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Two-hour quiz


1 When using the DSM-IV, it is important to understand that there are some developmental differences that prevent the use of certain diagnostic codes with children. What is one of the questions that a practitioner should ask him/her self after first confirming the full criteria in the DSM-IV? P141 A. What is the child’s relationship with his parents? B. How do I feel about diagnosing a child with a mental disorder? C. Where does the problem originate? D. What grade is the child in?


2 When working with a child In order to facilitate an accurate and complete assessment of the child’s behaviors, specific and behavior-focused information must be recorded. What information is needed for a complete assessment? P142 A. The problem presented by the child. B. Behaviors that demonstrate the problem. C. Areas affected by the problem. D. All of the above.


3 Practitioners should consider gender when diagnosing a client. For example, a boy with ADHD may have different symptoms that a girl with ADHD. Because boys with ADHD usually exhibit disruptive behaviors, their ADHD may be misdiagnosed as____. P143 A. Obsessive Compulsive Disorder (OCD) B. Oppositional Defiance Disorder (ODD) C. Conduct Disorder (CD) D. All of the above


4 The following symptoms describe a client with which of the following disorders: - Inability to remain seated for an extended period of time - Excessive fidgeting - Excessive talking/ noise - Blurting out answers/ inability to think before speaking - Frequent accidents A. ADHD B. Alcohol Dependence C. Conduct Disorder D. Bipolar Disorder


5 A discrete period of overwhelming anxiety and fear is the primary criterion for A. PTSD B. OCD C. Social Phobia D. Panic attack


6 The personality disorder, which is characterized by a lack of one's own identity, with rapid changes in mood, intense unstable interpersonal relationships, marked impulsively, instability in affect, and instability in self image, is: A. narcississtic B. antisocial C. borderline D. dependent


7 ____________________disorders are defined as a inability or maladaptive reaction to an identifiable stressful life event(s) / stressor(s). ( e.g., divorce, family crises, ... ) Symptoms must occur within three months of the event(s) / stressor(s) and persisted for no longer than six months. a. anxiety b. adjustment c. personality d. mood


8 Participating in an aerobic activity such as brisk walking, jogging, swimming, bicycling, racquetball, or tennis for 30-40 minutes three times per week can be effective in alleviating symptoms of mood and anxiety disorders. (True-False)


9 __________________ is characterized by uncontrollable intrusive thoughts and action that can only be alleviated by patterns of rigid and ceremonial behavior. Symptoms frequently cause considerable distress and interference with daily social or work activities. A. Generalized anxiety disorder B. PTSD C. Obsessive Compulsive disorder D. Tourette's


10 Which of the following is not a criterion of schizophrenia? A. delusions B. hallucinations C. disorganization D. catatonic symptoms E. melancholia


11 What is the primary symptom for an individual who suffers from any type of mood disorder? A. Depression B. Fatigue C. Distractibility D. Impulsivity


12 Kathy used to rise each morning before her husband and children, even before the sun, to go on a ten mile run. She is never satisfied with her body. Many of her friends admired her ofr her athleticism and physical appearance. She often heard people comment “I’d love to have legs like yours.” Her husband frequently told her how proud he was of how she looked. Even her doctor said that she was impressed wither ability to drop the weight so quickly after giving birth to her third child. This could be an example of what type of selected eating disorder? A. Eating Disorder NOS B. Bulimia Nervosa C. Anorexia Nervosa D. Both A and C


13 Brain fag is characterized by A. a reaction fo school pressures B. blurred vision C. neck and head pain D. difficulty concentrating E. all but C F. all the above


14 Mal de Ojo is characterized by A. a belief that children can be possessed by demons B. a belief that children and infants serve as receptacles for evil thoughts or wishes directed at the family C. a belief that the devil masquerades as ordinary people D. a belief in original sin


15 The majority of people who suffer from a personality disorder fall in what cluster? A. Cluster A B. Cluster B C. Cluster C D. Cluster D


