STUDY-MODE - Practice Exam 1 Flashcards
As described in the DSM-5, _______________ is the likely diagnosis for an adult client who has experienced a depressed mood, a poor appetite, and impaired concentration for most of the day on most days for over two years.
Select one:
A. Dysthymic Disorder
B. Mood Disorder NOS
C. Persistent Depressive Disorder
D. Unspecified Depressive Disorder
Answer C is correct: The client’s symptoms are consistent with a diagnosis of Persistent Depressive Disorder.
Answer A: Dysthymic Disorder is not a DSM-5 diagnosis.
Answer B: Mood Disorder NOS is not a DSM-5 diagnostic category.
Answer D: Unspecified Depressive Disorder applies when a clinician does not want to indicate the reason why a client’s symptoms do not meet the criteria for a specific depressive disorder.
The correct answer is: Persistent Depressive Disorder
Your new client, a college freshman, says she sometimes has an "out of body" experience in which she is watching what she is doing from outside herself. She describes a recent experience in which she was in her dorm room writing a paper when she realized she couldn't feel her fingers on the computer keyboard or her feet on the floor and then suddenly felt like she was watching herself from the ceiling. The client says that these episodes make her feel like she's "going crazy" and are interfering with her ability to attend class and complete course assignments. The client's symptoms are most suggestive of a DSM-5 diagnosis of: Select one:
A. Delusional Disorder
B. Dissociative Fugue
C. Depersonalization/Derealization Disorder
D. Depersonalization Disorder
Answer C is correct: Depersonalization/Derealization Disorder is characterized by recurrent episodes of depersonalization (a sense of unreality, detachment, or being an outside observer of one’s thoughts, feelings, etc.) and/or derealization (a sense of unreality or detachment involving one’s surroundings) that cause clinically significant distress or impaired functioning.
Answer A: Delusional Disorder involves one or more delusions that last at least one month. As defined in the DSM-5, a delusion is “a false belief based on incorrect inference about external reality that is firmly held despite what almost everyone else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary” (p. 819).
Answer B: A dissociative fugue is characterized by apparently purposeful travel with an inability to recall some or all of one’s past and is included in the DSM-5 as a specifier for Dissociative Amnesia.
Answer D: Depersonalization Disorder is not a DSM-5 diagnosis.
The correct answer is: Depersonalization/Derealization Disorder
The most likely DSM-5 diagnosis for a person who experiences genital pain during sexual intercourse that causes significant distress and cannot be better explained by a non-sexual mental disorder, relationship distress, or a medical condition is which of the following?
Select one:
A. Dyspareunia
B. Vaginismus
C. Genito-Pelvic Pain/Penetration Disorder
D. Other Specified Sexual Dysfunction
Answer C is correct: The symptoms listed in this questions are consistent with the DSM-5 diagnosis of Genito-Pelvic Pain/Penetration Disorder.
The correct answer is: Genito-Pelvic Pain/Penetration Disorder
Older adults are at a particularly high risk for ________, with the risk being increased by medical illness and surgery.
Select one: A. depersonalization B. derealization C. dementia D. delirium
Advancing age is one of the factors that increases the risk for delirium.
a. Incorrect See explanation for Answer D.
b. Incorrect See explanation for Answer D.
c. Incorrect See explanation for Answer D.
d. CORRECT Several factors place people at higher risk for delirium. People over 60 are usually cited as the group at highest risk in general. Moreover, the risk for this population increases as the result of a medical illness or surgery. Other high risk factors include cardiotomy, burns, and rapid withdrawal from alcohol or a sedative, hypnotic, or anxiolytic.
The correct answer is: delirium
A person with seasonal affective disorder (SAD) is most likely to exhibit which of the following symptoms?
Select one:
a. overeating and weight gain
b. loss of appetite without weight loss
c. insomnia
d. a craving for salty foods
Your answer is incorrect.
Common symptoms of SAD are listed in the Abnormal Psychology chapter of the written study materials.
a. CORRECT - People with SAD usually experience hypersomnia, increased appetite and weight gain, and a craving for carbohydrates.
b. Incorrect - This is not characteristic of SAD.
c. Incorrect - Hypersomnia (not insomnia) is characteristic of SAD.
d. Incorrect - People with SAD often experience a craving for carbohydrates.
