Clinical Health Psychology Study Guide
Questions
Course Introduction
Clinical Health Psychology explores the scientific and practical application of psychological principles to the promotion and maintenance of health, as well as the prevention and treatment of illness. This course examines the interplay between behavior, mental processes, and physical health, with an emphasis on understanding how psychological factors influence the onset, progression, and management of medical conditions. Students learn about evidence-based interventions for improving health outcomes, psychological assessment in medical settings, and the impact of stress, coping, and lifestyle choices on well-being. Ethical considerations, cultural influences, and the integration of clinical health psychologists into multidisciplinary healthcare teams are also discussed.
Recommended Textbook
Health Psychology 1st Canadian Edition by Edward P. Sarafino
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Chapter 1: An Overview of Psychology and Health
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Q1) Suppose that a recent study found an increase in heart and lung disease among people aged 50 60.Further study revealed that, compared to people 20 years younger, these individuals tended to smoke more during their young adulthood, because they were not aware of the health effects of smoking at that time.This difference between individuals raised at different times is an example of
A)the placebo effect
B) a cross sectional approach
C)a cohort effect
D)a prospective study
Answer: C
Q2) An epidemic usually refers to a situation in which A)many people die from a disease.
B)a disease receives greater publicity.
C)the mortality rate of a disease increases.
D)the incidence rate of a disease has increased rapidly.
Answer: D
Q3) Your job is to work with pediatric cancer patients.What developmental factors must you keep in mind as you proceed with your work?
Answer: not answered
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Chapter 2: The Bodys Physical Systems
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Q1) The "t" in T cells refers to their site of maturation, the ______.
A)thymus
B)thyroid
C)tongue
D)tonsils
Answer: A
Q2) Evidence indicates that stress and illness are related because stress
A) suppresses the respiratory system.
B) suppresses the immune system.
C) leads to increased damage to the hypothalamus.
D) increases our basal metabolism rate which makes us age faster.
Answer: B
Q3) In the small intestine, which does NOT occur?
A) The food mixture becomes alkaline.
B) Enzymes are received from the pancreas.
C) Most ingested materials the body uses are absorbed into the bloodstream.
D) Storage of feces takes place.
Answer: D
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4
Chapter 3: Stress: Its Meaning, Impact and Sources
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Q1) Which of the following statements about the general adaptation syndrome is correct?
A) It includes the role of psychosocial factors.
B) It assumes that all stressors produce the same physiological reactions.
C) It largely ignores biological responses to stress.
D) It assumes that children do not go through the same stages as adults.
Answer: B
Q2) Consider that you are a consultant to a stress researcher.She is beginning a new study and wants to incorporate some measures of stress.What advice would you give her?
Answer: not answered
Q3) Krystal has learned that she has a carcinoma that is best treated by a radical surgery that involves removal of her right eye and cheekbone, which Would be quite disfiguring.However, if she doesn't undergo surgery, her Chances of survival are quite poor.Krystal is experiencing
A) an approach/approach conflict.
B) an approach/avoidance conflict.
C) an avoidance/avoidance conflict.
D) harm ambiguity.
Answer: B
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Chapter 4: Stress, Biopsychosocial Factors, and Illness
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Q1) A behaviour pattern marked by a sense of time urgency, hostility and selfcritical competitiveness.
A)Type A behaviour
B)hardiness
C)resilience
D)stamina
E)internal locus of control
Q2) Current research suggests there is little connection between moderate stress and later development of cancer.
A)True
B)False
Q3) Throughout her pregnancy, Karla has taken natural childbirth classes where she has learned breathing techniques to use during labor. She has engaged in _____ control.
A) cognitive
B) behavioural
C) informational
D) decisional
Q4) Discuss the sub-scales of the Multidimensional Health Locus of Control scale from the standpoint of internal/external LOC.
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Chapter 5: Coping With and Reducing Stress
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Q1) Which of the following are problems with instruments thus far developed to measure overall coping?
A) They expect coping to correlate well with mental or physical health.
B) They are generally retrospective measures.
C) They aren't accurate measures of coping.
D) all of the above
Q2) Which of the following is NOT true of systematic desensitization?
