Juanita, a 15-year-old high school student, is afraid to go to school because of a small pimple on her forehead. Which aspect of adolescent egocentrism is Juanita experiencing?1. Travis is 4-year-old adventurous and curious boy who likes to play in the backyard. Travis often comes up with different ideas to interact with nature, such as catch a bird with a butterfly net, make mud pies with his mother’s garden tools, etc. His parents encourage him to test out his ideas as long as they are not dangerous. Because his parents support his plans, he will probably grow up with:

a. autonomy.

b. initiative.

c. industry.

d. trust.

2. Blanche is 4 years old. What would Blanche MOST likely say if you asked her to describe who she is?

a. “I am quiet, nice, and friendly.”

b. “I have brown hair, and I have a bicycle.”

c. “I like preschool, especially reading, and I am good in art.”

d. “I am the daughter of Sam and Renee and the sister of William.”

3. Five-year old Joe is crying because his favorite aunt is moving away. His parents are in the kitchen arguing about how to respond to the situation. Joe’s father wants to tell him “big boys don’t cry.” Joe’s mother wants to tell him “it is okay to cry when you feel sad.” According to research, which response will be most helpful for Joe?

a. Joe’s father’s response.

b. Joe’s father’ response, but only because Joe is a boy. For girls, Joe’s mother’s response would be more helpful.

c. Joe’s mother’s response.

d. Joe’s mother’s response, but only because Joe is around preschool age. For older children, Joe’s father’s response would be more helpful.

4. In order for children to take effective moral action, they need to be able to __________ and __________.

a. learn to identify others’ emotional states; anticipate what will improve others’ emotional states.

b. learn to regulate their emotional states; teach other children to regulate their emotional states.

c. overcome their innate desire to hurt others; learn to do things for the good of the group.

d. deny their natural selfish tendencies; be concerned with the well-being of other people.

5. Jerome and Hani got up early on Saturday morning and decided to make “breakfast in bed” for their mother. While reaching for the bed tray in the back of the hall cabinet, they accidentally bumped and broke one of their mother’s favorite porcelain dolls. Jerome KNEW that he was going to get into “big trouble,” and he thought that he SHOULD get into big trouble. Hani told him not to worry because Mom would understand that it was an accident. In what stage would Jean Piaget categorize the moral reasoning, respectively, of Jerome and Hani?

a. Jerome—autonomous morality; Hani—heteronomous morality

b. Jerome—heteronomous morality; Hani—autonomous morality

c. Jerome—universal law morality; Hani—context-specific morality.

d. Jerome—context-specific morality; Hani—universal law morality.6. According to the social cognitive theory of gender, social influences on gender role development appear to operate mainly through:

a. cognitive processes stimulated by other people.

b. learning processes in the company of other people.

c. biological processes stimulated by social interactions.

d. a complex interaction of biological processes.

7. Which of the following statements is true concerning parenting practices and gender development?

a. Fathers are more consistently given responsibility for the nurturance and physical care of their children.

b. Mothers are more likely than fathers to engage in playful interactions with their children.

c. Mothers are more likely than fathers to treat their sons and daughters differently.

d. Fathers are more involved in socializing their sons than their daughters.

8. Research on peer pressure to conform to traditional gender roles suggests that:

a. there is greater pressure for boys.

b. there is greater pressure for girls.

c. pressure to conform is equal for both boys and girls.

d. neither boys nor girls are pressured by their peers to conform.

9. Suzie just brought home her report card. She earned Cs and Ds in all of her classes. When looking at the grades, her father stated, “You are an embarrassment to me! You better get those grades up, or else!” Suzie’s Dad is most likely a(n):

a. authoritarian parent.

b. authoritative parent.

c. indulgent parent.

d. neglectful parent.

10. Ursula just brought home her report card. She earned Cs and Ds in all of her classes. Ursula’s mom’s first response was “Oh, you must be very disappointed.” Then, the two of them sat down and tried to determine why she was having difficulty and what they could do to help her get her grades up. They decided that Ursula would start seeing a tutor after school. Ursula’s mom is most likely a(n):

a. authoritarian parent.

b. authoritative parent.

c. indulgent parent.

d. neglectful parent.

11. Bernard just brought home his report card and placed it on the television set. Bernard told his dad that he was required to bring the card back to school tomorrow with the signature of one of his parents. Bernard’s dad told him to move out of the way because he could not see the TV. The next morning, Bernard found his report card where he left it, unsigned. He signed his dad’s name and put it in his backpack. Bernard’s dad is most likely a(n):

a. authoritarian parent.

b. authoritative parent.

c. indulgent parent.

d. neglectful parent.

12. Penelope has low self-esteem and is unhappy. She appears to be anxious around her peers and has few friends. Her teacher asks her why she sat by herself at lunch. Penelope states that the other kids would not want her to join them, because she is ugly and dumb. It is most likely that she grew up in a home with parents who were:

a. authoritarian.

b. authoritative.

c. indulgent.

d. neglectful.

13. Research conducted by Ruth Chao (2001, 2005) suggests that:

a. the high control of “authoritarian” Asian parents is best conceptualized as “training” and is distinct from the domineering control that is generally associated with the authoritarian style of parenting.

b. “authoritarian” parenting is “authoritarian” parenting, whether the parent is Asian American, African American, or European American.

c. contrary to many stereotypes, Asian parents are indulgent and permissive.

d. consistent with stereotypes, Asian parents are domineering, controlling, and have rigid/unrealistic expectations for academic achievement in their children.

14. Research linking corporal punishment and child behavior has been associated with all of the following, EXCEPT:

a. immediate compliance.

b. higher levels of aggression.

c. higher levels of moral internalization.

d. behavioral problems at school and with peers.

15. Which of the following age groups tends to be most negatively affected by the parents’ divorce and why?

a. pre-school children because of their egocentric thinking.

b. k to 2rd graders because they tend to develop loyalty conflicts

c. 3th to 5th graders because they tend to develop psychosomatic symptoms.

d. adolescents because they may have to take on additional family roles.

16. Who may exhibit the worst behavioral problem at home and at school?

a. Anthony with a stepfather is who a very nice person and who use Authoritative parenting style.

b. Bobby with parents who get along very well after the divorce.

c. Cory with parents who always fight and argue but refuse to even consider getting divorce for the sake of Cory.

d. David with parents who have been divorced but continue to fight and argue since divorce.

17. Social class differences in parenting behaviors have been found in the United States and most Western cultures. Low-income and working-class parents are more likely to __________ than middle-class parents.

a. incorporate their children’s perspectives in discipline

b. use reasoning to accompany their discipline

c. use authoritarian parenting style

d. be involved in their children’s education

18. Which statement BEST summarizes Daniel Berlyne’s views about children’s play?

a. Play is important for developing motor skills and coordination.

b. Play is important only because it occupies children during times when they are not learning more important things.

c. Children use play as a way to digest past experiences, to derive meaning from what has happened to them.

d. Children use play as a way to explore new things and as a way to satisfy their natural curiosity about the world.

19. Using props, plots, and roles in play is characteristic of:

a. associative play.

b. constructive play.

c. pretense/symbolic play.

d. sensorimotor/practice play.

20. Eight-year-old Joshua is obese. His excess weight puts him at risk for all of the following, EXCEPT:

a.depression.

b.high blood pressure.

c.type 2 diabetes.

d.anemia.

21. What does the research indicate about gender differences in learning disabilities?

a.Boys are more likely to have a learning disability.

b.Girls are more likely to have a learning disability.

c.There are no significant gender differences in learning disabilities.

d.Although boys are referred more often for treatment, girls have higher rates of learning disabilities.

22. Currently, researchers are considering all of the following as possible causes of attention deficit hyperactivity disorder (ADHD), EXCEPT:low levels of neurotransmitters in the brain.heredity.child abuse.prenatal and postnatal abnormalities.

23. Jack is cutting up a pizza for himself and his little brother, Craig. He starts to cut it into eight pieces, but his brother says, “Don’t cut it into so many pieces; I can’t eat that many.” Jack laughs but obeys. Craig’s reactions characterize _______ thought, and Jack’s reactions characterize _______ thought.sensorimotor; preoperationalpreoperational; concrete operationalsymbolic; intuitiveconcrete operational; formal operational

24.Which of the following is NOT a characteristic of concrete operational thought?the ability to think in reverse orderlogical reasoningclassification skillsthe ability to think abstractly

25. The neo-Piagetians seem to incorporate ideas from another view about cognitive development and learning. What other view is this?information-processing approach to cognitionindividual differences study of intelligencebehaviorist concepts of learningVygotsky’s ideas about the importance of culture and context

26. _______ develop(s) more rapidly during early childhood, and _______ develop(s) more rapidly during middle and late childhood.Long-term memory; short-term memoryShort-term memory; long-term memoryControl processes; learner characteristicsLearner characteristics; control processes

27. Achievement tests in this course measure _______ thinking.convergentcreativedivergentanalytical

28. What can educators do to help children become better thinkers?teach them many problem-solving strategiesteach them many different memory aidsmodel many appropriate thinking skillsunderstand the limitations of biology

29.Knowing about knowing is referred to as:metamemory.first-order cognition.metacognition.megacognition.

