Health Psychology A Cultural Approach 3rd Edition by Regan A.R. Gurung – Test Bank

 

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Sample Test

Chapter Three—Essential Physiology

 

MULTIPLE CHOICE

 

1.   The premise of health psychology is that the following is TRUE?

a.

The sense of hearing develops before birth.

b.

The percentage of low birth weight babies in the U.S. is lower than in any country.

c.

Research on the Mozart effect has consistently shown that babies who listen to Mozart have higher IQs than those who do not have this experience.

d.

Fetal exposure to teratogens is equally high among all ethnic groups.

 

 

ANS:  A                    REF:   BIOLOGICAL DEVELOPMENT

 

2.   What is the memory part of the brain that helps you to remember the answer to this question?

a.

cerebral cortex

c.

the hippocampus

b.

the amygdala

d.

the cerebellum

 

 

ANS:  C                    REF:   THE CENTRAL NERVOUS SYSTEM

 

3.   The emotion of fear that comes over a patient who is afraid to go to the dentist originates from this section of the brain.

a.

the medulla

c.

the amygdala

b.

the hippocampus

d.

the cerebral cortex

 

 

ANS:  C                    REF:   THE CENTRAL NERVOUS SYSTEM

 

4.   _________ are at a high risk of infant mortality.

a.

Extreme preterm babies

b.

Babies born in Sweden

c.

Babies who were exposed to a virus prior to birth

d.

Babies weighing over 9 pounds.

 

 

ANS:  A                    REF:   BIOLOGICAL DEVELOPMENT

 

5.   The embryo stage of a pregnancy begins at:

a.

the end of the second week

c.

the end of one month

b.

the end of the fourth week

d.

after 6 weeks

 

 

ANS:  A                    REF:   BIOLOGICAL DEVELOPMENT

 

6.   The embryo is called a fetus at the ____week of gestation.

a.

sixth

c.

eleventh

b.

ninth

d.

fourteenth

 

 

ANS:  B                    REF:   BIOLOGICAL DEVELOPMENT

 

7.   Which of the following is TRUE?

a.

Only boys experience a growth spurt.

b.

Children and adolescents from different ethnic backgrounds mature physically at the same rates; there is no evidence for differences because humans all share a common ancestry.

c.

The more a baby is touched and stroked, the faster it develops.

d.

During puberty, Broca’s area triggers an increasing level of growth hormone in the body.

 

 

ANS:  C                    REF:   BIOLOGICAL DEVELOPMENT

 

8.   _________ can cause developmental abnormalities in the developing embryo and fetus.

a.

Polyyps

c.

Teratogens

b.

Natural killer (NK) cells

d.

Cytotoxicity

 

 

ANS:  A                    REF:   BIOLOGICAL DEVELOPMENT

 

9.   Miscarriage has strong psychological components. Couples can cope with this stressor better if:

a.

they are married for at least two years

b.

they keep it a secret so that people do not keep asking them how they are doing.

c.

they have strong social support from family and friends

d.

the woman was only in the first trimester.

 

 

ANS:  C                    REF:   BIOLOGICAL DEVELOPMENT

 

10.                Of the following, mothers from which ethnic background rate the family as the most important source of support?

a.

Asian Americans

c.

African Americans

b.

European Americans

d.

Chinese Americans

 

 

ANS:  C                    REF:   BIOLOGICAL DEVELOPMENT

 

11.                Growth and development of the newborn is driven by the secretions of the _______, and coordinated by the hypothalamus.

a.

adrenal gland

c.

thyroid gland

b.

pituitary gland

d.

corpus callosum

 

 

ANS:  B                    REF:   BIOLOGICAL DEVELOPMENT

 

12.                Which of the following is TRUE?

a.

Boys mature slightly earlier than their female counterparts.

b.

The age of first menstruation is later today than it was a century ago.

c.

Today, the average age for first menstruation is about 12 years.

d.

Only boys experience a growth spurt.

 

 

ANS:  C                    REF:   BIOLOGICAL DEVELOPMENT

 

13.                An example of why culture is important in early development is the finding that:

a.

