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PSY 636


TAKE HOME FINAL EXAM 2017

RETURN COMPLETED EXAMS TO DR. PALTIN NO LATER THAN MIDNIGHT SUNDAY, OCTOBER 29 2017.


It has been a pleasure to be your professor, I look forward to seeing you again soon.




The fact that a young child who experiences brain trauma as a young child is more likely to recover language skills than an older adult who experiences the same type of brain trauma may be due to:

a.

a healthier immune system.

b.

neural plasticity.

c.

a healthier brain.

d.

neural rewiring.





  1. Which type of therapist would be more likely to focus their treatment on promoting the overall well-being of a child and family?

a.

psychodynamic

b.

humanistic

c.

system

d.

behavioral





  1. Lisa’s therapist is working with her to help determine at which point in development she became “stuck” in a maladaptive pattern of behaviors. Lisa’s therapist most likely is following which model of psychopathology?

a.

behavioral

b.

cognitive

c.

developmental

d.

psychodynamic




  1. According to the diathesis-stress model, most psychiatric disorders are genetically predetermined.

5. The concept of developmental pathways is useful in understanding developmental psychopathology because it:

a.

may help in understanding the need to intervene at certain points in a child’s development.

b.

gives a name to childhood disorders that may occur at different times in development.

c.

helps educators adjust their instruction to meet the needs of children.

d.

provides a framework for understanding a family’s need for support.


  1. Pedro has learned that he can lose himself in a good book, which helps him escape his abusive father. Researchers refer to this as:

a.

domains of competence.

b.

arenas of comfort.

c.

spaces of relative calm.

d.

self-soothing skills.



7. The ultimate impact of a risk factor is related to type, timing, number, and:

a.

pattern.

b.

construct.

c.

dimension.

d.

maltreatment.

8. Which of the following statements is most true regarding the effects of labeling a child with a psychiatric disorder?



a.

Labeling is stigmatizing and demeaning to all children and their parents.

b.

Labeling may diminish the fact that children have areas in their lives in which they are not disabled.

c.

Labeling may ignore the fact that children have more than one disability.

d.

Labels create confusion amongst mental health practitioners and make effective treatment more unlikely.

9. A teacher who works with students with psychiatric disorders must be familiar with the act known as _____________________________.


10. Which of the following can be assumed from the discussion in the text?

a.

Treatment of attachment disorders is straightforward and usually successful.

b.

Prevention of attachment disorders is more effective than treatment.

c.

Prevention of attachment disorders is unlikely since most families seclude themselves from those who can help.

d.

Treatment of attachment disorders most often involves removing the child from the disordered home environment.



  1. TRUE/FALSE: Insecure patterns of attachment are synonymous with clinical disorders of childhood.

12. TRUE/FALSE: Reactive attachment disorder is the most common type of attachment problem seen in young children.


13. Which of the following statements best represents what is known about the etiology of intellectual developmental disorders?

a.

For the majority of intellectual developmental disorders, the cause is well-known and mostly preventable.

b.

The cause of most intellectual developmental disorders is currently unknown and may not be completely known in the near future.

c.

The cause of most intellectual developmental disorders is genetic.

d.

The cause of most intellectual developmental disorders is environmental.

14. Alex is a 9-year-old who has recently been diagnosed with a specific learning disorder in reading. Which of the following statements is most likely true about Alex?



a.

His father also has a learning disorder in reading.

b.

His core deficit is in word recognition.

c.

He receives special education services.

d.

All of these statements are likely true about Alex.
15. TRUE/FALSE: Williams Syndrome is caused by a mutation of the FMRI1 gene, and is associated with large head circumference and difficulty relating to others.
16. Research examining teacher attitudes toward inclusion has found that their attitudes are effected by their knowledge of specific disabilities, training, experience, and which of the following?


  1. motivation

  2. collaborative work with other teachers

  3. level of financial compensation

  4. personal life

17. TRUE/FALSE: Prevention of Fetal Alcohol Syndrome now includes mandatory drug screening of pregnant mothers.


18. There is research which supports which of the following about Fetal Alcohol Syndrome?


  1. physical, cognitive and socioemotional impairments associated with it are usually outgrown by middleschool

  2. brief focused interventions do reduce alcohol use in mothers who drink heavily

  3. FAS is the result of heavy drinking, there is no research supporting an association with mild to moderate drinking in mothers.

