Psych Final Exam Townsend Questions And
Answers Latest Update
Three years ago, Anna's dog Lucky, whom she had had for 16 years, was run over by a car and killed. Anna's daughter
reports that since that time, Anna has lost weight, rarely leaves her home, and just sits and talks about Lucky. Anna's
behavior would be considered maladaptive because
a. it has been more than 3 years since Lucky died.
b. her grief is too intense over just the loss of a dog.
c. her grief is interfering with her functioning.
d. people in this culture would not comprehend such behavior over the loss of a pet. - correct answers C
Based on the information in Question 1, Anna's grieving behavior would most likely be considered to be
a. delayed.
b. inhibited.
c. prolonged.
d. distorted. - correct answers D
Anna is diagnosed with Major Depressive Disorder. She is most likely fixed in which stage of the grief process?
a. Denial
b. Anger
c. Depression
d. Acceptance - correct answers B
Anna, who is 72 years old, is of the age when she may have experienced many losses coming close together. What is this
called?
a. Bereavement overload
b. Normal mourning
c. Isolation
d. Cultural relativity - correct answers A
,Anna, age 72, has been grieving the death of her dog, Lucky, for 3 years. She is not able to take care of her activities of
daily living and wants only to make daily visits to Lucky's grave. Her daughter has likely put off seeking help for Anna
because
a. Women are less likely than men to seek help for emotional problems.
b. Relatives often try to "normalize" the behavior rather than label it mental illness.
c. She knows that all older people are expected to be a little depressed.
d. She is afraid that the neighbors "will think her mother is crazy." - correct answers B
Anna's dog Lucky got away from her while they were taking a walk. He ran into the street and was hit by a car. Anna
cannot remember any of these circumstances of his death. This is an example of what defense mechanism?
a. Rationalization
b. Suppression
c. Denial
d. Repression - correct answers D
Lucky sometimes refused to obey Anna and indeed did not come back to her when she called to him on the day he was
killed. But Anna continues to insist, "He was the very best dog. He always minded me. He always did everything I told
him to do." This represents the defense mechanism
a. sublimation.
b. compensation.
c. reaction formation.
d. undoing. - correct answers C
Anna has been a widow for 20 years. Her maladaptive grief response to the loss of her dog may be attributed to which of
the following? Select all that apply.
a. Unresolved grief over loss of her husband
b. Loss of several relatives and friends over the last few years
c. Repressed feelings of guilt over the way in which Lucky died
d. Inability to prepare in advance for the loss - correct answers A, B, C, D
,For what reason would Anna's illness be considered a neurosis rather than a psychosis?
a. She is unaware that her behavior is maladaptive.
b. She exhibits inappropriate affect (emotional tone).
c. She experiences no loss of contact with reality.
d. She tells the nurse, "There is nothing wrong with me!" - correct answers C
Which of the following statements by Anna might suggest that she is achieving resolution of her grief over Lucky's
death?
a. "I don't cry anymore when I think about Lucky."
b. "It's true. Lucky didn't always mind me. Sometimes he ignored my commands."
c. "I remember how it happened now. I should have held tighter to his leash!"
d. "I won't ever have another dog. It's just too painful to lose them." - correct answers B
Mr. J. is a new client on the psychiatric unit. He is 35 years old. Theoretically, in which level of psychosocial development
(according to Erikson) would you place Mr. J.?
a. Intimacy vs. isolation
b. Generativity vs. self-absorption
c. Trust vs. mistrust
d. Autonomy vs. shame and doubt - correct answers B
Mr. J. has been diagnosed with Schizophrenia. He refuses to eat, and told the nurse he knew he was "being poisoned."
According to Erikson's theory, in what developmental stage would you place Mr. J.?
a. Intimacy vs. isolation
b. Generativity vs. self-absorption
c. Trust vs. mistrust
d. Autonomy vs. shame and doubt - correct answers C
Janet, a psychiatric client diagnosed with Borderline Personality Disorder, has just been hospitalized for threatening
suicide. According to Mahler's theory, Janet did not receive the critical "emotional refueling" required during the
rapprochement phase of development. What are the consequences of this deficiency?
, a. She has not yet learned to delay gratification.
b. She does not feel guilt about wrongdoings to others.
c. She is unable to trust others.
d. She has internalized rage and fears of abandonment. - correct answers D
John is on the Alcohol Treatment Unit. He walks into the dayroom where other clients are watching a program on TV. He
picks up the remote and changes the channel, saying, "That's a stupid program! I want to watch something else!" In
what stage of development is John fixed according to Sullivan's interpersonal theory?
a. Juvenile. He is learning to form satisfactory peer relationships.
b. Childhood. He has not learned to delay gratification.
c. Early adolescence. He is struggling to form an identity.
d. Late adolescence. He is working to develop a lasting relationship. - correct answers B
Adam has Antisocial Personality Disorder. He says to the nurse, "I'm not crazy. I'm just fun-loving. I believe in looking out
for myself. Who cares what anyone thinks? If it feels good, do it!" Which of the following describes the psychoanalytical
structure of Adam's personality?
a. Weak id, strong ego, weak superego
b. Strong id, weak ego, weak superego
c. Weak id, weak ego, punitive superego
d. Strong id, weak ego, punitive superego - correct answers B
Larry, who has Antisocial Personality Disorder, feels no guilt about violating the rights of others. He does as he pleases
without thought to possible consequences. In which of Peplau's stages of development would you place Larry?
a. Learning to count on others
b. Learning to delay gratification
c. Identifying oneself
d. Developing skills in participation - correct answers B
Danny has been diagnosed with Schizophrenia. On the unit he appears very anxious, paces back and forth, and darts his
head from side to side in a continuous scanning of the area. He has refused to eat, making some barely audible