African American children mature more quickly than European American children.

b.

African American children mature slower than European American children.

c.

African American children and European American children mature at the same rate

d.

Asian American children show some of the fastest rates of physical change

 

 

ANS:  A                    REF:   BIOLOGICAL DEVELOPMENT

 

14.                During puberty, major physical changes are stimulated by the:

a.

hippocampus

c.

ovaries

b.

gonads

d.

pituitary gland

 

 

ANS:  D                    REF:   BIOLOGICAL DEVELOPMENT

 

 

 

 

 

 

 

15.                Boys with lower levels of testosterone are more likely to:

a.

become gay or homosexual

b.

show behavioral problems such as rebelliousness

c.

be very easy-going and pleasant when socializing

d.

develop cancer later in life

 

 

ANS:  B                    REF:   BIOLOGICAL DEVELOPMENT

 

16.                Schaie (1993), found in a longitudinal study that the majority of the participants in the study showed no significant decline in most mental abilities until the age of:

a.

65

c.

81

b.

70

d.

92

 

 

ANS:  C                    REF:   BIOLOGICAL DEVELOPMENT

 

17.                The brain and spinal cord comprise the:

a.

peripheral nervous system

c.

the superior colliculus

b.

the central nervous system

d.

prosencephalon

 

 

ANS:  B                    REF:   THE NERVOUS SYSTEM

 

18.                What section of the brain in a cross-section resembles a gray “X”?

a.

the cerebral cortex

c.

the spinal cord

b.

the occipital lobe

d.

the medulla

 

 

ANS:  C                    REF:   THE NERVOUS SYSTEM

 

19.                The somatic nervous system controls what part of the body?

a.

bone growth

b.

reflex muscles

c.

skeletal muscles and is under conscious control of these muscles

d.

heart muscles

 

 

ANS:  C                    REF:   THE NERVOUS SYSTEM

 

20.                The autonomic nervous system coordinates muscles:

a.

under conscious control.

b.

that are not under conscious control.

c.

that control the feelings associated with pain.

d.

only in the lower half of the body.

 

 

ANS:  B                    REF:   THE NERVOUS SYSTEM

 

21.                Which of the following is FALSE regarding diabetes?.

a.

An equal number of people have Type 1 and Type 2 diabetes.

b.

Type 1 diabetes is seen at an early age.

c.

Type 2 diabetes is caused by a melatonin imbalance.

d.

Because of better medical care, today diabetes rates virtually the same across individuals of different ethnic backgrounds.

 

 

ANS:  A                    REF:   THE ENDOCRINE SYSTEM

 

 

 

 

 

22.                The difference between type 1 and type 2 diabetes is:

a.

type 1 is insulin dependent

b.

type 2 is insulin dependent

c.

Asian Americans tend to have only type 1 diabetes

d.

type 2 is seen at an early age

 

 

ANS:  A                    REF:   THE ENDOCRINE SYSTEM

 

23.                Though a bad diet is a direct risk factor for diabetes (Hu et al., 2001), research now suggests that this behavior is a major factor as well:

a.

not getting enough sleep

b.

smoking, especially heavy smoking

c.

not receiving enough sunlight

d.

using sugar substitutes on food and in drinks such as coffee

 

 

ANS:  B                    REF:   THE ENDOCRINE SYSTEM

 

24.                The heart is protected by:

a.

the pericardium.

c.

the valves.

b.

the arteries.

d.

the atria.

 

 

ANS:  A                    REF:   THE CIRCULATORY SYSTEM

 

25.                Who is credited with giving us a complete understanding of the circulatory system?

a.

Erasistratus in 300 BC

c.

William Harvey in 1628

b.

Galen in 150 BC

d.

none of the above

 

 

ANS:  C                    REF:   THE CIRCULATORY SYSTEM

 

26.                The circuit between the heart and the lungs is called:

a.

systemic circulation

c.

ischemia

b.

capillaries

d.

pulmonary circulation

 

 

ANS:  D                    REF:   THE CIRCULATORY SYSTEM

 

27.                Bariatric surgery is becoming more popular. The most common type of bariatric surgery is:

a.

removal of the stomach

c.

stapling of the stomach

b.

gastric bypass surgery

d.

lap-band

 

 

ANS:  B                    REF:   THE CIRCULATORY SYSTEM

 

28.                Colon cancer results from small clumps of cells called ___________ that turn cancerous.

a.

gallstones

c.