The correct answer is: overeating and weight gain
Restlessness, psychomotor agitation, flushed face, diuresis, rambling speech, and muscle twitching are most suggestive of which of the following?
Select one:
A. Alcohol Withdrawal
B. Caffeine Intoxication
C. Cocaine Intoxication
D. Hyperthyroidism
It is sometimes difficult to distinguish between substance-induced disorders and medical conditions.
a. Incorrect Alcohol Withdrawal is characterized by tremor, nausea and vomiting, autonomic hyperactivity, depressed mood and irritability, transient illusions and hallucinations, and insomnia.
b. CORRECT The symptoms listed in the question are characteristic of Caffeine Intoxication.
c. Incorrect Cocaine Intoxication is marked by euphoria, grandiosity, hypervigilance, impaired judgment, rambling and incoherent speech, perspiration, chills, and visual or tactile hallucinations.
d. Incorrect Hyperthyroidism, an endocrine disorder, produces weight loss, increased appetite, intolerance to heat, tremors, and rapid heart rate.
The correct answer is: Caffeine Intoxication
Research investigating high-risk situations associated with relapse for a variety of addictive and other problem behaviors has shown that which of the following accounts for nearly three-fourths of relapse incidents?
Select one:
A. urges and temptations
B. negative and positive emotional states and negative physical states
C. social pressure, interpersonal conflicts, and negative physical states
D. negative emotional states, interpersonal conflicts, and social pressure
Of the various precipitants of relapse, negative emotional states have been found to be the most frequent cause.
a. Incorrect According to Marlatt and Gordon (1985), urges and temptations account for about 11% of relapses among alcoholics (and for similar rates for other types of addictions).
b. Incorrect Although negative emotional states are important determinants of relapse, positive emotional states and negative physical states are less predictive than interpersonal conflicts and social pressure (response d).
c. Incorrect This response can be eliminated because it doesn’t include negative emotional states.
d. CORRECT Marlatt and Gordon report that, for alcoholics, 38% of incidents of relapse are related to negative emotional states; 18% to interpersonal conflicts; and 18% to social pressure. Together, these three account for nearly three-fourths of relapse incidents.
The correct answer is: negative emotional states, interpersonal conflicts, and social pressure
John Conger (1956) offered the tension-reduction model of alcohol consumption as an explanation for: Select one:
A. satiation.
B. habituation.
C. addiction.
D. tolerance.
J. Conger’s model provides an explanation for alcohol addiction (Reinforcement theory and the dynamics of alcoholism, Quarterly Journal of Studies on Alcohol, 17, 296-305, 1956).
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT Conger’s theory proposes that drinking is reinforced by its tension reduction properties (i.e., drinking recurs because it removes anxiety and stress) and that this effect eventually leads to addiction.
d. Incorrect See explanation for response c.
The correct answer is: addiction.
A woman and her husband, who have been married for two years, come for marital therapy. The woman complains about her husband’s lack of interest in family activities and in their 9-month-old child, his lack of affection toward her, and his lack of interest in sex. The husband, who says he did not want to come to therapy at all, states that he is a “loner,” that he has always had few friends, and that he has never really been interested in his family. He seems quite aloof and emotionally unresponsive. Your tentative diagnosis is:
Select one:
a. Avoidant Personality Disorder.
b. Schizoid Personality Disorder.
c. Schizoaffective Disorder.
d. Schizotypal Personality Disorder.
Your answer is correct.
The husband’s symptoms appear to be long-term and experienced by him as ego-syntonic, thereby suggesting a personality disorder.
a. Incorrect - An individual with Avoidant Personality Disorder desires close interpersonal relationships but avoids them in order to avoid being hurt.
b. CORRECT - The husband’s symptoms are most suggestive of Schizoid Personality Disorder which is characterized by detachment from social relationships and a restricted range of emotional expression.
c. Incorrect - Schizoaffective Disorder involves a combination of schizophrenic and affective symptoms. This man does not exhibit the psychotic symptoms (hallucinations and delusions) that must be present for this diagnosis.
d. Incorrect - The husband does not seem to have the cognitive or perceptual distortions and eccentricities that are characteristic of Schizotypal Personality Disorder.
The correct answer is: Schizoid Personality Disorder.
A young woman has just received a diagnosis of Schizophrenia. Which of the following family members is most likely to receive the same diagnosis?
