classical Conditioning
Difficulty Level: Medium
20. Because it is not practical to conduct treatment at an airport, Jeanie’s psychologist has her imagine that she is flying
on a plane as part of treatment for her flying phobia. What exposure therapy technique is Jeanie’s psychologist using?
A. Imaginal exposure
B. In vivo exposure
C. Graded exposure
D. Flooding
Ans: A
Learning Objective: 14.4 Describe behavior therapy techniques based on classical conditioning.
Cognitive Domain: Application
Answer Location: Exposure Therapy
Difficulty Level: Medium
21. Dr. Vogt’s new client is a timid, apprehensive individual with social anxieties. Which of the following behavior
therapies should he likely select for treatment?
A. The operant conditioning technique of assertiveness training
B. The operant conditioning technique of contingency management
C. The classical conditioning technique of assertiveness training
D. The classical conditioning technique of contingency management
Ans: C
Learning Objective: 14.4 Describe behavior therapy techniques based on classical conditioning.
Cognitive Domain: Application
Answer Location: Assertiveness Training
Difficulty Level: Medium
22. Which of the following behavioral psychotherapy techniques is primarily based on operant conditioning?
A. Exposure therapy
B. Systematic desensitization
C. Assertiveness training
D. Contingency management
Ans: D
Learning Objective: 14.5 Review behavior therapy techniques based on operant conditioning.
Cognitive Domain: Comprehension
Answer Location: Techniques Based on Operant Conditioning
Difficulty Level: Medium
23. The creation of an anxiety hierarchy is a core feature of _____.
A. token economies
B. exposure therapy
C. contingency management
D. assertiveness training
Ans: B
Learning Objective: 14.4 Describe behavior therapy techniques based on classical conditioning.
Cognitive Domain: Knowledge
Answer Location: Exposure Therapy
Difficulty Level: Medium
24. For the treatment of obsessive-compulsive disorder, _____ is a form of therapy that has received substantial
empirical support.
A. exposure and response prevention
B. motivational interviewing
C. behavioral consultation
D. humanistic psychotherapy
Ans: A
Learning Objective: 14.4 Describe behavior therapy techniques based on classical conditioning.
Cognitive Domain: Knowledge
Answer Location: Exposure Therapy
Difficulty Level: Medium
25. _____, a treatment for phobias and other anxiety disorders, involves re-pairing a feared object with a new response
that is incompatible with anxiety.
A. Exposure plus response prevention
B. Behavioral consultation
C. Systematic desensitization
D. Contingency management
Ans: C
Learning Objective: 14.4 Describe behavior therapy techniques based on classical conditioning.
Cognitive Domain: Knowledge
Answer Location: Systematic Desensitization
Difficulty Level: Medium
26. Although they have been used for a variety of clinical issues, exposure therapy and systematic desensitization have
been used primarily for the treatment of _____.
A. eating disorders
B. anxiety disorders
C. personality disorders
D. schizophrenia
Ans: B
Learning Objective: 14.4 Describe behavior therapy techniques based on classical conditioning.
Cognitive Domain: Comprehension
Answer Location: Techniques Based on Classical Conditioning
Difficulty Level: Medium
27. _____ is typically present in systematic desensitization but typically absent from exposure therapy.
A. Relaxation training
B. Exposure to anxiety-producing stimuli
C. Reflection
D. Creation of an anxiety hierarchy
Ans: A
Learning Objective: 14.4 Describe behavior therapy techniques based on classical conditioning.
Cognitive Domain: Comprehension
Answer Location: Systematic Desensitization
Difficulty Level: Medium
28. _____ is a specific application of classical conditioning that targets patients’ social anxieties; it may help a patient
insist on appropriate service at a restaurant or ask someone out on a date.
A. Relaxation training
B. Exposure plus response prevention
C. Assertiveness training
D. Contingency management
Ans: C
Learning Objective: 14.4 Describe behavior therapy techniques based on classical conditioning.
Cognitive Domain: Knowledge
Answer Location: Assertiveness Training
Difficulty Level: Medium
29. _____ is defined as any consequence that makes a behavior less likely to occur in the future.
A. Reinforcement
B. Exposure
C. Implosion
D. Punishment
Ans: D
Learning Objective: 14.5 Review behavior therapy techniques based on operant conditioning.
Cognitive Domain: Knowledge
Answer Location: Reinforcement and Punishment
Difficulty Level: Easy
30. According to the behavioral approach, _____ essentially means “getting something good,” and _____ essentially
means “losing something good.”
A. reinforcement, punishment
B. positive reinforcement, negative punishment
C. positive reinforcement, positive punishment
D. negative reinforcement, negative punishment
Ans: B
Learning Objective: 14.5 Review behavior therapy techniques based on operant conditioning.
Cognitive Domain: Comprehension
Answer Location: Reinforcement and Punishment
Difficulty Level: Medium
31. “If you change the consequences of a behavior, the behavior will change.” This statement best summarizes the
rationale behind _____.
A. contingency management
B. exposure therapy
C. systematic desensitization
D. extinction
Ans: A
Learning Objective: 14.5 Review behavior therapy techniques based on operant conditioning.
Cognitive Domain: Comprehension
Answer Location: Contingency Management
Difficulty Level: Medium
32. The removal of an expected reinforcement that results in a decrease in the frequency of a behavior is known as
_____.
A. extinction
B. behavioral adaptation
C. flooding
D. assertiveness training
Ans: A
Learning Objective: 14.5 Review behavior therapy techniques based on operant conditioning.
Cognitive Domain: Knowledge
Answer Location: Extinction
Difficulty Level: Medium
33. The form of behavior therapy derived from Bandura’s work that involves clients learning from the experiences of
others, rather than their own experiences, is _____.
