Psychopathology quizzes

A client with a history of bipolar disorder tells the social worker that he has experienced 1 week of an elevated and expansive mood. Which of the following would suggest that this client is having a hypomanic rather than a manic episode? a. Irritability b. Increased productivity at work c. Feels rested after only 2 hours of sleep d. Good insight into his condition

B

A panic disorder may be characterized by the following symptoms except: a. A feeling of being detached from oneself b. Low blood pressure c. Racing heart d. Profuse sweating

B

For the past 7 months LaSonya Hill, age 32, has complained of pain, gastrointestinal, sexual, and pseudo neurological symptoms which are not better explained by a known medical condition. What would be your beginning diagnosis? a. Autonomic arousal disorder b. Somatic symptom disorder c. Illness anxiety disorder d. Pain disorder

B

Jeff Coggins is a 12 year-old youngster who has always been seen by his teachers as "hard to manage." Recently, he started to have new episodes of temper outbursts that are clearly out of proportion to the situation. Which of the following diagnoses is not a possibility? a. Bipolar disorder b. Disruptive mood dysregulation disorder c. ADHD d. Conduct disorder

B

Meghan Carpenter once met the full criteria for schizophrenia. Currently, she no longer has pronounced symptoms of catatonic behavior, delusions, hallucinations, or disorganized speech or behavior. She occasionally exhibits odd beliefs and peculiarities of behavior. What would be the correct diagnosis? a. Schizoaffective Disorder b. Schizophrenia c. Brief psychotic disorder d. Schizophreniform disorder

B

Ms. Holley is a first grade teacher who is concerned about one of her students, 6 year-old Kara Steel. Each time the class goes on a field trip, Kara leaves the class group and approaches strangers. It seems that Kara has a history of being placed in several different foster homes over the past 3 years. Which of the following diagnoses best explains Kara's behavior? a. Reactive attachment disorder b. Disinhibited social engagement disorder c. Acute stress disorder d. ADHD

B

Natalie Sundheimer presents with the following medical symptoms; dry, yellowish skin and lanugo (baby fine downy hair on her trunk, face and extremities). In addition, her teeth appear "moth eaten" and she wears a heavy sweater despite the fact that it is a hot summer day. She is excessively fearful of being fat and weighs less that 80 percent of her normal body weight. These features most often accompany the following diagnosis: a. Binge eating disorder b. Anorexia c. Bulimia d. Other specified feeding or eating disorder

B

Nineteen year-old Marjorie Benton was referred to the social worker by her dermatologist. Marjorie admits to picking at her skin to the point that she has scabs and scars from previous picking. She started when she was in her teens and had acne. Marjorie has made repeated attempts to stop but thus far has been unsuccessful. Marjorie's most likely diagnosis is: a. Delusional disorder b. Excoriation disorder c. Obsessive compulsive disorder d. Body dysmorphic disorder

B

Samantha is an 8 year old little girl who loves her mother; maybe a little too much. Samantha is most comfortable when she has her mother in her sight. If her mother leaves, even just to go to the next room, Samantha worries something bad might happen. Samantha is constantly worried about getting lost or kidnapped, even when she goes out with her mother. Samantha usually has a stomach ache when she has to go to school and has missed more Mondays than her mother can remember. Samantha has started having repeated nightmares about being separated from her parents so her mother has to leave a light on in her bedroom. Samantha's diagnosis is: a. Selective mutism b. Separation anxiety disorder c. Generalized anxiety disorder d. DMDD

B

Scott Manhattan has been prescribed an anti-depressant medication. His physician, Dr. Andre Hitchcock, instructs him to avoid tyramine rich foods such as aged cheeses, organ meats, red wine, canned figs, and beer while he is on the medication. Scott is most likely taking: a. Lithium b. An MAO inhibitor c. An SSRI d. A benzodiazepine

B

Some people have thoughts or impulses that are not simply worries about real life issues. This is the person makes attempts to ignore, suppress, or neutralize his or her thoughts by performing some other thought or action. These attempts include recurrent thoughts, impulses, or images that the individual experiences as intrusive, inappropriate, irrational, and cause them marked anxiety and/or distress. This behavior is known as: a. Trichotillomania b. Obsessions c. Tics d. Compulsions

B

The DSM-5 has made changes in the classification system for mood disorders as compared to the DSM-IV-TR organization. The following statement best represents the changes to the DSM-5. a. Consolidates the mood disorders into one section b. Places the depressive and bipolar mood disorders into separate sections c. Consolidates mood and anxiety disorders into one section d. Places mood disorders with psychotic features in a separate category

B

The extreme and overwhelming fear of public speaking and performing in public is an example of: a. Agoraphobia b. Social anxiety disorder c. Specific phobia, situational d. Generalized anxiety disorder

B

The mother of a 7 and ½ year-old boy describes a 6-month history of excessive eye blinking and intermittent chirping. This mother now reports that she has recently noticed her son has developed grunting sounds that started when he began school this term. What is the most likely diagnosis to consider? a. Tourette's disorder b. Provisional Tic disorder c. Transient tic disorder, recurrent d. Persistent (chronic) vocal tic disorder

B

When it is clear that a disruptive, impulse-control, and conduct disorder ought to be diagnosed, but the practitioner does not have enough information about the child's difficulties, the following diagnosis is assigned with the understanding that as more information becomes available, a more specific diagnosis can be made. It is: a. Pervasive developmental disorder b. Other specified disruptive, impulse control, and conduct disorder c. Unspecified disruptive, impulse control, and conduct disorder d. None of the above

B

Which of the following can co-exist with anorexia nervosa? a. Specific phobias b. Depression c. Chromosomal abnormalities d. Cluster C personality disorders

B

Which of the following is the most common type of neurocognitive disorder? a. Cerebrovascular Disease b. Alzheimer's Disease c. Manganese Intoxication d. Cerebellar Neoplasm

B

Which one of the following categories are not a part of the criterion describing the pattern of behavior in which the rights of others or societal norms (or rules) are violated in conduct disorder? a. Deceitfulness or theft b. Angry/irritable mood c. Aggression to people or animals d. Destruction of property

B

Zoe, aged twenty-two, gave birth to her first child, Alexa, four days ago. Zoe's initial complaints included insomnia, restlessness, and emotional labiality which progressed to confusion, irritability, delusions, and thoughts of wanting to kill her baby. Which diagnosis would you consider first? a. Induced delusional disorder b. Brief psychotic disorder, post-partum onset c. Autoscopic psychosis d. Conversion Disorder