B cells

b.

polyps

d.

T cells

 

 

ANS:  B                    REF:   THE DIGESTIVE SYSTEM

 

29.                T-cells mature in this organ:

a.

thymus gland

c.

kidneys

b.

liver

d.

spleen

 

 

ANS:  A                    REF:   THE PHYSIOLOGY OF IMMUNITY

 

 

 

 

30.                The natural killer cells that circulate the body:

a.

are present in infants and children, but disappear by middle age

b.

engulf teratogens and viruses and devour them

c.

push infected cells through the body to the spleen

d.

inject diseased cells by injecting them with toxic chemicals

 

 

ANS:  D                    REF:   THE PHYSIOLOGY OF IMMUNITY

 

31.                What is the purpose of the spleen?

a.

It is an organ whose many ducts clean the lymphatic system.

b.

Assists the kidneys in processing insulin.

c.

It is a ductless organ that filters blood.

d.

It is the primary storage area for lymphocytes.

 

 

ANS:  C                    REF:   THE PHYSIOLOGY OF IMMUNITY

 

32.                Which of the following is FALSE?

a.

Bacteria and viruses can be transmitted to humans through the air.

b.

The sebum on our skin serves to prevent microorganisms from breaking the skin barrier or from growing on the skin.

c.

Bacteria and viruses can be transmitted to humans from an animal bite.

d.

The secretion of chemicals such as lysozyme instigates the swelling or inflammatory response and can also cause itching of the eyes.

 

 

ANS:  D                    REF:   THE PROCESS OF DEFENSE

 

33.                The main lines of entry for viruses and bacteria is:

a.

through skin and different openings of the body

b.

by having direct contact with the sebum.

c.

having a reduced immunosystem from not taking daily vitamins

d.

from being dropped by unhealthy T cells as they are being transported through the lymphatic system

 

 

ANS:  A                    REF:   THE PROCESS OF DEFENSE

 

34.                Barriers that do not rely on the cells of the immune system are referred to as:

a.

nonspecific immune defenses

c.

antigens

b.

key components

d.

nonimmunologic defenses

 

 

ANS:  D                    REF:   THE PROCESS OF DEFENSE

 

35.                If you fall and scratch up your elbow while gardening, your elbow will swell from an increase in blood flow to the area. This is a direct result of:

a.

acquired immunity.

c.

the inflammatory response.

b.

the phagocytosis response.

d.

the memory B cell response.

 

 

ANS:  D                    REF:   THEP ROCESS OF DEFENSE

 

36.                If you have allergies, you are familiar with the action of the body secreting histamines, including itching of eyes, nose and throat. Your body may also respond with:

a.

fever

c.

elevated blood pressure

b.

elevated red blood cell count

d.

inflammation of the tonsils

 

 

ANS:  A                    REF:   THE PROCESS OF DEFENSE

 

37.                Another type of immunity that is a form of a specific immune response, and involves the activation of lymphocytes is:

a.

activated immunity.

c.

acquired immunity.

b.

the inflammatory response.

d.

reactivation immunity.

 

 

ANS:  C                    REF:   THE PROCESS OF DEFENSE

 

38.                Acquired immunity takes place in either the:

a.

spleen or the appendix

c.

tonsils or the adenoids

b.

blood or the cells

d.

thymus or the pancreas

 

 

ANS:  B                    REF:   THE PROCESS OF DEFENSE

 

39.                Another example of acquired immunity is:

a.

the immunizations of babies

c.

contracting HIV

b.

eating blue cheese

d.

taking protein and vitamin supplements

 

 

ANS:  A                    REF:   THE PROCESS OF DEFENSE

 

40.                If you have chickenpox as a child, what is the reason you are unlikely to get it again?

a.

You have extra macrophages from the previous chicken pox, and they will engulf this strain too.

b.

