Question 1 Jamal is a 40 year-old African American male. He is brought to a loca

Question

Question 1

Jamal is a 40 year-old African American male. He is brought to a local, out-patient mental health facility by his wife. She expresses concern about him, because he has been withdrawn for the last 2 or 3 weeks. She describes him as being irritable and restless. She also says he eats very little and has lost almost 10 pounds in the past 2 weeks. He agrees that he has been irritable; however, he attributes his irritability to the fact that he has been unable to sleep for the past few weeks. Jamal used to play basketball with his friends, but he reports that he no longer has the energy to play. He reports having symptoms of depression and frequent suicidal thoughts. He has been under a considerable amount of work stress. He is a fork-lift driver for a local manufacturing plant. When asked to elaborate about his work stress, he says, “They want to fire me. They say I’m not productive like I used to be. I just can’t get focused.” He feels as though he “blacks out” frequently when he is at work. Jamal worries a lot about losing his job, because he needs to provide for his family. Jamal reports that he used to have periods where he had a lot of energy and could complete multiple projects simultaneously. But, he now feels so lethargic that he often thinks of suicide. Jamal reports that he experiences occasional headaches. He also suffered from a ruptured disc 5 years ago.

Based on the information provided, which diagnosis would best fit Jamal’s symptoms?

F41.1 Generalized anxiety disorder, provisional

F32.2 Major depressive disorder, single episode severe, provisional

F34.1 Persistent depressive disorder (dysthymia), provisional

All of the above

F34.8 Disruptive mood dysregulation disorder, provisional

1 points

Question 2

Jamal is a 40 year-old African American male. He is brought to a local, out-patient mental health facility by his wife. She expresses concern about him, because he has been withdrawn for the last 2 or 3 weeks. She describes him as being irritable and restless. She also says he eats very little and has lost almost 10 pounds in the past 2 weeks. He agrees that he has been irritable; however, he attributes his irritability to the fact that he has been unable to sleep for the past few weeks. Jamal used to play basketball with his friends, but he reports that he no longer has the energy to play. He has been under a considerable amount of work stress. He is a fork-lift driver for a local manufacturing plant. When asked to elaborate about his work stress, he says, “They want to fire me. They say I’m not productive like I used to be. I just can’t get focused.” He feels as though he “blacks out” frequently when he is at work. Jamal worries a lot about losing his job, because he needs to provide for his family. Jamal reports that he used to have periods where he had a lot of energy and could complete multiple projects simultaneously. But, he now feels so lethargic that he often thinks of suicide. Jamal reports that he experiences occasional headaches. He also suffered from a ruptured disc 5 years ago.

Why would a provisional diagnosis be given in Jamal’s case?

Jamal appears to meet the criteria for a particular disorder, but there are other disorders that should be ruled out.

Jamal’s symptoms are not severe enough to give a definitive diagnosis.

The counselor must consult with another professional before giving a diagnosis.

All of the above

None of the above

1 points

Question 3

Jamal is a 40 year-old African American male. He is brought to a local, out-patient mental health facility by his wife. She expresses concern about him, because he has been withdrawn for the last 2 or 3 weeks. She describes him as being irritable and restless. She also says he eats very little and has lost almost 10 pounds in the past 2 weeks. He agrees that he has been irritable; however, he attributes his irritability to the fact that he has been unable to sleep for the past few weeks. Jamal used to play basketball with his friends, but he reports that he no longer has the energy to play. He has been under a considerable amount of work stress. He is a fork-lift driver for a local manufacturing plant. When asked to elaborate about his work stress, he says, “They want to fire me. They say I’m not productive like I used to be. I just can’t get focused.” He feels as though he “blacks out” frequently when he is at work. Jamal worries a lot about losing his job, because he needs to provide for his family. Jamal reports that he used to have periods where he had a lot of energy and could complete multiple projects simultaneously. But, he now feels so lethargic that he often thinks of suicide. Jamal reports that he experiences occasional headaches. He also suffered from a ruptured disc 5 years ago.

Which specifier would you use when constructing Jamal’s diagnosis?

