Psychopathology Jeopardy Questions

Describe the major differences between delirium and neurocognitive disorders.

- Delirium is characterized as a temporary condition that follows a short and fluctuating course - The effects of delirium are time-limited - Neurocognitive disorders, by contrast, are an advancing, progressive, and degenerative condition that is marked by a general deterioration of a broad range of cognitive abilities - Is likely to have a protracted course; - Unlike delirium, people with (minor) neurocognitive disorder are not confused in the early stages; - Over time, people with (major) neurocognitive disorder experience a global deterioration of intellectual, emotional, abilities and cognitive

Describe 3 specifiers for Insomnia

- Episodic (at least 1 month but less than 3 months) - Persistent (3 months or longer) - Recurrent (2 or more episodes within space of 1 year)

List some of the factors that may contribute to the development of the somatic symptom and related disorders.

- The person may have a genetic and biological vulnerability (an increased sensitivity to pain, for example); - Early traumatic experiences (i.e.: violence, abuse, deprivation); - Learning (such as gaining attention from having an illness) - Cultural norms that devalue and stigmatize psychological suffering as compared to suffering from a physical illness.

Name 3 types of difficulty included in Insomnia

1.difficulty initiating sleep 2. difficulty maintaining sleep 3. early-morning awakening with inability to return to sleep

Gender Dysphoria in children refers to the distress that may accompany the incongruence one's experienced or expressed gender and one's assigned gender, for at least _______months duration, as manifested by at least _____ of a possible ______ criteria

6, 6, 8

True statements concerning a person with antisocial personality disorder include all of the following except: A. Antisocial personality is synonymous with criminality B. Often abnormalities are present in EEG changes C. A familial pattern is present D. The prevalence of this disorder is diagnosed more in men than in women

A. Antisocial personality is synonymous with criminality

Individuals with _______________ personality disorder often feel inhibited and inadequate. They avoid meaningful relationships with others and view themselves as inept and inferior. A. Dependent B. Narcissistic C. Schizoid D. Avoidant

Avoidant

Features of V Codes include all of the following except: A. May be included in the assessment as useful information. B. May be considered a mental disorder. C. May bring attention to additional issues facing the client. D. May be considered a reason for visit.

B. May be considered a mental disorder.

The essential feature for making the diagnosis of schizoid personality disorder is: A. Continually seeking praise and attention B. Exhibits high interest in sexual encounters with others C. Dramatic and flamboyant D. Pervasive social isolation

D. Pervasive social isolation

Persons with borderline personality disorder experience other people as either "all good" or "all bad" are exhibiting: A. Projection B. Repression C. Suppression D. Splitting

D. Splitting

Which of the following is not a specifier for conversion disorder? A. With weakness or paralysis B. With abnormal movement C. With swallowing symptoms D. With predominant pain

D. With predominant pain

When a tolerance that develops for one drug generalizes to another drug in the same pharmaceutical class, this is called A. tolerance B. tolerance reversal C. behavioral tolerance D. cross-tolerance

D. cross-tolerance

The following are trends in substance abuse treatment today except for A. chain smoking regarded as an addiction B. human rights seen as a practical philosophy C. counseling of clients in moderate drinking D. public opinion favoring more imprisonment of drug users

D. public opinion favoring more imprisonment of drug users

A behavior pattern of compulsive substance abuse is the definition of: A. contemporary perspective B. metacommunication C. incompatible with the biopsychosocial model D. the concept of addiction

D. the concept of addiction

Disturbance develops over a short period of time and tends to fluctuate in severity

Delirium

Gender Dysphoria may be diagnosed in individuals who rebel against stereotypical gender role behavior. True or False

False

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

False

Explain why "Gender Identity Disorder" is no longer considered a diagnostic category in the DSM 5.

Gender Dysphoria refers to the distress that may accompany the incongruence between one's experienced or expressed gender and one's assigned gender. The current term "Gender Dysphoria" is more descriptive than the previous DSM-IV term "Gender Identity Disorder" and focuses on dysphoria as the clinical problem, not identity per se.

In _______________ disorder, the individual fears that they have a serious and/or life-threatening physical illness in which they dispute medical evidence and reassurance to the contrary.

Illness anxiety

Symptoms are intentionally produced by the individual to avoid some task, gain legal advantage, or to obtain financial gain

Malingering

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 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?