You have cell-mediated immunity

c.

You have circulating B memory cells for the chickenpox.

d.

none of the above

 

 

ANS:  C                    REF:   THE PROCESS OF DEFENSE

 

41.                A strong immune response is characterized by:

a.

strong organs that are healthy,  such as the spleen.

b.

younger humans with less contact with varying illnesses.

c.

a low number of T cells

d.

great differentiation and proliferation.

 

 

ANS:  D                    REF:   THE PROCESS OF DEFENSE

 

42.                Given what you know about the respiratory system, what can you do to maintain your health in this area?

a.

get your cytotoxicity measured

c.

increase your carbon dioxide level

b.

increase your aerobic respiration

d.

Increase your histamines.

 

 

ANS:  B                    REF:   THE RESPIRATORY SYSTEM

 

43.                What are some facts that are known about the respiratory system?

a.

Lung capacity is an important measure of cardiovascular fitness.

b.

Asthma is a curable respiratory condition.

c.

The alveoli are also known as the windpipe.

d.

The bronchioles end in little sacs known as lysozyme clusters.

 

 

ANS:  A                    REF:   THE RESPIRATORY SYSTEM

 

 

 

 

 

 

44.                Which of the following is true about asthma?

a.

The number of people diagnosed with asthma has stayed relatively constant over the last two decades.

b.

The death rates from asthma are higher for European Americans than for African Americasns.

c.

It is a chronic condition with no cure.

d.

Asian Americans have the highest incidence of asthma out of all of the ethnic groups in the USA.

 

 

ANS:  C                    REF:   THE RESPIRATORY SYSTEM

 

45.                This ethnic group recognizes different organs than Western medicine.  This group will refer to the “Triple Burner.”

a.

East Indians

c.

Native Americans

b.

Chinese

d.

Mexican Americans

 

 

ANS:  B                    REF:   WHAT ABOUT CULTURE?

 

46.                The “Wild Divine,”a video product that focuses on promoting self-care and wellness, was tested for its effectiveness as a relaxation technique (Roethel & Gurung, 2007). The results of this study is that the game actually resulted in both physiological and psychological changes. These changes were found to be:

a.

an increase in violence and anger in the user

b.

an increase in salivary cortisol

c.

decrease in depression and fatigue

d.

increase in psychological symptoms

 

 

ANS:  C                    REF:   FOCUS ON APPLICATIONS

 

47.                The system(s) in the human body that is(are) responsible for metabolic activity are:

a.

immune system

c.

cardiac/pulmonary system

b.

digestive and renal systems

d.

nervous and endocrine systems

 

 

ANS:  B                    REF:   THE DIGESTIVE SYSTEM

 

48.                The endocrine hormone most related to the metabolism of food, especially glucose, is:

a.

oxytocin

c.

gastrin

b.

prolactin

d.

insulin

 

 

ANS:  D                    REF:   THE ENDOCRINE SYSTEM

 

TRUE/FALSE

 

1.   Preterm births are those who are born before 37 weeks of gestation.

 

ANS:  T                    REF:   BIOLOGICAL DEVELOPMENT

 

2.   The average age of menopause is 65.

 

ANS:  F                    REF:   BIOLOGICAL DEVELOPMENT

 

3.   Children grow in a continuous pattern with the same amount of growth every week until 2 years of age.

 

ANS:  F                    REF:   BIOLOGICAL DEVELOPMENT

4.   The growth spurt for girls is almost two years before the growth spurt in boys.

 

ANS:  T                    REF:   BIOLOGICAL DEVELOPMENT

 

5.   In 2003, the Women’s Health Initiative study indicated that hormone replacement therapy  treatment should be halted due to the fact that women receiving the drug were found to have a higher risk for certain cancers.

 

ANS:  T                    REF:   BIOLOGICAL DEVELOPMENT

 

6.   The pituitary gland produces the hormone oxytocin.

 

ANS:  T                    REF:   THE ENDOCRINE SYSTEM

 

7.   The blood vessels that carry blood away from the heart are called arteries, and the vessels that carry blood to the heart are called veins.