A. exposure therapy
B. assertiveness training
C. observational learning
D. flooding
Ans: C
Learning Objective: 14.5 Review behavior therapy techniques based on operant conditioning.
Cognitive Domain: Knowledge
Answer Location: Observational Learning (Modeling)
Difficulty Level: Medium
34. Parent and teacher training are indirect interventions based on the principles of _____ therapy.
A. behavior
B. psychodynamic
C. humanistic
D. cognitive
Ans: A
Learning Objective: 14.6 Examine alternative approaches to behavior therapy.
Cognitive Domain: Comprehension
Answer Location: Parent Training
Difficulty Level: Medium
35. Behavioral activation is based on the simple idea that
A. the day-to-day lives of depressed people lack positive reinforcement.
B. depressed people think illogically.
C. the brains of depressed people are chemically imbalanced.
D. depressed people lack social skills.
Ans: A
Learning Objective: 14.5 Review behavior therapy techniques based on operant conditioning.
Cognitive Domain: Knowledge
Answer Location: Behavioral Activation
Difficulty Level: Medium
36. The goal of _____ is to increase the frequency of behaviors that are positively reinforcing to the client.
A. cognitive therapy
B. aversion therapy
C. systematic desensitization
D. behavioral activation
Ans: D
Learning Objective: 14.5 Review behavior therapy techniques based on operant conditioning.
Cognitive Domain: Knowledge
Answer Location: Behavioral Activation
Difficulty Level: Medium
37. When behavioral activation begins, an important question for the clinical psychologist to ask the client is,
A. “Are there things that you are not doing now that you typically do when you are not depressed?”
B. “Is there another way of interpreting the events that have happened to you?”
C. “If the feared event happens, so what?”
D. “What are your beliefs about the fact that you have been diagnosed with depression?”
Ans: A
Learning Objective: 14.5 Review behavior therapy techniques based on operant conditioning.
Cognitive Domain: Knowledge
Answer Location: Behavioral Activation
Difficulty Level: Medium
38. Behavior therapies
A. have little empirical support to justify their use.
B. do not easily lend themselves to the research process.
C. with empirical support include exposure and response prevention for OCD and parent training for ADHD.
D. are highly effective with children but not adults.
Ans: C
Learning Objective: 14.7 Summarize the findings of behavior therapy outcome research.
Cognitive Domain: Comprehension
Answer Location: How Well Does It Work?
Difficulty Level: Medium
Short Answer
1. Who is the creator of the law of effect?
Ans: Edward Lee Thorndike
2. What is the goal of behavior therapy?
Ans: Observable behavior change
3. In the case of Pavlov’s dogs, the food was a(n) _____ stimulus, and, initially, the sound of the bell was a(n) _____
stimulus.
Ans: conditioned, unconditioned
4. Exposure therapy and systematic desensitization are examples of _____ conditioning.
Ans: operant
5. What is a main difference between exposure therapy and systematic desensitization?
Ans: Rather than simply breaking an association between a feared object and an aversive feeling, as in exposure therapy,
systematic desensitization involves re-pairing the feared object with a new response that is incompatible with anxiety.
Systematic desensitization includes a relaxation training component.
6. _____ refers to the removal of an expected reinforcement that results in a decrease in the frequency of the behavior.
Ans: Extinction
7. If a kindergarten teacher gives students a sticker each time they are good, takes a sticker away each time they are
bad, and allows students to trade in a certain number of stickers for a prize, what operant conditioning technique she is
likely using?
Ans: Token economy
8. What form of behavioral consultation helps parents with the problematic behaviors of their children?
Ans: Parent training
Essay
1. What are the five stages of behavioral consultation?
Ans: Initiation of the consulting relationship, problem identification, problem analysis, plan implementation, and plan
evaluation.
2. Describe the process of exposure therapy. What psychological problem is it usually used to treat? Include key
elements or techniques used in this type of therapy.
Ans: Exposure therapy is commonly used to treat phobias. The therapist and patient together create an anxiety
hierarchy, a list of feared stimuli related to the phobic object or situation. These stimuli are typically rated by the patient
on a scale from 0 to 100 in terms of the amount of subjective distress each produces. The stimuli are ranked in
ascending order and may be imaginal or in vivo. The patient is exposed to the stimulus at the lowest level of the
hierarchy and continues to progress up the hierarchy, repeating each exposure as necessary until only a low level of
anxiety results from the exposure.
3. Briefly define both generalization and discrimination as understood by behavior therapists. Also, explain how each
could alter the development of a phobia related to a traumatic incident in an elevator.
Ans: Generalization occurs when the conditioned response is evoked by stimuli that are similar to, but not an exact
match for, the conditioned stimulus. Discrimination occurs when the conditioned response is not evoked by such a
stimulus. If a trauma happened in an elevator, a person who generalizes may become fearful of all elevators, or all
enclosed spaces. If a trauma happened in an elevator, a person who discriminates may become fearful of only the
specific elevator in which the trauma occurred.
4. Briefly explain the extinction burst.
Ans: Extinction is the decrease in a behavior following removal of an expected reinforcer. Although the decrease
happens eventually, the initial response is a brief increase in the behavior in terms of intensity or frequency. After a
relatively short time, this increase tapers off and the behavior decreases below initial levels.
5. Briefly explain how behavior therapists conduct parent training.
Ans: Parent training is a form of behavioral consultation. Parent seeks help for a problematic behavior in child.
Behavioral therapist is a consultant who provides suggestions for the parent (therapist may never meet child directly).
The parent is the consultee, who receives suggestions from behavior therapist and implements them with child. Child is
the client whose behavior is the target of change.
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