Name: Class: Date: Chapter 11: Stress, Health, and Coping True / False 1. Some stress is healthful and necessary to keep us alert and occupied. a. True b. False ANSWER: True 2. People with higher self-efficacy expectations have biological as well as psychological reasons for remaining calmer than people with lower self-efficacy. a. True b. False ANSWER: True 3. The most complex form of conflict is the approach-avoidance conflict, in which each of several alternative courses of action has pluses and minuses. a. True b. False ANSWER: False 4. Debbie failed her first Chemistry exam. Because she was very stressed and tired, her mind jumped to the beliefs that she was a “terrible student” and “a failure”; she became certain she would fail the class and perhaps fail at school altogether. Debbie catastrophized failing her exam. a. True b. False ANSWER: True 5. According to the general adaptation syndrome, in the resistance stage, levels of endocrine and sympathetic activity are higher than in the alarm reaction stage. a. True b. False ANSWER: False 6. Increasing hypertension and LDL (harmful) serum cholesterol, through medicine if necessary, reduces the risk of coronary heart disease. a. True b. False ANSWER: False 7. Type B people are highly driven, competitive, impatient, hostile, and aggressive—so much so that they are prone to getting into auto accidents. a. True b. False ANSWER: False 8. Stress and pathogens interact to influence the immune system. a. True Copyright Cengage Learning. Powered by Cognero. Page 1 Name: Class: Date: Chapter 11: Stress, Health, and Coping b. False ANSWER: True 9. People with lower Self-efficacy expectations have biological as well as psychological reasons for remaining calmer and are less prone to be disturbed by adverse events. a. True b. False ANSWER: False 10. When problems assault us, irrational beliefs help diminish their effect. a. True b. False ANSWER: False 11. In the approach-avoidance conflict, each of two goals is desirable, and both are within reach. a. True b. False ANSWER: False 12. If you have an internal locus of control, it means you feel you have control over the direction of your life. a. True b. False ANSWER: True 13. The body’s response to different stressors shows certain similarities whether the stressor is a bacterial invasion, perceived danger, or a major life change is known as the general adaptation syndrome (GAS). a. True b. False ANSWER: True 14. The immune system combats disease by producing white blood cells that engage in search-and-destroy missions in which they “recognize” and eradicate foreign agents and unhealthy cells such as bacteria, fungi, viruses, and cancerous body cells. a. True b. False ANSWER: True 15. Coronary Heart Disease (CHD) is the leading cause of death in the United States. a. True b. False ANSWER: True 16. Another term for white blood cells is antigens. a. True b. False Copyright Cengage Learning. Powered by Cognero. Page 2 Name: Class: Date: Chapter 11: Stress, Health, and Coping ANSWER: False 17. Unhealthy stress is referred to as eustress. a. True b. False ANSWER: False 18. Women under stress are more likely to care for their children and seek social contact and support from others. Taylor termed this the “tend-and-befriend” response. a. True b. False ANSWER: True 19. Psychological states such as anxiety and depression can impair the functioning of the immune system. a. True b. False ANSWER: True 20. Irrational beliefs can lessen an individual's emotional reaction to loss and enhance coping ability. a. True b. False ANSWER: False 21. According to the general adaptation syndrome, during the resistance stage, a person typically feels like a heavy burden has been removed from his or her mind. a. True b. False ANSWER: False 22. In the context of stressors, Albert Ellis referred to situations such as losing a job as an activating event. a. True b. False ANSWER: True Multiple Choice 23. Peggy Blake and her colleagues constructed a scale of "life-change units" to measure the impact of life changes among college students. Surveys with students revealed that: a. they considered unwanted pregnancy to be less stressful than major financial problems. b. they considered academic failures to be more stressful than the beginning of college. c. 100 percent of them considered graduating from college a stress-free event. d. some of them considered academic success to be stressful. ANSWER: d 24. __________ such as pathogens, injuries, age, gender, and a family history of disease may strike us as the most obvious causes of illness. Copyright Cengage Learning. Powered by Cognero. Page 3 Name: Class: Date: Chapter 11: Stress, Health, and Coping a. Psychological factors b. Sociocultural factors c. Biological factors d. Environmental factors ANSWER: c 25. Humor helps