Behavioral Health: Personality Disorders

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Behavioral Health: Personality Disorders

A whole quizzie on Personality disorders, woooo hoooo! I got all of these case studies from Exam-master test questions on the LRC website, and the rest of the information from the powerpoint presentation! :) After doing this quiz, it will probably be helpful to go over the case studies that we did writing assignments on earlier in the term, because she said those might be on the test. . . If you aren't all "case-studied" out by the time you are done with this quizzie! It will be helpful to read the extra information on some of the questions after you submit the answer, because the Exam-master website explains things in a way that's very easy to understand!


Questions and Answers
  • 1. 
    Frances, an only child, is a 20-year-old receptionist in a wholesale dress house who feels that she hasn't been discovered yet by the fashion world. She has done some showroom modeling for customers and is always daydreaming that she will be swept off her feet by the next wealthy man who comes through the door. Eating in the local restaurants, she always takes the opportunity to complain about the clumsy waiters, the inept service, or the poor quality of the food. Frances engages in a rich fantasy life in which she is adored and loved by crowds of onlookers and where she gets even with all the people whom she perceives have been mean to her. She would be diagnosed with:
    • A. 

      Histrionic Personality Disorder

    • B. 

      Narcissistic Personality Disorder

    • C. 

      Borderline Personality Disorder

    • D. 

      Dependent Personality Disorder

    • E. 

      Immature Personality Disorder

  • 2. 
    Matt is an active, physically strong, and exceptionally tall 18-year-old 12th grader who stays out late at night with his friends, despite his parents forbidding it. He ran away from home several times when he was younger and is truant from school frequently. His grades are poor and he has been left back and placed in special education classes. The school psychologist gave him a diagnosis of Conduct Disorder when he was 13. When he attends school now, he threatens and intimidates students and teachers and seems to enjoy getting into fights. He has attacked one student with a brick and boasts that he carries a knife and has a gun hidden on school grounds. Matt has never expressed feelings of remorse for his actions. A good talker, he often engages in conning his teachers and enjoys the attention it seems to get from the other kids. A favorite weekend activity in which Matt has been engaging for the past several years is shoplifting. Your diagnosis would be:
    • A. 

      Oppositional Defiant Disorder

    • B. 

      Conduct Disorder

    • C. 

      Antisocial Personality Disorder

    • D. 

      Disruptive Behavior Disorder Not Otherwise Specified (NOS)

    • E. 

      Attention-Deficit/Hyperactivity Disorder (NOS)

  • 3. 
    A 32-year-old Hispanic man comes to your general practice office for the first time. In the course of taking his history, the man mentions several times that he feels exploited by his employees and that he doubts their loyalty to his company. "In fact," he says, "I have even overheard them talking about how they would change the company if I were no longer in charge." He says he is consequently reluctant to confide in others, especially in his business partner, and he even wonders if he should be telling you all this since you have just met. Based on this information alone, you might suspect that his man is suffering from which personality disorder?
    • A. 

      Paranoid Personality Disorder

    • B. 

      Schizoid Personality Disorder

    • C. 

      Schizotypal Personality Disorder

    • D. 

      Antisocial Personality Disorder

    • E. 

      Histrionic Personality Disorder

  • 4. 
    Samantha is the perfect homemaker. She loves to clean and spend much of her time looking around her home for things which may require straightening or dusting. Unable to relax, she has been accused of being a perfectionist and, in fact, finds it hard to enjoy golf with her husband because she finds he doesn't take it seriously enough. While her home is extremely neat and clean, her attic contains boxes filled with old buttons, magazines, food coupons, and bits of string and broken lamps because, as she says, "you never know, you may need them". Extremely careful with her money, she is overly concerned with being left with no money and feels it is only right that people save as much as possible, even if it means denying her family little things they would like, such as an occasional movie. Her diagnosis would be:
    • A. 

      Borderline Personality Disorder

    • B. 

      Dependent Personality Disorder

    • C. 

      Obsessive-Compulsive Personality Disorder

    • D. 

      Obsessive-Compulsive Disorder

    • E. 

      Anxiety Disorder NOS

  • 5. 
    Aversion therapy, such as might be used to treat a habitual sex offender, is designed to change an individual's behavior by making the consequences of a maladaptive behavior extremely unpleasant. This is an example of:
    • A. 