B

The DSM-5 replaced the DSM-IV TR "Not Otherwise Specified" or NOS label with 2 additional categories: "Otherwise specified (disorder)" and "Unspecified (disorder). Which of the following statements accurately represents the Unspecified diagnostic categories? a. The Unspecified diagnosis is considered when the practitioner considers the client's condition as time-limited; 6 months or less b. The Unspecified diagnosis is considered when the client has fewer than 3 symptoms of any disorder in a specific diagnostic classification c. The Unspecified diagnosis is used when the practitioner chooses not to specify the reason that criteria are not met for a specific disorder d. The unspecified diagnosis is used when the client shows symptoms in 2 (or more) disorders in separate diagnostic classifications

C

The social worker who asks about a client's work history is exploring: a. Intrapersonal issues b. Social issues c. Interpersonal issues d. Cultural issues

C

Inborn characteristics, such as genetic makeup, do not play a role in the neurodevelopmental disorders in children. True False

False

Most persons with bulimia tend to wear several layers of bulky clothing in order to keep their body warm and conceal their extreme thinness. True False

False

Neurocognitive disorder is caused by early drug abuse. True False

False

Neurocognitive disorder, mild or major, always has irreversible consequences. True False

False

Reactive attachment disorder occurs only in children who have impaired communication. True False

False

The diagnosis of intermittent explosive disorder can be made even if the impulsive aggressive outbursts occur in the context of an adjustment disorder. True False

False

The diagnosis of obsessive compulsive disorder requires the presence of obsessions and compulsions. True False

False

Alzheimer's disease and neurocognitive disorder is essentially the same thing. True False

False??

Adjustment disorder is a reaction to a stressor, such as learning one has a serious medical illness. True False

True

Amnesia for new information and confabulation characterizes alcohol-induced major (or mild) neurocognitive disorder, amnestic-confabulatory type. True False

True

Anxiety is a response to a known external threat. True False

True

Children with disruptive mood dysregulation disorder often meet criteria for oppositional defiant disorder. True False

True

Cocaine and methamphetamine are no longer in separate classes in DSM-5 but have been combined into a new class, stimulants. True False

True

Current studies suggest that an individual's judgment about their body image are influenced by cognitive, affective, cultural and attitudinal variables. True False

True

Cyber bullying qualifies as aggressive behavior under the criterion of aggression to people and animal as defined for a conduct disorder True False

True

Disruptive mood dysregulation disorder is characterized by a persistently negative mood state - such as irritability, anger - most of the day, nearly every day, between impulsive aggressive outbursts. True False

True

For the child with diurnal enuresis, sometimes he or she may not use the toilet because they are busy on the playground and "forget" the urge to void True False

True

Forcing someone into sexual activity is a behavior that can be considered among the criterion for conduct disorder. True False

True

Genes may affect how much a person needs to drink before feeling "high." True False

True

In DSM-5 substance use disorder replaces the earlier DSM-IV-TR diagnoses of substance abuse and substance dependence. True False

True

Issues of secondary gain need to be evaluated and, if present, are to be gently addressed when working with a client who has a somatic symptom disorder. True False

True

Symptom onset for speech sound disorder is in the child's early developmental period. True False

True

The aggression seen in oppositional defiant disorder is typified by temper tantrums and verbal arguments with authority figures in contrast to the impulsive aggressive outbursts in intermittent explosive disorder which are in response to a broader array of provocation - and including physical assault. True False

True

The diagnosis of illness anxiety disorder is more prevalent women in than in men. True False

True

The essential feature of cyclothymic disorder is a chronic, fluctuating mood disturbance involving numerous periods of hypomanic symptoms and periods of depressive symptoms that are distinct from each other. True False

True

The most common emotional change associated with an individual having major depression is not their depressed mood per se, but rather the pervasive loss of interest and pleasure in everyday living. True False

True

When considering the diagnosis of enuresis, the child must have reached an age at which continence is expected or, at a minimum, a chronological age of 5 years. True False

True

Impairment in executive functioning is a prominent feature of neurocognitive disorder due to HIV infection. True False

True??

Martha Anne has been living with her daughter Diana for the last ten years. Recently, there was some discussion about finding an appropriate nursing home to help care for Martha Anne. For the past year or so, Martha Anne has been unable to recognize her daughter, other family members, and friends. In addition she presents a mosaic of cognitive problems around perceptual-motor abilities; for instance, she is unable to recognize commonly used objects or utensils, such as the telephone, or a knife and fork. What is the most likely type of a major neurocognitive disorder to consider? a. Lewy Body Disease b. Traumatic Brain Injury c. Vascular Disease d. Alzheimer's Disease

D

Yosef Lieberman is a 96 year-old gentleman who has been admitted to the hospital for a broken hip. While in the hospital, he was evaluated by a psychiatrist and received a diagnosis of delirium. As the social worker, you are responsible for coordinating his discharge plan. What is the first thing you would explore? a. The psychiatrist's recommended medication b. The need for physical therapy c. The manifestation of mental impairment d. The medical problem or problems that precipitated the delirium

D

According to the DSM-5 criteria for a major depressive episode, feelings of worthlessness and self-loathing are common in grief, but self-esteem is generally preserved. True False

False

Schizoaffective disorder requires an uninterrupted period of illness during which symptoms of schizophrenia (Criterion A - delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms such as diminished emotional expression or avolition) are present. Which of the following symptoms must be present to complete the diagnostic criteria for schizoaffective disorder? a. A major depressive or manic episode b. Hypomania during the lifetime of the illness c. Symptoms due to the effects of a substance such as a drug of abuse or a medication d. Anxiety episode, recurrent

A

Following are the factors that place a person at a greater risk for abusing drugs or alcoholism except: a. The person has come to rely on a drug as a way of avoiding problems, suppressing anger or fear, or coping with stress b. The person believes he or she has no control over the drug c. The person has poor will power d. The person has a physiological vulnerability to a drug

C

Each of the following is considered to be an eating disorder except: a. Binge eating disorder b. Anorexia nervosa c. Bulimia nervosa d. Obesity

D

Mary Lynn Dodson knew as soon as her son, Lou, was born that he was somehow "different." She remembered that Lou never liked to be held. "If I tried to cuddle him, he would cry something awful and arch his back. It was so hard to keep him close to me," she added. Lou seemed to be in his own world and rarely even looked at his mother. He often rocked himself back and forth in his crib. Aside from grunting noises, Lou did not talk. As Lou grew older, Ms. Dodson observed that he would get upset if there was even the smallest change in his routine. His favorite toy was his train set. His mother reported that Lou was fascinated with the wheels and would spin them over and over. Lou's diagnosis is: a. Echopraxia disorder b. Asperger's disorder c. Echolalia disorder d. Autism spectrum disorder

D

The DSM is considered a: a. General medical disorder that results from an iron deficiency. b. Psychological measurement of intelligence c. Tool to treat mental illness d. Standard reference used to diagnose all mental disorders

D

A child with autism spectrum disorder may show any of the following behaviors except: a. Struggles in social relationships. b. Forms meaningful relationships with their parents. c. Has a hard time learning how to communicate. d. May not want to talk at all.

