front 1 A 28-year-old is navigating work, partnership, and identity formation while maintaining independence from family. This developmental period is best classified as: A) Adolescence B) Young adulthood C) Middle adulthood D) Late adulthood | back 1 B. Young adulthood |
front 2 A 16-year-old pushes for autonomy and psychological separation from parents. This process is classically called: A) First attachment B) Midlife transition C) Second individuation D) Generativity | back 2 C. Second individuation |
front 3 A 29-year-old continues separating psychologically from parents while integrating childhood representations with present adult identity. This process is called: A) Third individuation B) Empty-nest syndrome C) Normative crisis D) Stagnation | back 3 A. Third individuation |
front 4 A developmental bridge connecting one major phase of life to the next is called a: A) Plateau B) Stage C) Rite D) Transition | back 4 D. Transition |
front 5 A period of rapid change that strains a person's coping capacities is best termed a: A) Plateau B) Normative crisis C) Stage D) Fixation | back 5 B. Normative crisis |
front 6 A developmental period marked mainly by consolidation of skills and capacities is called a: A) Stage B) Transition C) Plateau D) Crisis | back 6 A. Stage |
front 7 A period of relative developmental stability is best termed a: A) Rite of passage B) Crisis state C) Plateau D) Individuation | back 7 C. Plateau |
front 8 A culturally structured social ritual that helps a person move from one developmental phase to another is called a: A) Stage conflict B) Plateau marker C) Normative crisis D) Rite of passage | back 8 D. Rite of passage |
front 9 Across adulthood, the process of leaving the family of origin, becoming one's own person, passing through midlife, and preparing for later life transition is called: A) Regression B) Individuation C) Assimilation D) Generativity | back 9 B. Individuation |
front 10 A couple seeks help for one immediate family conflict, and the clinician does not deeply restructure the relationship or explore each partner’s psychodynamics. This is most consistent with: A) Marriage counseling B) Marital therapy C) Psychoanalysis D) Family reconstruction | back 10 A. Marriage counseling |
front 11 A therapist works with a couple by restructuring interaction patterns and exploring each partner’s psychodynamics. This approach is best described as: A) Crisis triage B) Supportive advising C) Marriage counseling D) Marital therapy | back 11 D. Marital therapy |
front 12 Before formal marital therapy and counseling became common, distressed couples traditionally relied most on which two supports for guidance? A) employers and schools B) extended family and religion C) physicians and courts D) friends and social workers | back 12 B) extended family and religion |
front 13 Compared with nonadopted peers, adopted children are at increased risk for which cluster? A) Autism and psychosis B) ADHD and tics C) Conduct problems and substance abuse D) Learning disability and anxiety | back 13 C. Conduct problems and substance abuse |
front 14 A 52-year-old reflecting on career, parenting, and social contribution is in the age range classically defined as: A) Young adulthood B) Middle adulthood C) Late adulthood D) Adolescence | back 14 B. Middle adulthood |
front 15 Erikson used which term for the drive to guide the next generation or improve society? A) Generativity B) Stagnation C) Individuation D) Fidelity | back 15 A. Generativity |
front 16 A 50-year-old has stopped growing psychologically and no longer pursues development or contribution. This is best described as: A) Crisis B) Plateau C) Stagnation D) Transition | back 16 C. Stagnation |
front 17 The climacterium in middle adulthood refers to a period marked by: A) increased fertility and strength B) decreased biologic functioning C) full emotional stability D) complete role consolidation | back 17 B. decreased biologic functioning |
front 18 In women, the climacterium is most closely associated with the: A) menopausal period B) third individuation C) empty-nest syndrome D) second individuation | back 18 A. menopausal period |
front 19 Compared with women, the male climacterium is harder to identify because male hormonal change: A) begins in adolescence B) ends by age 40 C) has no clear demarcation D) causes abrupt infertility | back 19 C. has no clear demarcation |
front 20 A 47-year-old begins intensely reassessing career, marriage, goals, and mortality after realizing life is finite. This is most consistent with the: A) midlife transition B) empty-nest syndrome C) generative stage D) plateau state | back 20 A. midlife transition |
front 21 Which feature most strongly distinguishes a true midlife crisis from an ordinary midlife transition? A) mild mood swings B) major life reversals with turmoil C) stable identity and calm D) brief concern about aging | back 21 B. major life reversals with turmoil |
front 22 A parent develops depressed mood when the youngest child is preparing to leave home. This pattern is called: A) third individuation B) climacteric depression C) empty-nest syndrome D) marital regression | back 22 C. empty-nest syndrome |
front 23 A 53-year-old feels trapped in an intolerable life structure and worries that meaningful change may no longer be possible. Which theorist specifically described this 50-55 transitional crisis? A) Erik Erikson B) Daniel Levinson C) Jean Piaget D) Sigmund Freud | back 23 B. Daniel Levinson |
front 24 A 48-year-old reports feeling overloaded by work, parenting, and caregiving, yet also describes this as one of the most satisfying periods of life. This pattern is most typical of: A) adolescence B) young adulthood C) middle adulthood D) late adulthood | back 24 C. middle adulthood |
front 25 In divorce psychology, the process in which the love object is relinquished and grief over the death of the relationship occurs is called: A) legal divorce B) economic divorce C) psychic divorce D) coparental divorce | back 25 C. psychic divorce |
