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Stress affects immune function


A) but only if the stressful event is life-threatening.
B) even if the stressful event lasts as little as 2 hours.
C) in real life but not in the lab.
D) only in the chronically ill.

E) All of the above
F) None of the above

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In 1989,health professionals in China began a massive antismoking effort in several cities that involved children whose fathers smoked.As part of this effort,all of the following are accurate statements EXCEPT


A) schoolchildren were given antismoking literature and questionnaires to take home to their fathers.
B) children wrote letters to their fathers asking them to quit smoking.
C) children submitted monthly reports on their fathers' smoking habits to their schools.
D) photos of the fathers who continued smoking were published in the school newspapers.

E) A) and B)
F) A) and D)

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In regard to setting up behavioral change programs that address the HIV/AIDS epidemic,which of the following is an accurate statement?


A) The same kinds of programs can be set up for both females and males.
B) Women and men need different types of programs because their risk factors are different.
C) Women are not acquiring HIV/AIDS as fast as men are.
D) Media attention and even research has focused on women with AIDS and largely ignored men.

E) None of the above
F) A) and B)

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Using the word psychosomatic to describe a disorder with an obvious physical component is considered misleading because


A) it gives the impression that psychological disorders like anxiety or depression do not have a biological component.
B) it assumes that the physical aspects of a disorder are less important than the psychological aspects.
C) it emphasizes the psychological symptoms of a disorder instead of the physical symptoms.
D) it gives the impression that biological disorders are not influenced by psychological factors.

E) A) and B)
F) None of the above

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Vaillant studied 200 Harvard University sophomores over a 30-year period.He found that those who developed psychological disorders or who were highly stressed


A) were also chronically ill.
B) died at a significantly higher rate.
C) were less likely to finish their degrees.
D) both a and b

E) A) and C)
F) C) and D)

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A controlled research study investigating the effects of a cognitive-behavioral treatment for chronic fatigue syndrome resulted in improvement on


A) measures of fatigue.
B) measures of illness belief.
C) both measures of fatigue and measures of illness belief.
D) neither measures of fatigue nor measures of illness belief.

E) All of the above
F) A) and C)

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In the mid-19แต—สฐ century,symptoms of fatigue,vague aches and pains,low-grade fever,and lack of energy were attributed to a disorder called _______________.


A) neurasthenia
B) neurosis
C) hysteria
D) somatic syndrome

E) A) and B)
F) A) and C)

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Which of the following is LEAST likely to bring about changes in "risky" behaviors for individuals who are at risk for HIV/AIDS?


A) A comprehensive behavior change program
B) Cognitive-behavioral self-management training
C) The development of an effective social support network
D) Distribution of educational and informational pamphlets about the disease

E) B) and C)
F) A) and B)

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Knowledge derived from the behavioral sciences applied to the prevention,diagnosis,and treatment of medical problems is called


A) health psychology.
B) behavioral medicine.
C) psychophysiological disorders.
D) psychosomatic medicine.

E) C) and D)
F) A) and B)

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The development of chronic fatigue syndrome is associated with


A) an extremely stressful life event.
B) over exercise.
C) achievement-oriented lifestyles.
D) a tendency to minimize pain.

E) A) and C)
F) A) and B)

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In keeping daily records of the stressful events in their lives,patients in pain management programs are taught to be very specific about all of the following EXCEPT


A) the actual time of day that they experience stress.
B) what seems to "trigger the stress."
C) how they attempted to control the stress.
D) the level of intensity of the stress.

E) A) and B)
F) All of the above

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C

The only effective prevention strategy currently available for reducing the spread of AIDS appears to be _______________.


A) a vaccine
B) medications
C) changing high-risk behavior
D) educating people about the risk of the disease

E) None of the above
F) All of the above

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In a stressful events record,clients in a pain management program are asked to record


A) somatic symptoms only.
B) thoughts that occur during stress but not somatic symptoms.
C) thoughts that occur during stress as well as somatic symptoms.
D) intensity of the stress, but not thoughts or somatic symptoms.

E) None of the above
F) B) and C)

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C

Psychosocial interventions such as stress reduction techniques for chronically ill individuals are thought to affect the disease process via the immune system in all of the following ways EXCEPT


A) giving patients a greater sense of control.
B) helping patients utilize social support networks.
C) changing patients' negative cognitions.
D) helping patients realize that their sense of hopelessness is realistic.

E) B) and C)
F) A) and C)

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D

What theory of pain accommodates both psychological and physical factors?


A) Gate control theory of pain
B) Psychophysiological pain theory
C) Behavioral medicine theory
D) None of the above

E) C) and D)
F) B) and C)

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Carla and Carlos have recently learned that they are HIV positive.According to research studies involving people who are HIV positive,what is most likely to occur?


A) Carla will now have sex only if her partner uses a condom.
B) Carlos will abstain from sex completely.
C) Both Carla and Carlos will stop sharing needles with other drug users.
D) Neither Carlos nor Carla is likely to change any of their previous behaviors.

E) A) and B)
F) A) and C)

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The shift to focusing on psychological factors in illness is referred to as a revolution in public health because


A) there was a great deal of debate in medical circles as to whether psychological factors played a role in physical illness.
B) previously the focus was much more on infectious disease.
C) it figured prominently into the debate over healthcare reform.
D) it has health policy implications.

E) A) and B)
F) B) and C)

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When pain is induced after people are given a placebo,they feel less pain because


A) the endogenous opioid system is activated.
B) they simply report less pain.
C) they think they feel less pain.
D) they pretend to have pain.

E) B) and D)
F) B) and C)

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Too many helper cells can result in


A) an autoimmune disease.
B) diminished antibody responses.
C) long-term immune activity.
D) diminished immune functions.

E) A) and B)
F) A) and C)

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Which of the following is NOT an example of the complex interaction of physical and psychological factors in the experience of pain?


A) The gate control theory of pain
B) Phantom limb pain
C) Chronic pain
D) Delusional pain

E) B) and C)
F) A) and D)

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