***B - incorrect, check answer

Light-headedness upon standing up is a symptom that is not seen in the diagnosis of conversion disorder True False

***False - check answer

One common category of conversion disorder symptoms is problems with sensation. True False

***False - check answer

Which of the following features indicates a worse prognosis for someone with bipolar I disorder? a. Younger age at onset b. Marital status c. Less severe depressive episodes d. Rapid cycling

D

Which of the following is not found in the DSM? a. Psychosocial and environmental problems b. General medical conditions c. Cultural background d. Treatment recommendations

D

Aggression in the context of a mood disorder is a behavior that qualifies for the criterion of aggression to people and animals for conduct disorder. True False

False

Caffeine withdrawal may be diagnosed even in the absence of clinically significant distress or impairment in social, occupational, or other important areas of functioning. True False

False

For a child to be considered for the diagnosis of reactive attachment disorder, he or she must have a history of being placed in 5 foster homes, at a minimum. True False

False

In order to meet the diagnostic criteria for a major depressive mood disorder, the symptoms must be present for at least a one-week period of time. True False

False

Social phobia is a specifier listed for social anxiety disorder in the DSM-5. True False

False

Although the personality disorders originate during the childhood years, they are generally considered adult disorders. True False

True

Nocturnal enuresis is more common in males than in females. True False

True

Quinn Mc Muffin suffered from a stroke about two years ago leaving him with a number of damaged areas to his brain. He is now showing signs of neurological impairment and senility. Quinn would most likely be diagnosed as having a neurocognitive associated with: a. Another medical condition b. Parkinson's disease c. Vascular disease d. Prion disease

C

Matt Bradley is now 7 years old. He is in second grade and it has become increasingly apparent to his teachers that he struggles to reason, has difficulties solving problems, and learning from his experiences. Further, Matt has been slow to develop his reading skills, his writing is illegible, and he is poor in math. On the playground, Matt does not play in an age-appropriate manner with his peers. His parents report that their son has always made slow progress throughout his development although they do see some improvements. However, they concede that Matt requires assistance with everyday skills - dressing, feeding, bathing, doing homework - on a daily basis. What would be the appropriate severity rating for Matt's current presentation? a. Mild b. Moderate c. Severe d. Cannot determine without an IQ score

**** check answer

Elaine is very worried about her digestive system. She pays close attention to her aches and pains and just knows that something is very wrong with her digestive system. Additionally, Elaine worries about her job performance, her children, what the neighbors think of her, and the way the cashier at the store looks at her. Elaine reports that she has always felt this worried. Elaine has been to a gastroenterologist several times and has had multiple procedures none of which have revealed an illness. What is her most likely diagnosis? a. Illness anxiety disorder b. Conduct disorder c. Generalized anxiety disorder d. Somatic symptom disorder

***D - check answer

If the social worker encounters someone with a pattern of behavior that can be diagnosed as a general medical disorder but the major difference is that the individual deliberately and consciously seeks to obtain a reward or avoid some unpleasant situation, what would be the most likely diagnosis to consider? a. Somatic symptom disorder b. Conversion disorder c. Malingering disorder d. Factitious disorder imposed on another

***D - check answer

Research has shown that women generally get drunker than men on the same amount of alcohol because: a. Their responses to a drug vary due to their personality traits b. They have a genetically determined adverse reaction to small amounts of alcohol c. The effects may vary with the time of day because of the woman's circadian rhythms d. Women are generally smaller, on average, and their bodies metabolize alcohol differently

D

The diagnostic criteria for a major depressive disorder includes all of the following except: a. It is not due to the use of a substance or a general medical condition b. At least five symptoms - one of the symptoms must be either depressed mood, loss of interest or pleasure - differing from previous functioning, which presents during a two week period minum c. It is not due to bereavement d. The amount of time between episodes often increases

D

Gene Colman has a history of bipolar I disorder. He currently presents with a new-onset manic episode and it has been successfully treated with an adjustment in his medication. He tells the social worker that he has had chronic depressive symptoms that, looking back, preceded his manic episodes. These symptoms of depression were described as "feeling down," decreased energy, and more often than not having no motivation. While Gene denies other depressive symptoms, he contacted the social worker because his wife has started to complain about his "unpredictable" behavior. "My wife never complained when I was depressed because she knew what to expect," said Gene. What is the most likely diagnosis for Gene? a. Bipolar I disorder and persistent depressive disorder (dysthymia) b. Biploar disorder, current episode hypomanic c. Other specified bipolar and related disorder d. Cyclothymic disorder

A

The general criteria for a personality disorder in the DSM-5 is seen in the following: a. The pattern of behaviors are fluctuating and of short duration b. Onset of the pattern of behavior can be linked to specific trauma c. The pattern of behavior leads to mild distress d. An enduring pattern of inner experience that deviates markedly form the expectations of the individual's culture

D

Catherine Connally is a 48 year-old woman who has quite an attractive fair and freckled complexion. Unfortunately, she has a strong family history of skin cancer and remembers her grandmother's tragic death from untreated melanoma. Over the past few years, Catherine has started visiting her dermatologist every few weeks to be evaluated for skin cancer. She is preoccupied with the presentation of the freckles on different parts of her body and worries over the smallest patch of dry skin This serves as evidence for Catherine that she has a form of skin cancer. She is constantly checking her face, eyes, and ears despite not having any discoloration, changes in the size of her freckles (of concern), sores or bleeding, or other somatic symptoms. She does have a history of an anxiety disorder. Would be the most likely diagnosis to consider for Catherine? a. Illness anxiety disorder b. Somatic symptom disorder c. Factitious disorder d. Generalized anxiety disorder

A

Children who show behavior characterized by characterized by a pattern of disobedient, hostile, and defiant behavior toward authority figures and along with the absence of a serious violation of the basic rights of others can be considered for the diagnosis of: a. Oppositional defiant disorder b. Intermittent explosive disorder c. Antisocial personality disorder d. Conduct disorder

A

George Langwasser is a 45 year-old gentleman whose case history describes classic features of schizophrenia but the social worker notices in his chart that he has always experienced co-occurring symptoms of depression - that is, feeling "down in the dumps," poor appetite, feelings of hopelessness and insomnia - during his episodes of active psychosis and only during the 2-year period of the active symptoms of schizophrenia. Currently, his psychotic episodes are successfully controlled by medication and his chart reflects no further symptoms of depression. In fact, Mr. Langwasser has never met full diagnostic criteria for major depressive disorder at any time. Should his diagnosis of schizophrenia be changed? a. No, the diagnosis of schizophrenia is correct b. Yes, the dx should be changed to persistent dysthymic disorder c. Yes, the dx should be changed to schizoaffective disorder d. Yes, the dx should be changed to schizophrenia and persistent depressive disorder (dysthymia)

A

Katherine Anderson is a 25 year-old college student who was brought to the hospital emergency room after she had been seen ingesting some kind of pills at a sorority party earlier in the evening. As the party continued, she became increasingly confused and at one point had a seizure which prompted the emergency room visit. On evaluation, Katherine was tachycardic, hypertensive, and her pupils were dilated. Throughout the exam she was fidgety, and smiling to herself. When asked, Katherine knew her name and was oriented to time, and place but admitted to hearing voices "but only when I'm partying." What would be the most likely diagnosis to consider for Katherine? a. Stimulant intoxication with perceptual disturbances b. Stimulant use disorder c. Stimulant-induced psychotic disorder d. Stimulant-induced manic episode.