30. What is the BEST explanation for why minorities earn lower scores on IQ tests?They tend to live in intellectually less stimulating environment.They tend to inherit inferior intelligence genes than majority group members. They tend to experience racism in media coverage of IQ tests.They tend to experience unfair scoring on IQ tests.

31. Many intelligence tests are biased in that they:test predominantly nonverbal skills.reflect the common values of all test takers.reflect the cultures of some test takers more than others.use only standardized test items familiar to all test takers.

32. Mr. French wants to know which of the children who have applied for admission to his special science school really have the potential to become successful scientists. He gives them an intelligence test and admits only those who score in the top 10%. What would your text’s author say about Mr. French’s use of an intelligence test?Mr. French is wise to have used an intelligence test to predict students’ career success.Mr. French is misusing the intelligence test, as they are not for predicting career success.Mr. French has discovered an innovative and appropriate use for intelligence tests.Mr. French is using the intelligence test inappropriately, as the test must be given at least twice to show stability of intelligence and predict career success.

33. Which public service announcement would be most beneficial in preventing cultural-familial retardation?Protect your children from exposure to lead.Give your children an enriched environment.Make children’s nutrition your number one priority.Do not conceive any children after the age of 40.

34. Carmenita is teaching her son to read by sounding out words in storybooks she reads to him. What approach is she using?whole-languagephonicsbalanced instructionsound-it-out

35. How would an 8-year-old child MOST likely describe himself or herself?“I am 8, and I have a bicycle.”“I am 8, and I have red hair and brown eyes.”“I am nice, and my friends like me a lot.”“I am taller than my brother, but shorter than my mother.”

36. In terms of self-understanding, children in late childhood are MORE likely than children in early childhood to:

a.compare themselves with their peers.

b.compare themselves with role models.

c.use physical characteristics to describe themselves.

d.use outer states to describe themselves.

37. Tadako’s teachers have steadily been working on her self-esteem by frequently commenting on how nice it is to have Tadako as a member of their classes. Which strategy are these teachers engaging in?

a.emotional support and social approval

b.promoting increased achievement

c.helping Tadako cope with a problem

d.implementing a peer support system

38. Jermaine and Latoya want to help their daughter develop high self-esteem. What should they do?

a.Teach her to turn to adults for help when faced with a problem.

b.Teach her to ignore her problems and they will go away.

c.Teach her to face problems realistically and cope with them.

d.Teach her to turn her problems over to someone who is more advanced at problem solving.

39.Julio cannot get his science project to work. In fact, it seems to him that nothing he makes ever works properly. According to Erik Erikson, Julio is at risk for developing a sense of:

a.stagnation.

b.inferiority.

c.shame and doubt.

d.identity diffusion.

40. Tiesha’s behavior is controlled by external rewards and punishments reflecting which level of Lawrence Kohlberg’s theory of moral development?

a.preconventional reasoning

b.conventional reasoning

c.interconventional reasoning

d.postconventional reasoning

41. Which stage of Lawrence Kohlberg’s theory of moral development often involves children adopting their parents’ moral standards?

a.individualism, instrumental purpose, and exchange

b.heteronomous morality

c.social systems morality

d.mutual interpersonal expectations, relationships, and interpersonal conformity

42. Your best friend sideswipes a car and drives away without reporting the accident. You do not report it either, even though you worry about the incident. Over the next few days, you decide the relationship with your friend is more important than the owner’s material loss and friends stick together. Your actions suggest that you are in which of Kohlberg’s moral reasoning stages?

a.heteronomous morality

b.individualism, instrumental purpose, and exchange

c.mutual interpersonal expectations, relationships, and interpersonal conformity

d.social systems morality

43. To investigate the nature of moral thought, Lawrence Kohlberg presented children with a story in which a character named Heinz faces a moral dilemma: the only way to save his mother’s life is to steal an experimental drug he cannot buy. When Ellie is read the story and asked whether Heinz should have stolen the drug, she states, “No, it is against the law to steal. The husband should find another way to get the drug.” Ellie is in the _______ stage of moral development.

a.mutual interpersonal expectations, relationships, and interpersonal conformity

b.individualism, instrumental purpose, and exchange

c.social systems morality

d.universal ethical principles

44. When asked why she participated with other students in a protest against treatment of homosexuals on her campus, Kai says that all humans have the fundamental right to be treated fairly and equally regardless of any human conditions, and that she is morally against the continuing discrimination against homosexuals. What is Kai’s likely moral level according to Lawrence Kohlberg?

a.postconventional

b.conventional

c.unconventional

d.preconventional

45. A person is arrested for stealing company documents and says, “Yes, I did steal the documents, and I am willing to go to jail for it. These documents prove that the company was engaging in a cover-up of the unsafe properties of its chemical. I think the public has a right to know about it.” Lawrence Kohlberg would classify this person as using _______ morality.

a.conventional

b.unconventional

c.preconventional

d.postconventional

46. Carol Gilligan has criticized Lawrence Kohlberg’s theory of moral development because:

a.it does not include a role for reasoning about relationships and concern for others.

b.it does not recognize higher-level moral reasoning in certain cultural groups.

c.Kohlberg underestimated the contribution of family relationships to moral development.

d.it places too much emphasis on moral thought and not enough emphasis on moral behavior.

47. In general, the “average male” outperforms the “average female” on all of the following tasks, EXCEPT:

a.spatial.

b.verbal.

c.scientific.

d.mathematical.

48. Jeff is independent, flexible, cheerful, friendly, assertive, tactful, comfortable with making decisions, sensitive to the feelings of others, and sympathetic. Jeff can best be described as:

a.masculine.

b.feminine.

c.androgynous.

d.transcendent.

49. As children grow older, parents tend to spend:

a.less time with them, especially in less-educated families.

b.more time with them, especially in helping with homework.

c.about the same amount of time with them, though the nature of the interactions changes significantly.

d.about the same amount of time with them, and the nature of the interactions is similar to those of early childhood.

50. Bella sits in the back of the room, and very few of the children in class even know his name. Bella’s sociometric status is PROBABLY:

a.average.

b.neglected.

c.rejected.

d.controversial.

51.Blanca is a “bully,” and no one likes to play with her. Blanca’s sociometric status is PROBABLY:

a.average.

b.neglected.

c.rejected.

d.controversial.

52. Caitlin’s father is concerned that Caitlin is too aggressive in her interactions with other children. She often fights, and she has fewer friends than she used to have. Which of the following strategies might be MOST helpful to Caitlin’s father in addressing this problem?

a.Help Caitlin learn to respond more rapidly in social situations.

b.Help Caitlin learn to interpret ambiguous social situations in nonaggressive ways.

c.Help Caitlin learn to avoid social situations in which she may develop feelings of anger.

d.Help Caitlin learn to disclose her true feelings to peers, even if these feelings reflect negative aspects of the peers’ behavior.

53. It is difficult to know exactly when puberty begins and ends because:

a.it is a sudden process with few distinguishing physical events.

b.it is a gradual process involving multiple distinguishing events.

c.it is completed before the adolescent is aware of what is happening.

d.adolescents do not confide about bodily changes to parents or doctors.

54. The growth spurt that characterizes pubertal change occurs ________ for girls than for boys and begins at around age ________ for girls.a.earlier; 9b.earlier; 11c.later; 12d.later; 14

55. Menarche is defined as:a.females’ first menstrual cycle.b.females’ menstrual cyclec.females’ biological changes during adolescence.d.females’ pubertal cycle.

56. Recent research has found that early-maturing girls are more likely than late-maturing girls to be:a.satisfied with their figures while in high school.b.taller and thinner when they reach high school.c.less popular with males their own age than others.d.depressed, smoke, drink, have eating disorders.

57. Jerome is going through puberty quite early. Research indicates that Jerome is likely to:

a.be rejected by his peers.

b.have a negative self-image.

c.have a positive self-image.

d.be highly successful in his later career.

58. Adolescents tend to respond with “gut” reactions to emotional stimuli, while adults are more likely to respond in more rational, reasoned ways. Recent research suggests that this may be because:

a.adults have a more completely developed prefrontal cortex.

b.adults have a more completely developed amygdala.

c.adolescents have a less completely developed cerebellum.

d.adolescents have a less completely developed occipital lobe.

59.Juanita engaged in sexual intercourse at the age of 13. Research indicates that Juanita is likely to:

a.develop a more positive sexual identity.

b.drink, use drugs, and be delinquent.

c.marry much earlier than other girls.

d.abstain from sex later in adolescence.

60. Which of the following MOST accurately describes the situation for the children of single teenage mothers?

a.They are less likely to live in poverty than are children born to single older women.

b.They start out at higher physical risk than children born to older mothers but catch up by elementary school.

c.They are more likely to have low birth weights, neurological problems and childhood illness.

d.They are not found to be successful in education or to experience other positive outcomes.