Select one:
a. her father
b. her grandmother
c. her identical twin
d. her biological brother
Your answer is correct.
The research has consistently confirmed a genetic contribution to Schizophrenia.
a. Incorrect - See explanation for response c.
b. Incorrect - See explanation for response c.
c. CORRECT - The closer the genetic similarity, the higher the concordance rate for Schizophrenia. The woman’s identical twin is most similar to her in terms of genetic make-up and, therefore, most likely to also receive the diagnosis.
d. Incorrect - See explanation for response c.
The correct answer is: her identical twin
__________ is a cause of delirium and may result from kidney or liver failure or from diabetes mellitus, hypo- or hyperthyroidism, vitamin deficiency, electrolyte imbalance, severe dehydration, or a number of other conditions.
Select one:
a. Gerstmann’s syndrome
b. Cushing’s syndrome
c. Wernicke’s encephalopathy
d. Metabolic encephalopathy
Your answer is incorrect.
If you are unfamiliar with the disorder being asked about by this question, you may have been able to identify the correct answer through the process of elimination.
a. Incorrect - Gerstmann’s syndrome is caused by damage to certain areas of the parietal lobe and involves a combination of finger agnosia, right-left confusion, agraphia, and acalculia.
b. Incorrect - Cushing’s syndrome is caused by excessively high levels of cortisol resulting from the use of glucocorticoids or an abnormality in the pituitary or adrenal gland.
c. Incorrect - Wernicke’s encephalopathy is caused by lesions in certain areas of the brain~ especially the thalamus and mammillary bodies~ often as the result of a thiamine deficiency.
d. CORRECT Metabolic encephalopathy is a state of global brain dysfunction. Its symptoms range from impairments in executive functioning to agitated delirium to coma.
The correct answer is: Metabolic encephalopathy
The symptoms of Oppositional Defiant Disorder are categorized in three groups in the DSM-5. These groups are:
Select one:
A. destruction of property, deceitfulness or theft, and serious violations of rules.
B. negativistic, defiant, and hostile behavior.
C. deceitfulness/dishonesty, irritability/aggressiveness, and failure to conform to social norms.
D. angry/irritable mood, argumentative/defiant behavior, and vindictiveness.
Answer D is correct: Angry/irritable mood, argumentative/defiant behavior, and vindictiveness are the three categories of symptoms included in the DSM-5 for Oppositional Defiant Disorder.
Answer A: These are three of the four categories of symptoms included in the DSM-5 for Conduct Disorder (the fourth is aggression to people and animals).
Answers B and C: See explanation for answer D.
The correct answer is: angry/irritable mood, argumentative/defiant behavior, and vindictiveness.
Alcohol Withdrawal is characterized by:
Select one:
a. dysphoric mood, vivid dreams, insomnia or hypersomnia, and increased appetite.
b. hand tremor, insomnia, hallucinations, and seizures.
c. incoordination, nystagmus, impaired memory, and mood lability.
d. dysphoric mood, pupillary dilation, insomnia, and fever.
Your answer is incorrect.
Answer B is correct: Alcohol Withdrawal is diagnosed in the presence of at least two characteristic symptoms within several hours to a few days following cessation or reduction of alcohol consumption, e.g., hand tremor; insomnia; transient illusions or hallucinations; and generalized tonic-clonic seizures.
Answer A: These symptoms are characteristic of Stimulant Withdrawal.
Answer C: These are symptoms of Alcohol Intoxication.
Answer D: These symptoms are associated with Opioid Withdrawal.
The correct answer is: hand tremor, insomnia, hallucinations, and seizures.
Which of the following suggests that a DSM-5 diagnosis of Anorexia Nervosa is more appropriate than a diagnosis of Bulimia Nervosa?
Select one:
A. the presence of episodes of binging and purging
B. a disturbance in body image
C. menstrual irregularities
D. persistent restriction of energy intake
Answer D is correct: This question is asking which symptom is characteristic of Anorexia but not Bulimia. One of the DSM-5 diagnostic criteria for Anorexia (but not Bulimia) is a “restriction of energy intake relative to requirements, leading to a significantly low body weight” (p. 338).
Answer A: While binging and purging are classic signs of Bulimia Nervosa, some individuals with Anorexia engage in binging and purging, and the DSM-5 includes binge-eating/purging type as a specifier for Anorexia.