A

Knowledge about this disorder remains incomplete. However, over the past several decades research has pointed to the role of biological influences in combination with poor family socialization and early learning or relationship problems. The person displays a life-long pattern of social withdrawal and is seen as eccentric, lonely and isolated. Someone who exhibits these behaviors would be considered having: a. Schizoid personality disorder b. Avoidant personality disorder c. Dependent personality disorder d. Antisocial personality disorder

A

Matt Wilcock just renewed his gym membership for the coming year and feels this is one of his best investments. You see, he works out regularly because he wants to look more muscular. Despite the reality that his friends tell him he looks great, Matt believes he looks skinny and that his friends are making fun of him behind his back. He continues to exercise excessively in order to increase his muscle mass and recently started taking anabolic steroids. Matt does not think any of this is working and he remains dissatisfied with his appearance. When his friends try to reassure him that he looks fine, Matt believes, "I just need to work harder at pumping up." What is the most likely diagnosis for Matt? a. Obsessive compulsive disorder b. Delusional disorder c. Narcissistic personality disorder d. Specific phobia

A

Mr. and Mrs. Mallner are confused about their son's behavior and contacted the social worker to see if he needs "further tests or something to find out if there's something seriously wrong with our son." Fifteen year-old Rick is described with a history of episodic and violent behavior that is out of proportion to the situation. It is during these "episodes" that he will become extremely angry to the point of destroying things or punching holes in the wall (or doors). There seems to be no precipitant and "after about half an hour he's back to his old self," adds Mr. Mallner. What is the most likely diagnosis to consider for Rick? a. Intermittent explosive disorder b. Disruptive mood dysregulation disorder c. Conduct disorder d. Oppositional defiant disorder

A

Rumination disorder is associated with: a. Regurgitating and re-swallowing food b. Binge Eating Disorder c. Pica Disorder d. Falsely perceiving oneself as fat

A

The overall symptom picture listed for "hallucinogen-related disorders" are the same as those listed for the disorders of most other substance classes with one exception. Which of the following does not apply as a category associated with hallucinogen use? a. Withdrawal b. A desire to or unsuccessful efforts to cut down or control use of the substance c. A strong desire, craving, or urge to use the substance d. Tolerance

A

There are three basic types of panic attacks. These include all of the following except: a. Free floating b. Unexpected c. Recurrent d. Expected

A

This personality disorder includes a pervasive pattern of grandiosity, lack of empathy, and a constant need for admiration. a. Narcicisstic b. Passive-aggressive not otherwise specified (NOS). c. Borderline d. Avoidant

A

Zachary Dunlap was playing tag football at a family reunion picnic. He sustained severe damage to his ankle and required several months of physical therapy and rehabilitation. His physical therapist reports that he has made tremendous progress and his mobility has returned to normal. However Zachary is extremely anxious about the condition of his ankle and complains of great pain if he has been on his feet for most of the day - and this is not unusual given his occupation as a mail carrier. He constantly worries about his mobility despite the reality that his orthopedic physician does not believe that Zachary's ankle trauma should continue to limit his abilities. Zachary is not sure his doctor is telling him the full story and he has an appointment scheduled with another physician. What disorder does Zachary's thoughts and behaviors suggest? a. Somatic symptom disorder b. Illness anxiety disorder c. Conversion disorder d. Factitious disorder

A

Zoe Hunter is a twenty-four old woman who is in her last year of graduate studies. Ever since she began school four years ago, she noticed that she has become more and more agitated about seemingly endless lists of things. Zoe spends most of her day worrying whether she will do well enough in her courses to maintain her student loans. She worries whether the other students like her, if she is pursuing the right career, if she can get her papers done on time, if her teachers will be available to talk with her after class, if she can find her favorite seat in class, if her roommate will pay for her share of the rent, if her car will be reliable, if the library will have the book she needs, if she can get home for the holidays, and how her parents are managing back home. Zoe replays these and other situations in her mind all day long and then continues to fret about them when she tries to fall asleep. She is preoccupied with these worries so much so that she has difficulty falling asleep, finds it hard to concentrate, and constantly feels "on edge". Zoe tells the social worker in the school's counseling center, "I just can't seem to stop worrying. Everybody calls me such a 'worry wart'". Her most likely diagnosis would be: a. Generalized anxiety disorder b. Unspecified anxiety disorder c. Panic disorder d. Social anxiety disorder

A

A mother on your caseload describes her 7 year-old son as pervasively and chronically restless, impulsive, and inattentive. She notes, "He just can't seem to pay attention, makes careless mistakes, doesn't seem to listen when I talk to him, constantly loses things, is easily distracted, and is just so disorganized." Further, she adds that her son often talks excessively, blurts things out, cannot wait his turn, constantly interrupts, fidgets, and simply cannot play quietly. Which diagnosis best fits this clinical picture? a. Attention Deficit NOS b. Attention-deficit/hyperactivity disorder c. Parenting difficulties related to child mental illness d. Oppositional defiant disorder

B

Allen Semmes is a 3 year-old youngster who was described as an "angel" but lately he has had severe temper tantrums that happen on a weekly basis for the past 6 weeks. According to his mother, "They often follow a change in his routine, not having an afternoon nap, or if he's hungry. On rare occasions Allen will get so worked up that he'll grab something and throw it on the floor. Funny, but his teachers love him at preschool. I don't want to reach any premature conclusions but if there's anything his father and I can do to nip this in the bud, we're all in." Which of the following best describes Allen? a. Oppositional defiant disorder, mild b. Does not meet criteria for a disorder c. Intermittent explosive disorder d. Conduct disorder

B

Danny Flynn is a 6 and a half year-old boy who lives with his parents, and younger sister. Mrs. Flynn began, "To look at my Danny, you would never know why we brought him to the mental health clinic. He looks like an angel... those greenish-blue eyes, and that curly blonde hair of his. But to live with him, he's more like the devil reincarnated. Don't get me wrong. I love my son but the problems we're having with him are just not normal." The reason the Laughlin's are seeking counseling is for John's history of severe temper outbursts, both verbal and behavioral, and usually when "things don't go his way" which is just about all the time. "And when he's not having a tantrum, Danny is just plain old angry," adds Mr. Flynn. Danny's most likely diagnosis is: a. Major depressive disorder b. Disruptive mood dysregulation disorder c. Oppositional defiant disorder d. Persistent depressive disorder (dysthymia)