16 What are the two most common types of eating disorders for children? A. Pica and rumination B. Pica and bulimia nervosa C. Rumination and bulimia nervosa D. Bulimia nervosa and anorexia nervosa


17 Eric has recently expressed his sexual identity to his peer as well as family members. He has begun experiencing some bullying, verbal and physical abuse. His parents have discouraged him from his gender behavior. He begins to feel rejected, lost appetite, sleepless, no desire to be involved in school related activity, and has lately had morbid ideation. Eric is experiencing what type of mood disorder? A. manic episode B. major depressive disorder C. hypomanic disorder D. mixed episode


18 Which is not an associated risk factor due to posttraumatic stress disorder? A. age and gender B. genetic/environment factors C. trauma D. emotions


19 Which is Not a sign or symptom of ADHD, Predominantly Hyperactive-Impulsive Type? A. Excessive fidgeting. B. Inability to remain seated for an extended period of time. C. Excessive talking/noise. D. Frequent interruption of conversation, activities, etc. E. Inattention to detail/often makes careless mistakes.


20 Which is not one of the levels of severity of mental retardation? A. mild B. high C. severe D. profound E. none of the above


21 Which is not a type of Mood Episode? A. Mixed episode B. Major depressive episode C. Hypomanic episode D. Anxiety episode E. Manic episode.


22 Teenage client “Juan” has the following symptoms: aggression, destruction of property and theft. What is the diagnosis? A. Conduct Disorder B. Oppositional Defiant Disorder C. Attention Deficit Hyperactivity Disorder D. Mood Disorder


23 When determining a diagnosis of schizophrenia, visual hallucinations are common in this disorder so an assessment to rule out potential organic brain damage is not needed. True-False


24 Age is related to the onset and prevalence of dementia. The percent of the population over 65 years of age and an estimated __________% of individuals over the age of 85 are thought to have some form of dementia. A. 70% B. 60% C. 50% D. None of the above


25 25. When assessing for an orgasmic disorder is it important to know if there is a history of sexual abuse or molestation in childhood. True-False


26 When attempting to diagnose a sexual disorder several factors may impact an individual’s ability to reach orgasm. They include all of the following, EXCEPT: A. harmonal factors B. drugs and alcohol C. whether it occurs with and without a partner (intercourse v. masturbation) D. anxiety producing factors. E. none of the above; they are all important to consider


27 Developing dementia can be reduced by A. engaging in social activities B. engaging in higher education pursuits C. limiting social activities D. drinking 1 glass of red wine daily


28 Mrs. B has immigrated to the United States from Central America. She has no friends or family in the United States. She is struggling financially and as a result is homeless. Mrs. B. was the victim of an assault, which left her badly beaten. She has been hospitalized and is most likely suffering from A. Pica B. Dementia C. Post Traumatic Stress Disorder D. Schizophrenia


29 A person experiences distressing dreams of being assaulted by a stranger. Upon questioning, she reports being raped two years previously, but cannot remember the details of that assault, nor does she think about it much. She is probably suffering from: A. Panic disorder B. Posttraumatic stress disorder C. Generalized anxiety disorder D. Sleep panic disorder E. Obsessive-compulsive disorder


30 Most female orgasmic disorders are A. lifelong and not acquired B. due to the lack of attraction to their sexual partner C. psychosomatic D. none of the above


31 Jonathan is afraid to leave his home because of a worry that he will become panicky. He is most likely suffering from A. Male Dyspareunia B. Bipolar disorder C. Agoraphobia D. PTSD


32 From which Axis below contains both pervasive development disorder and clinical? A. Axis I B. Axis II C. Axis III D. Axis IV


33 Women of what race are most likely to develop an eating disorder? A. Native American Women B. African American Women C. Caucasian American Women D. Asian American Women


34 The Term “Detoxification” is a process used to: A. help the client remove all substance and toxins from his or her system. B. Assist the clients with withdraw syndrome permanently. C. Assist clinician to determine which medication to give the client to remove all substance from the body system. D. All the above


35 Which one is the correct defense mechanism for “Autistic Fantasy”? A. A client dealing with emotional conflict and their unacceptable feelings. B. A client dealing with emotional conflict and internal/external stressor by excessive daydreaming as a substitute for human relationship. C. A client dealing with emotional conflict and compartmentalizing opposite affects. D. All the above.