With mixed features

With anxious distress

With mood congruent psychotic features

All of the above

None of the above

1 points

Question 4

Jamal is a 40 year-old African American male. He is brought to a local, out-patient mental health facility by his wife. She expresses concern about him, because he has been withdrawn for the last 2 or 3 weeks. She describes him as being irritable and restless. She also says he eats very little and has lost almost 10 pounds in the past 2 weeks. He agrees that he has been irritable; however, he attributes his irritability to the fact that he has been unable to sleep for the past few weeks. Jamal used to play basketball with his friends, but he reports that he no longer has the energy to play. He has been under a considerable amount of work stress. He is a fork-lift driver for a local manufacturing plant. When asked to elaborate about his work stress, he says, “They want to fire me. They say I’m not productive like I used to be. I just can’t get focused.” He feels as though he “blacks out” frequently when he is at work. Jamal worries a lot about losing his job, because he needs to provide for his family. Jamal reports that he used to have periods where he had a lot of energy and could complete multiple projects simultaneously. But, he now feels so lethargic that he often thinks of suicide. Jamal reports that he experiences occasional headaches. He also suffered from a ruptured disc 5 years ago.

Which other disorder(s) would you want to consider in Jamal's case?

F34.1 Persistent Depressive Disorder (dysthymia)

F31.481 Bipolar II Disorder

N94.3 Premenstrual Dysphoric Disorder

A and B

B and C

All of the above

None of the above

1 points

Question 5

Jamal is a 40 year-old African American male. He is brought to a local, out-patient mental health facility by his wife. She expresses concern about him, because he has been withdrawn for the last 2 or 3 weeks. She describes him as being irritable and restless. She also says he eats very little and has lost almost 10 pounds in the past 2 weeks. He agrees that he has been irritable; however, he attributes his irritability to the fact that he has been unable to sleep for the past few weeks. Jamal used to play basketball with his friends, but he reports that he no longer has the energy to play. He has been under a considerable amount of work stress. He is a fork-lift driver for a local manufacturing plant. When asked to elaborate about his work stress, he says, “They want to fire me. They say I’m not productive like I used to be. I just can’t get focused.” He feels as though he “blacks out” frequently when he is at work. Jamal worries a lot about losing his job, because he needs to provide for his family. Jamal reports that he used to have periods where he had a lot of energy and could complete multiple projects simultaneously. But, he now feels so lethargic that he often thinks of suicide. Jamal reports that he experiences occasional headaches. He also suffered from a ruptured disc 5 years ago.

What is the possible significance of Jamal’s blacking out?

It could be a cultural concept of distress.

He could be feigning his symptoms.

He is likely drinking alcohol on the job.

All of the above

1 points

Question 6

Jamal is a 40 year-old African American male. He is brought to a local, out-patient mental health facility by his wife. She expresses concern about him, because he has been withdrawn for the last 2 or 3 weeks. She describes him as being irritable and restless. She also says he eats very little and has lost almost 10 pounds in the past 2 weeks. He agrees that he has been irritable; however, he attributes his irritability to the fact that he has been unable to sleep for the past few weeks. Jamal used to play basketball with his friends, but he reports that he no longer has the energy to play. He has been under a considerable amount of work stress. He is a fork-lift driver for a local manufacturing plant. When asked to elaborate about his work stress, he says, “They want to fire me. They say I’m not productive like I used to be. I just can’t get focused.” He feels as though he “blacks out” frequently when he is at work. Jamal worries a lot about losing his job, because he needs to provide for his family. Jamal reports that he used to have periods where he had a lot of energy and could complete multiple projects simultaneously. But, he now feels so lethargic that he often thinks of suicide. Jamal reports that he experiences occasional headaches. He also suffered from a ruptured disc 5 years ago.

Why is it important to note Jamal’s headaches and ruptured disc?

To rule out disorders caused by another medical condition.

He could be feigning his symptoms.

He could file a workman’s compensation claim.

All of the above

None of the above

1 points

Question 7

Miranda is a 23 year-old female who presents with symptoms of anxiety. She is dressed in baggy clothes and appears to be very thin. Miranda states that she worries a lot about her weight. Her father is obese, and she says that she does not want “to end up like him.” Miranda’s primary care physician suggested that she attend counseling, because he is concerned about her weight loss. Miranda’s weight is significantly low for someone of her stature. Miranda states that she wants to lose “a few more pounds,” because she has “big thighs.” When asked about her methods for weight loss, she states that she takes laxatives regularly and runs 3 or more hours per day. Miranda has periods where she binges on cereal, but she then increases her laxative intake and adds an extra workout to her exercise regimen. Miranda worries that she will gain weight if she stops taking laxatives.