      Psychoanalytic Psychotherapy

    • B. 

      Cognitive Therapy

    • C. 

      Behavioral Therapy

    • D. 

      Family Therapy

    • E. 

      Group Therapy

  • 6. 
    Violating the rights of others and being unable to conform to the norms of society is symptomatic of:
    • A. 

      Paranoid Personality Disorder

    • B. 

      Antisocial Personality Disorder

    • C. 

      Schizotypal Personality Disorder

    • D. 

      Borderline Personality Disorder

    • E. 

      Dissociative Fugue

  • 7. 
    Your client is fearful of asking a woman out on a date because he has been rejected in the past. While being hurt, he has decided that "all relationships with women invariably hurt men." You begin exploring the validity of this statement with your client by having him make a list of his male friends, and then you give him an assignment to contact each man and ask them if all women they have been involved with have hurt them. This assignment best fits a model of:
    • A. 

      Psychoanalytic Psychotherapy

    • B. 

      Cognitive Therapy

    • C. 

      Behavioral Therapy

    • D. 

      Family Therapy

    • E. 

      Group Therapy

  • 8. 
    Those with a phobic disorder tend to respond well to:
    • A. 

      Psychoanalytic Psychotherapy

    • B. 

      Family Therapy

    • C. 

      Biofeedback

    • D. 

      Group Therapy

    • E. 

      Behavior Therapy

  • 9. 
    A 40-year-old male comes to see you at the insistence of his wife. He states that there is nothing wrong with him, but if seeing a psychiatrist will shut his wife up, then he is willing to do it. The client is a very successful businessman. He tells you that his wife recommended he see a therapist, but he stated that if he was going to receive counseling then he wanted to see a psychiatrist because they have more education. The patient states that his wife is frustrated because they have no friends, and that the client is too picky about people. Upon further elaboration the client says that he is not going to spend time with just anyone, and that spending time with people less educated and intelligent then himself was a waste of time. When asked about his job, the client states that it is okay, but he is under appreciated. He says that without him the company would never make any money, but that nobody ever recognizes how important he is to the company. What DSM-IV diagnosis do you suspect for this client?
    • A. 

      Borderline Personality Disorder

    • B. 

      Histrionic Personality Disorder

    • C. 

      Antisocial Personality Disorder

    • D. 

      Narcissistic Personality Disorder

    • E. 

      Obsessive-Compulsive Personality Disorder

  • 10. 
    Schizotypical Personality Disorder is best defined by which of the following?
    • A. 

      A pervasive pattern of disturbed interpersonal relationships

    • B. 

      A disturbance of interpersonal relationships due to discomfort with close interaction with others

    • C. 

      A pervasive fear of rejection of others, and a resulting avoidant pattern of interpersonal relationships

    • D. 

      Pervasive social detachment and restricted affect

    • E. 

      Moderate psychotic-like symptoms

  • 11. 
    Which of the following would be CONTRAINDICATED in the psychotherapy of the person with Borderline Personality Disorder?
    • A. 

      Open therapist-patient boundaries

    • B. 

      Use of medications

    • C. 

      Highly structured sessions

    • D. 

      Stress interview

  • 12. 
    Tom is a 28-year old, single, high-school educated truck driver who has been working for the same company for 10 years. He has had few raises and puts in overtime whenever he is asked. Rarely dating, Tom lives with his parents who handle his money, pay his bills, and purchase his clothing for him. Tom got his job through an uncle who told his parents it would be a good place for him to work. You diagnose him with:
    • A. 

      Dependent Personality Disorder

    • B. 

      Schizoid Personality Disorder

    • C. 

      Schizotypal Personality Disorder

    • D. 

      Borderline Personality Disorder

    • E. 

      Antisocial Personality Disorder

  • 13. 
    A woman brings her 25-year-old son to your office for evaluation. She says that he never goes out and she complains that "it is high time he finds himself a girlfriend." In discussing this with the man in private, he reveals that he has never felt comfortable around other people because he feels too much pressure to "perform." He fears rejection. This man is probably suffering from which type of personality disorder?
    • A. 

      Obsessive-Compulsive Personality Disorder

    • B. 