people cope with stress by __________. a. postponing making difficult decisions b. stimulating the output of endorphins c. enhancing the functioning of the immune system d. positive cognitive shifts that result in positive emotions. ANSWER: b 26. Sam wants to be a clinical psychologist. He has been accepted at two different graduate schools. Both schools are equally prestigious and will provide him with an outstanding education. However, he is finding it difficult to choose between the two. According to Neal E. Miller, this type of conflict is known as a(n): a. avoidance-avoidance conflict. b. approach-approach conflict. c. approach-avoidance conflict. d. multiple approach-avoidance conflict. ANSWER: b 27. Which of the following is not a demand that stress makes on an organism? a. adaptation b. coping c. adjustment d. fulfilment ANSWER: d 28. Which of the following is one of Selye's three stages in the general adaptation syndrome? a. The latency stage. b. The stagnation stage. c. The exhaustion stage. d. The resilience stage. ANSWER: c 29. Suppose a person is fired and he harbors beliefs such as: "This job was the most important thing in my life," "What a no-good failure I am," "My family will starve," "I'll never find a job as good," "There's nothing I can do about it." According to Albert Ellis, such irrational beliefs contribute to anxiety and depression by: a. creating an approach-approach conflict. b. catastrophizing the extent of loss. c. lowering an individual's emotional reaction to loss. d. reducing hypertension. ANSWER: b Copyright Cengage Learning. Powered by Cognero. Page 4 Name: Class: Date: Chapter 11: Stress, Health, and Coping 30. According to Selye's theory, if the alarm reaction mobilizes the body and the related stressor is not removed, we enter the __________ stage of the general adaptation syndrome (GAS). This stage precedes the last stage of the GAS. a. formal operational b. exhaustion c. resistance d. preoperational ANSWER: c 31. _________ stress is considered healthful. a. Distress b. Eustress c. Hyper-stress d. Pathogen ANSWER: b 32. Kevin is in the exhaustion stage of Selye's general adaptation syndrome. Which of the following is most likely to occur? a. His heart and respiration rates slow down and his muscles become fatigued. b. His endocrine and sympathetic activity is higher than in the alarm stage. c. His hypothalamus secretes corticotrophin-releasing hormones, which in turn causes his pituitary gland to secrete cortisol. d. His body is activated and he experiences a fight-or-flight reaction. ANSWER: a 33. Which of the following is a risk factor for coronary heart disease? a. Overeating. b. Low blood pressure. c. Sunbathing. d. Type B behavior. ANSWER: a 34. After returning from work, Greg contemplates whether he should stay at home or exercise at the gym. He wants to stay at home because he likes to relax, but feels guilty about not getting enough exercise. He knows that if he goes to the gym, he will be glad that he is exercising but unhappy because he does not enjoy the activity. According to Neal E. Miller, this is an example of a(n) __________. a. avoidance-avoidance conflict b. approach-approach conflict c. interpersonal conflict d. multiple approach-avoidance conflict ANSWER: d 35. Which of the following is true of corticosteroids? a. They combat allergic reactions. b. They suppress inflammation. Copyright Cengage Learning. Powered by Cognero. Page 5 Name: Class: Date: Chapter 11: Stress, Health, and Coping c. They are beneficial for the cardiovascular system. d. They cause the adrenal cortex to secrete adrenocorticotrophic hormone. ANSWER: a 36. David was experiencing a lot of stress because he was experiencing some pain in his right foot, the weather was poor, and he owed money to a friend. These types of stress are considered ___________. a. daily hassles b. life changes c. eustress d. distress ANSWER: a 37. The American Psychological Association (2017) has found that Americans are most likely to do one of the following to cope with stress? a. Surfing the internet and napping. b. Drinking alcohol and watching TV. c. Praying and eating. d. Music and exercise. ANSWER: d 38. Unlike Type A people, Type B people ___________. a. are more reluctant to delegate authority in the workplace and thus increase their own workload b. feel rushed and pressured and keep one eye glued to the clock c. are highly driven, competitive, impatient, hostile, and aggressive d. are less ambitious and less impatient ANSWER: d 39. Ever since Michelle failed her biology test, she thinks that she will never be able to find a job when she eventually graduates. She feels that she will end up homeless. This situation best demonstrates __________. a. psychological hardiness b. self-efficacy expectations c. the