NONE

Aroused by fantasies or actions involving dominating or beating another person.

Sadism

A class of disorders that share a common feature of prominence of somatic symptoms associated with significant distress and impairment

Somatic symptom and related disorders

The consequences of psychological factors affecting other medical conditions that result in medical hospitalization or an emergency room visit

The specifier of severe

Gender Dysphoria in adolescence and adults must have a duration of 6 months and meet at least 2 of 6 conditions under Criteria A. True or False

True

Individuals who are confused and disoriented that develops over a short period of time, usually hours to a few days, and tends to fluctuate during the course of the day may appear to be suffering from delirium. True or False

True

Gaining sexual release by observing people who are naked and/or engaging in sexual activity.

Voyeurism

Refers to a specifier for conversion disorder signifying the person's slurred speech or difficulty speaking such as hoarseness

With speech symptom

What are the time and duration requirements for Insomnia? How many times a week and persisting for how long?

At least 3 nights per week, Present for at least 3 months

Gary, a 30 year old man, is known to be quite a "storyteller." He often brags about his accomplishments, both real and imagined. He passionately enjoys being the center of attention. Although he expects his circle of friends to be completely loyal, he lacks empathy and understanding in his relationships. Gary is preoccupied with his personal appearance, and has a fear of growing old. What is the likely diagnosis for Gary: A. Borderline Personality Disorder B. Narcissistic Personality Disorder C. Histrionic Personality Disorder D. Delusional Disorder

B. Narcissistic Personality Disorder

As the social worker in deciding whether to diagnose a client with schizotypal personality disorder, which of the following disorders must first be ruled out? A. Mood disorders B. Schizophrenia C. Anxiety disorders D. Somatoform disorders

B. Schizophrenia

The prevalence of serious mental disorders in the substance abusing population can be characterized as: A. not problematic B. the norm, not the exception C. dealt with effectively by most treatment programs D. fairly rare

B. the norm, not the exception

Laura eats whatever foods she wants, whenever she wants, but she is able to stay at an average weight. She says she just seems to lose control over food and because of this often eats large quantities over short periods of time, especially in the evening. She monitors the amount of calories she takes in by fasting and exercising to burn off excess calories and will fast regularly. Laura may be suffering from: A. Anorexia Nervosa - restricting type B. Binge Eating Disorder C. Bulimia Nervosa - non-purging type D. Anorexia Nervosa - binge eating/purging type

Binge Eating Disorder

When individuals with personality disorders are unable to see the role their dysfunctional personality traits play in the disturbances in their lives, the symptoms are considered: A. Self-induced B. Character logic C. Ego-syntonic D. Ego-dystonic

C. Ego-syntonic

An antisocial personality disordered client typically displays all of the following except: A. Failure to learn from experience B. Failure to sustain employment C. Frequent suicide attempts D. Unresponsiveness in interpersonal relationships

C. Frequent Suicide Attempts

Which one of the following non-substance related addictive disorders is included in the DSM 5? A. Internet addiction B. Computer dependence C. Gambling D. Compulsive shopping

C. Gambling

The individual with _______________ personality disorder is often described as colorful, dramatic, extroverted, excitable, and emotional. Underneath this flamboyant exterior is a deep-seated inability to maintain strong, reciprocal, and long-lasting friendships. Essential features include a pattern of extreme attention seeking and highly expressive emotions. The most striking feature is their desire to be the center of attention. A. Narcissistic B. Borderline C. Histrionic D. Dependent

C. Histrionic

Jimmy is never satisfied and spends hours undoing and re-doing co-workers' work until it is "perfect." Unfortunately, Jimmy never seems satisfied. If somebody tries to bring this to his attention, Jimmy accuses them of not sharing his high standards. Which of the following, best explains Jimmy's behavior? A. Antisocial personality disorder B. Borderline personality disorder C. Obsessive-compulsive personality disorder D. Narcissistic personality disorder

C. Obsessive-compulsive personality disorder

Jesse Jones often hides valuable objects around his house and later accuses his family of stealing them whenever he cannot find them. He trusts no one, not even his wife or daughters. Jesse always keeps the curtains closed everywhere in his house because he is sure his neighbors are trying to spy on him. His relationship with his wife is very fragile as he is always accusing her of being unfaithful and cheating on him. Jesse's behavior most closely resembles which personality disorder? A. Avoidant personality disorder B. Schizoid personality disorder C. Paranoid personality disorder D. Schizotypal personality disorder

C. Paranoid personality disorder

The following personality disorders are found in Cluster A, the odd and/or eccentric disorders: A. Histrionic and narcissistic B. Obsessive compulsive and dependent C. Schizoid and paranoid D. Borderline and narcissistic

C. Schizoid and paranoid

For clinic-referred children, onset of cross-gender behaviors is usually between ages ______ and ______. Why?