B

Frank was adopted from a Russian orphanage at age 2. He was underweight at the time and clearly severely neglected. He is now 19 and has started college. Frank misses his family. He just started dating, but things did not go well. His partner, also a student, broke up with him after just two weeks calling him weird. Frank both still likes his former partner, but also hates them for breaking up with him. Two weeks later Frank experienced his first seizure. Since then he experiences frequent seizures when at school. During these seizures he falls and shakes. A medical examination, including an EEG, reveals no abnormalities. What is his most likely diagnosis? a. Epileptic seizure disorder b. Conversion Disorder c. Illness anxiety disorder d. Factitious disorder

B

Frankie earned the reputation of being the "terrorist of the 4 year olds" at his daycare center. He has been expelled from 2 other daycare centers and is on notice with the current one. If Frankie's behavior does not improve, he will not be invited back. Frankie punches or bites other children so he spends a lot of time in the timeout corner. On the playground, he pushes the other children off the swings for no apparent reason. Frankie squeezes the class pet rabbit and when he thinks no one is looking swings it by the tail despite being told how much this hurts the animal. According to his mother, "Frankie has been hard to manage even when he was an infant." Frankie's diagnosis is: a. Intermittent explosive disorder b. Conduct disorder, childhood onset c. Unspecified disruptive, impulse-control, and conduct disorder d. Oppositional defiant disorder, mild

B

Jamie Richards is a freshman at a near-by community college. Normally a good student, she contacted student counselling services for some help when her grades started to slip. She always loved school and now found it harder and harder to find the energy to devote to her classes. Jamie begins, "Well, it all started when my step-dad raped my sister when she was 11 years old. She's now 14 but only told me about it last month. Of course I told my mom right away. It broke her heart. I felt so bad. Anyway, from that moment on my whole life changed. First off, I f_ _ ked up things with my boyfriend." Jamie admits that she had flirted with her boyfriend's best friend. "I know I broke my boyfriend's heart. I feel so miserable and I hate knowing that I broke somebody else's heart just like my step-dad broke mine, my mom's, and my little sister's," said Jamie." She continues, "Anyway, this has been going on for the past 3 months and I just feel so down. I cry at the drop of a hat and feel so hopeless about ever getting back to 'normal'." What is the likely diagnosis for Jamie Richards? a. Acute stress disorder b. Adjustment disorder c. Reactive attachment disorder d. Posttraumatic stress disorder

B

Little Sammie, a nickname since childhood, is a 23 year-old single man who lives at home with his parents, Joe and Isabelle Carhart. He is an only child. Sammie attended special education classes and since graduation has been working in a sheltered workshop. Joe comments, "My son is a hard worker and gets along really well on the job." However, Joe and his wife are becoming increasingly concerned about how Sammie will manage if something happens to them. "My son is such a good boy but he's so gullible. It's easy to take advantage of him," said Isabelle. She adds, "He simply cannot manage on his own." Which of the following diagnoses best apply to Sammie? a. Specific Learning Disorder b. Intellectual disability (intellectual developmental disorder) c. Language disorder d. Attention-deficit hyperactivity disorder

B

Looking to the symptom of running away from home overnight in the context of conduct disorder, the frequency according to diagnostic criteria must occur: a. At least five times b. At least one without returning home for a lengthy period c. At least twice in response to abuse, such as physical or sexual d. At least three times

B

Margaret Esobar is a 79 year-old woman who is currently residing in a nursing home. Despite a history of depression, she had no problems adjusting to the facility. Margaret is currently being evaluated for a suspected urinary tract infection. The nurse reports that Margaret is easily distracted, repeats herself when answering questions, asks the same question over and over, seems unable to focus, and cannot respond to questions regarding orientation to where she is and why. Her family shares that Margaret just didn't seem to "be herself" when they visited the night before. The nursing notes in her record indicate that Margaret is cordial and appropriate. What is Margaret's most likely diagnosis? a. Depressive disorder due to another medical condition b. Delirium c. Anxiety disorder due to another medical condition d. Major depressive disorder with anxious distress

B

Marta Fuentes has abused alcohol for over 15 years. She is now complaining to her social worker about having problems with her memory. She states that she cannot recall the names of any recent presidents of the United States. More troubling for Marta is the fact that she cannot remember the names of her children, nieces, nephews, etc. Marta does not display any language difficulties in that she can identify and recognize familiar objects. The social worker's findings indicate Marta is significantly impaired in social and vocational functioning. She would most likely receive a diagnosis of: a. Rude's syndrome b. Korsakoff syndrome c. Bischoff's syndrome d. Hunter's syndrome

B

The ecological perspective posits that: a. A person's behavior can be best understood a reacting to environmental stressors b. Assessment of a person's behavior considers the reciprocal interactions between the person and the environment. c. Individual growth and development requires a habitat that is rich in resources d. The biological, psychological, and social systems impacting on a person's life differ little from one another.

B

The four major subtypes of specific phobias identified in the DSM-5 are: a. Communication type, natural environment type, animal type, and social control type b. Animal type, natural environment type, blood-injection/injury type, and situational type c. Social type, blood injection-drug type, communication type and criminal type d. Animal type, social type, interpersonal type, and situational type

B

Which of the following is considered a common cocaine withdrawal reaction: a. Seizures b. Depression c. Temporary psychosis d. Euphoria

B

Which of the following statements does not accurately represent the limbic system? a. The part of the bran involved in emotions, motivation, memory, and learning b. Acts as a relay station for incoming information from the sensory organs c. Found in the inner margin of the upper brain d. Includes the thalamus, hypothalamus, hippocampus, amygdala, and anterior cingulate cortex

B

Reba's father, George, is 84 years old. He had his first stroke in his early seventies or about 10 years ago. Since then, he has had TIA's (transient ischemic attacks) in spite of taking medication to prevent further strokes. Recently, Reba noticed that her father's long term memories have started to vanish rather than just his short term retention. Reba reports that her father needs more and more care. Unfortunately George has inoperable cataracts and is hard of hearing but refuses to wear hearing aids. As a result, watching TV or listening to the radio are more of an irritation rather than a pleasant way for him to pass the time. As well, George can no longer read the newspapers or do the crosswords, a favorite activity. Reba recently put her father in a nursing home so that she could take a much needed vacation. George's diagnosis is seen as a neurocognitive disorder due to: a. Neurodermatitis b. Vascular Disease c. Parkinson's Disease d. Prion Disease

B??

