Biopsychosocial Interactions, 8th Edition by
Edward P. Sarafino
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,TEST QUESTIONS
True or False
F 1. Advances in medical treatment were responsible for a sharp decrease
(4) in infectious diseases at the turn of the 20th century.
T 2. Today, accidental injury is the leading cause of death in children and
(5) adolescents in the United States.
F 3. During the Middle Ages, the influence of the Church resulted in many
(6) major advancements in medical knowledge.
F 4. “Risk factors” are those biological or behavioral characteristics that are
(9) known to cause a disease.
T 5. In the past, practitioners of psychosomatic medicine generally used a
(10) psychoanalytic model to explain a physical symptom.
T 6. One of the goals of health psychology is to have an effect on public
(11) policy.
T 7. The biopsychosocial model of health and illness is actually an extension
(13) of the biomedical model.
T 8. The "systems" approach assumes simple systems are embedded
(15) within complex systems.
F 9. Although sociocultural research has found differences in health beliefs
(20) across cultures, disease patterns themselves do not differ.
F 10. Quasi-experimental designs allow us to make causal conclusions from
(25) existing groups.
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,Matching
Match one of the following with descriptions given in questions one to five.
a. Hippocrates
b. Plato
c. Galen
d. St. Thomas Aquinas
e. Descartes
c 1. From his work, which included dissection, this second century
(6) physician felt that pathologies could be localized in parts of the body.
d 2. An Italian philosopher, he saw the mind and body as an interrelated unit.
(6)
b 3. He was among the Greek philosophers to propose that the mind and body
(5) are separate entities.
a 4. Called "the father of medicine," his humoral theory for the origin of
(5) disease was influential for centuries.
e 5. He described in mechanical terms the functioning of the body's actions
(6) and sensations such as pain.
Match the following with descriptions given in questions 6 through 10
a. epidemiology
b. public health
c. medical sociology
d. medical anthropology
e. health psychology
e 6. Provides direct service to patients in the management of their illnesses
(12) or engages in research and teaching.
a 7. Concerned with the incidence and prevalence of illnesses.
(17)
b 8. Organizes health education or provides community health services.
(18)
c 9. May conduct studies of health care services and how they are organized.
(18)
d 10. May conduct studies on the medical practices in different cultures.
(18)
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,Multiple Choice
c 1. Claudia goes to the university health center complaining of a sore throat and
(2) headache. A blood test reveals that her white blood cell count is high, and a
throat culture reveals a streptococcus infection. Which of the following is true?
a. Claudia’s high white blood cell count is a symptom of illness.
b. Her sore throat is a sign of illness.
c. The results of the blood test and throat culture are signs of illness.
d. Her headache and high white blood count are symptoms of illness.
d 2. Common definitions of health include
(2) a. optimal weight and endurance.
b. absence of signs of malfunctioning.
c. absence of subjective symptoms of disease.
d. both b and c.
c 3. In his continuum of illness and health, Aaron Antonovsky suggested that
(2) a. wellness and illness are independent concepts.
b. medical treatment affects only the wellness side of the continuum.
c. his model represents differing health statuses.
d. lifestyle has little impact on health or illness.
b 4. In discussing the illness and health continuum, Antonovsky emphasizes
(2) a. illness more than health.
b. a revised focus toward what helps people stay healthy.
c. the psychosocial factors that contribute to illness.
d. the role of poverty in health care.
a 5. The term "health", as used by the author of the textbook, is best described as
(2) a. a positive state of mental, social, and physical well-being.
b. the absence of illness.
c. the absence of disease risks.
d. lack of a terminal condition.
d 6. Infectious diseases were:
(3-4) a. more frequently fatal in the past than they are now.
b. brought over to North America by European settlers.
c. the greatest threat to American health in the 19th century.
d. all of the above
d 7. The decline in the death rate from infectious diseases by the end of the 19 th
(4) century was largely the result of
a. the development of antibiotics.
b. advances in medical treatment.
c. changing definitions of disease states in the medical community.
d. preventive measures.
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,a 8. A person living in the United States today
(4) a. is more likely to die of a chronic disease than any other cause of
mortality.
b. has a shorter life span than someone who lived in the 19th Century.
c. is likely to be at high risk of dying of infections.
d. has an average life expectancy over 90 years.
b 9. The procedure referred to as trephination
(5) a. is effective in the treatment of chronic disease.
b. is believed to have been done in the past for superstitious reasons.
c. is frequently used today in the treatment of infectious diseases.
d. was based on the humoral theory of illness.
d 10. Hippocrates, the "Father of Medicine"
(5) a. suggested that eating a good diet would promote good health.
b. proposed the humoral theory of illness and wellness.
c. defined health as a balance of humors.
d. all of the above.
c 11. A "humor" is a
(5) a. type of emotional response.
b. spiritual state.
c. a bodily fluid.
d. all of the above
a 12. A main contribution of Galen to knowledge about illness
(6) a. was to discover that illness can be localized in specific parts of the
body.
b. was to reject the humoral theory of Hippocrates.
c. was not appreciated until the 20th century.
d. was to reject the mind/body split.
c 13. The position of Rene Descartes on the mind/body problem can best be
(6) described as:
a. agreeing with both Aquinas and Plato that the mind and body are
unitary.
b. agreeing with Aquinas and disagreeing with Plato that the mind and
body are unitary.
c. agreeing with Plato and disagreeing with Aquinas on the unitary nature
of mind and body.
d. placing little to no emphasis on the mind.