61.Which of the following factors is the MOST common negative result of being an unmarried adolescent mother?

a.the disruption in education and career development

b.the social stigma attached to both the mother and child

c.the decreased fertility associated with having a child at a young age

d.the high rate of divorce when the mother eventually decides to marry

62. Patricia and Fernando are worried that their daughter’s sex education program will encourage her to have sex because the class included information about contraceptive use. Research suggests that:

a.their fears are unfounded.

b.they are wise to be concerned, because there is a moderate relationship between knowledge about contraceptives and the tendency to engage in sexual intercourse at an earlier age.

c.they are wise to be concerned, because there is a mild relationship between knowledge about contraceptives and the likelihood to have more sexual partners.

d.they should immediately take their daughter out of the class, because there is considerable research to suggest that contraceptive-use sex education programs lead to higher sexual activity and a higher likelihood to contract a sexually transmitted infection.

63. Juanita, a 15-year-old high school student, is afraid to go to school because of a small pimple on her forehead. Which aspect of adolescent egocentrism is Juanita experiencing?

a.personal fable

b.imaginary audience

c.fight-or-flight response

d.top-dog phenomenon

64. You are trying to make competent decision-makers of your adolescents. What technique should you use?a.Allow them to participate in practical decisions they can control.b.Ask them to develop both positive and negative outcomes for decisions they make.c.Give them a series of abstract problems to solve.d.Allow them to show poor judgment, then discuss why their decisions were wrong.65. Antonio has just dropped out of high school. In view of what we know about Latino American youths, what is MOST likely to be Antonio’s explanation for why he dropped out?

a.“I don’t like school.”

b.“I need drug treatment.”

c.“I need a job to help my family.”

d.“I have no chance of going to college.”

66. Ramon’s parents have decided that he will enroll in the state college near their hometown. Ramon has not really thought about the issue much himself, and he will probably do what they advise. According to the psychologist James Marcia, accepting his parents’ advice will put Ramon into:

a. identity diffusion.

b. identity foreclosure.

c. identity moratorium.

d. identity achievement.

67. Harrison has thought for a long time about his future plans. He considered going to a technical college, but he also considered the value of getting a liberal arts degree from a 4-year college. The decision caused Harrison a lot of anxiety. Although, he is attending the technical college for now, he is still wondering if his choice was the correct one and continuing to search his options. According to James Marcia, Harrison is now in a state of:

a. identity diffusion.

b. identity foreclosure.

c. identity moratorium.

d. identity achievement.

68. Martha’s daughter has come to her for advice about what to do with her future. Her mother explains that any decisions made now are not permanent and that her daughter will continue to reevaluate her decisions for the rest of her life. Her daughter is relieved to hear that she does not need to decide “everything” now, but she is not comfortable knowing that these important decisions will continue to come up in the future. Martha is trying to help her daughter understand that true identity development:

a. requires exploring one’s individuality.

b. may not be stable after teen resolution.

c. requires foreclosure in early adulthood.

d. never really happens because we are never sure who we are

69. Self-assertion and separateness are two dimensions of:

a. foreclosure.

b. achievement.

c. individuality.

d. connectedness.

70. Which of the following would likely be said by a parent who is enabling adolescent identity development?

a. “I will not allow you to make such a huge mistake. You will not be allowed to do such a thing while you are living with me!”

b. “You have to learn to think through problems on your own. I can’t make your decisions for you, so let me know what you’ve decided.”

c. “I really don’t feel that I should have to be involved here. You handle this decision on your own.”

d. “I know that you feel you don’t have any other options, but I disagree with what you are considering. I’d like for us to discuss this in more detail.”

71. The identity of first-generation immigrants is secure and usually stable. Any feelings of being American that they develop are usually based on:

a. learning English.

b. developing social networks beyond their group of friends.

c. becoming culturally competent.

d. all of these.

72. Which of the following would wise parents do as their adolescent children push for control?

a. Let their children control areas of their lives that they understand.

b. Monitor but not interfere in their children’s lives.

c. Let children have primary control over important decisions in their lives.

d. There is no rule for this situation; each family must decide what is best for them.

73. According to research, adolescents who express disagreement with parents explore identity development _______ adolescents who do not express disagreement with their parents.

a. less actively than

b. equally as active as

c. more actively than

d. more erratically than

74. Which of the following statements does the new model of parent-adolescent relationships emphasize?

a. Parents serve as important attachment figures and support systems during adolescence.

b. Parent-adolescent conflict is intense and stressful throughout adolescence.

c. As adolescents mature, they detach from their parents.d. As adolescents mature, they move into a world of autonomy apart from parents.

75. One benefit of adolescent-parent conflict is that it:

a. teaches adolescents that their parents are not perfect.

b. helps adolescents in developing greater autonomy.

c. convinces adolescents that their parents are wiser than they thought.

d. teaches adolescents how to be more effective in the way they argue.

76. Given what we know about the influence of peers on adolescents, an adolescent’s desire to spend a great deal of time with a clique is probably:

a. positive, because cliques have good effects on self-esteem.

b. negative, because cliques tend to exaggerate individuals’ bad characteristics.

c. neither positive nor negative, because the key influence is other aspects of an adolescent’s life before he or she joins a clique.

d. either positive or negative, depending on what behavior the clique promotes.

77. _______ refers to the coexistence of distinct ethnic and cultural groups in the same society.

a. Dualism

b. Pluralism

c. Bilateralism

d. Continuism

78. Some parents are strongly opposed to bilingual education in their schools. They argue that immigrant children should learn to speak English, so they can function better in our society. Parents who hold this view are showing their preference that ethnic minorities be:

a. isolated within our society.

b. assimilated into our society.

c. part of our pluralistic society.

d. accommodated by the educational system.

79. The double disadvantage suffered by ethnic minority adolescents consists of:

a. the lack of clear rites of passage and identity confusion.

b. diversity and difference.

c. prejudice and poverty.

d. bias and assimilation.

80. Deanna, a depressed adolescent, is considering suicide. She is:

a. most likely to use a gun as a method of attempting suicide.

b. likely to have a history of difficult relations with her family.

c. more likely to succeed in her attempt than is an adolescent boy.

d. an exception, in that few adolescents consider such a drastic action.

81. James, an American, will most likely consider himself an adult when he ________, whereas Nelson, an African, will most likely consider himself an adult when he _______.

a. moves out of the house; graduates from college.

b. obtains financial independence; gets married.

c. turns 21; gets married.

d. gets married; buys his first home.

82. Lettie is 30 years old and curious about how satisfied she will be with her life when she is elderly. The best predicator of this is her current:

a. emotional health.

b. physical health

c. socioeconomic status.

d. level of romantic satisfaction.

83. Deb is both depressed and obese. One way she can combat both of these problems is to:

a. get at least 8 hours of sleep per night.

b. reduce her intake of sugar.

c. engage in regular exercise.

d. take an antidepressant medication.

84. Kelli is thinking about marrying Ron. Kelli asked Ron about his attitude on extramarital sex, and Ron said he thought that it was wrong. Kelli looked up the 1994 sexual survey conducted by Robert Michael and his colleagues and found that ___ of married men have been unfaithful.

a. 75%

b. 40%

c. 25%

d. 10%

85. What do researchers believe today about the causes of sexual orientation?

a. Sexual orientation is primarily caused by biology.

b. Sexual orientation is primarily caused by learning and experience.

c. Sexual orientation is primarily caused by social and emotional factors.

d. Sexual orientation is primarily caused by a combination of factors.

86. What advice about bicultural identity would the psychologist Laura Brown give to a gay or lesbian couple?

a. You will cope best if you isolate yourselves as a couple and avoid contact with other people.

b. You will cope best if you maintain strong contact with both the gay community and the heterosexual mainstream.

c. You will cope best if you stay within your circle of gay and lesbian friends and avoid frequent contact with heterosexual people.

d. You will cope best if you stay within your circle of heterosexual friends and avoid strong associations with the gay community.

87. Lauren was recently a victim of rape and is receiving counseling. Knowing the effects of rape, her counselor can predict that there is a 1 in _________ chance that Lauren will suffer some type of sexual dysfunction or reduced sexual desire if she does not receive effective counseling.

a. 2

b. 5

c. 10

d. 20

88. What percentage of college men admit to forcing a woman into a sexual act?

a. 25

b. 33

c. 50

d. 75

89. Piaget’s claim that adults are fully formal operational thinkers seems to be:

a. an inaccurate description of many adults because they are in concrete operational thinkers.

b. true only for a very small sample of professional adults with higher education.

c. true, except for adults with mental defects or diseases.

d. completely inaccurate of most adults regardless of their educational levels.

90. William Perry offers a perspective on the ways young adults’ thinking differs from adolescents’ thinking. In his view, adult thinking is more:

a. dualistic.

b. polar.

c. reflective.

d. absolute.

 

 
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Briefly describe the price performance (or price changes) of the following bonds in the specified situations.

a) a callable bond, if market yields have decreased

b) an extendible bond, if interest rates have increased

c) a convertible bond, if stock price > conversion price

d) a high yield bond,  if the economy is in recession ,

Answer

  1. The price of a callable bond would appreciate if market yields have decreased, as the issuer has the option of redeeming the bond at a certain price and the decrease in market yields would make the redemption price more attractive.
  2. The price of an extendible bond would generally decrease if interest rates have increased, as the bond’s coupon rate would no longer be competitive in relation to the current interest rate environment.
  3. The price of a convertible bond would appreciate if the stock price is greater than the conversion price, as investors have the option of converting the bond into shares of the company at the conversion price.
  4.  The price of a high yield bond would likely decrease if the economy is in recession, as investors would be more likely to demand higher yields for the additional risk associated with the bond.
 