front 26 Both former spouses view each other neutrally and have accepted their identities as single people. This time course is most consistent with typical recovery after: A) 6 months B) 1 year C) 2 years D) 5 years | back 26 C. 2 years |
front 27 A couple completes court proceedings so both parties are legally free to remarry. This stage is best described as: A) psychic divorce B) legal divorce C) economic divorce D) emotional divorce | back 27 B. legal divorce |
front 28 A divorce proceeding in which neither spouse is designated the guilty party is best termed: A) split divorce B) no-fault divorce C) unilateral divorce D) parental divorce | back 28 B. no-fault divorce |
front 29 A divorcing couple is primarily disputing property division and long-term financial support. This aspect of separation is best classified as: A) psychic divorce B) coparental divorce C) economic divorce D) legal divorce | back 29 C. economic divorce |
front 30 When divorce is discussed specifically in terms of one parent separating from the child’s other parent, it is called: A) coparental divorce B) psychic divorce C) joint divorce D) legal divorce | back 30 A. coparental divorce |
front 31 A court awards custody to the more fit natural parent while emphasizing the child’s welfare. This reflects the: A) best interest presumption B) parental right doctrine C) split custody doctrine D) visitation preference rule | back 31 B. parental right doctrine |
front 32 After divorce, a child alternates equally between both parents’ homes. This arrangement is called: A) split custody B) single custody C) joint custody D) supervised custody | back 32 C. joint custody |
front 33 After divorce, siblings are divided so each parent has custody of at least one child. This is known as: A) split custody B) joint custody C) rotating custody D) sole placement | back 33 A. split custody |
front 34 In a custody arrangement where the children live only with one parent and the other has visitation rights, the arrangement is: A) split custody B) joint custody C) single custody D) shared custody | back 34 C. single custody |
front 35 A 70-year-old retired teacher remains active and independent. In gerontologic terms, this patient is best categorized as: A) middle-old B) old-old C) oldest-old D) young-old | back 35 D. young-old |
front 36 A healthy 79-year-old woman is most accurately categorized as: A) young-old B) old-old C) oldest-old D) senile | back 36 B. old-old |
front 37 An 88-year-old man is most specifically categorized by some gerontologists as: A) young-old B) old-old C) oldest-old D) middle-old | back 37 C. oldest-old |
front 38 A patient has severe memory loss and marked loss of intellectual functioning. This clinical picture is most consistent with: A) senility B) generativity C) stagnation D) climacterium | back 38 A. senility |
front 39 A 38-year-old with a parent affected by Huntington disease asks about the disorder’s inheritance and timing. Which pairing is most accurate? A) autosomal recessive, childhood onset B) autosomal dominant, age 35-40 C) X-linked dominant, age 20-25 D) mitochondrial, age 60-70 | back 39 B. autosomal dominant, age 35-40 |
front 40 Which triad represents the leading causes of death in older adults? A) stroke, trauma, diabetes B) heart disease, cancer, stroke C) COPD, dementia, pneumonia D) renal failure, sepsis, falls | back 40 B. heart disease, cancer, stroke |
front 41 An older adult has recurrent falls without focal neurologic deficits. Which pair most commonly explains such falls? A) seizures and vertigo B) arrhythmias and hypotension C) neuropathy and arthritis D) stroke and tremor | back 41 B. arrhythmias and hypotension |
front 42 A 79-year-old says, “My life had meaning, and I used it well.” This best reflects successful resolution of Erikson’s stage of: A) integrity versus despair B) intimacy versus isolation C) initiative versus guilt D) industry versus inferiority | back 42 A. integrity versus despair |
front 43 A 76-year-old is bitter, regrets major life choices, and feels life ended too soon to correct them. This most strongly reflects unsuccessful resolution of: A) generativity versus stagnation B) autonomy versus shame C) trust versus mistrust D) integrity versus despair | back 43 D. integrity versus despair |
front 44 Longitudinal personality studies across 10 to 50 years support stability of the Big Five traits. Which set is correct? A) extraversion neuroticism openness conscientiousness agreeableness B) dependency hostility rigidity somatization introversion C) impulsivity sentimentality psychoticism suspicion perfectionism D) narcissism pessimism diligence warmth intelligence | back 44 A. extraversion neuroticism openness conscientiousness agreeableness |
front 45 A younger clinician assumes all older adults are rigid and unproductive and treats them dismissively. Robert Butler termed this: A) transference B) ageism C) senility D) projection | back 45 B. ageism |
front 46 A patient relates to the therapist as though speaking to a strict mother or father from childhood. This is best described as: A) son or daughter transference B) peer transference C) parental transference D) reaction formation | back 46 C. parental transference |
front 47 A patient expects the therapist to relate like a sibling, spouse, or close friend rather than a parent. This is most consistent with: A) parental transference B) peer or sibling transference C) son or daughter transference D) somatization | back 47 B. peer or sibling transference |
front 48 A widowed 72-year-old begins interacting with the therapist as if the therapist were her child or in-law. This pattern is: A) son or daughter transference B) parental transference C) peer transference D) ageism | back 48 A. son or daughter transference |
front 49 Which statement about federal age-related benefits is most accurate? A) Medicare is Title 16 B) Social Security begins only at 70 C) Medicare Title 18 covers over 65 D) Medicare excludes medical insurance | back 49 C. Medicare Title 18 covers over 65 |
front 50 Which age pairing is most accurate for Social Security in the provided framework A) full 62 reduced 60 B) full 65 reduced 62 C) full 67 reduced 65 D) full 70 reduced 67 | back 50 B. full 65 reduced 62 |