coronary-prone behavior pattern d. irrational beliefs ANSWER: d 40. Which of the following hassles is an example of environmental hassles? a. noise b. job dissatisfaction c. terrorism d. shopping ANSWER: a 41. Which of the following statements is true of approach-approach conflicts? a. They are the most stressful type of conflicts. Copyright Cengage Learning. Powered by Cognero. Page 6 Name: Class: Date: Chapter 11: Stress, Health, and Coping b. Both goals involved in these conflicts are attainable. c. Both goals in these conflicts are negative. d. They involve several alternative courses to resolve conflicts, each with both positive and negative aspects. ANSWER: b 42. The __________ activates the adrenal medulla, causing it to release a mixture of adrenaline and noradrenaline during the alarm reaction stage of the general adaptation syndrome. a. parasympathetic nervous system b. sympathetic nervous system c. somatic nervous system d. central nervous system ANSWER: b 43. In the context of the general adaptation syndrome, which of the following is true of the fight-or-flight reaction? a. It stems from a period in human prehistory when many stressors were life threatening. b. It involves the slowdown of the heart rate. c. It stems from a sudden lack of sugar in the blood. d. It is accompanied by a deceleration of the respiration rate. ANSWER: a 44. __________ engage in search-and-destroy missions in which they "recognize" and eradicate foreign agents and unhealthy cells. a. Erythrocytes b. Blood platelets c. Red blood cells d. White blood cells ANSWER: d 45. The __________ is the third stage in a group of bodily changes that occur in the general adaptation syndrome (GAS). In this stage, the muscles become fatigued: a. alarm reaction stage b. formal operational stage c. concrete operational stage d. exhaustion stage ANSWER: d 46. Although academically gifted, Chloe never had the desire to be the best in her classes. She would most likely be considered to exhibit __________. a. a Type B behavior pattern b. a Type A behavior pattern c. an external locus of control d. an internal locus of control ANSWER: a Copyright Cengage Learning. Powered by Cognero. Page 7 Name: Class: Date: Chapter 11: Stress, Health, and Coping 47. Which of the following is true of the immune system? a. It is made stronger by prolonged stress. b. It remembers how to battle antigens, often for years. c. It cannot recognize pathogens in case of a reoccurring infection. d. It is typically weakened by short-term stress. ANSWER: b 48. Claire is always on the go. She was valedictorian of her class and has always been competitive. She would most likely be considered to exhibit _______. a. a Type B behavior pattern b. a Type A behavior pattern c. an external locus of control d. an internal locus of control ANSWER: b 49. In the context of the general adaptation syndrome, the hormones adrenaline and noradrenaline are secreted by the__________. a. adrenal cortex b. hypothalamus c. pancreas d. adrenal medulla ANSWER: d 50. Which of the following is not a characteristic of psychological hardiness? a. commitment b. aggression c. challenge d. control ANSWER: b 51. Who among the following exhibits a characteristic of psychological hardiness? a. Rose, who feels alienated from her co-workers. b. Roanne, who sees change as an opportunity to grow. c. Robert, who feels helpless at work. d. Rufus, who believes that stability is normal. ANSWER: b 52. While conducting experiments to study the effect of humor on stressed students, it was found that exposing students to humorous videotapes raised the level of __________ in their saliva. a. corticosteroids b. adrenocorticotrophic hormone c. immunoglobulin A d. cortisol Copyright Cengage Learning. Powered by Cognero. Page 8 Name: Class: Date: Chapter 11: Stress, Health, and Coping ANSWER: c 53. According to the general adaptation syndrome, the __________ is first triggered by perception of a stressor. a. exhaustion stage b. alarm reaction c. resistance stage d. flight reaction ANSWER: b 54. Which of the following are some of the differences between life changes and daily hassles? a. Many life changes are negative and occur less frequently. b. Many life changes are positive and occur frequently. c. Many life changes are positive and occur less frequently. d. Many life changes are negative and occur frequently. ANSWER: c 55. Many couples who repeatedly break up and reunite recall each other fondly when apart and swear that they could make the relationship work if they got together again. But after they do spend time together, they again wonder, "How could I ever have believed that this so-and-so would change?" This best exemplifies the _________. a. avoidance-avoidance conflict b. approach-approach conflict c. approach-avoidance conflict