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Frederick Douglass’s impact on the abolition of slavery. Which of the following would best conclude that essay?

He was an important figure who had many interesting views and opinions. His voice demanded justice for those who had no choice in their destiny. Libraries across the country frequently get named for this leader. The history books will never forget this important man.

Question 2(Multiple Choice Worth 5 points)

WHAT TO THE SLAVE IS THE FOURTH OF JULY? By Frederick DouglassExtract from an Oration, at Rochester, July 5, 1852

Fellow-Citizens—Pardon me, and allow me to ask, why am I called upon to speak here to-day? What have I, or those I represent, to do with your national independence? Are the great principles of political freedom and of natural justice, embodied in that Declaration of Independence, extended to us? and am I, therefore, called upon to bring our humble offering to the national altar, and to confess the benefits, and express devout gratitude for the blessings, resulting from your independence to us?

But, such is not the state of the case. I say it with a sad sense of the disparity between us. I am not included within the pale of this glorious anniversary! Your high independence only reveals the immeasurable distance between us. The blessings in which you this day rejoice, are not enjoyed in common. The rich inheritance of justice, liberty, prosperity, and independence, bequeathed by your fathers, is shared by you, not by me. The sunlight that brought life and healing to you, has brought stripes and death to me. This Fourth of July is yours, not mine. You may rejoice, I must mourn. To drag a man in fetters into the grand illuminated temple of liberty, and call upon him to join you in joyous anthems, were inhuman mockery and sacrilegious irony. Do you mean, citizens, to mock me, by asking me to speak to-day? . . .

Fellow-citizens, above your national, tumultuous joy, I hear the mournful wail of millions, whose chains, heavy and grievous yesterday, are to-day rendered more intolerable by the jubilant shouts that reach them. If I do forget, if I do not faithfully remember those bleeding children of sorrow this day, “may my right hand forget her cunning, and may my tongue cleave to the roof of my mouth!” To forget them, to pass lightly over their wrongs, and to chime in with the popular theme, would be treason most scandalous and shocking, and would make me a reproach before God and the world. My subject, then, fellow-citizens, is AMERICAN SLAVERY. I shall see this day and its popular characteristics from the slave’s point of view. Standing there, identified with the American bondman, making his wrongs mine, I do not hesitate to declare, with all my soul, that the character and conduct of this nation never looked blacker to me than on this Fourth of July. Whether we turn to the declarations of the past, or to the professions of the present, the conduct of the nation seems equally hideous and revolting.

What is one of the lessons Douglass impresses on his listeners?

The nation should not rejoice until everyone has freedom. He must speak on the Fourth of July in order to bring change. For him to join the celebration would be treason. He can see the perspective of slaves and citizens with equal clarity.

Question 3(Multiple Choice Worth 5 points)

WHAT TO THE SLAVE IS THE FOURTH OF JULY?By Frederick DouglassExtract from an Oration, at Rochester, July 5, 1852

Fellow-Citizens—Pardon me, and allow me to ask, why am I called upon to speak here to-day? What have I, or those I represent, to do with your national independence? Are the great principles of political freedom and of natural justice, embodied in that Declaration of Independence, extended to us? and am I, therefore, called upon to bring our humble offering to the national altar, and to confess the benefits, and express devout gratitude for the blessings, resulting from your independence to us?

But, such is not the state of the case. I say it with a sad sense of the disparity between us. I am not included within the pale of this glorious anniversary! Your high independence only reveals the immeasurable distance between us. The blessings in which you this day rejoice, are not enjoyed in common. The rich inheritance of justice, liberty, prosperity, and independence, bequeathed by your fathers, is shared by you, not by me. The sunlight that brought life and healing to you, has brought stripes and death to me. This Fourth of July is yours, not mine. You may rejoice, I must mourn. To drag a man in fetters into the grand illuminated temple of liberty, and call upon him to join you in joyous anthems, were inhuman mockery and sacrilegious irony. Do you mean, citizens, to mock me, by asking me to speak to-day? . . .

Fellow-citizens, above your national, tumultuous joy, I hear the mournful wail of millions, whose chains, heavy and grievous yesterday, are to-day rendered more intolerable by the jubilant shouts that reach them. If I do forget, if I do not faithfully remember those bleeding children of sorrow this day, “may my right hand forget her cunning, and may my tongue cleave to the roof of my mouth!” To forget them, to pass lightly over their wrongs, and to chime in with the popular theme, would be treason most scandalous and shocking, and would make me a reproach before God and the world. My subject, then, fellow-citizens, is AMERICAN SLAVERY. I shall see this day and its popular characteristics from the slave’s point of view. Standing there, identified with the American bondman, making his wrongs mine, I do not hesitate to declare, with all my soul, that the character and conduct of this nation never looked blacker to me than on this Fourth of July. Whether we turn to the declarations of the past, or to the professions of the present, the conduct of the nation seems equally hideous and revolting.

Read this line from the text:

I am not included within the pale of this glorious anniversary! Your high independence only reveals the immeasurable distance between us.

Why does Douglass say he is not included?

He cannot relate to the sorrow the country feels for their misguided policies on slavery. He was told by someone in the crowd to leave. He feels disconnected from a nation that has endorsed slavery. He feels uncertain of his own nationality in such a melting pot of a country.

Question 4(Multiple Choice Worth 5 points)

Which sentence correctly uses hyphens?

The accountant gave the tables a quick-glance of review. The sugared-fruit was popular at first but then overlooked. The quick-thinking, well-dressed speaker shocked the audience. The actress was still fretted-over before her stage entrance.

Question 5(Multiple Choice Worth 5 points)

WHAT TO THE SLAVE IS THE FOURTH OF JULY?By Frederick DouglassExtract from an Oration, at Rochester, July 5, 1852

Fellow-Citizens—Pardon me, and allow me to ask, why am I called upon to speak here to-day? What have I, or those I represent, to do with your national independence? Are the great principles of political freedom and of natural justice, embodied in that Declaration of Independence, extended to us? and am I, therefore, called upon to bring our humble offering to the national altar, and to confess the benefits, and express devout gratitude for the blessings, resulting from your independence to us?

But, such is not the state of the case. I say it with a sad sense of the disparity between us. I am not included within the pale of this glorious anniversary! Your high independence only reveals the immeasurable distance between us. The blessings in which you this day rejoice, are not enjoyed in common. The rich inheritance of justice, liberty, prosperity, and independence, bequeathed by your fathers, is shared by you, not by me. The sunlight that brought life and healing to you, has brought stripes and death to me. This Fourth of July is yours, not mine. You may rejoice, I must mourn. To drag a man in fetters into the grand illuminated temple of liberty, and call upon him to join you in joyous anthems, were inhuman mockery and sacrilegious irony. Do you mean, citizens, to mock me, by asking me to speak to-day? . . .

Fellow-citizens, above your national, tumultuous joy, I hear the mournful wail of millions, whose chains, heavy and grievous yesterday, are to-day rendered more intolerable by the jubilant shouts that reach them. If I do forget, if I do not faithfully remember those bleeding children of sorrow this day, “may my right hand forget her cunning, and may my tongue cleave to the roof of my mouth!” To forget them, to pass lightly over their wrongs, and to chime in with the popular theme, would be treason most scandalous and shocking, and would make me a reproach before God and the world. My subject, then, fellow-citizens, is AMERICAN SLAVERY. I shall see this day and its popular characteristics from the slave’s point of view. Standing there, identified with the American bondman, making his wrongs mine, I do not hesitate to declare, with all my soul, that the character and conduct of this nation never looked blacker to me than on this Fourth of July. Whether we turn to the declarations of the past, or to the professions of the present, the conduct of the nation seems equally hideous and revolting.

Which words best describe Douglass’s tone in this excerpt?

Apologetic, reverent Forceful, angry Reassuring, thoughtful Sympathetic, energetic

Question 6(Multiple Choice Worth 5 points)

Fall of the House of Usher, excerptBy Edgar Allan Poe

Upon my entrance, Usher rose from a sofa on which he had been lying at full length, and greeted me with a vivacious warmth which had much in it, I at first thought, of an overdone cordiality—of the constrained effort of the ennuyé1 man of the world. A glance, however, at his countenance convinced me of his perfect sincerity. We sat down; and for some moments, while he spoke not, I gazed upon him with a feeling half of pity, half of awe. Surely, man had never before so terribly altered, in so brief a period, as had Roderick Usher! It was with difficulty that I could bring myself to admit the identity of the wan being before me with the companion of my early boyhood. Yet the character of his face had been at all times remarkable. A cadaverousness of complexion; an eye large, liquid, and luminous beyond comparison; lips somewhat thin and very pallid, but of a surpassingly beautiful curve; a nose of a delicate Hebrew model, but with a breadth of nostril unusual in similar formations; a finely moulded chin, speaking, in its want of prominence, of a want of moral energy; hair of a more than web-like softness and tenuity;—these features, with an inordinate expansion above the regions of the temple, made up altogether a countenance not easily to be forgotten. And now in the mere exaggeration of the prevailing character of these features, and of the expression they were wont to convey, lay so much of change that I doubted to whom I spoke. The now ghastly pallor of the skin, and the now miraculous lustre of the eye, above all things startled and even awed me. The silken hair, too, had been suffered to grow all unheeded, and as, in its wild gossamer texture, it floated rather than fell about the face, I could not, even with effort, connect its Arabesque expression with any idea of simple humanity.