      Narcissistic Personality Disorder

    • C. 

      Borderline Personality Disorder

    • D. 

      Dependent Personality Disorder

    • E. 

      Avoidant Personality Disorder

  • 14. 
    Maryann is a showroom model in New York City, where she models shoes. It is extremely important that she not get any marks on her ankles or legs and she takes very good care of her entire body. Twice a week, although she can hardly afford it, she has a massage and goes to the dermatologist to have hair removed on her legs and face. An attractive, blonde-haired woman of 23, she has completed secretarial school, which she refers to as "business college". Maryann is waiting to meet a rich millionaire in the showroom and wants to get married and live in a house in Connecticut with a full staff. Her boss tolerates her chronic lateness and excessive demands because she is attractive and, although she can be very condescending, his customers seem to find her amusing. When asked about her work, she always tells people she is a model and expects to be signed by a major agency very shortly. She is very unhappy because she feels unrecognized and envys the models in the magazines. You might diagnose her with
    • A. 

      Histrionic Personality Disorder

    • B. 

      Dependent Personality Disorder

    • C. 

      Borderline Personality Disorder

    • D. 

      Schizotypal Personality Disorder

    • E. 

      Narcissistic Personality Disorder

  • 15. 
    A 20-year-old male is referred by his school for behaviors that they feel are about to cause him to be expelled from school. He has been in trouble with the law for theft, bringing a weapon to school and his mother reports that he hangs around with a gang of boys that have been stealing cars and damaging property belonging to others. What would be your provisional diagnosis?
    • A. 

      Avoidant Personality Disorder

    • B. 

      Histrionic Personality Disorder

    • C. 

      Narcissistic Personality Disorder

    • D. 

      Antisocial Personality Disorder

    • E. 

      Borderline Personality Disorder

  • 16. 
    Of the following Personality Disorders, a person with which disorder is likely to be most resistant to therapy?
    • A. 

      Borderline Personality Disorder

    • B. 

      Narcissistic Personality Disorder

    • C. 

      Dependent Personality Disorder

    • D. 

      Histrionic Personality Disorder

    • E. 

      Schizoid Personality Disorder

  • 17. 
    You have been hired to work at a mental health clinic. Your colleague informs you that 60% of the patients have an axis II diagnosis and that 50% of the patients are female. He has been managing all of the male patients and requests you manage all of the female patients. If you agree, which of the following diagnoses are you both likely to see with equal frequency?
    • A. 

      Antisocial Personality Disorder

    • B. 

      Borderline Personality Disorder

    • C. 

      Avoidant Personality Disorder

    • D. 

      Obsessive-Compulsive Personality Disorder

    • E. 

      Paranoid Personality Disorder

  • 18. 
    Joanne is a 35-year old single female, who is very concerned that she will be abandoned by her boyfriend. She has always been very intense in her relationships, many times alternating between idealization and devaluation, often is highly impulsive, and engages in reckless driving and casual sex. When left alone, her thoughts turn to suicide and she has made several gestures in the past. Her mood ranges from intense dysphoria to anger and she sometimes suffers from feelings of dissociation. Your diagnosis would be
    • A. 

      Paranoid Personality Disorder

    • B. 

      Dependent Personality Disorder

    • C. 

      Borderline Personality Disorder

    • D. 

      Histrionic Personality Disorder

    • E. 

      Schizoid Personality Disorder

  • 19. 
    You have been working with a 25-year-old male who states that he feels sad all of the time. He states that he feels lonely, and that all of his relationships seem to fail. His last relationship ended just a few weeks ago and had only lasted about nine weeks. He says his relationships always start out great. He and his love interest will spend endless hours together discussing every detail of their lives. He states that a few weeks into the relationship, things always change. His girlfriends always pull away from him, and they stop respecting his needs. He often tells his girlfriends that if they leave him, he will kill himself. These threats are frequently followed by intense displays of anger. He has been hospitalized three times, once for overdosing on medication, and twice for superficial cuts to his arm. When asked about his parents, the client states that he rarely speaks with them. They do not seem to understand him or care about him as much as they do his siblings. Although this patient has had some college, he never seems to be able to settle on a major. He has a poor work history, frequently jumping from one career to next. He states that sometimes the jobs seem like more than he can handle, and he just wants something that does not require so much concentration. He further explains that he does not feel like getting up in the morning and has difficulty forcing himself to go to work. He frequently has difficulty sleeping and often spends hours tossing and turning in bed. He says he gets up in the morning feeling just as tired as he was when he went to bed. In accordance with the DSM-IV, what is the Axis II diagnosis for this patient?
    • A. 