d. interpersonal conflict ANSWER: c 56. __________ are best described as people who perceive the ability to attain reinforcements in stressful situations as being largely outside themselves. a. Externals b. Internals c. Type A people d. Type B people ANSWER: a 57. According to the different kinds of support for coping with stress, __________ involves listening to people's problems and expressing feelings of sympathy, caring, understanding, and reassurance. a. appraisal b. instrumental aid c. emotional concern d. socializing ANSWER: c 58. Emily is on a diet. For lunch, she has the choice of a salad with fat-free dressing or a fruit plate. However, she does not like either of them. This situation is an example of a(n) __________. Copyright Cengage Learning. Powered by Cognero. Page 9 Name: Class: Date: Chapter 11: Stress, Health, and Coping a. avoidance-avoidance conflict b. approach-approach conflict c. approach-avoidance conflict d. multiple approach-avoidance conflict ANSWER: a 59. Which of the following is true of coronary heart disease (CHD)? a. People with a family history of CHD are less likely to develop the disease themselves. b. People who are highly prone to anger are less likely than other people to have CHD. c. Overtime work, assembly line labor, and exposure to conflicting demands can all contribute to CHD. d. CHD is typically associated with hypotension. ANSWER: c 60. Influenza is caused by a virus. This virus is an example of a broad category of disease-causing organisms called __________. a. pathogens b. antibodies c. antigens d. leukocytes ANSWER: a 61. The __________ is the first stage in a group of bodily changes that occur in the general adaptation syndrome. a. alarm reaction stage b. exhaustion stage c. latency stage d. resistance stage ANSWER: a 62. __________ is an environmental hassle. a. Job security b. Illness c. Isolation d. Crime ANSWER: d 63. __________ can be positive or negative, occur at irregular intervals, and create stress. a. Irrational beliefs b. Life changes c. Daily hassles d. Avoidance-avoidance conflicts ANSWER: b 64. In addition to his normal duties, a professor actively participates in the extra-curricular activities of the Copyright Cengage Learning. Powered by Cognero. Page 10 Name: Class: Date: Chapter 11: Stress, Health, and Coping college where he teaches. According to Suzanne Kobasa, which of the following characteristics of psychological hardiness does the professor exhibit? a. Commitment. b. Challenge. c. Control. d. Humor. ANSWER: a 65. Scott was invited by his boyfriend to either go see a movie he was not interested in or a party wher he did not like the host. This is an example of ________ conflict. a. avoidance-avoidance b. approach-avoidance c. approach-approach d. multiple approach-avoidance ANSWER: a 66. __________ is referred to as the coronary-prone behavior pattern. a. Type A behavior b. Type B behavior c. Passive behavior d. Insecure behavior ANSWER: a 67. In the context of the general adaptation syndrome, the mixture of adrenaline and noradrenaline ________. a. slows down the respiration rate b. forces the body to enter the exhaustion stage c. arouses the body by accelerating the heart rate d. suppresses the release of glucose from the liver ANSWER: c 68. __________ is the feeling of being pulled in two or more directions by opposing motives. a. Homeostasis b. Self-actualization c. Self-efficacy d. Conflict ANSWER: d 69. If you have a(n) _______ locus of control you tend to believe that you can influence when you receive reinforcers. a. internal b. external c. high d. low ANSWER: a Copyright Cengage Learning. Powered by Cognero. Page 11 Name: Class: Date: Chapter 11: Stress, Health, and Coping 70. Connor was anxious because his taxi was stuck in traffic. The impact of the sympathetic activity, which was triggered due to anxiety, eventually stabilized as his body attempted to restore lost energy and repair damage. Connor is most likely in the _____ of the general adaptation syndrome. a. alarm reaction stage b. resistance stage c. exhaustion stage d. resilience stage ANSWER: b 71. Many health problems are affected by __________ such as attitudes, emotions, and behavior. a. psychological factors b. sociocultural factors c. biological factors d. environmental factors ANSWER: a 72. Stress predicts physical and psychological health problems. Which of the following has it been found to predict? a. Schizophrenia, cancer, anxiety, and depression. b. Cancer, post-traumatic stress disorder, and depression. c. Heart disease, cancer, anxiety, and personality disorders. d. Heart disease, cancer, anxiety, and depression. ANSWER: d 73. _________ is the type of emotional support that provides feedback from others about how one is doing. a. Emotional concern b. Instrumental aid c. Appraisal