Adult Psychopathology Part 1
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- 1.
- A.
Problems related to ethnic/culture differences
- B.
Limited research for how well diagnosis criteria apply to children
- C.
If a patient only meets 4 out of 5 of the necessary symptoms you can't diagnose them with anything
- D.
A disease-based model over-emphasizes within-person traits and minimizes contextual influence
- 2.
- A.
Axis I: Clinical Disorders
- B.
Axis II: Personality Disorders
- C.
Axis III: General Medical Conditions & Intellectual Disabilities
- D.
Axis IV: Psychosocial Factors & Environmental Factors
- E.
Axis V: Global Assessment of Functioning
- 3.
- A.
Days, months or years prior to the active stage
- B.
The time right before the active stage (aka the antecedent)
- C.
The actual active stage
- D.
The symptoms that continue to occur after the active stage subsides
- 4.
- A.
Flat - lacking in expression
- B.
Blunt - limited repertoire of emotion expressions but with sharp sudden onset
- C.
Labile - rapidly shifting and intense emotion expressions
- D.
Inappropriate - laughing during a funeral
- E.
Restricted - specific range of affect shown (like smiling but never laughing)
- 5.
- A.
Somatic - there's something wrong with my body
- B.
Persecutory - someone is after me
- C.
Grandiose - I'm God
- D.
Jealousy - related to martial infidelity
- E.
Erotomania - related to sexuality (Koro is a cultural example)
- 6.Which of the following is true:
- A.
The hypnagogic state occurs as we're falling asleep and hallucinations that occur during this state are not clinically significant.
- B.
The hypnopompic state occurs as we're falling asleep and hallucinations that occur during this state are not clinically significant.
- C.
The hypnagogic state occurs as we're falling asleep and hallucinations that occur during this state are clinically significant.
- D.
The hypnopompic state occurs as we're falling asleep and hallucinations that occur during this state are clinically significant.
- 7.
- A.
A person with initial insomnia will generally awaken in the first third of the night
- B.
A person with late insomnia will generally fall asleep very late
- C.
A person with middle insomnia will often wake up in the middle of the night AND have difficulty falling back asleep
- D.
A person with late insomnia will often have difficulty getting to work on time
- 8.You could reasonably expect to work on idealization & devaluation of intimate partners with a client diagnosed with _______________.
- A.
Dependent Personality Disorder
- B.
Borderline Personality Disorder
- C.
Schizoid Personality Disorder
- D.
Schizotypal Personality Disorder
- 9.An individual has had recurrent substance-related legal problems as well as recurrent substance abuse in situations in which it is physically hazardous. In addition, the individual reports experiencing both tolerance and withdrawal to alcohol and has had numerous failed attempts to stop drinking so much. Based on this, which of the following would the client be diagnosed with?
- A.
Substance Abuse
- B.
Substance Dependence
- C.
Both Substance Abuse and Substance Dependence
- D.
Neither Disorder
- 10.A client believes that the government has a plot to make sure he is never happy. He believes cameras monitor his every motion and if he displays any positive emotional expression, they will make sure the rest of his day is bad. As a result, he displays no emotional expressions. Under the diagnostic criteria for schizophrenia, this qualifies as a 'negative symptom' (affective flattening).
- A.
True
- B.
False
- 11.
- A.
If the mood symptoms only occur during the active psychotic stage, and vice versa, then the individual may have Mood Disorder with Psychotic Features
- B.
If the mood symptoms only occur during the active psychotic stage, but the active psychotic symptoms occur in the absence of mood symptoms, the individual may have Schizoaffective Disorder
- C.
If the mood symptoms only occur during the active psychotic stage, and take up a large part of the psychotic episode, the individual may have Schizophrenia
- D.
If the mood symptoms only occur during the residual psychotic stage and do not occur during a large part of the psychotic episode, the individual may have Schizophrenia
- 12.If a client with schizophrenia experiences catatonic behaviors, disorganized speech & behavior, hallucinations, and delusions, their Schizophrenia subtype is:
- A.
Paranoid
- B.
Disorganized
- C.
Catatonic
- D.
Undifferentiated
- E.
Residual
- 13.A client could NOT be diagnosed with:
- A.