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,b 14. Which of the following was NOT an advance in science and medicine in the
(7) 18th and 19th centuries?
a. The growing use of dissection in autopsies to aid in the acquisition of
knowledge.
b. The rejection of the belief that the mind and body are separate.
c. The discovery that microorganisms cause certain diseases
d. New surgical and anesthetic techniques.
a 15. The proposition that all diseases can be explained by disturbances in
(7) physiological processes
a. is the basis of the biomedical model.
b. is no longer the dominant view in the field of medicine.
c. has never been widely accepted.
d. is consistent with an emphasis on psychosocial factors.
c 16. Dr. Lee believes that disease occurs independently from our psychological
(7) and social experience. Dr. Lee believes in the _____ theory.
a. humoral
b. biopsychosocial
c. biomedical
d. trephination
b 17. Which of the following statements about chronic disease is true?
(8) a. Significant advances have been made in their treatment, to the point
where they are no longer dangerous.
b. Although we know more about the causes of chronic diseases,
advances in their treatment have been modest.
c. Psychological and social factors have little to do with these diseases.
d. Gains and survival rates from cancer between 1950 and 1987 are due
to improved medical techniques.
d 18. Which of the following is NOT a risk factor for an individual developing
(9) cancer?
a. high alcohol use
b. high fat diet
c. cigarette smoking
d. all of the above are risk factors
b 19. Risk factors for a health problem
(9) a. directly cause diseases.
b. are associated with diseases.
c. are largely unknown today.
d. are usually easily cured with medication.
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,d 20. Melody has been having a great deal of difficulty in her attempt to quit
(9) smoking. Which of the following might be reasons for her lack of success?
a. She thinks getting cancer is not likely.
b. Her friends all smoke and don't think it’s such a big problem.
c. She is addicted to nicotine.
d. all of the above
d 21. Smoking has been identified as a risk factor in each of the following health
(9) problems except
a. stroke.
b. cancer.
c. chronic lung disease.
d. obesity.
b 22. In Belloc and Breslow's study of longevity and health practices
(9) a. longevity was not statistically related to most health behaviors.
b. the health of older participants who practiced all seven health habits
was similar to that of much younger participants.
c. maintaining an appropriate weight was the best predictor of health.
d. eating multiple small meals was important.
c 23. Which of the following is NOT one of the healthful behaviors studied by
(9) Belloc and Breslow (1972)?
a. never smoking cigarettes
b. never or only occasionally eating between meals
c. taking one aspirin per day
d. sleeping 7 to 8 hours a day
d 24. People whose personalities include high levels of _____ seem to be
(10) "disease-prone."
a. anger & hostility
b. depression
c. anxiety
d. all of the above
d 25. Considering the psychosocial characteristics of the following people, which
(10) one is most likely to develop an illness?
a. Fernando, a banker who works long hours.
b. Linda, a student who occasionally feels a bit sad and homesick.
c. Ling, an athlete who experiences mild levels of anxiety before her
competitions.
d. John, an anxious and pessimistic news director who frequently "blows
up" at his staff.
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,c 26. Jane feels a numbness in her hand and has been to several doctors, who
(10) have found no organic cause for her problem. She might be suffering from
a. trephination.
b. behavioral modification.
c. conversion hysteria.
d. psychoanalysis.
a 27. Medical history notes for a young woman with a skin rash refers to her
(10) "conflicting feelings about being physically close to her husband". Her
physician seems to accept a _____ explanation for her illness.
a. psychosomatic
b. behavioristic
c. public health
d. humoral
c 28. Which of the following approaches would a specialist in behavioral medicine
(11) be most likely to use in treating a chronic headache?
a. medicine
b. psychoanalysis
c. biofeedback
d. psychotherapy
a 29. The work on biofeedback by physiological psychologists has shown us that
(11) a. even internal functions like heart rate and blood pressure can be
controlled with psychological methods.
b. the mind/body dichotomy really exists and can be measured.
c. psychoanalysis is effective in the treatment of high blood pressure.
d. biofeedback is an ineffective method of therapy.
d 30. Which of the following is the least likely to be studied by a modern health
(11) psychologist?
a. why people do not use seat belts
b. how to design a media campaign to encourage healthful lifestyles
c. how patients are affected by characteristics of hospitals and nursing
homes
d. how to differentiate organic symptoms from conversion hysteria
b 31. Which of the following is not an example of an indirect way that health
(11) psychologists help patients?
a. Conducting research to discover information about lifestyles that affect
health.
b. Providing therapy to a patient to assist in adjustment to a chronic
illness.
c. Holding a training workshop for medical professionals regarding
psychosocial characteristics of patients.
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, d. Designing new behavior change programs that will affect people’s
health.
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