36 Pica is a type of ____. A. Tourette's Syndrome B. Mood Disorder C. Eating Disorder D. A text formatting measurement


37 Sofia is noticing that her 2-year-old child is constantly “playing” with her food. She notices that her daughter is repeatedly regurgitating and rechewing her food. She has noticed that her daughter is able to bring up her food without vomiting, retching, or any type of disgust. Sofia has taken her daughter to the doctor and have ruled out esophageal reflux. Which diagnosis best describes the 2 year old’s symptoms? A. Rumination Disorder B. Bulimia Nervosa C. Anorexia Nervosa D. None of the Above


38 Clinical symptoms and signs of alcohol-related problems include which of the following: A. Morning nausea and vomiting, recurring diarrhea, insomnia B. Swelling of hands and feet, yellowing of nails C. Hypertension, lowered heart rate D. Lack of spontaneity, hallucinations, delusions


39 Alcohol dependence is influenced by genetics with heritability estimates ranging from ____. A. 10% - 20% B. 0% C. 50%- 70% D. 100%


40 A person who has difficulty making eye contact, has difficulty sustaining social relationships, is awkward, and tends to become fixated on particular topics/activities to the exclusion of everything else might be diagnosed as: A. OCD B. Asberger's C. Social phobia D. Avoidant Personality disorder


41 Based on our interview of Brigette, the class of addictive drugs most likely to be prescribed for immediate symptomatic relief of various anxiety disorders is: A. tricyclic antidepressants B. serotonin reuptake inhibitors C. benzodiazapines D. none of the above


42. If a person is experiencing suicidal ideation, but is also suffering from alcohol dependency, it is important to: A. refrain from making a diagnosis of depression until the alcohol problem is addressed. B. include a diagnosis of at least 300.4 on axis 1 in order to guard against overlooking the continual threat of suicide C. avoid making a substance abuse diagnosis until the depression can be addressed D. none of the above


43 43. A person suffering from these symptoms: * bizarre behavior * disorganized thinking * disorganized speech * decreased emotional expressiveness * diminished or loss of contact with reality * diminished to total social withdrawal * should be diagnosed as having: A. Alcohol intoxication B. Schizoid Personality Disorder C. Social phobia D. Schizophrenia


44 The risks of suicide among teenagers of these medications are so serious that the FDA has urged manufacturers to include warnings in the packaging. A. stimulants such as Ritalin B. SSRI-type antidepressants C. benzodiazapines D. none of the above


45 Brigette's story reminds us that recovery from PTSD can: A. can involve a "flight to health" that eventually gives way to having to deal with unresolved feelings B. can be retarded by the emotion-suppressing effects of benzodiazapines. C. can take longer than a person's family and friends expect D. all the above


46 David's story reminds us that Asberger's, or high functioning autism can A. lead to a person's self doubt and loathing B. provoke people, who take the symptoms personally C. facilitate deep and meaningful friendships D. make it hard for a person suffering from it to gauge what is appropriate in social relationships E. all but C. F. all the above


47 One of most widespread and treatable mental disorders is: A. depression B. PTSD C. OCD D. Narcississtic personality disorder


48 48. Acute onset depression, without any obvious environmental or relational trigger, is probably due to A. endogenous biochemical and genetic factors B. repressed memories of early trauma C. substance abuse D. relationship dynamics in the family of origin


49 49. People who cannot fly in an airplane without feeling trapped and out of control are probably suffering from: A. agoraphobia B. OCD C. social phobia D. claustrophobia


50 Certain disability conditions increase the risk for substance-related disorder. Which of the following conditions hold the highest account in the increased risk for a substance-related disorder? A. a learning disability B. sensory impairment C. post-injury disability D. mental retardation