Based on the information provided, what would be Miranda’s diagnosis?

F50.02 Anorexia Nervosa, Binge-Eating / Purging Type

F50.2 Bulimia Nervosa

F50.8 Other Specified Feeding or Eating Disorder

All of the above

None of the above

1 points

Question 8

What other disorder(s) would you want to consider in Miranda's case?

An anxiety disorder

A depressive disorder

A neurodevelopmental disorder

A and B

B and C

All of the above

None of the above

1 points

Question 9

What challenges might you encounter when working with Miranda in counseling?

She was referred by her physician and might not be motivated to attend counseling.

Miranda may terminate therapy prematurely.

Miranda may view her condition as being chronic and be pessimistic about the potential for recovery.

All of the above

None of the above

1 points

Question 10

True or False: Miranda would also meet the criteria for Body dysmorphic disorder.

True

False

1 points

Question 11

Judy is 33 year-old female who presents with symptoms of anxiety. She has been having “panic attacks” for several months. The attacks started when Judy decided to go back to school to finish her college degree. Judy experiences anxiety in social situations, particularly if she is asked to speak in front of others. She dropped out of college as a young adult, because she did not want to take the mandatory speech class. She was afraid she would become too anxious delivering her speeches. Judy knows that she won’t be able to finish her degree without giving oral presentations; therefore, she has sought counseling to work through her fears.

Judy’s diagnosis is likely:

F41.0 Panic Disorder

F40.10 Social Anxiety Disorder (Social Phobia)

F60.2 Antisocial Personality Disorder

A and B

All of the above

None of the above

1 points

Question 12

Judy is 33 year-old female who presents with symptoms of anxiety. She has been having “panic attacks” for several months. The attacks started when Judy decided to go back to school to finish her college degree. Judy experiences anxiety in social situations, particularly if she is asked to speak in front of others. She dropped out of college as a young adult, because she did not want to take the mandatory speech class. She was afraid she would become too anxious delivering her speeches. Judy knows that she won’t be able to finish her degree without giving oral presentations; therefore, she has sought counseling to work through her fears.

What specifier should be given?

Mild

Moderate

Severe

With panic attacks

All of the above

None of the above

1 points

Question 13

What additional information would you like to know about Judy?

If she has a brother

If other comorbid disorders are present

If she is using substances

A and B

B and C

All of the above

None of the above

1 points

Question 14

True or False: An individual diagnosed with Agoraphobia must also meet the criteria for panic disorder to be given the diagnosis.

True

False

1 points

Question 15

Steven has been picking his cuticles until they bleed, particularly when he is anxious. He has no history of self-injury or substance use. Steven likely has which disorder?

F63.3 Trichotillomania

F34.8 Disruptive Mood Dysregulation Disorder

L98.1 Excoriation Disorder

A and C

All of the above

None of the above

1 points

Question 16

Which of the following are examples of compulsions?

Counting syllables when words are spoken

Repeated hand washing

Checking the stove multiple times

B and C

All of the above

None of the above

1 points

Question 17

Ryan was raped outside of her dormitory last year. Since the trauma, she has been experiencing frequent, severe panic attacks. However, she had no history of panic attacks prior to the trauma. True or False: Ryan would not be given a diagnosis of panic disorder, because her symptoms are better explained by a PTSD diagnosis.

True

False

1 points

Question 18

How would you distinguish between acute stress disorder and PTSD?

By the presence or absence of panic attacks

By the intensity of the trauma-related symptoms

By the duration of the symptoms

All of the above

None of the above

1 points

Question 19

True or False: Derealization refers to experiences of detachment and as though one is an outside observer of one’s thoughts and actions.

True

False

1 points

Question 20

True or False: Depersonalization refers to experiences of detachment with respect to surroundings.

True

False

1 points

Question 21

Joan is 24 years old and recently got out of a satanic cult. Her family members forced her to participate in cult activities when she was 16 years old. She has been experiencing dissociative symptoms, including derealization. Joan would likely be given which diagnosis?

F44.81 Dissociative Identity Disorder

F44.89 Other Specified Dissociative Disorder

F45.21 Illness Anxiety Disorder

All of the above

None of the above

1 points

Question 22

True or False: Schizotypal disorder is considered to be part of the schizophrenia spectrum.

True

False

1 points

Question 23

Which disorder would be given if psychotic symptoms were present for at least one day but less than one month?