Delusional Disorder & Paranoid Personality Disorder
- B.
Delusional Disorder & Schizotypal Personality Disorder
- C.
Schizotypal Personality Disorder & Paranoid Personality Disorder
- D.
Delusional Disorder & Paranoid Personality Disorder & Schizotypal Personality Disorder
- E.
All of these are valid sets of diagnoses
- 14.When considering diagnosing Schizoaffective Disorder, a patient's lack of eating due to a delusion that people are poisoning his food should not count as a symptom of mood disorder.
- A.
True
- B.
False
- 15.An individual has been having a non-bizarre delusion for six weeks and has been diagnosed with Delusional Disorder. The individual is now experiencing a concurrent Major Depressive Episode (with depressed mood) in addition to the delusion. Since the individual experienced psychotic symptoms with and without a mood disorder for sufficient time, they should be rediagnosed as Schizoaffective Disorder.
- A.
True
- B.
False
- 16.Hypochondriasis and Delusional Disorder, Somatic Type both share a preoccupation with fear of contracting or having a serious disease. The way to differentiate them is based on:
- A.
Duration of symptom presentation
- B.
Presence of other psychotic symptoms
- C.
Intensity of belief
- D.
None, in this situation Delusional Disorder always preempts Hypochondriasis
- 17.An individual has a sudden onset of psychotic symptoms (hallucinations and delusions) and mood symptoms (meeting criteria for a Major Depressive Episode), These concurrent symptoms last three weeks and then become completely resolved.What is the diagnosis?
- A.
Brief Psychotic Disorder and Mood Disorder with Psychotic Features
- B.
Brief Psychotic Disorder and Mood Disorder NOS
- C.
Mood Disorder with Psychotic Features
- D.
Brief Psychotic Disorder
- 18.An individual experienced a Major Depressive Episode, but has a full remission lasting three months. After this, the individual begins to experience depressed mood for most of the day along with overeating and low self-esteem for the next two years. Since three months separated the Major Depressive Episode from the onset of the new symptoms, there is a diagnosis of Dysthymic Disorder.
- A.
True
- B.
False
- 19.An individual had a Major Depressive Episode four years ago. Starting two years ago, the individual experienced recurrent periods of depressive symptoms (none meeting Major Depressive Episode criteria) and hypomanic symptoms (only half of which meet criteria for Hypomanic Episodes) for two years. What may the diagnosis be?
- A.
Dysthymic Disorder
- B.
Cyclothymic Disorder
- C.
Bipolar I Disorder
- D.
Bipolar II Disorder
- 20.
- A.
2
- B.
4
- C.
8
- D.
12
- 21.After serving in the Vietnam War, an individual develops PTSD and is diagnosed and treated for it. Years later, he seeks a therapist because he's experienced panic attacks and doesn't understand why. Although they feel unexpected to the client, the therapist recognizes they're situationally bound to anytime the client hears planes flying overhead (because of his PTSD). What type of panic attack is this therefore?
- A.
Unexpected
- B.
Situationally predisposed
- C.
Situationally bound
- D.
It depends on the client's reaction when the therapist tells him
- 22.Specific Phobia IS TO Hypochondriasis AS _____________ IS TO ______________.
- A.
Fear of currently having a disease; fear of contracting a disease
- B.
Fear of currently having a disease; fear of spreading disease
- C.
Fear of contracting disease; fear of currently having a disease
- D.
Fear of contracting disease; fear of spreading disease
- 23.A person with _________________ is likely to be concerned about their quality of performance when there are observers, whereas a person with ________________ is likely to be concerned about the quality of their performance regardless of observers.
- A.
Social Phobia; Generalized Anxiety Disorder
- B.
Generalized Anxiety Disorder; Social Phobia
- C.
Generalized Anxiety Disorder; Agoraphobia
- D.
Social Phobia; Avoidant Personality Disorder
- 24.Which of the following is true?
- A.
If an individual meets all of the criteria for PTSD in response to a non-extreme stressor, they may meet the criteria for an Adjustment Disorder
- B.
If an individual meets almost all of the criteria for PTSD in response to an extreme stressor, they may meet the criteria for an Adjustment Disorder
- C.