  4. FAS is a genetic disorder, and early screening can greatly reduce the prevalence.



  1. 19. According to the DSM-5 criteria, a child with autism spectrum disorder must display deficits in which areas?

a.

social and communication skills; problem-solving

b.

social and communication skills; behaviors and interests

c.

adaptive behavior skills; sensory sensitivity

d.

social relationships; communication




  1. 20. The research that demonstrates the fact that children with autism spectrum disorder scan human faces in fundamentally different ways than children who are developmentally delayed and typically developing children supports which of the following statements?

a.

Children with ASD are also developmentally delayed in social communication.

b.

Children with ASD do not attend to important social details when compared to developmentally delayed and typically developing children.

c.

Children who are later diagnosed with ASD do not begin to show deficits in social relationships until middle childhood.

d.

Children who are diagnosed with ASD in infancy are likely to demonstrate similar patterns of facial scanning as children with developmental delays.




  1. 21. Tyler, a 5-year-old with ASD, has a fascination with anything to do with trains and if allowed to would spend hours lining up his trains in his room. This is an example of what characteristic of ASD?

a.

purposeless behaviors

b.

social anxiety

c.

genetic predisposition

d.

restricted and repetitive behaviors


  1. 22. TRUE?FALSE : Childhood vaccines and immunizations have been clearly linked to the onset of autism.

23. TRUE/FALSE: Most autistic children are genius or savant intellectual level.




  1. 24. The authors of the text would most likely endorse which of the following statements regarding the validity of the diagnosis of ADHD in children?

a.

ADHD is clearly overdiagnosed, particularly in young boys and minority groups.

b.

Parents often push for a diagnosis of ADHD rather than considering changes in parenting strategies.

c.

A diagnosis of ADHD should be considered in light of what is developmentally appropriate for children.

d.

The diagnosis of ADHD is often made too quickly and by individuals who are not qualified to make such a diagnosis.




  1. 25. TRUE/FALSE: Longitudinal studies have shown that adults with ADHD are more likely to abuse substances than adults without ADHD.




  1. 26. TRUE?FALSE : Adolfo has just been diagnosed with ADHD. It is likely that his pediatrician will first recommend medication to control his symptoms of inattention and impulsiveness.




  1. 27. A child with ADHD exhibits behaviors that most other children exhibit but differ in terms of ___________, _____________ and degree of impairment.

  1. developmental flexibility, subjective distresws

  2. frequency, intensity

  3. duration, responsiveness to feedback

  4. none of the above




  1. 28. Ethan’s second-grade teacher has developed a system where Ethan is given a token for each time he is on task during reading class which he can later turn in for time on a computer game he enjoys. This management system is known as _________.




  1. 29. According to research, who of the following is more at risk to be a victim of bullying?

a.

Eric, a 15-year-old male who is gay and has a learning disorder

b.

Angela, a 9-year-old female who has a speech impediment and is advanced classes at school

c.

Elizabeth, a 16-year-old female who is African American

d.

Andrew, a 9-year-old male who comes from a low socioeconomic neighborhood and plays soccer at school




  1. 30. Pedro has been diagnosed with oppositional defiant disorder (ODD). Based on this diagnosis, he is likely to display all of the following behavioral difficulties EXCEPT:

a.

aggression.

b.

lack of empathy.

c.

problems with self-regulation.

d.

noncompliance with authority figures.




  1. 31. It can be assumed from the discussion on interventions for children with ODD or CD that in order to be effective, interventions should include which of the following?

a.

based on early identification

b.

inclusive of all of a child’s environment

c.

a strong parental component

d.

all of the above

32. TRUE/FALSE: Research has shown that bullies are a homogeneous group who share nearly identical characteristics leading to their bullying behavior.


33. TRUE/FALSE Felipe is participating in a group at school that emphasizes cognitive behavior strategies and aims to help him in developing friendships with prosocial peers. When properly implemented, this type of intervention has been shown to be effective in helping children who are displaying behaviors related to ODD.


  1. 34. Six-year-old Hayley is afraid of being alone at night, doesn’t like to be separated from her parents for long periods of time, hates thunder storms, and is afraid of witches who are “out to get her.” What should Hayley’s parents know about Hayley’s fears?

a.

These fears are developmentally appropriate and should get better over time.

b.

Hayley has met the criteria for an anxiety disorder and should see a psychiatrist.

c.

These fears are excessive for a child her age and Hayley should see a psychiatrist.

d.

Hayley should be shielded from the things that she fears; otherwise, she is likely to develop an anxiety disorder.