In the manner of my friend I was at once struck with an incoherence—an inconsistency; and I soon found this to arise from a series of feeble and futile struggles to overcome an habitual trepidancy—an excessive nervous agitation. For something of this nature I had indeed been prepared, no less by his letter, than by reminiscences of certain boyish traits, and by conclusions deduced from his peculiar physical conformation and temperament. His action was alternately vivacious and sullen. His voice varied rapidly from a tremulous indecision to that species of energetic concision—that abrupt, weighty, unhurried, and hollow-sounding enunciation—that leaden, self-balanced and perfectly modulated guttural utterance.1Bored

Read this line from the text:

His action was alternately vivacious and sullen.

Pay close attention to the words in this sentence. What meaning is the author trying to convey?

Usher was always unhappy. Usher was always happy. Usher seemed sometimes happy and sometimes sad. Usher hid his emotions and looked still.

Question 7(Multiple Choice Worth 5 points)

WHAT TO THE SLAVE IS THE FOURTH OF JULY?By Frederick DouglassExtract from an Oration, at Rochester, July 5, 1852

Fellow-Citizens—Pardon me, and allow me to ask, why am I called upon to speak here to-day? What have I, or those I represent, to do with your national independence? Are the great principles of political freedom and of natural justice, embodied in that Declaration of Independence, extended to us? and am I, therefore, called upon to bring our humble offering to the national altar, and to confess the benefits, and express devout gratitude for the blessings, resulting from your independence to us?

But, such is not the state of the case. I say it with a sad sense of the disparity between us. I am not included within the pale of this glorious anniversary! Your high independence only reveals the immeasurable distance between us. The blessings in which you this day rejoice, are not enjoyed in common. The rich inheritance of justice, liberty, prosperity, and independence, bequeathed by your fathers, is shared by you, not by me. The sunlight that brought life and healing to you, has brought stripes and death to me. This Fourth of July is yours, not mine. You may rejoice, I must mourn. To drag a man in fetters into the grand illuminated temple of liberty, and call upon him to join you in joyous anthems, were inhuman mockery and sacrilegious irony. Do you mean, citizens, to mock me, by asking me to speak to-day? . . .

Fellow-citizens, above your national, tumultuous joy, I hear the mournful wail of millions, whose chains, heavy and grievous yesterday, are to-day rendered more intolerable by the jubilant shouts that reach them. If I do forget, if I do not faithfully remember those bleeding children of sorrow this day, “may my right hand forget her cunning, and may my tongue cleave to the roof of my mouth!” To forget them, to pass lightly over their wrongs, and to chime in with the popular theme, would be treason most scandalous and shocking, and would make me a reproach before God and the world. My subject, then, fellow-citizens, is AMERICAN SLAVERY. I shall see this day and its popular characteristics from the slave’s point of view. Standing there, identified with the American bondman, making his wrongs mine, I do not hesitate to declare, with all my soul, that the character and conduct of this nation never looked blacker to me than on this Fourth of July. Whether we turn to the declarations of the past, or to the professions of the present, the conduct of the nation seems equally hideous and revolting.

For whom does Douglass claim to speak in this speech?

Slaves Slave owners All Americans Men

Question 8(Multiple Choice Worth 5 points)

WHAT TO THE SLAVE IS THE FOURTH OF JULY?By Frederick DouglassExtract from an Oration, at Rochester, July 5, 1852

Fellow-Citizens—Pardon me, and allow me to ask, why am I called upon to speak here to-day? What have I, or those I represent, to do with your national independence? Are the great principles of political freedom and of natural justice, embodied in that Declaration of Independence, extended to us? and am I, therefore, called upon to bring our humble offering to the national altar, and to confess the benefits, and express devout gratitude for the blessings, resulting from your independence to us?

But, such is not the state of the case. I say it with a sad sense of the disparity between us. I am not included within the pale of this glorious anniversary! Your high independence only reveals the immeasurable distance between us. The blessings in which you this day rejoice, are not enjoyed in common. The rich inheritance of justice, liberty, prosperity, and independence, bequeathed by your fathers, is shared by you, not by me. The sunlight that brought life and healing to you, has brought stripes and death to me. This Fourth of July is yours, not mine. You may rejoice, I must mourn. To drag a man in fetters into the grand illuminated temple of liberty, and call upon him to join you in joyous anthems, were inhuman mockery and sacrilegious irony. Do you mean, citizens, to mock me, by asking me to speak to-day? . . .

Fellow-citizens, above your national, tumultuous joy, I hear the mournful wail of millions, whose chains, heavy and grievous yesterday, are to-day rendered more intolerable by the jubilant shouts that reach them. If I do forget, if I do not faithfully remember those bleeding children of sorrow this day, “may my right hand forget her cunning, and may my tongue cleave to the roof of my mouth!” To forget them, to pass lightly over their wrongs, and to chime in with the popular theme, would be treason most scandalous and shocking, and would make me a reproach before God and the world. My subject, then, fellow-citizens, is AMERICAN SLAVERY. I shall see this day and its popular characteristics from the slave’s point of view. Standing there, identified with the American bondman, making his wrongs mine, I do not hesitate to declare, with all my soul, that the character and conduct of this nation never looked blacker to me than on this Fourth of July. Whether we turn to the declarations of the past, or to the professions of the present, the conduct of the nation seems equally hideous and revolting.

According to Douglass, who is unable to experience the joy of the celebration?

All free people Any slave owner All enslaved people Any American citizen

Question 9(Multiple Choice Worth 5 points)

Read these two sentences:

  • Marie forgot her lunch at home.
  • She had to borrow money from a friend for lunch.

Which transition word correctly links the two sentences?

Additionally Consequently Furthermore However

Question 10(Multiple Choice Worth 5 points)

Which sentence contains a word that needs a hyphen?

Jordan decided to resign from the candidacy. Allen would need to resign the forms. Bridget would need to recover the lost flier. Sally’s body will recover eventually.

Question 11(Multiple Choice Worth 5 points)

WHAT TO THE SLAVE IS THE FOURTH OF JULY?By Frederick DouglassExtract from an Oration, at Rochester, July 5, 1852

Fellow-Citizens—Pardon me, and allow me to ask, why am I called upon to speak here to-day? What have I, or those I represent, to do with your national independence? Are the great principles of political freedom and of natural justice, embodied in that Declaration of Independence, extended to us? and am I, therefore, called upon to bring our humble offering to the national altar, and to confess the benefits, and express devout gratitude for the blessings, resulting from your independence to us?

But, such is not the state of the case. I say it with a sad sense of the disparity between us. I am not included within the pale of this glorious anniversary! Your high independence only reveals the immeasurable distance between us. The blessings in which you this day rejoice, are not enjoyed in common. The rich inheritance of justice, liberty, prosperity, and independence, bequeathed by your fathers, is shared by you, not by me. The sunlight that brought life and healing to you, has brought stripes and death to me. This Fourth of July is yours, not mine. You may rejoice, I must mourn. To drag a man in fetters into the grand illuminated temple of liberty, and call upon him to join you in joyous anthems, were inhuman mockery and sacrilegious irony. Do you mean, citizens, to mock me, by asking me to speak to-day? . . .

Fellow-citizens, above your national, tumultuous joy, I hear the mournful wail of millions, whose chains, heavy and grievous yesterday, are to-day rendered more intolerable by the jubilant shouts that reach them. If I do forget, if I do not faithfully remember those bleeding children of sorrow this day, “may my right hand forget her cunning, and may my tongue cleave to the roof of my mouth!” To forget them, to pass lightly over their wrongs, and to chime in with the popular theme, would be treason most scandalous and shocking, and would make me a reproach before God and the world. My subject, then, fellow-citizens, is AMERICAN SLAVERY. I shall see this day and its popular characteristics from the slave’s point of view. Standing there, identified with the American bondman, making his wrongs mine, I do not hesitate to declare, with all my soul, that the character and conduct of this nation never looked blacker to me than on this Fourth of July. Whether we turn to the declarations of the past, or to the professions of the present, the conduct of the nation seems equally hideous and revolting.

Which of the following correctly describes the main purpose of the second paragraph?