2 and 4 yrs. old This corresponds to the developmental time period in which most typically developing children begin expressing gendered behaviors and interests.

Amy Bodnick has been diagnosed with narcissistic personality disorder. She has just lost her "close friend" Brenda, to distant acquaintance. Given her diagnosis, how would you anticipate her reaction to this "loss?" A. "Frankly, my dear, I don't give a damn! She really wasn't good enough for me." B. "I must find another find another close friend as soon as possible or I just won't survive!" C. "I'll never have another friend as good to me as she was." D. "I'm so sad because she was my life."

A. "Frankly, my dear, I don't give a damn! She really wasn't good enough for me."

Which of the following is the most common type of neurocognitive disorder? A. Alzheimer's Disease B. Manganese Intoxication C. Cerebellar Neoplasm D. Cerebrovascular Disease

A. Alzheimer's Disease

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

A. An enduring pattern of inner experience that deviates markedly form the expectations of the individual's culture

Those with an obsessive-compulsive personality disorder are primarily motivated by a need for: A. Control B. Admiration C. Intimacy D. Autonomy

A. Control

The following personality disorders are found in Cluster C, and they are characterized by anxious and fearful behaviors: A. Dependent and obsessive compulsive B. Histrionic and narcissistic C. Antisocial and borderline D. Paranoid and schizoid

A. Dependent and obsessive compulsive

Alex was diagnosed with a neurocognitive disorder five years ago when he was seventy years of age. Since that time, he continues to have difficulty figuring out how to solve problems, for example making a grocery list, or adjusting the thermostat in his house. These symptoms are characterized as: A. Disturbances in executive function B. Visuospatial skill deficit C. Pick's disease D. Neurodegenerative syndrome

A. Disturbances in executive function

This disorder is characterized by persistently or recurrent deficient (or absent) sexual/erotic thoughts or fantasies and desire for sexual activity, for at least 6 months and causes clinically significant distress in the individual. This disorder is known as: A. Male Hypoactive Sexual Desire Disorder B. Erectile Disorder C. Female Sexual Interest/Arousal Disorder D. Female Orgasmic Disorder

A. Male Hypoactive Sexual Desire Disorder

Individuals with _______________ personality disorder are socially restricted, lack friends, and are generally cold and detached from others. A. Schizoid B. Schizotypal C. Avoidant D. Paranoid

A. Schizoid

Winnie Randall exhibits strikingly odd and strange mannerisms. She exhibits magical thinking, which includes derealization and ideas of reference. Winnie relates that she is extremely uncomfortable even when around her own family members and does not have any close friends. The social worker describes Winnie as being unkempt and very suspicious of others. The most likely personality disorder to consider is: A. Schizotypal B. Schizoid C. Avoidant D. Paranoid

A. Schizotypal

Marlene has been using crack for two years. Her whole life is now oriented around trying to get more crack. Although she has tried repeatedly to give it up, she cannot quit. She has lost her job and several close relationships and she has recently had to turn to prostitution to get money for crack. Her behavior can best be described as substance______________: A. Use, Severe B. Abuse C. Dependence D. Misuse

A. Use, Severe

Naltrexone works by A. blocking brain activity that produces a high B. conditioning C. producing a synthetic high D. causing nausea

A. blocking brain activity that produces a high

Research indicates that in the transition from separate to integrated treatment for co-occurring disorders that A. stable remission rates more than double. B. the investment is too costly to be worth the trouble. C. the 12 Step approach works best. D. clients with different types of disorders do not get along well together.

A. stable remission rates more than double

Alcoholism is described as an illness because: A. the concept recognizes alcoholism as both a medical and social problem B. the use of disease as a term is victim blaming C. to avoid the notion of alcoholism as a brain disease D. to increase the controversy so professionals can debate and publish articles.