A 3 year old boy with a history of lead exposure who is also deaf (now with hearing aids for 1 month) presents with delays in many domains including learning, language, communication, attention and also motor skills. He struggles to interact with his peers due to his delays and needs lots of support in all areas. His caretaker is unable to provide a good history due to her own struggles. The child has not yet completed any formal evaluations. The boy is about to be evaluated for preschool attendance. What is the most appropriate diagnosis? a. Major neurocognitive disorder b. Autism spectrum disorder c. Global developmental delay d. Specific learning disorder

C

A physician treated Andronious Onassis because he initially presented with paralysis and loss of sensation on the left side of his body; blindness and deafness were also reported. After a completed, and comprehensive medical work-up there was no evidence of any disease process. Andronious' symptoms suggest: a. Dissociative identity disorder b. Illness anxiety disorder c. Conversion disorder d. Factitious disorder

C

Andre Fournier has had a preoccupation with fears of having a serious life-threatening disease. He has consulted many doctors over the past several years about this. According to Andre, there has been no evidence of any viable disease process going on for him and he states, "While all the docs tell me that I'm perfectly fine, I know they're wrong. They just haven't found my cancer yet". Andre's preoccupation with his health is indicative of: a. Anxiety disorder due to another medical condition b. Generalized anxiety disorder c. Illness anxiety disorder d. Obsessive compulsive disorder

C

Blake Wilcox is a 28 year old young woman with a history of anorexia nervosa. She has been in counseling off and on for the past 10 years. She returns to the counseling center and confides to the social worker that for the past 3 months her fear of gaining weight has returned but this time around she does not purge; that is, Blake does not self-induce vomiting after eating. Instead, Blake has put herself on a strict regimen of dieting, interspersed with fasting and excessive exercise. What type of anorexia does Blake have? a. Anorexia binge-eating purging type b. Anorexia in partial remission c. Anorexia restricting type d. Anorexia in full remission

C

Otis Brown is a 27 year-old African American gentleman who recently had a motorcycle accident while driving on the interstate. Although Otis wore a helmet, he suffered severe head trauma. There is no evidence that he suffered disturbances with language, his ability to carry out motor activities, to recognize common objects, or to plan or organize activities. However, Otis does have difficulty with his memory and is unable to transfer any newly learned information into long-term memory. What would be the most likely diagnosis of neurocognitive disorder for Otis? a. Generalized delirium b. Neurasthenia deficit c. Traumatic brain injury d. Epstein-Barr syndrome

C

Claire Gilliam is a 23 year-old single young woman who makes an appointment with her internist complaining that lately she has been experiencing "crying jags" for no apparent reason. She adds, "I feel like I'm living in a fog. You know, there but not really." Claire also reports fatigue, and a loss of interest in just about everything. She has a poor appetite, and has begun to lose weight. Overall, Claire feels irritable and overwhelmed. She is concerned about her work performance since she's finding it harder and harder to concentrate. Further, her boyfriend is started to complain about their relationship. Reluctantly, Claire admits to a loss of interest in sex. She has never been (nor is currently) pregnant. Her physician suggested blood work and the test confirmed hyperthyroidism. Claire was referred to an endocrinologist who put her on the beta-blocker Toprol XL as well as Tapazole, an anti-thyroid medication that prevents the thyroid gland from over-producing thyroid hormone. What is the most likely diagnosis for Claire? a. Major Depressive Disorder b. Persistent depressive disorder (dysthymia) c. Depressive disorder due to another medical condition d. Substance/medication - induced disorder

C

Ebony Stover is a 59 year-old grandmother who recently had a reoccurrence of breast cancer with metastases to the bone causing persistent pain. She has been treated with medications that result in hot flashes. Prior to the reoccurrence, Ebony had been employed as part-time as a housekeeper but because of her current symptoms she has not been able to work. She is surrounded by her family - especially her daughters and granddaughters - who are a source of comfort to her. For them, Ebony maintains a stoical and hopeful outlook on her prognosis. What would be the appropriate diagnosis to consider for Ebony? a. Pain disorder b. Illness anxiety disorder c. None d. Somatic symptom disorder

C

Imagine for a moment that you have an adolescent on your caseload who presents with distractibility. Which of the following symptoms would suggest more of an association with the bipolar II symptom picture rather than attention-deficit/hyperactivity disorder? a. Rapid speech b. Complaints of racing thoughts c. Evidence that symptoms are episodic d. Reports less need for sleep

C

Jeannie Koch has been known to child protective services since she was 2 years old. Her mother, Carmen, partnered for any extended period of time. Jeannie's father lost touch with the family after his last incarceration for selling drugs. The case notes describe Jeannie's mother as struggling with depression indicating that she was often "unavailable" due to recurring bouts of depression. During episodes of feeling "down," Carmen would leave Jeannie in the care of various sitters or relatives. While there was no history of serious abuse or neglect, Jeannie's mother was often not able to attend to her daughter's needs. Carmen has just been hospitalized for a major depressive episode and this time around the caseworker was unable to locate relatives who could take care of Jeannie - now 4 years of age - for an extended period of time and so the youngster was placed in temporary foster care. Soon after placement, the foster mother reports, "She keeps to herself and hardly talks to any of us. I can hear that child sobbing when she is alone in her room. And when I ask Jeannie if she's worried about her mother, she insists that her mom is on vacation and will be back soon." Further, Jeannie seems unresponsive to any efforts to comfort her. What do you think is the appropriate diagnosis for Jeannie Koch? a. Posttraumatic stress disorder b. Acute stress disorder c. Reactive attachment disorder d. Disinhibited social engagement disorder

C

Johnny is a bright and well behaved 4-year old. Unfortunately he has one behavior that he is unable to control. Johnny has a problem going to the bathroom. His mother finds Johnny's feces in places other than the toilet, for example in his underwear. Johnny's feces seep out everywhere leaving a smelly mess. This has been going on for the past 3 months. His diagnosis would be: a. Echolalia b. Enuresis c. Encopresis d. Echopraxia

C

Josette's mother, Erlange St. Villien, has been having delusional beliefs that some kind of highly specialized radio transmitter was inserted into her tooth filling as part of an experiment being conducted by aliens from the planet Mars. Up until five months ago, Josette tried to convince her mother that the radio transmitter really did not exist. However, Josette has changed her mind and now believes that her mother's story is true. Josette is most likely experiencing: a. Delusions of grandeur b. Brief psychotic episode, with marked stressors c. Delusional disorder, somatic type. d. Schizophrenia, first episode currently in acute episode

C

Kevin Stover is a 14 year-old boy who was referred to the school social worker for problems focusing on his studies. Kevin admits to difficulties concentrating and confides that he has been feeling "down" all the time for the past school year. He remembers the only time this feeling went away was, "only for a coupla weeks last summer when I went to visit my Uncle Mark. He's really cool. But then that down feeling came back as soon as I got home," states Kevin. He denies any suicidal thoughts but admits to feelings of hopelessness, and low self-esteem. What is the most likely diagnosis for Kevin? a. Major depressive disorder b. Schizoaffective disorder c. Persistent depressive disorder (dysthymia), with early onset d. Disruptive mood dysregulation disorder