  1. 35. Dr. Kelly is conducting an assessment on 6-year-old Stephanie to determine if her level of anxiety meets the criteria for obsessive compulsive disorder. Dr. Kelly is likely to also want to rule out what other disorder?

a.

autism spectrum disorder

b.

conduct disorder

c.

schizophrenia

d.

bipolar disorder




  1. 36. Which of the following developmental tasks has been linked to the development of mood disorders?

a.

sense of self

b.

positive identity

c.

psychology identity

d.

all of the above




  1. 37. The “window of opportunity” for adolescents who are at risk for developing substance use and abuse as a result of major depression indicates that:

a.

major depression and substance use usually occur close in time and therefore effective treatment can be put in place for both disorders.

b.

major depression usually precedes substance use and treatment of depression provides an opportunity for substance use to be prevented.

c.

substance use and major depression have similar origins and therefore respond to similar treatments.

d.

substance use usually occurs before a diagnosis of major depression and therefore treatment can and should occur for substance use first.





  1. 38. Drug and alcohol use is one of the warning signs of suicidality in adolescence.

39. There is a strong correlation between trauma dissociative process and




  1. malingering

  2. cocaine addiction

  3. self injurious behavior

  4. conduct disorder




  1. 40. Which of the following statements most accurately reflects the role of maltreatment in childhood psychopathology? Maltreatment is a:

a.

diagnostic category that includes children who have been physically abused and are exhibiting maladaptive behaviors.

b.

risk factor that may lead to a variety of maladaptive behaviors which may meet the criteria for a mental health disorder.

c.

diagnostic category that includes children who have been physically, sexually, or emotionally abused.

d.

risk factor that describes the victim and perpetrator’s relationship as it leads to psychopathology.



  1. 41. An adolescent is often unlikely to report maltreatment because of:

a.

fear of retaliation.

b.

fear of loss of control.

c.

a close relationship with the perpetrator.

d.

all of the above




  1. 42. The most effective intervention for victims of mass trauma includes all of the following EXCEPT promotion of:

a.

sense of safety.

b.

hope.

c.

connectedness.

d.

forgiveness.




  1. 43. The brain regions involved in stress responses include the hippocampus, prefrontal lobes and ________.




  1. amygdala

  2. cortisol regulatory inceptor

  3. singulate gyrus

  4. little blue thingy next to the little pink thingy.

44. True/False: The differential effects model suggests that different children respond differentially to trauma and stress.


45. Effective programs for prevention of maltreatment include all of the following accept:


  1. culturally neutral approach

  2. empirically supported treatment

  3. consideration of developmental stage

  4. recognition of the need for “buy in”

46. The authors of the text would most likely agree with which statement related to risk-taking in adolescents?



a.

The majority of adolescents engage in some sort of risky behavior during their adolescent years.

b.

Adolescents’ brains are not fully developed and therefore they are more likely to engage in irrational behavior.

c.

While adolescents are at risk for engaging in risk-taking behaviors, the majority do not engage in potentially harmful behaviors.

d.

Adolescents’’ brains are not fully developed and therefore any risky behaviors in which they engage have greater potential for harm.




  1. 47. TRUE/FALSE One of the more critical dangers of inhalants is that the pleasurable effects are short-lived.




  1. 48. TRUE/FALSE The age a child is when they have their first drink is correlated with the significance of impairment in adulthood.

49.


  1. Insa was diagnosed with anorexia nervosa when she was 13 years old. Based on this diagnosis, Insa is at higher risk for which of the following as an older adolescent?

a.

substance use

b.

bulimia

c.

depression

d.

all of the above




  1. 50. Behaviors such as excessive exercising, vomiting, and use of laxatives are known as ________ behaviors.


PLEASE INSERT NAME ON EVERY PAGE *********************

Please Answer each essay. INCLUDE THE ESSAY PROMPT AT THE HEAD OF EACH RESPONSE< AND UMBER ALL RESPONSES.

1. Using at least 3 methods from Chapter 7 of Oaklander: Describe a play therapy process with a traumatized child with phobia and anxiety and an ADHD child who gets into trouble at school for disruptive and impulsive activity. Assume both have low self esteem and address how you would work differently with this in both of them and why. 10pts
2. Mary is a nine-year-old 3rd grader who has been referred to a therapist for treatment of her extreme anxiety that resulted in her refusing to go to school. Describe how a therapist would view and treat Mary’s problems if their orientation was the following: a) psychodynamic; b) behavioral; c) humanist; and family. 6pts
3. Refer to the case of Ethan in Chapter 7 and identify what specific behavioral emotional issues might go along with his LD issues. Devise a treatment plan to address his anxiety, frustrations and behavioral issues related to his learning disabilities, keeping in mind his limitations and the strategies and accommodations recommended. Treatment plan goals should be measurable/observable. 6pts


  1. Discuss why adolescence is a particularly vulnerable time for the expression of stress and/or symptoms related to trauma. 8pts


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