 

ANS:  T                    REF:   THE CIRCULATORY SYSTEM

 

8.   A healthy person’s blood pressure should be less than 120/80 mm Hg..

 

ANS:  T                    REF:   THE CIRCULATORY SYSTEM

 

9.   There is a risk of early death following bariatric surgery.

 

ANS:  T                    REF:   THE DIGESTIVE SYSTEM

 

10.                Instead of of focusing on physiology, traditional Chinese medicine (TCM) focuses on symptoms displayed by the patient to arrive at a diagnosis.

 

ANS:  T                    REF:   WHAT ABOUT CULTURE?

 

ESSAY

 

1.   The developing embryo and fetus are sensitive to several factors that can cause delays in development, birth defects, and/or miscarriage. What are three circumstances that can affect the development of the fetus?

 

ANS:  Answers can include: teratogensexposure to teratogens is higher for ethnic minority population; refrain from use of alcohol, caffeine, nicotine and other drugs and medication; the more stress the mother experiences, the more she risks delivery of a preterm of low birth weight baby; secondhand smoke from the father; stress from the father in form of emotional or physical abuse

 

REF:   BIOLOGICAL DEVELOPMENT

 

2.   What is one hypothesis for the change in the onset of menstruation?

 

ANS:  Answers can include: stress higher levels of environmental factors. Brumbauer (1997) found that after years of immigration, regardless of ethnicity, girls menstruate earlier in North America than in their countries of origin.

 

REF:   BIOLOGICAL DEVELOPMENT

 

3.   Thomas is 23 years old. What age-related changes should Thomas experience between the ages of 25 and 65?

 

ANS:  Limited changes in physical development: hair thins and tends to turn gray, may experience a receding hairline, storage of body fat increases; the distribution of fat changes to increased waist-to-hip ratio, tendency to put on weight until mid 50s: start to lose weight and slowly lose height after approximately age 60, bones start to shrink, hearing and vision degrade first before other senses.

 

REF:   BIOLOGICAL CHANGES

 

4.   What are the three main parts of the vertebrate brain?

 

ANS:  The hindbrain, or rhombencephalon, is located in the back of the brain and consists of the medulla, pons, and the cerebellum. Forebrain, or prosencephalon, is where thinking, consciousness, talking, eating and creating all occur. The spinal cord extends from the base of the skull to the tailbone.

 

REF:   THE NERVOUS SYSTEM

 

5.   Name three of the major glands in the endocrine system, and indicate the hormones that they secrete.

 

ANS:  Pituitary gland (oxytocin), pineal (melatonin), thyroid (thyroxine), parathyroid (parathyroid hormone), thymus (thymosins), pancreas (insulin), adrenal (cortisol and catecholamines), ovaries (estrogen), testes (androgens).

 

REF:   THE ENDOCRINE SYSTEM

 

Chapter Five—Coping and Social Support

 

MULTIPLE CHOICE

 

1.   Which of the following is FALSE regarding coping?

a.

It involves cognitive efforts to manage the outcomes of stress

b.

It involves behavioral efforts to manage the outcomes of stress

c.

It includes whatever individuals do to reestablish homeostatic balance.

d.

It is a one-time event that results in favorable outcomes.

 

 

ANS:  D                    REF:   WHAT IS COPING?

 

2.   One of the most important reasons that studying coping is difficult is due to the fact that:

a.

stressors can be positive or negative

b.

there is severe cultural diversity in stress

c.

individual differences in people and stressors make it difficult to study

d.

there are too many subtypes of coping

 

 

ANS:  C                    REF:   WHAT IS COPING?