d. Socializing ANSWER: c 74. Suzanne Kobasa and her colleagues studied business executives who seemed able to resist illness despite stress. In one phase of the research, executives completed a battery of psychological tests, and the researchers found that the psychologically hardy executives tended to __________. a. feel alienated from what they were doing b. have an external locus of control c. appraise change as an interesting incentive to personal growth d. be low in perceived control over their lives ANSWER: c 75. When an individual experiences fatigue because of ongoing stress and becomes ill, he or she has most likely reached the __________ of the general adaptation syndrome. a. resistance stage b. alarm stage c. exhaustion stage Copyright Cengage Learning. Powered by Cognero. Page 12 Name: Class: Date: Chapter 11: Stress, Health, and Coping d. reaction stage ANSWER: c 76. The immune system combats diseases ________. a. by producing red blood cells, which engulf and kill pathogens b. by generating antibodies, which attach themselves to antigens, deactivating them and marking them for destruction c. by decreasing the flow of blood, cells, and natural chemicals to the damaged area, causing the redness, swelling, and warmth that characterize inflammation d. by inhibiting endocrine and sympathetic activity ANSWER: b 77. Carole is a healthy teenager. She is able to resist illness despite being severely stressed at times. She believes that change is normal and can face adverse situations well. Psychologists would say that Carole __________. a. exhibits low self-efficacy expectations b. is psychologically hardy c. is indulging in irrational beliefs d. is catastrophizing ANSWER: b 78. Which of the following nationalities has the highest death rate from cancer? a. Thailand b. Philippines c. Japan d. Japanese Americans ANSWER: d 79. In the context of the general adaptation syndrome, which of the following statements is true? a. Long-term stress typically helps prevent infection from wounds. b. Short-term stress can enhance the functioning of the immune system. c. Short-term stress inhibits the functioning of the endocrine system. d. Stress suppresses the hypothalamus and adrenal cortex. ANSWER: b 80. Eric has high blood pressure, and his doctors have found no specific cause. Eric most likely has ______. a. generalized anxiety b. hypotension c. essential hypertension d. bipolar disorder ANSWER: c 81. __________ allows us to brace ourselves for the inevitable and, in many cases, plan ways of coping with it. a. Eustress b. Predictability Copyright Cengage Learning. Powered by Cognero. Page 13 Name: Class: Date: Chapter 11: Stress, Health, and Coping c. Cognitive dissonance d. An external locus of control ANSWER: b 82. Which of the following is true of cancer? a. People who are less prone to anger are more likely to develop cancer than others. b. Cancer is the leading cause of death in the United States. c. People cannot inherit a disposition toward cancer. d. People whose immune system is damaged may be more likely to develop cancer. ANSWER: d 83. In the context of stress, which of the following is true of predictability and control? a. The illusion of being in control allows people to feel that they are not at the mercy of the fates. b. The illusion of being in control fosters helplessness and hinders people's ability to cope with stress. c. Predictability is of greater benefit to people who perceive the ability to attain reinforcements as being largely outside themselves. d. Predictability is not of particular benefit to internals—that is, to people who wish to exercise control over their situations. ANSWER: a 84. According to Selye's general adaptation syndrome, in the exhaustion stage, _________. a. the endocrine, cardiovascular, and musculoskeletal systems are kicked into action to enable survival b. the activities of the sympathetic nervous system predominate c. many aspects of sympathetic activity are reversed d. the heartbeat and respiration rate increase ANSWER: c 85. The immune system is able to eradicate foreign substances like pathogens because of the functioning of white blood cells called __________. a. leukocytes b. antigens c. corticosteroids d. erythrocytes ANSWER: a 86. Latisa wanted to take the job because of the good pay but did not like the idea of the long hours. This is an example of ________ conflict. a. avoidance-avoidance b. approach-avoidance c. approach-approach d. multiple approach-avoidance ANSWER: b 87. ________ refers to our ability to bring about desired changes through our own efforts. a. Hardiness Copyright Cengage Learning. Powered by Cognero. Page 14 Name: Class: Date: Chapter 11: Stress, Health, and Coping b. Self-efficacy c. Healthiness d. Coronary behavior pattern ANSWER: b 88. In the