A) It is based on classical conditioning.
B) It incorporates the use of muscle relaxation.
C) It uses psychoanalytic theories.
D) It can be used with both adults and children.
Q3) Which of the following is NOT an example of behavioural coping?
A) using alcohol
B) denying unpleasant facts
C) watching TV to distract attention from a problem
D) seeking support from friends
Q4) Children between the ages of 7 to 14 are more suggestible to hypnosis than adults.
A)True
B)False
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Chapter 6: Health-Related Beahviour and Health Promotion
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Q1) Applying the health belief model, women who do regular breast self?examinations likely
A)believe they are susceptible to breast cancer.
B)believe developing breast cancer would have serious effects.
C)believe the benefits of BSE's outweigh the costs.
D)all of the above
Q2) Across their life span, people's preventive needs and goals tend to remain fairly constant.
A)True
B)False
Q3) When desires and preferences influence judgments about new information.
A)theory of planned behaviour
B)conflict theory
C)health belief model
D)stages of change model
E)motivated reasoning
Q4) Compare and contrast primary, secondary, and tertiary prevention. Given an example of each approach to prevention.
Q5) Briefly describe conflict theory and discuss how it incorporates stress into its model.
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Chapter 7: Reducing Substance and Abuse
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Q1) Which of the following drugs is one of the most popular in the world?
A)cocaine
B)barbiturates
C)heroin
D)marijuana
Q2) Frank's favourite cigarettes of the day and the hardest to give up are those he has right after dinner.Frank decides to begin taking a walk after dinner instead of smoking.This is an example
A)behavioural contracting.
B)response substitution.
C)stimulus control.
D)self-deception.
Q3) A hallucinogen which causes perceptual distortions.
A)emetine
B)morphine
C)barbiturate
D)marijuana
E)methadone
Q4) Distinguish between the various types and effects of the different categories of drugs.
Page 9
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Chapter 8: Improving Nutrition, Weight Control and Diet, Exercise and Safety
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Q1) People are classified as obese when their BMI exceeds _____.
A)10
B)20
C)25
D)30
Q2) Which of the following statements regarding bulimia nervosa is NOT true?
A)It is more prevalent than anorexia nervosa.
B)Bulimics rarely think this eating pattern is abnormal.
C)A person may exhibit some bulimic behaviours without being diagnosed as a bulimic.
D)It has been recognized as a clinical syndrome since the 1970s.
Q3) A fad diet
A)Weight Watchers
B)Atkins Diet
C)Behavioural techniques
D)Bariatric surgery
E)Worksite weight?loss programs
Q4) Fibre is a nutrient used in metabolism.
A)True
B)False
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Chapter 9: Using Health Services
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Q1) Which of the following is NOT a feature of a chronic care model?
A)How care is organized.
B)Having guidelines and training for identifying and carrying out treatment.
C)Providing self-management support.
D)Incorporating a lay referral network.
Q2) Which of the behaviours is NOT associated with a "doctor-centered'' style of relating?
A)Use of medical jargon.
B)Focus on the first problem mentioned by the patient.
C)Asking questions that require only brief answers.
D) Open-ended questions.
Q3) In Canada, home health care has become popular only because of the cost of health procedures.
A)True
B)False
Q4) Practitioners tend to overestimate the degree to which patients comply with medical treatments.
A)True
B)False
Q5) Compare and contrast inpatient treatment modalities.
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Chapter 10: In the Hosital: the Setting, Procedures and Effects
on Patients
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Q1) The average length of hospital stay has been
A)increasing for all patients.
B)decreasing for all patients.
C)decreasing for all but surgical patients.
D)increasing for all but surgical patients.
Q2) Research on anesthetized patients found that A)they can remember exactly what is said to them.
B)they recovered more quickly than patients who hadn't had positive suggestions.
C)negative comments are never made during surgery.
D)constructive statements heard under anesthesia have no impact on recovery.
Q3) Non?medical employees of the hospital without patient care responsibilities.
A)hospital administrators
B)medical director
C)staff or attending physicians
D)residents
E)nurses
Q4) The use of depersonalization by medical staff may be a method of self-protection from the stress of caring for another human with serious health problems.