To reprimand his listeners for forgetting past and present injustices To remind the audience that the Fourth of July is only for citizens To impress the disparity of experience between citizens and slaves To reveal the steps needed to end slavery

Question 12(Multiple Choice Worth 5 points)

Fall of the House of Usher, excerptBy Edgar Allan Poe

Upon my entrance, Usher rose from a sofa on which he had been lying at full length, and greeted me with a vivacious warmth which had much in it, I at first thought, of an overdone cordiality—of the constrained effort of the ennuyé1 man of the world. A glance, however, at his countenance convinced me of his perfect sincerity. We sat down; and for some moments, while he spoke not, I gazed upon him with a feeling half of pity, half of awe. Surely, man had never before so terribly altered, in so brief a period, as had Roderick Usher! It was with difficulty that I could bring myself to admit the identity of the wan being before me with the companion of my early boyhood. Yet the character of his face had been at all times remarkable. A cadaverousness of complexion; an eye large, liquid, and luminous beyond comparison; lips somewhat thin and very pallid, but of a surpassingly beautiful curve; a nose of a delicate Hebrew model, but with a breadth of nostril unusual in similar formations; a finely moulded chin, speaking, in its want of prominence, of a want of moral energy; hair of a more than web-like softness and tenuity;—these features, with an inordinate expansion above the regions of the temple, made up altogether a countenance not easily to be forgotten. And now in the mere exaggeration of the prevailing character of these features, and of the expression they were wont to convey, lay so much of change that I doubted to whom I spoke. The now ghastly pallor of the skin, and the now miraculous lustre of the eye, above all things startled and even awed me. The silken hair, too, had been suffered to grow all unheeded, and as, in its wild gossamer texture, it floated rather than fell about the face, I could not, even with effort, connect its Arabesque expression with any idea of simple humanity.1Bored

How did the narrator feel upon seeing Roderick Usher?

Afraid, distressed, alarmed Angry, disgusted, betrayed Confused, worried, surprised Bored, distracted, unamused

Question 13(Multiple Choice Worth 5 points)

Fall of the House of Usher, excerptBy Edgar Allan Poe

Upon my entrance, Usher rose from a sofa on which he had been lying at full length, and greeted me with a vivacious warmth which had much in it, I at first thought, of an overdone cordiality—of the constrained effort of the ennuyé1 man of the world. A glance, however, at his countenance convinced me of his perfect sincerity. We sat down; and for some moments, while he spoke not, I gazed upon him with a feeling half of pity, half of awe. Surely, man had never before so terribly altered, in so brief a period, as had Roderick Usher! It was with difficulty that I could bring myself to admit the identity of the wan being before me with the companion of my early boyhood. Yet the character of his face had been at all times remarkable. A cadaverousness of complexion; an eye large, liquid, and luminous beyond comparison; lips somewhat thin and very pallid, but of a surpassingly beautiful curve; a nose of a delicate Hebrew model, but with a breadth of nostril unusual in similar formations; a finely moulded chin, speaking, in its want of prominence, of a want of moral energy; hair of a more than web-like softness and tenuity;—these features, with an inordinate expansion above the regions of the temple, made up altogether a countenance not easily to be forgotten. And now in the mere exaggeration of the prevailing character of these features, and of the expression they were wont to convey, lay so much of change that I doubted to whom I spoke. The now ghastly pallor of the skin, and the now miraculous lustre of the eye, above all things startled and even awed me. The silken hair, too, had been suffered to grow all unheeded, and as, in its wild gossamer texture, it floated rather than fell about the face, I could not, even with effort, connect its Arabesque expression with any idea of simple humanity.

In the manner of my friend I was at once struck with an incoherence—an inconsistency; and I soon found this to arise from a series of feeble and futile struggles to overcome an habitual trepidancy—an excessive nervous agitation. For something of this nature I had indeed been prepared, no less by his letter, than by reminiscences of certain boyish traits, and by conclusions deduced from his peculiar physical conformation and temperament. His action was alternately vivacious and sullen. His voice varied rapidly from a tremulous indecision to that species of energetic concision—that abrupt, weighty, unhurried, and hollow-sounding enunciation—that leaden, self-balanced and perfectly modulated guttural utterance.1Bored

Which of the following descriptions does Poe use to directly illustrate the “incoherence” and “inconsistency” of Usher?

suffered to grow all unheeded His voice varied rapidly ghastly pallor of the skin A cadaverousness of complexion

Question 14(Multiple Choice Worth 5 points)

[LC]

Fall of the House of Usher, excerptBy Edgar Allan Poe

Upon my entrance, Usher rose from a sofa on which he had been lying at full length, and greeted me with a vivacious warmth which had much in it, I at first thought, of an overdone cordiality—of the constrained effort of the ennuyé1 man of the world. A glance, however, at his countenance convinced me of his perfect sincerity. We sat down; and for some moments, while he spoke not, I gazed upon him with a feeling half of pity, half of awe. Surely, man had never before so terribly altered, in so brief a period, as had Roderick Usher! It was with difficulty that I could bring myself to admit the identity of the wan being before me with the companion of my early boyhood. Yet the character of his face had been at all times remarkable. A cadaverousness of complexion; an eye large, liquid, and luminous beyond comparison; lips somewhat thin and very pallid, but of a surpassingly beautiful curve; a nose of a delicate Hebrew model, but with a breadth of nostril unusual in similar formations; a finely moulded chin, speaking, in its want of prominence, of a want of moral energy; hair of a more than web-like softness and tenuity;—these features, with an inordinate expansion above the regions of the temple, made up altogether a countenance not easily to be forgotten. And now in the mere exaggeration of the prevailing character of these features, and of the expression they were wont to convey, lay so much of change that I doubted to whom I spoke. The now ghastly pallor of the skin, and the now miraculous lustre of the eye, above all things startled and even awed me. The silken hair, too, had been suffered to grow all unheeded, and as, in its wild gossamer texture, it floated rather than fell about the face, I could not, even with effort, connect its Arabesque expression with any idea of simple humanity.1Bored

Which sentence summarizes the meaning of this passage?

The narrator is surprised and concerned. The narrator has never felt happier. The narrator is afraid of death. The narrator has found his true purpose.

Question 15(Multiple Choice Worth 5 points)

[MC]

Which of the following would be most relevant to an informative paper explaining the process and commitment required to become an air traffic controller?

Interview with a recently hired air traffic controller Lists of schools that offer courses relevant to air traffic control Studies comparing the number of air traffic controllers today to the numbers ten years ago Studies suggesting a connection between controller fatigue and accidents

Question 16(Multiple Choice Worth 5 points)

[LC]

Fall of the House of Usher, excerptBy Edgar Allan Poe

The room in which I found myself was very large and lofty. The windows were long, narrow, and pointed, and at so vast a distance from the black oaken floor as to be altogether inaccessible from within. Feeble gleams of encrimsoned light made their way through the trellised panes, and served to render sufficiently distinct the more prominent objects around; the eye, however, struggled in vain to reach the remoter angles of the chamber, or the recesses of the vaulted and fretted ceiling. Dark draperies hung upon the walls. The general furniture was profuse, comfortless, antique, and tattered. Many books and musical instruments lay scattered about, but failed to give any vitality to the scene. I felt that I breathed an atmosphere of sorrow. An air of stern, deep, and irredeemable gloom hung over and pervaded all.

Read these lines from the text:

I felt that I breathed an atmosphere of sorrow. An air of stern, deep, and irredeemable gloom hung over and pervaded all.

What feeling is the author trying to express in these lines?

Pleasure Sadness Excitement Fury

Question 17(Multiple Choice Worth 5 points)

[MC]

Read these lines from Fredrick Douglass’s speech “What to The Slave Is the Fourth of July?”

The blessings in which you this day rejoice, are not enjoyed in common.

Which of the following correctly defines the word common as it is used here?

Of ordinary occurrence; usual Of the most familiar type Falling below ordinary standards Shared alike by all the persons in question

Question 18(Multiple Choice Worth 5 points)

[LC]

Fall of the House of Usher, excerptBy Edgar Allan Poe

The room in which I found myself was very large and lofty. The windows were long, narrow, and pointed, and at so vast a distance from the black oaken floor as to be altogether inaccessible from within. Feeble gleams of encrimsoned light made their way through the trellised panes, and served to render sufficiently distinct the more prominent objects around; the eye, however, struggled in vain to reach the remoter angles of the chamber, or the recesses of the vaulted and fretted ceiling. Dark draperies hung upon the walls. The general furniture was profuse, comfortless, antique, and tattered. Many books and musical instruments lay scattered about, but failed to give any vitality to the scene. I felt that I breathed an atmosphere of sorrow. An air of stern, deep, and irredeemable gloom hung over and pervaded all.

What image does the author create of the room?

A messy place w

 
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Aversive Racism and Inequality in Health Care

Aversive racism is a subtle and indirect type of racism that can contribute to unequal treatment in a variety of settings and situations including, but not limited to, health care access for minority racial and ethnic groups. Individuals who engage in aversive racism say they support the principle of racial equality and do not believe they are prejudiced. However, they also possess subconscious negative feelings and beliefs about specific racial and/or ethnic groups. Aversive racism often results in a majority group’s failure to help a minority group, even though they do not intentionally cause harm. Aversive racism may be a contributing factor to poor quality health care for some minorities.

To prepare for this Assignment:

· Review the Section III, “Framework Essay,” and Reading 31 in the course text. Pay particular attention to aversive racism and health care access.

· Review the article, “Psychiatrists’ Attitudes Toward and Awareness About Racial Disparities in Mental Health Care,” and focus on methods for reducing aversive racism.

· Take the Race Implicit Bias test at the Project Implicit website.