      Histrionic Personality Disorder

    • B. 

      Schizotypal Personality Disorder

    • C. 

      Dependent Personality Disorder

    • D. 

      Antisocial Personality Disorder

    • E. 

      Borderline Personality Disorder

  • 20. 
    A 40-year-old male computer programmer comes to your office in a frantic state. He states that he is stalking out one of his friends, has been dangerously drinking and is under the influence of alcohol quite often, has a history of picking up strangers, reports a series of suicidal attempts, and seems to call in sick when he feels like it. He has no medical history and does not appear depressed. From talking to another therapist, this patient seems to have a history of self-damaging behaviors. What would be your provisional diagnosis?
    • A. 

      Schizoid Personality Disorder

    • B. 

      Schizotypal Personality Disorder

    • C. 

      Paranoid Personality Disorder

    • D. 

      Borderline Personality Disorder

    • E. 

      Antisocial Personality Disorder

  • 21. 
    Isolation is common among those with Schizoid Personality Disorder or Avoidant Personality Disorder. The distinction in this isolation between the two types of personality disorders is that someone with Avoidant Personality Disorder...
    • A. 

      Prefers isolation

    • B. 

      Is unhappy with isolation

    • C. 

      Lacks warmth

    • D. 

      Has restricted emotions

    • E. 

      Is egotistical

  • 22. 
    Managing a patient with a Dependent Personality Disorder would include:
    • A. 

      Setting firm limits

    • B. 

      Attention to detail

    • C. 

      Acknowledging their "uniqueness"

    • D. 

      Graded exposure

    • E. 

      Low-dose antipsychotics

  • 23. 
    A woman in her mid-thirties has a history of difficulty in social relationships. She is highly demanding and hyperfocused on her appearance. When she wants a haircut she refuses to wait for an appointment demanding she receive immediate service regardless if others were waiting ahead of her. She frequently ignores her boyfriend at social functions and is observed flirting with other men, even though he goes out of his way to try to please her. As a result of these behaviors, she has few if any close friends. This description is most indicative of which condition?
    • A. 

      Obsessive-Compulsive Personality Disorder

    • B. 

      Avoidant Personality Disorder

    • C. 

      Narcissistic Personality Disorder

    • D. 

      Manic Depressive Disorder

    • E. 

      Schizoid Personality Disorder

  • 24. 
    Which of the following is consistent with Histrionic Personality Disorder?
    • A. 

      Excessively expressionistic speech which is lacking in detail

    • B. 

      Unstable interpersonal relationships

    • C. 

      Identity disturbance

    • D. 

      Self-mutilating behavior

    • E. 

      Transient paranoid ideation

  • 25. 
    You have just come on duty at midnight in the emergency room and are being told about the current patients. First is a 36-year-old male with a deep laceration across his chest. The wound has been cleaned, and he is waiting to be sutured by the on-call surgeon. He has been demanding oxycodone (OxyContin) and has threatened several nurses for not complying. When you go to check on him, he is rummaging through the medical supplies in the cabinet in his room. He asks if you are going to "fix him up" or are "just another flunkie." You remain professional and ask him to give you some background information. He tells he is in a hurry because he has some business to finish with some guys who are after him. He is unkempt and has poor dental hygiene. While examining his wound, he asks you if there are any police officers in the emergency room and explains that they have been following him and harassing him for the last year. As you leave to find the surgeon, you inform him that threatening the staff will not be tolerated. He snorts and mutters something under his breath. As you are walking away, he calls after you to "get the surgeon in here." You suspect he may have
    • A. 

      Narcissistic Personality Disorder

    • B. 

      Histrionic Personality Disorder

    • C. 

      Antisocial Personality Disorder

    • D. 

      Paranoid Personality Disorder

    • E. 

      Borderline Personality Disorder

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