 

3.   People who have high levels of social support often cope better than people with low levels of social support. In this case, social support can be said to be a(n):

a.

anti-stressor

c.

mediator

b.

coping mechanism

d.

moderator

 

 

ANS:  D                    REF:   MODERATORS VERSUS MEDIATORS

 

4.   Most of the following variables can be mediators and moderators except for:

a.

happiness

c.

social support

b.

optimism

d.

age

 

 

ANS:  D                    REF:   MODERATORS VERSUS MEDIATORS

 

5.   A _____ is the intervening process through which one variable has an effect on another variable.

a.

moderator

c.

control

b.

mediator

d.

buffer

 

 

ANS:  B                    REF:   MODERATORS VERSUS MEDIATORS

 

6.   One of the most commonly studied mediators in health psychology is:

a.

sex

c.

health behaviors

b.

social support

d.

stress

 

 

ANS:  C                    REF:   MODERATORS VERSUS MEDIATORS

 

7.   Our general predispositions to deal with stress are best described as:

a.

coping strategies

c.

coping genes

b.

coping styles

d.

avoidant coping

 

 

ANS:  B                    REF:   THE STRUCTURE OF COPING

 

 

 

 

8.   If you have stress from a roommate who does not wash her own dishes, and you take the time to talk to her directly about your wish that she wash her own dishes, this type of coping style is called:

a.

emotion-focused coping          .                   c. avoidant coping.

b.

approach coping.                             d. positive reinterpretation.

 

 

ANS:  B                    REF:   THE STRUCTURE OF COPING

 

9.   Which of the following coping techniques is considered to be both problem-focused and emotion-focused?

a.

social support

c.

using religion

b.

using humor

d.

distraction

 

 

ANS:  A                    REF:   THE STRUCTURE OF COPING

 

10.                Problem-focused coping is associated with more positive outcomes when the source of stress is ________.

a.

limited.

c.

flexible

b.

controllable.

d.

emotionally overwhelming.

 

 

ANS:  B                    REF:   THE STRUCTURE OF COPING

 

11.                Each of the following is considered one of the “Big Five”factors in personality except:

a.

extraversion

c.

agreeableness

b.

neuroticism

d.

optimism

 

 

ANS:  D                    REF:   PERSONALITY AND COPING

 

12.                If you are soft-hearted, trusting, and helpful, you are high on the Big Five personality trait of:

a.

optimism

c.

conscientiousness

b.

agreeableness

d.

neuroticism

 

 

ANS:  B                    REF:   PERSONALITY AND COPING

 

13.                In contrast to early research on the Type A personality, current views hold that the most unhealthy component of the Type A profile is:

a.

being competitive

c.

being hostile

b.

showing a sense of time urgency

d.

being hardy

 

 

ANS:  C                    REF:   PERSONALITY AND COPING

 

14.                An individual with Type A coronary-prone are found to be at a higher level of risk for:

a.

coronary heart disease.

c.

muscular-skeletal injuries

b.

diabetes.

d.

renal failure.

 

 

ANS:  A                    REF:   PERSONALITY AND COPING

 

15.                _______ is the relatively stable tendency of an individual to believe one’s life is under one’s own control.

a.

Optimism

c.

Conscientiousness

b.

Hardiness

d.

Mastery

 

 

ANS:  D                    REF:   PERSONALITY AND COPING

 

 

 

16.                People who enjoy challenges, have a high level of control, and are committed to their lives, are high in_______.

a.

optimism

c.

extraversion

b.

hardiness

d.

mastery

 

 

ANS:  B                    REF:   PERSONALITY AND COPING

 

17.                Which of the following empirical statements is TRUE?

a.

Optimists tend to cope better with stress than pessimists.

b.

Optimists are more likely to use avoidant coping strategies than pessimists.

c.

Optimists tend not to practice healthy behaviors because they assume most outcomes will be positive.

d.

Optimism is correlated with better psychological health, but is not predictive of longevity.

 

 

ANS:  A                    REF:   PERSONALITY AND HEALTH

 

18.                A student that has a high level of mastery believes:

a.

he is in control of the classroom environment

b.

he has the capability to succeed at whatever task is at hand.

c.

he does not have much control over his environment

d.

that he has a lot to learn this semester.

 

 

ANS:  B                    REF:   PERSONALITY AND HEALTH

 

19.                Two of the most closely related personality concepts that both predict better coping are:

a.

conscientiousness and neuroticism

c.

mastery and optimism

b.

optimism and hardiness

d.

hardiness and resilience

 

 

ANS:  D                    REF:   PERSONALITY AND HEALTH

 

 

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