Acute stress disorder

Brief psychotic disorder

Schizophreniform disorder

Schizophrenia

None of the above

1 points

Question 24

Jenny has been having bouts of depression since she was a teenager. The episodes typically last about two weeks, and she has a hard time functioning in her day-to-day activities during that time. For the last 6 months, Jenny has begun experiencing delusions and hallucinations with concurrent bouts of depression. Jenny would likely be diagnosed with

F31.11 Bipolar I Disorder, current or most recent episode manic, mild.

F25.1 Schizoaffective Disorder, Depressive Type.

F33.3 Major Depressive Disorder, severe, recurrent, with psychotic features.

All of the above

None of the above

1 points

Question 25

Persistent depressive disorder was formerly known as which disorder

Cyclothymia

Dysphoria

Dysthymia

None of the above

1 points

Question 26

The main difference between bipolar I and bipolar II disorder is:

A person with bipolar I disorder experiences periods of hypomania but their symptoms are below the threshold for full-blown mania.

A person with bipolar II disorder experiences episodes of mania and periods of depression.

A person with bipolar II disorder experiences periods of hypomania but their symptoms are below the threshold for full-blown mania.

A person with bipolar I disorder experiences episodes of mania and periods of depression.

A and B

C and D

All of the above

1 points

Question 27

Alex was admitted to a psychiatric facility after being picked up by the police. There were reports of his roaming the streets in the nude and talking to himself. Alex was experiencing delusions and hallucinations. His lab report findings indicated that he had high amounts of phencyclidine in his system. Alex could possibly be diagnosed with

phencyclidine-induced psychotic disorder

Psychotic disorder due to a general medical condition

Schizophrenia

Brief psychotic disorder

1 points

Question 28

Catalepsy, waxy flexibility, and posturing are all characteristics of

Schizophrenia

Catatonia

Echolalia

Melancholy

1 points

Question 29

What is one difference between a manic and a hypomanic episode?

A hypomanic episode lasts longer than a manic episode.

A manic episode is less severe than a hypomanic episode.

A hypomanic episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization, whereas a manic episode does.

Hypomanic episodes are often triggered by substance use.

None of the above.

1 points

Question 30

The presence of two or more personality states and gaps in the recall of everyday events are criteria for which disorder?

F44.81 Dissociative Identity Disorder

F44.0 Dissociative Amnesia

F48.1 Depersonalization / Derealization Disorder

All of the above

None of the above

1 points

Question 31

True or False: Certain behaviors, such as gambling, are often described as compulsive. Such behaviors differ from the compulsions associated with obsessive-compulsive disorder; because, the person usually derives pleasure from the activity.

True

False

1 points

Question 32

True or False: In order for a diagnosis of erectile disorder to be given, the symptoms must be present for a minimum of one month.

True

False

1 points

Question 33

Before giving a diagnosis of female sexual interest/arousal disorder, what would you want to rule out?

Another sexual dysfunction

Major depressive disorder

Intimate partner violence

A and B

A and C

All of the above

None of the above

1 points

Question 34

True or False: A diagnosis of gender dysphoria cannot be given until adulthood.

True

False

1 points

Question 35

What diagnosis would be given if the criteria for gender dysphoria are met, but the duration of the symptoms is less than 6 months?

Gender dysphoria

Other specified gender dysphoria

Gender dysphoria, principal

No diagnosis would be given

1 points

Question 36

True or False: Gerald is a 17 year-old male who has been involved in an ongoing sexual relationship with a 13 year-old female. Gerald would likely meet the criteria for pedophilic disorder.

True

False

A.

F41.1 Generalized anxiety disorder, provisional

B.

F32.2 Major depressive disorder, single episode severe, provisional

C.

F34.1 Persistent depressive disorder (dysthymia), provisional

D.

All of the above

E.

F34.8 Disruptive mood dysregulation disorder, provisional

Explanation / Answer

1. The correct answer is Option B. F32.2 Major depressive disorder, single episode severe, provisional.

2. The correct answer is Option A. Jamal appears to meet the criteria for a particular disorder, but there are other disorders that should be ruled out.

3. The correct answer is Option B. The specifier in this case should be “with anxious features”.

4. The correct answer is Option B. F31.481 Bipolar II Disorder should also be considered.

Please post the other questions separately as we are supposed to answer just one question or four sub parts of a question.

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