C

Korsakoff's disease, a disorder associated with long-term alcohol abuse, is a type of: a. Organic delusional syndrome b. Convulsive disorder c. Amnestic syndrome d. Endocrine disorder

C

Moses Freeman is considered by most of his friends to be a very attractive man. He is physically trim, stands about six feet tall, weighs almost two hundred pounds and works out regularly at a neighborhood gym. He watches his diet and mainly eats low fat and high fiber foods. According to him, everything would be fine except for "excessive body hair." Although his friends describe him as "normal," Moses always hides his body. For example, Moses wears long sleeved shirts, even when working out at the gym. In addition, he avoids going to places where his body would be uncovered, such as the beach. Moses is obsessed with how ugly his body hair is despite his friends' reassurance that he looks fine. Moses wants to have his hair surgically removed. What disorder does Moses most likely illustrate? a. Dissociative disorder b. Obsessive compulsive personality disorder c. Body dysmorphic disorder d. Body depersonalization disorder

C

Paul Dieringer was completely potty trained by age 4. Shortly thereafter, his baby sister was born and Paul was enrolled in preschool. His mother seemed to have less time for him and it was about that time that Paul started passing feces into inappropriate places; that is, his mother would find "evidence" in his clothing or on the floor in the back of his closet. Paul would most likely receive a diagnosis of: a. None of the above b. Enuresis, diurnal c. Encopresis, secondary type d. Encopresis, primary type

C

Sarah Ackley was 6 years old when her mother and step-father brought her to the Children's Center for an evaluation. Her mother, Dianna Hamilton, described her daughter's childhood as filled with frequent changes in primary caregivers. When Sarah was 2 years old her parents divorced. Mrs. Hamilton stated, "I was in the Army at the time serving in Afghanistan so her father was granted custody. Looking back, I don't think it was a good idea. Seems he had a steady stream of girlfriends coming and going but being stationed so far away I never really got the full story. Anyway, somebody put in an anonymous complaint to child protective services and Sarah was removed from his care. She was subsequently placed with my parents. They were in their late sixties at the time so I'm not really sure they were ready to be parents again but I do know they were concerned about Sarah." According to the family physician, Sarah's physical development was seen as normal. However, socially she appeared immature and inappropriate. Her interactions were described as "dominated by indiscriminate sociability." Mrs. Hamilton explained Sarah's behavior as follows, "I don't know how many times I have been so embarrassed by that child. I mean Sarah will talk to anybody. If we are in the supermarket and she sees a woman wearing a bracelet that she likes, Sarah will go right over and ask if she could have it. I thought this was a phase she was going though and that she would outgrow it but that's not happening." What is the most likely diagnosis for Sarah Ackley? a. Acute stress disorder b. Reactive attachment disorder c. Disinhibited social engagement disorder d. Post traumatic stress disorder

C

Six months after the death of her husband, 70 year-old Emma Davis has not been able to move out of her home because she is unable to sort through and dispose of her husband's belongings. Emma can longer afford to keep what is now a large house and yearns for her husband to come back. Emma's family doctor referred her to the social worker for counseling to address symptoms of overwhelming sadness and anger regarding her husband's sudden death from a heart attack. What would be the appropriate diagnosis for Emma Davis? a. Major depressive Disorder b. Posttraumatic stress disorder c. Adjustment disorder d. Normal grief and bereavement

C

Skip Bradeen spent 27 months in Iraq dodging roadside bombs, rocket-propelled grenades, mortars and snipers, and seeing his friends die. One memory especially stands out for Skip. It was when he saw one of his best friends die. After his first tour in Iraq, Skip's wife noticed how much he had changed. According to his wife, Pat, "When he came back, Skip would never talk about what he had done in Iraq. He was always an easy going kind of guy but now he seemed so negative. He would say things like 'The world is so dangerous. You can't trust anybody. That was so unlike him. Worse yet, my living room became a battlefield. If one of our kids would misbehave, Skip would go through the ceiling. I remember one night he grabbed our 8 year-old by the throat and threw him against the wall. It was like Skip was angry all the time." Pat added, "Our bedroom was a battleground, too. At first, Skip would wake up every single night screaming at the top of his lungs. Then came the nightmares. Another thing I noticed was that he spent a great deal of time shaking and crying when he thought nobody was looking. I don't know how many times I would come home after work and find Skip huddled in the corner of our bed, sheets over his head." The Army doctors noted Skip's severe migraines, frequent nightmares, sleep disturbance, memory lapses, hyper-vigilance, and anxiety and recommended him for a medical discharge. What is Skip's most likely diagnosis? a. Adjustment disorder b. Reactive attachment disorder c. Posttraumatic stress disorder d. Acute stress disorder

C

The chronological age for the diagnosis of enuresis is: a. Thirteen to eighteen years of age b. Five years of age c. Five years of age or the equivalent developmental level d. Six to twelve years of age

C

The following factor is most closely related to relapse in persons with schizophrenia. a. Whether or not the person is gainfully employed b. The age and gender of the person c. Lack of compliance to psychotropic medication d. Compliance with psychotherapy

C

The principal aim of the DSM is to: a. Describe the causes of specific physical disorders. b. Describe best practices when treating a specific mental disorder c. Provide criteria informed by research for diagnostic categories d. Justify reimbursement for counseling services from third party payers

C

This disorder was previously called "depressive neurosis" and considered less severe than major depressive disorder. The onset is insidious and occurs more often in persons who have a history of long-term stress. Symptoms should include at least two of the following: poor appetite or overeating, sleep problems, fatigue, low self-esteem, difficulty concentrating and/or feeling hopeless. This disorder often coexists with other psychiatric disorders, e.g., substance abuse, personality disorders, and obsessive compulsive disorder. What is the most likely diagnosis? a. Chronic major depressive disorder b. Pseudodementia c. Persistent depressive disorder (dysthymia) d. Disruptive mood dysregulation disorder

C

To assign the encopresis specifier "with constipation and overflow incontinence" the following is required: a. No evidence of constipation on physical exam or by history b. Urinary tract infections c. Evidence of constipation on physical examination or by history d. A comorbid DSM-5 disorder of enuresis

C

Which of the following diagnoses is NOT an alcohol-related disorder in DSM-5? a. Alcohol-induced psychotic disorder b. alcohol intoxication c. Alcohol dependence d. Alcohol use

C

Which of the following statements does not apply to the competency -based assessment in mental health practice? a. Emphasizes the importance of identifying client competencies b. Focuses on assets instead of deficits c. Represents the practitioner's judgment of the individual's overall level of functioning d. Strives t build and enhance client skills as they attempt to deal with life conditions.