A)True
B)False
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Chapter 11: The Nature and Symptoms of Pain
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Q1) Provide support for the idea that organic and psychogenic pain should be considered as a continuum.
Q2) Afferent nerve endings that respond to pain stimuli and signal injury are called
A)algogenic substances.
B)substance P.
C) nociceptors.
D)referred pain fibres.
Q3) Which of the following statements about pain is true?
A)Some people are insensitive to pain.
B)Pain serves a useful purpose.
C)Pain is the most common medical complaint.
D)All of the above statements are true.
Q4) Rheumatoid arthritis and cancer cause pain which Turk, Meichenbaum and Genest (1983) might classify as chronic-recurrent.
A)True
B)False
Q5) Explain the role of endogenous opioids in the pain experience.
Q6) Sharp, well?localized pain is transmitted along A?delta fibres.
A)True
B)False
Page 13
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Chapter 12: Managing and Controlling Clinical Pain
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Q1) In a synovectomy, the surgeon disconnects portions of the peripheral nervous system to prevent pain signals from reaching the brain.
A)True
B)False
Q2) Research regarding the administration of pain killers to children shows that A)drugs are given to them less frequently.
B)they are given doses below recommended levels.
C)their dosages are discontinued earlier than adults.
D)all of the above
Q3) Nadine is dying from cancer.Her physician likely to prescribe what medication for her?
A)Acetaminophen.
B)Novocaine.
C)Sedatives.
D)Narcotics.
Q4) According to operant approaches, placing medications on a fixed administration schedule should reduce requests for medications.
A)True
B)False
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Chapter 13: Serious and Disabling Chronic Health Illnesses:
Causes, Management, and Coping
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Q1) Which of the following ailments is correlated with diabetes?
A)Neuropathy.
B)Blindness.
C)Gangrene.
D)all of the above
Q2) Discuss 3 of the 7 coping strategies for dealing with chronic illness.How will each affect adjustment?
Q3) A common early symptom of Alzheimer's disease is loss of A)sexual function.
B)energy.
C)memory.
D)motor control.
Q4) A primary reason to use insight or family therapy in the treatment of chronic illness includes
A)changing distorted thoughts about the illness.
B)the discussion of reinforcement techniques in intervention.
C)the explicit need to increase compliance with treatment regimen.
D)addressing anxieties and changes in self-concept and relationships.
Q5) Compare and contrast the various forms of rheumatic diseases.
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Chapter 14: Heart Disease, Stroke, Cancer, and Aids:
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Q1) Results in motor or cognitive deficits and possible emotional lability.
A)angina pectoris
B)myocardial infarction
C)carcinoma
D)stroke
E)AIDS
Q2) The vast majority of those smokers who suffer a myocardial infarction quit smoking.
A)True
B)False
Q3) Which of the following contributes to a greater likelihood of heart damage following a heart attack?
A)Getting to the hospital as quickly as possible following onset of symptom.
B)Getting to the hospital within an hour of symptom onset.
C)Getting to the hospital within 3 hours of symptom onset.
D)The greatest amount of damage occurs immediately - delay seldom affects levels of heart damage.
Q4) The highest rate of cancer deaths today is from neoplasms in the breast.
Q5) Compare and contrast the HIV/AIDS experience with the other high-mortality illnesses presented in this chapter.
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Chapter 15: Whats Ahead for Health Psychology
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Q1) The quality-adjusted life years scale is useful in determining the value of different treatments.
A)True
B)False
Q2) This chapter starts with a section devoted to illness prevention.Summarize the ways that health psychologists contribute to prevention efforts.
Q3) The textbook suggests a number of changes that need to occur in health psychology to increase our understanding of health and illness in different populations.Discuss 2 of his suggestions.
Q4) An expensive dental hygiene program at a work?site was discontinued after it was found to be cheaper to just pay for the dental insurance.The reason for its discontinuation was due to
A)the prevention model.
B)the stages of change model.
C)cost?benefit analysis.
D)efficacy analysis.
Q5) What differences have or still need to be addressed to increase health psychologists' acceptance in medical settings?
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