· Identify two examples of racial or ethnic inequality in health care in the United States.

· Think about how aversive racism contributes to the examples that you identified.

· Consider methods for reducing aversive racism in your examples.

The Assignment (3–pages):

· Describe two examples of racial or ethnic inequality in health care in the United States.

· Explain how aversive racism contributes to the inequality illustrated in the examples (and thus in health care) you described.

· Explain methods for reducing aversive racism in your examples. Be specific and provide examples to support your explanation.

· Discuss how implicit bias might impact health care in the United States.

Support your Assignment with specific references to all resources used in its preparation.

THIS INFORMATION WAS UNDER RESOURCES FOR THE WEEK:

https://implicit.harvard.edu/implicit/takeatest.html

https://ps-psychiatryonline-org.ezp.waldenulibrary.org/doi/full/10.1176/ps.2010.61.2.173

Published Online:1 Feb 2010https://doi-org.ezp.waldenulibrary.org/10.1176/ps.2010.61.2.173

Persons from racial-ethnic minority groups have disproportionately poor mental health status, experience more barriers to and receive lower quality mental health care, and are underrepresented in mental health research ( 1 , 2 ). The relatively lower socioeconomic status of most racial-ethnic minority groups explains some variation—that is, persons from racial-ethnic minority groups are more likely to be uninsured or underinsured, to be less educated and have lower income, and to reside in areas where medical services are less available ( 3 , 4 ). Moreover, persons from racial-ethnic minority groups may be more distrustful of health care providers, have lower health literacy, be less likely to seek care, and prefer fewer services ( 5 , 6 ). Nonetheless, disparities persist even after controlling for such factors. Some of this variation is likely due to differences based on race-ethnicity in physician-patient interactions ( 7 ,8 , 9 , 10 ).

Race-ethnicity has been shown to influence physician-patient communication during clinical encounters and physician decision making ( 10 , 11 ). Physicians tend to view patients from minority groups as less intelligent, less effective communicators, less compliant, more likely to abuse alcohol and drugs, and less likable than white patients ( 8 , 12 ). Although distressing, these facts are consistent with social categorization (or social cognition) theory ( 10 , 12 ). This theory, originating in the social psychology literature, posits that humans use categorization to make vast amounts of social information manageable. Characteristics are unconsciously assigned to social groups (for example, racial-ethnic groups), and those characteristics are then unconsciously applied to individuals through stereotyping ( 13 ). Physicians may be especially vulnerable to stereotyping because of time pressures and the need to make rapid assessments—that is, physicians have more social information to process, so rely more heavily on social categorization ( 14 ).

Social categorization and racial-ethnic stereotyping likely influence physician behavior and decision making. However, because these are unconscious processes, physicians may be unaware of them and may underestimate their own contributions to racial-ethnic disparities. Understandably, physicians may be reluctant to explore their unconscious biases; it would be difficult for most physicians, who have dedicated their careers to helping others, to confront their own contributions to racial-ethnic inequality ( 10 ). Nonetheless, attempts to eliminate disparities will not be successful as long as health care providers believe that the sources of disparities are entirely external to themselves. Physicians must become aware of their own unconscious biases in order to change the behaviors that contribute to racial-ethnic inequalities.

We hypothesized that there are several prerequisites for changing physician behavior: physicians must be aware that racial-ethnic disparities exist, physicians must believe that they may contribute to disparities, and physicians must be motivated to change their behavior. The purpose of this study was to evaluate the extent to which psychiatrists have achieved these prerequisites and to identify factors that are associated with achievement of each.

Methods

Study sample

Data were collected through an online survey of American Psychiatric Association (APA) members conducted from April 2006 to August 2006. The survey was also distributed at the APA’s Institute on Psychiatric Services in October 2006. For the online portion of the study, names and addresses of 2,000 randomly selected member psychiatrists were purchased from the APA. A letter of introduction and unique access code were mailed to each; a printed survey was available. A maximum of three contact attempts were made. Of the 2,000 individuals identified, a correct address could not be obtained for 24 and seven were retired or deceased. Of the final sample of 1,969 eligible members, 186 psychiatrists (9%) completed the survey online.

Surveys were also distributed from an exhibit hall booth at the 58th Institute on Psychiatric Services, a national professional conference. Respondents were compensated with a $5 specialty coffee gift card. Of the 190 psychiatrists who completed the survey at the conference, two had previously participated, and only their responses to the online survey were used. The final sample for this study was 374 individuals.

The University of Rochester Research Subjects Review Board reviewed this study and determined that it was exempt from institutional review board review.

Survey

Content of our survey was informed by a survey developed by the Kaiser Family Foundation ( 15 ) that was subsequently modified by Lurie and colleagues ( 16 ) for use with cardiologists. The survey included questions about familiarity with racial disparities research, perceived awareness of psychiatrists about racial disparities, and changes in awareness over the past decade. To measure perceived determinants of quality of care, physicians rated the extent to which 12 patient factors (including race) affect quality of psychiatric care, both in general and in their own practice setting. A “difference” variable was calculated by subtracting the perceived influence of race in the participant’s practice from the perceived influence of race in general. Finally, respondents were asked whether they had participated in the past year in any program designed to reduce racial disparities in health care or whether they would be interested in participating in such a program; they were also asked whether they believed such programs were likely to reduce health disparities. Most items were measured on 5-point Likert scales. Key terms, such as quality of care, were defined.

Sociodemographic variables included gender, race, ethnicity, years in practice, practice setting and size, proportion of patient population that is non-Hispanic white (referred to as “white” in this article) versus other (referred to as “nonwhite” in this article), and number of professional meetings attended annually. A copy of the survey is available on request.

Analyses

Univariate statistics were generated for all variables in the data set. Most data were treated as categorical, and most bivariate analyses were conducted with chi square analysis or Fisher’s exact test, as appropriate. Multivariate analyses were conducted using logistic regression. Analyses were guided by a priori hypotheses to limit type II error, and they were conducted using two-sided tests with α =.05. Analyses were performed using SAS, version 9.1.

Results

Participants

As shown in Table 1 , most participants were male (62%) and white (63%). Most (77%) had been in practice for 15 years or more, and almost half (48%) worked in small practices (less than ten physicians). Almost one-third of participants (32%) worked in community hospitals or community mental health centers (CMHCs), and most others worked in university hospitals (21%) or private practice (24%). The racial-ethnic makeup of respondents’ patient populations varied widely, but in many respondents’ practices (48%), at least half of the patients were from racial-ethnic minority groups.

Table 1Demographic characteristics of 374 psychiatrists who completed a survey on racial disparities in mental health careEnlarge table

Awareness of disparities

Most respondents were not at all or a bit familiar with research on racial inequalities in psychiatric care (N=190 of 370, 51%), and approximately one-third of respondents were moderately familiar (N=136 of 370, 37%), and only 12% were familiar or very familiar (N=44 of 370). Compared with their respective comparison groups, respondents were more likely to be familiar or very familiar with this research if they were nonwhite ( χ2 =6.9, df=2, p=.03) or if they treated a greater proportion of patients from minority groups ( χ2 =6.9, df=2, p=.03). Those who attended more professional meetings annually also reported greater familiarity ( χ2 =18.0, df=6, p=.006). Familiarity was not associated with the physician’s gender, practice setting, or years in practice.

A majority of respondents believed that, compared with ten years ago, there is somewhat more or much more awareness of racial inequalities in psychiatric care among psychiatrists in general (N=272 of 368, 74%). Less than one-fifth of respondents felt that awareness has remained the same (N=69 of 368, 19%), and only 7% (N=27 of 368) felt that awareness has decreased. Most felt that psychiatrists, compared with other types of physicians, are more aware of racial disparities in health care. Specifically, 275 of 365 respondents (75%) believed that psychiatrists are somewhat or much more aware than physicians in other fields, whereas 64 of 365 respondents (18%) felt that psychiatrists are no more or less aware. Only 26 of 365 (7%) felt that psychiatrists are somewhat or much less aware than physicians in other fields.

Beliefs about disparities

When asked to rate the effect of 12 patient factors on quality of psychiatric care, respondents generally reported that race has less of an impact on quality than other factors, both in general and in the respondents’ own practices ( Table 2 ). In both scenarios, only gender was rated as having less influence on quality of care.

Table 2Psychiatrists’ perceptions of the influence of patient factors in quality of psychiatric careEnlarge table

For every patient factor, participants believed overall that the factor has a stronger influence on quality of care in general than on quality of care in their own practices (p<.001 for all). In regard to race, 222 of 369 respondents (60%) believed that race has a stronger influence on quality of care in general than in their own practices, whereas 127 of 369 respondents (34%) believed that race is equally influential in both instances. Only 20 of 369 respondents (5%) said that race has more of an influence on quality of care in their own practices than on quality of care in general.