C

Wayne Alcorn is a seventy-two year old gentleman who has led an active life and is involved in community activities. If a neighbor needed a hand, Wayne was the first to help. He was especially well known for his volunteer work at the hospital's cancer center where he served both snacks and a kind word to patients in the infusion unit. He is brought to the emergency room due to an episode of unexplained loss of consciousness. His wife shares that Wayne has experienced transient episodes of loss of consciousness, repeated falls, and fainting spells over the past year but nothing like what brought him to the ER. A thorough work up found no evidence of heart disease. However in the ER he was found to have dizzy spells on standing up and urinary incontinence. What would be the best provisional diagnosis to consider for Wayne? a. Possible neurocognitive disorder due to Alzheimer's disease b. New onset seizure disorder c. Possible neurocognitive disorder due to Lewy bodies d. Cerebrovascular disease

C??

All of the following characterize a binge except: a. Eating food until one feels uncomfortably full and overstuffed b. The individual has a lack of control over their eating c. Eating large quantities of food even when not physically hungry d. Consuming small amounts of food almost every evening even when not hungry

D

All of the following statements about enuresis are true except: a. Chronological age of onset is at least 5 years or the equivalent developmental level b. Voiding of urine patterns can be involuntary or intentional c. The individual voids his or her urine into bed or clothes d. Individuals with enuresis will also show repeated passage of feces into inappropriate places

D

All of the following symptoms are a part of the picture for cannabis withdrawal except: a. Irritability, anger or aggression b. Nervousness or anxiety c. Difficulties sleeping d. Dry mouth

D

An 11-year old girl with autism spectrum disorder displays no spoken language and is minimally responsive to others. She can be inflexible, making it hard for her to travel, do school work, and be managed at home. She often runs back into the house when leaving collecting seven specific stuffed animals to take along. Once she has collected her items she tends to follow directions. She has some difficulty with transitions. She has trouble organizing and planning activities. These problems can usually be managed with incentives and reinforcers. What severity level should be specified in the DSM-5 diagnosis? a. Level 1for social communication and level 2 for restricted repetitive behaviors. b. Level 2 for social communication and level 1 for repetitive behaviors c. Level 3 d. Level 3 for social communication and level 1 for repetitive behaviors

D

Carrie Dozier's first grade teacher was concerned about her. Carrie seemed like a well behaved little girl who followed directions, and did not show evidence of any kind of learning disability but she never spoke in class. The teacher contacted her mother who was surprised by this behavior since Carrie "talks up a storm" at home. Carrie's diagnosis would be: a. Rett's syndrome b. Other specified anxiety disorder c. Intellectual disability d. Selective mutism

D

DSM-5 includes non-substance related disorders. Which of the following qualify as a diagnosable condition under this classification? a. Internet gaming disorder b. Electronic communication addiction disorder c. Compulsive computer use disorder d. Gambling disorder

D

Duc Tran Dong, a forty-two year-old Vietnamese immigrant was held up at gunpoint and shot in the arm one year ago working as a clerk in the neighborhood convenience store. Within the last two weeks he has begun experiencing symptoms of posttraumatic stress disorder. You are his social worker. What would help you to decide whether his diagnosis posttraumatic stress disorder could be characterized as acute, chronic, delayed onset or residual? a. Nature of the event alone b. Family history of anxiety c. Severity and intensity of the event d. Time

D

Mrs. Price told the social worker that her daughter, Gloria, is a tall, graceful child adding, "she is gorgeous, and a great dancer. She is just the sweetest kid you could ever meet." Gloria is going into the first grade and reading on the 3rd grade level. She sniffs and mumbles and gurgles just about every day and this had been going on for the past 2 years. Mrs. Price states that this does not seem to interfere with her daughter's life much at all. Gloria's diagnosis is: a. Transient Tic disorder b. Persistent (chronic) motor or vocal tic disorder c. Tourette's disorder d. Tic disorder NOS

D

The social worker remembered thinking, "Wow! That kid sure is a handful. I'm surprised he was not referred sooner." Mark Pryor is an 11 year-old boy who is described by his parents as being stubborn and defiant since early childhood. "Sometimes that child can be so spiteful," adds his father. His mother comments, "If I ask Mark to brush his teeth and he's watching TV, he'll turn around and call me all sorts of names. I know my son doesn't mean it... at least I hope so, but it sure hurts. His brothers walk on eggs when he's in one of his moods, which lately seems to be all the time. Oddly enough he does pretty good in school but I notice he doesn't have that many friends these days." What is the most like diagnosis to consider? a. Conduct disorder b. Disruptive behavior disorder c. Conduct disorder d. Oppositional defiant disorder

D

This symptom of schizophrenia includes the pathological imitation and repetition of another person's movements. What is this called? a. Ganser's syndrome b. Briquet syndrome c. Echolalia d. Echopraxia

D

When a drug interferes with a person's functioning or disrupts the person's relationships with others, this is known as: a. Other (or unknown) substance-induced disorder b. Tolerance c. Withdrawal d. Use

D

Which of the following client statements would help you distinguish between a client who is worried with one diagnosed with general anxiety disorder (GAD)? a. I just can't stop cleaning my bathroom. b. I just can't seem to stop studying for my psychopathology test. c. I worry that I can't pay my student loan. d. I worry excessively about every single thing going on in my life.

D

Which of the following statements do not apply to the DSM-5? a. Specific disorders are framed in the context of age, gender, and cultural explanations in addition to being organized along the developmental lifespan within each chapter b. Key disorders were combined (or reorganized) because the relationship among different categories placed them along a single continuum c. A new section of the manual introduces emerging measures, models, and cultural guidance to help clinicians in their evaluations of clients d. The multi axial system found in the DSM IV-TR has been retained, but specific medication conditions that are important to understanding an individual's disorder must be listed separately.

D

Which of the following statements is not true: a. Cocaine and some amphetamines are illegal stimulants b. The two drugs that interfere with the formation of new long term memories are marijuana and alcohol c. Three types of depressant drugs are barbiturates, tranquilizers, and alcohol d. Alcohol is a legal recreational substance that acts as a stimulant on the central nervous system.

D

Which of the following substances is most likely associated with using several substances? a. Tobacco b. Alcohol c. Cannabis d. MDMA or ecstacy

D

Which of the following symptoms differentiates cyclothymic disorder from bipolar I disorder? a. Severity b. Hypomanic episodes c. Major depressive episodes d. All of the above

D

Tardive dyskinesia includes the voluntary movement of one's head, neck and limbs manifested by long-term antipsychotic medication. True False

False

The defining feature of enuresis is repeated and intentional voiding of urine during the day into the bed or clothes True False

False

The development of eating disorders seems related to one major stressful episode that is evaluated as related to the cause of eating difficulties. True False

False

The experience of a college student at a film festival watching a series of violent movies that contain graphic rape scenes would qualify as a traumatic event supporting diagnostic criteria for posttraumatic stress disorder. True False

False

Vegetative features are not important to consider as part of the competency-based assessment of mood disorders. True False

False