Both A & B are true
- D.
Nothing about diagnostic criteria regarding PTSD relates to Adjustment Disorder
- 25.Brief Psychotic Disorder IS TO Schizophreniform Disorder AS ______________ IS TO ___________.
- A.
Acute Stress Disorder; Posttraumatic Stress Disorder
- B.
Adjustment Disorder; Posttraumatic Stress Disorder
- C.
Acute Stress Disorder; Adjustment Disorder
- D.
Acute Stress Disorder; Anxiety Disorder NOS
- 26.A client who had developed Anorexia Nervosa one year ago has now been successfully treated for it. However, the client now has clinically significant social phobic symptoms that are related to the social impact of having had the disorder (client is still visibly very very thin). What diagnose may this meet the criteria for?
- A.
Body Dysmorphic Disorder
- B.
Social Phobia
- C.
Specific Phobia, Somatic Type
- D.
Anxiety Disorder Due to a General Medical Condition
- E.
Anxiety Disorder - NOS
- 27.An individual meets the criteria for Depressive Disorder. The patient complains that the hypersomnia and low energy lead to chronic headaches. These headaches have been occurring for over six months and are not due to use of medication. Which diagnoses may be applied?
- A.
Undifferentiated Somatoform Disorder & Depressive Disorder
- B.
Undifferentiated Somatoform Disorder
- C.
Depressive Disorder
- D.
Somatoform Disorder NOS & Depressive Disorder NOW
- 28.
- A.
Acute Stress Disorder
- B.
Acute Stress Disorder & Dissociative Amnesia
- C.
Dissociative Amnesia
- D.
Posttraumtic Stress Disorder
- 29.A person experiences a recurrent sensation of being detached from their body, as if they were in a dream. If they maintain adequate reality testing, they may be diagnosed as ____________. If they fail to maintain reality testing and intensely believe they really are in a dream, they may be diagnosed as ____________.
- A.
Depersonalization Disorder; Delusional Disorder
- B.
Depersonalization Disorder; Dissociative Disorder NOS
- C.
Dissociative Disorder NOS; Delusional Disorder
- D.
Dissociative Disorder NOS; Dissociative Disorder NOS
- 30.Four months after a traumatic stressor, an individual begins to experience many stressful symptoms related to the experience. Without knowing the symptoms, which one of the following could it be?
- A.
Acute Stress Disorder
- B.
Posttraumatic Stress Disorder
- C.
Adjustment Disorder
- D.
Brief Psychotic Disorder
- 31.Autism and Schizoid Personality Disorder share this in common, ____________, but can be differentiated because ________________.
- A.
Flattened affect; the former typically chooses solitary activities
- B.
Flattened affect; the latter displays no repetitive stereotyped behavior
- C.
Paranoid ideation; the former typically chooses solitary activities
- D.
Paranoid ideation; the latter displays no repetitive stereotyped behavior
- 32.Narcissistic Personality Disorder and Obessive-Compulsive Personality Disorder share this in common, ____________, but can be differentiated because ________________.
- A.
Perceive self in grandiose ways; the former claims to have reached perfection whereas the latter is self-critical
- B.
Perceive self in grandiose ways; the latter engages in antisocial behavior
- C.
Profess commitment to perfectionism; the former claims to have reached perfection whereas the latter is self-critical
- D.
Profess commitment to perfectionism; the latter engages in antisocial behavior
- 33.Borderline Personality Disorder and Dependent Personality Disorder share this in common, ____________, but can be differentiated because ________________.
- A.
Paranoid ideation; the former acts glib for attention whereas the latter acts glib for material gains
- B.
Paranoid ideation; the former responds to potential abandonment with emptiness and rage whereas the latter responds with submissiveness
- C.
Intense need to be in a relationship; the former acts glib for attention whereas the latter acts glib for material gains
- D.
Intense need to be in a relationship; the former responds to potential abandonment with emptiness and rage whereas the latter responds with submissiveness
- 34.A key characteristic that Personality Disorders have in common is __________________.
- A.
Each corresponds to an Axis I disorder
- B.
Inflexibility
- C.
Inappropriately intense emotional reactions to certain stimuli
- D.
Must be seen from very early childhood
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