Answer B: Anorexia Nervosa and Bulimia Nervosa both involve a disturbance in the perception of one’s body weight or shape.
Answer C: Menstrual irregularity is an associated feature of both disorders.
The correct answer is: persistent restriction of energy intake
The majority of older adults who complete suicide have a psychiatric disorder at the time of their death, with __________ being the most common diagnosis.
Select one:
A. Major Depressive Disorder
B. Substance Use Disorder
C. Major Neurocognitive Disorder
D. Generalized Anxiety Disorder
Answer A is correct. The research has been fairly consistent in identifying Major Depressive Disorder as a significant risk factor for suicide among older adults. In their review of psychological autopsy studies of older adults who completed suicide, Y. Conwell, P. R. Duberstein, and E. D. Caine report that Major Depressive Disorder was identified as the most common psychiatric diagnosis [Risk factors for suicide in later life, Biological Psychiatry, 52, 193-204, 2002]. While Substance Use Disorders, Major Neurocognitive Disorder, and Anxiety Disorders were also linked to suicide in these studies, they were present in a smaller number of cases.
The correct answer is: Major Depressive Disorder
During the postpartum period, approximately _____ of women experience postpartum depression.
Select one:
A. 1 to 2%
B. 10 to 15%
C. 25 to 30%
D. 45 to 50%
Postpartum depression is a mood disorder that begins within several weeks following delivery.
a. Incorrect See explanation for response b.
b. CORRECT Ten to 15% is the rate most often reported in the literature for postpartum depression in the United States. Factors associated with an increased risk for postpartum depression include having difficulty getting pregnant, having twins or triplets, having premature labor and delivery, experiencing pregnancy and birth complications, and having a baby during adolescence. See, e.g., CDC, Prevalence of self-reported postpartum depression - 17 states, 2004-2005, Morbidity and Mortality Weekly Report, 57(14), 361-366, 2008.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: 10 to 15%
Maxine M. states she believes that messages on a particular radio station are being broadcast especially to her. Maxine is displaying which of the following?
Select one:
A. illusion
B. hallucination
C. delusion
D. blocking
All of the phenomena listed in the answers are characteristic of Schizophrenia and other disorders, but only one describes the woman’s symptom.
a. Incorrect An illusion is a distorted perception or memory.
b. Incorrect An hallucination is a false perception. A person is hallucinating, for example, if she hears voices that are not really there.
c. CORRECT A delusion is a false belief that persists despite evidence to the contrary. The woman’s delusion (her interpretation of an external event as though it has special significance for her) is a “delusion of reference.”
d. Incorrect Blocking is an abrupt, involuntary interruption in the flow of speech or thought.
The correct answer is: delusion
A 35-year old client has a history of relationship problems. Although he usually makes a good first impression, his friendships don’t last very long. He attributes this problem to the fact that other people are jealous of what he has accomplished. The client has a great idea that will “revolutionize the field of telemarketing,” but, so far, no one has recognized the potential importance of his contribution. He left his wife six months ago and spends very little time with his two-year old son. He has been busy “doing what he wants to do,” which has included moving into an expensive condominium, buying a new sports car, and dating as many attractive women as possible. These characteristics are most suggestive of:
Select one:
a. Histrionic Personality Disorder.
b. Narcissistic Personality Disorder.
c. Schizotypal Personality Disorder.
d. Delusional Disorder, grandiose type.
Your answer is correct.
The man’s primary symptoms are grandiosity and lack of empathy.
a. Incorrect - A diagnosis of Histrionic Personality Disorder requires a pattern of excessive emotionality and attention-seeking.
b. CORRECT - These are core features of Narcissistic Personality Disorder.
c. Incorrect - A diagnosis of Schizotypal Personality Disorder requires the presence of pervasive social and interpersonal deficits and eccentricities in cognition, perception, and behavior.
d. Incorrect - A diagnosis of Delusional Disorder is made in the presence of one or more non bizarre delusions with unimpaired functioning apart from the impact of the delusions.
The correct answer is: Narcissistic Personality Disorder.