A. the concept recognizes alcoholism as both a medical and social problem

A pattern of acute discomfort in close relationships, cognitive or perceptual distortions and eccentric behaviors are symptoms of which of the following disorders: A. Schizophrenic Personality Disorder B. Histrionic Personality Disorder C. Schizotypal Personality Disorder D. Borderline Personality Disorder

C. Schizotypal Personality Disorder

Physical symptoms that have no identifiable cause and that are precipitated or maintained by emotional factors are suggestive of which of the following disorders: A. Factitious Disorders B. Anxiety Disorders C. Somatic Symptom Disorder D. Malingering Disorders

C. Somatic Symptom Disorder

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. Pain disorder B. Autonomic arousal disorder C. Somatic Symptom disorder D. Illness anxiety disorder

C. Somatic Symptom disorder

All of the following are true except: A. The suicide rate for pathological gamblers is higher than that of any other addictive disorder. B. Internet gambling is the fastest-growing segment of the gambling market. C. There is no correlation between the availability of gambling and the rate of gambling addiction D. Hoarding is increasingly seen as a separate disorder from compulsive spending

C. There is no correlation between the availability of gambling and the rate of gambling addiction

Using a holistic basis for measurement, which of the following is considered a standard measurement for successful treatment outcomes? A. total abstinence as the only standard B. length of time of abstinence from all psychoactive substances C. improvement that might include moderate drug/alcohol use D. ability to secure stable housing

C. improvement that might include moderate drug/alcohol use

Refers to a specifier used for illness anxiety disorder indicating the person rarely uses medical care

Care-avoidant type

According to the DSM-5 what term or terms replace(s) the word dependence? A. a personal choice B.. a bad habit C. a brain disease D. addiction.

D. Addiction

Mike had a 15 year history of alcohol and cocaine use. He prides himself on being clean and sober for the past 13 years. Last year Mike took an early retirement. With time on his hands, he started frequenting the local pub where his new friends hung out. Over the past year, Mike realized that he was having more than just the one drink he promised to limit himself to. Despite many efforts over the past year, Mike found that he continued to consume more than he intended. Lately he has been driving home after several hours of drinking with his friends. Mike can be diagnosed with: A. Nothing, there is not enough evidence B. Alcohol intoxication C. Alcohol Withdrawal D. Alcohol Use Disorder

D. Alcohol Use Disorder

When assessing for the substance-related disorders, it is helpful to explore: A. Route of administration B. Duration of effects C. Use of multiple substances D. All of the above

D. All of the above

The following personality disorders are found in Cluster B, and they are characterized by dramatic, emotionally or erratic behaviors. A. Obsessive compulsive and avoidant B. Schizotypal and Schizoid C. Avoidant and dependent D. Antisocial and borderline

D. Antisocial and Borderline

Josette, aged 27, recently experienced an episode of blindness following a physical assault that occurred while she was walking home from work. Upon physical examination in a local emergency room, her eyes were found to exhibit normal dilation when exposed to light. Josette related that her blindness developed spontaneously when the police officers at the scene asked her to come down to the station and go through mug shots. What is your diagnosis? A. Dissociative disorder, NOS B. Depersonalization disorder C. Dissociative fugue D. Conversion Disorder

D. Conversion Disorder

As defined by DSM-5, which of the following disorders is under the conscious control of the individual: A. Somatic Symptom Disorder B. Illness Anxiety Disorder C. Conversion Disorder D. Factitious Disorder with physical symptoms

D. Factitious Disorder with physical symptoms

Which of the following disorders is in a separate category from the others? A. Conversion Disorder B. Illness Anxiety Disorder C. Somatic Symptom Disorder D. Malingering

D. Malingering

Alice comes to you because she lately has been feeling mildly stressed. While talking about herself, she mentions that she has not been able to achieve an orgasm 3 or 5 times over the past month. She says that she engages in sexual activity at least 3 times a week, on average. A clinical social worker might consider a diagnosis of A. Female Orgasmic Disorder B. Genito-Pelvic Pain/Penetration Disorder C. Attention Deficit/Hyperactivity Disorder, Inattentive Type D. None of the above.

D. None of the above

The substance use disorders include Polysubstance Dependence True OR False

False

Aroused by fantasizing or engaging in acts of being dominated, humiliated or beaten.

Masochism

Variant of factitious disorder imposed on another whereby a caregiver subjects another person (usually a child) to unnecessary procedures and/or hospitalizations

Munchausen's syndrome by proxy