Most white respondents (N=165 of 227, 73%) believed that race has more influence on quality of care outside of their practice than within it, whereas nonwhite respondents were more likely to perceive that patient race is equally influential in both settings (N=65 of 130, 50%; χ2 =32.3, df=2, p<.001). Those who had been in practice longer also tended to believe that race has more influence on quality of care in general than in their own practices (p<.001, by Fisher’s exact test). Respondents were more likely to believe that race has a stronger influence on quality of care in general than in their own practices if they attended the fewest professional meetings annually (no meetings or one meeting) (N=37 of 58, 64%) or the most meetings (more than five) (N=64 of 96, 67%), compared with those who attended two to three meetings (N=76 of 132, 58%) or four or five meetings (N=42 of 70, 60%) (p<.001 by Fisher’s exact test). Gender, practice setting, proportion of the respondent’s patient population that is white, and familiarity with racial disparities research were not associated with whether the respondent perceived a different influence of race in general and in the respondent’s own practice.

Logistic regression was used to model the likelihood that a respondent believed that race is more influential on quality of care in general than in the respondent’s own practice. After the analysis controlled for covariates, the only variables that were significantly associated with belief were the respondent’s race and length of time in practice ( Table 3 ). Compared with nonwhite respondents, white respondents were more likely to feel that race is more influential in quality of care generally than in their own practice. Additionally, respondents who had been in practice for more than 15 years were more likely than those who had been in practice for five years or less to believe that race has a stronger influence on quality of care in general than in their own practices.

Table 3Logistic regression modeling probability that psychiatrists believe that race is more influential on quality of care in general than in their own practicesEnlarge table

Interest in educational programs

Almost one-quarter of respondents (N=86 of 368, 23%) had participated in an educational program to reduce racial disparities in health care. Of the 282 remaining respondents, 174 (62%) stated they would be interested in participating in such a program. Moreover, most (N=279 of 366, 76%) felt that raising awareness of racial disparities would be somewhat or very effective in reducing such disparities.

Respondents who were not interested in participating in an educational program were compared with those who had participated or would be interested in participating. In bivariate analysis, more nonwhite respondents than white respondents were interested in participating in an educational program ( χ2 =10.4, df=1, p=.001). Respondents who worked in a university setting were more likely than respondents who worked in other settings to be interested in participating ( χ2 =15.7, df=3, p=.001). Respondents who had been in practice longer were less likely to be interested ( χ2=8.8, df=3, p=.03). Self-reported familiarity with the racial disparities literature was positively associated with interest ( χ2 =12.4, df=2, p=.001). Interest was not associated with gender, racial-ethnic makeup of the respondent’s patient population, or number of professional meetings attended annually.

Logistic regression was used to model the likelihood that a respondent was interested in or had participated in a disparities-reduction education program. After controlling for covariates, we found that respondents’ race-ethnicity, practice setting, and familiarity with the racial disparities literature were independently associated with interest in an educational program ( Table 4 ). Nonwhite respondents were more likely than white respondents to be interested in participating in an educational program, as were those who practiced in a university setting and those who were moderately or very familiar with the racial disparities literature.

Table 4Logistic regression modeling probability that psychiatrists are interested in participating in a disparities-reduction programEnlarge table

Discussion

This study contributes insights into the challenges to achieving racial-ethnic equality in mental health care. Specifically, our findings suggest that many psychiatrists are unfamiliar with the body of literature on racial disparities and that, even among those who are knowledgeable about disparities, psychiatrists may be reluctant to acknowledge their own role in contributing to inequalities. Moreover, although most psychiatrists felt that increasing awareness of disparities would help eliminate inequality, a significant proportion was not interested in participating in disparities-reduction programs.

Although most respondents felt that psychiatrists had become more aware of racial disparities in the past decade, fewer than one in eight reported familiarity with research on racial disparities. This may suggest that psychiatrists are aware that disparities exist but are not well-versed in the academic literature. Additional research is warranted to determine how physicians learn about health care disparities, as well as to objectively determine physicians’ knowledge. Identifying gaps in knowledge, as well as identifying preferred sources of information, will help guide the design of future interventions.

Knowing that disparities exist is, by itself, an insufficient impetus to change. Health care providers will be more motivated to change their behavior if they believe their behavior may contribute to racial-ethnic disparities. Troublingly, not only did respondents in this study believe that disparities were more likely to exist in other providers’ practices than in their own, but they also generally believed that disparities were more prevalent in other medical fields than in their own, a finding that is consistent with other research ( 16 ). We posit that this trend reflects a natural discomfort that results when health care providers are asked to consider their own contributions to racial-ethnic inequalities. Although it is distressing to address others’ contributions to disparities, it is almost certainly more difficult to consider our own discriminatory and racially driven behavior, particularly when that behavior arises from unconscious beliefs and assumptions ( 10 ).

Our results indicate that recently trained psychiatrists are more likely to perceive racial disparities as equally prevalent in their own practices as in other providers’ practices. This may reflect an increased focus in medical education on issues of race-ethnicity, or it may reflect a more general shift in cultural beliefs about race and racial inequality among younger generations. Somewhat contradictorily, however, physicians who were more familiar with the disparities literature were more likely to see disparities as more prevalent in other physicians’ practices, suggesting that education about racial-ethnic disparities may have an effect that is opposite of what is intended. Physicians who are more educated about disparities may believe they have been able to achieve equality in their own practices, and this is indeed a valid possibility but one that should be tested empirically. Another possibility is that familiarity with the research on racial disparities does not itself render physicians more willing to accept their role in perpetuating inequalities. Understanding the complex relationships between these various factors requires longitudinal studies that measure changes in physicians’ attitudes, beliefs, and behaviors over time.

A limitation of this study is that our sample may not be representative of all psychiatrists practicing in the United States, because members of the APA and psychiatrists who attend APA meetings may be systematically different from other psychiatrists. Our response rate was adequate for this type of study, but response bias may limit the generalizability of our results—that is, we cannot determine whether psychiatrists who elected to participate in the study are systematically different from those who did not respond. Moreover, all data were collected by self-report, which may make comparisons less reliable. We attempted to standardize responses by defining all key terms, but our findings must be interpreted as stemming from respondents’ subjective beliefs. Finally, the cross-sectional study design prevents us from drawing conclusions as to causation. Longitudinal research is needed to clarify the direction of the relationships that we have reported.

Conclusions

Once physicians have begun to consider their own role in perpetuating racial-ethnic disparities and have expressed an interest in changing their behaviors, what are the most effective interventions? Increasing awareness of racial-ethnic disparities is useful but insufficient ( 17 ). When educational interventions are undertaken, they may be most effective when presented from within the provider community—for example, educational information presented by the APA or other national or local professional groups may be deemed more authoritative and believable than information from other sources ( 16 ).

Ideally, programs to reduce disparities should include a component to demonstrate the existence of disparities within the physicians’ own practices ( 17 ). For example, hospitals or CMHCs may collect data on patient outcomes or patient satisfaction and examine these findings for correlations with race-ethnicity. Reporting these findings to the treating physicians may help physicians to understand and accept the pervasive nature of racial-ethnic disparities ( 13 ). In the authors’ personal experience, however, a major limitation of this approach is that such feedback may be met with skepticism by physicians who are not yet prepared to confront their own role in the existence of disparities. Broaching this topic with physicians in a nonaccusatory and collaborative manner is essential for success.

In addition to providing information, programs to reduce disparities in clinical care should also emphasize cultural sensitivity and cultural competence. Cultural sensitivity refers to one’s insight into his or her own cultural beliefs and experiences (13 ), whereas cultural competence refers to one’s ability to understand and respond effectively to others’ cultural needs and to establish interpersonal relationships bridging cultural differences ( 7 ). Several components of effective cultural sensitivity and cultural competence training programs have been described. First, programs should help clinicians understand how their own experiences affect their perceptions of other races ( 13 , 18 ). Second, programs should help clinicians become aware of the circumstances that activate racial-ethnic stereotyping ( 13 ). Third, programs should introduce communication techniques that help clinicians approach their patients as individuals; the “patient-centered communication” approach is perhaps the most widely described and advocated of these techniques ( 7 , 9 , 13 , 19 ). Finally, programs should help clinicians learn to attend selectively to relevant racial-ethnic and cultural information and screen out irrelevant information ( 20 ). Relevant information may include cultural differences in health beliefs, medical practices, attitudes toward medical care and the medical system, and levels of trust of physicians ( 3 ). Relevant information may also include differences in incidence and prevalence of certain illnesses among specific groups and differences in pharmacokinetics and pharmacodynamics (ethnopharmacology) ( 3 , 21 ).

Ultimately, racial-ethnic disparities in health care will persist as long as there are inequalities in our society. Physicians, nonetheless, have the special opportunity and obligation as leaders within the health care community to improve the quality of care and health outcomes of patients from racial-ethnic minority groups. High-quality, empirically driven interventions may help physicians and other health care providers come one step closer to the goal of health equality.

Acknowledgments and disclosures

The Committee to Aid Research to End Schizophrenia (CARES) sponsored this study.

The authors report no competing interests.

At the time of the study, Ms. Mallinger was a student at the Georgetown University Law Center, Washington, D.C. Dr. Lamberti is with the Department of Psychiatry, University of Rochester, Rochester, New York. Send correspondence to Ms. Mallinger in the care of Dr. Lamberti at the Department of Psychiatry, University of Rochester, 300 Crittenden Blvd., Box PSYCH, Rochester, NY 14642 (e-mail: ).

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