Linehan’s (1993) dialectical behavior therapy (DBT) for borderline personality disorder is based on the assumption that this disorder is due to:
Select one:
A. a boundary disturbance.
B. learned helplessness.
C. emotion dysregulation.
D. pathologic internalized object relations.
A key assumption underlying DBT is that the central problem in borderline personality disorder (BPD) is a dysfunctional emotion regulation system, which may be the result of genetic factors, events that occurred during prenatal development, and/or early trauma that adversely affected the brain.
a. Incorrect Boundary disturbances are viewed as the cause of neurotic behavior by Gestalt therapists.
b. Incorrect Learned helplessness has been linked to depression.
c. CORRECT Linehan has described BPD as resulting from emotion dysregulation, which is viewed as due to a combination of a biological predisposition to react to even low levels of stress and other forms of provocation with intense and long-lasting emotions and an emotion-invalidating environment. According to Linehan, most of the behaviors associated with BPD are attempts to regulate intense emotions or the undesirable outcomes of emotion dysregulation.
d. Incorrect Kernberg identified pathologic internalized object relations as the etiological factor in BPD.
The correct answer is: emotion dysregulation.
Cataplexy is often triggered by which of the following?
Select one:
A. smells associated with a traumatic event
B. physical fatigue
C. strong emotions
D. stimuli associated with a feared object or event
Cataplexy is a brief episode of a sudden loss of muscle tone that is associated with narcolepsy. a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT Cataplexy occurs in the majority of individuals who have narcolepsy and is triggered by strong emotions (most often positive emotions such as joking and laughing but also by anger).
d. Incorrect See explanation for response b.
The correct answer is: strong emotions
Meta-analyses of research on the treatment of pediatric acute lymphoblastic leukemia with cranial radiation or chemotherapy have found that:
Select one:
A. either treatment alone is associated with decreased intellectual functioning and lower academic achievement.
B. only cranial radiation is associated with decreased intellectual functioning and lower academic achievement.
C. only chemotherapy is associated with decreased intellectual functioning and lower academic achievement.
D. they are associated with decreased intellectual functioning and lower academic achievement only when used in combination.
A number of studies have confirmed that radiation and chemotherapy improve survival rates but are associated with a number of negative consequences.
a. CORRECT Either treatment alone has substantial negative effects on intellectual functioning and academic achievement, although the effects vary from individual to individual and may be less severe for chemotherapy. In addition, the negative effects are largely irreversible and may worsen over time. See, e.g., C. C. Peterson et al., A meta-analysis of the neuropsychological sequelae of chemotherapy-only treatment for pediatric acute lymphoblastic leukemia, Pediatric Blood Cancer, 51, 99-104, 2008.
b. Incorrect See explanation above.
c. Incorrect See explanation above.
d. Incorrect See explanation above.
The correct answer is: either treatment alone is associated with decreased intellectual functioning and lower academic achievement.
Which of the following has been found to be the strongest predictor of Intellectual Disability with an unknown etiology?
Select one:
A. paternal health
B. female gender
C. large family size
D. low birth weight
Answer D is correct: Croen et al. (2001) investigated individual and family characteristics of children with a mild or severe Intellectual Disability with an unknown etiology and found low birth weight to be the strongest predictor of both levels of disability.
Answers A, B, and C: See explanation for answer D.
The correct answer is: low birth weight
Based on the initial evaluation of a 15-year-old boy, a clinician believes the nature and number of his symptoms suggest a DSM-5 diagnosis of Attention-Deficit/Hyperactivity Disorder, predominantly inattentive presentation. Before assigning the diagnosis, the clinician will want to confirm that some symptoms were present before the boy was _____ years of age and that he exhibits them in at least _____ settings.
Select one:
A. 7; 2
B. 12; 2
C. 6; 3
D. 10; 3
Answer B is correct: For a diagnosis of ADHD, the DSM-5 requires that “several inattentive or hyperactive-impulsive symptoms were present prior to age 12” (p. 60) and that symptoms are present in at least two settings.
The correct answer is: 12; 2
A dimensional approach to diagnosis is based on a(n) ________ of attributes.
Select one:
a. quantification
b. categorization
c. exclusion
d. dichotomization
There are two basic approaches to diagnosis - categorical classification and dimensional classification. The DSM utilizes a categorical approach, which involves determining whether or not a person meets the criteria for a given diagnosis.
a. CORRECT - When using a dimensional approach~ the individual is ranked on a quantitative dimension (e.g., on a scale from 1 to 10) on each symptom or other characteristic.
b. Incorrect - See explanation for response a.
c. Incorrect - See explanation for response a.
d. Incorrect - See explanation for response a.
The correct answer is: quantification