context of stress and the body, which of the following is true of stress? a. Stress is confined to the psychological state of a person. b. All types of stress are unhealthy and bad for us. c. Stress can lead to physical health problems. d. Intense or prolonged stress keeps us alert and occupied. ANSWER: c 89. According to the general adaptation syndrome, the levels of endocrine and sympathetic activity in the __________ are lower than the levels in the alarm reaction but still higher than normal. a. refractory stage b. flight-or-flight stage c. exhaustion stage d. resistance stage ANSWER: d 90. The resistance stage of the general adaptation syndrome is also known as the _________ stage. a. alarm reaction b. adaptation c. preoperational d. concrete operational ANSWER: b 91. People with __________ find it difficult to surrender control or share power. a. type A personality traits b. type B personality traits c. a low self-esteem d. an external locus of control ANSWER: a 92. Which of the following is considered the most complex form of conflict? a. avoidance-avoidance b. approach-approach c. multiple approach-avoidance d. multiple approach-avoidance ANSWER: d 93. In the context of stress and the immune system, which of the following is true of steroids? a. Their persistent secretion makes us immune to the common cold. b. Their persistent secretion increases inflammation. Copyright Cengage Learning. Powered by Cognero. Page 15 Name: Class: Date: Chapter 11: Stress, Health, and Coping c. Their persistent secretion interferes with the formation of antibodies. d. Their persistent secretion enhances the health of the cardiovascular system. ANSWER: c 94. Cancer is characterized by the development of abnormal, or mutant, cells that may take root anywhere in the body: in the blood, bones, digestive tract, lungs, and sex organs. If their spread is not controlled early, the cancerous cells may _________, that is, establish colonies elsewhere in the body. a. become benign b. reach an equilibrium state c. degenerate d. metastasize ANSWER: d 95. In the exhaustion stage of the general adaptation syndrome, the parasympathetic division of the autonomic nervous system may predominate. As a result, __________. a. our heartbeat increases b. our respiration rate increases c. many aspects of sympathetic activity are reversed d. the sympathetic nervous system is simultaneously activated ANSWER: c 96. Susan is in the alarm reaction stage of Selye's general adaptation syndrome. In this scenario, which of the following is most likely to occur? a. Her heart and respiration rates slow down and her muscles become fatigued. b. Her endocrine and sympathetic nervous systems shut down. c. Her hypothalamus secretes cortisol, which in turn causes her pituitary gland to secrete corticotrophin-releasing hormones. d. Her body is aroused and she experiences a fight-or-flight reaction. ANSWER: d 97. According to your text, if you are American you are most likely stressed about __________. a. the future of the nation b. ongoing area of concern c. health care d. money ANSWER: a 98. Type A behavior, job strain, chronic fatigue, and having an inactive physical lifestyle are all risk factors for ___________. a. coronary heart disease b. cancer c. obesity d. stress ANSWER: a Copyright Cengage Learning. Powered by Cognero. Page 16 Name: Class: Date: Chapter 11: Stress, Health, and Coping 99. When someone ________ a negative event, the irrational process most likely occurs with the activating event. a. internalizes b. catastrophizes c. challenges d. controls ANSWER: b 100. Lisa is a single parent of three children. Every day, she cooks, prepares her children for school, and takes care of the household. She also has a demanding job that she does not like, but cannot quit as she is concerned about meeting the household expenses. Lisa's condition best exemplifies __________. a. psychological hardiness b. self-efficacy expectations c. coronary-prone behavior patterns d. daily hassles ANSWER: d 101. Eugene believes that he can bring about positive change in his life through his own efforts. Psychologists would say that Eugene __________. a. has an external locus of control b. is catastrophizing c. exhibits self-defeating behavior d. has high self-efficacy expectations ANSWER: d 102. In the __________, each of several alternative courses of action has pluses and minuses. a. multiple approach-avoidance conflict b. case of homeostasis c. case of eustress d. approach-approach conflict ANSWER: a 103. High self-efficacy expectations are accompanied by: a. high levels of noradrenaline. b. a decreased ability to function when in pain. c. a higher susceptibility to breakdowns during adverse events. d. low levels of adrenaline. ANSWER: d Copyright Cengage Learning. Powered by Cognero. Page 17