DSM-5 Scenarios; Questions and Answers 100% Correct
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Course
DSM
Institution
DSM
DSM-5 Scenarios; Questions and Answers 100%
Correct
A therapist on an inpatient unit conducts an intake with a 40-year-old man who was transported
to the hospital by the police after an altercation in a park. He is unable to provide a medical or
social history and reports having no memory be...
DSM -5 Scenarios ; Questions a nd Answers 100% Correct A therapist on an inpatient unit conducts an intake with a 40 -year -old man who was transported to the hospital by the police after an altercation in a park. He is unable to provide a medical or social history and reports having no memory before he arrived at the hospital. A police check reveals that he is an executive of a large company in a nearby city who was laid off a few days ago. At the end of his weeklong stay in the hospital, he has recovered his memory. The MOST likely diagnosis is: A. Dissociative Amnesia w. Dissociative Fugue B. Factitious D/O C. PTSD D. Acute Stress D/O Correct answer -A. Dissociative Amnesia w. Dissociative Fugue Dissociative Amnesia with Dissociative Fugue, is a rare disorder that occurs when a stressful event, in this case being laid off, triggers a memory lapse. Other symptoms may include impulsively wandering away from home, inability to recall past events, and confusion regarding one's identity. A school therapist receives a referral for a 13 -year -old boy for inattention and poor grades. During observations and interactions with the student, the therapist experiences the boy as intelligent and highly verbal but notes that he has difficulty following instructions and reports that he avoids reading and writing activities. The initial diagnosis is MOST likely: A. Conduct D/O B. ADHD, Inattentive DSM -5 Scenarios ; Questions a nd Answers 100% Correct C. ASD D. Learning D/O Correct answer -D. Learning D/O A learning disorder would be the most likely initial diagnoses because the boy is exhibiting symptoms such as difficulty following instructions and avoiding reading and writing. (ADHD must be dx before age 12) A therapist evaluates a 6 -year -old girl with moderately severe cerebral palsy. Among other symptoms, the parents report that their daughter is often observed attempting to chew and eat non -food items, including sand and houseplants. Sometimes they are able to intervene while she is chewing on the item, but she has been hospitalized on one occasion for ingesting leaves from a potentially harmful plant. What is the MOST likely diagnosis in this case? A. Encopresis B. ASD C. Rumination D/O D. Pica Correct answer -D. Pica Pica is the best answer because symptoms of this include having an appetite for and eating foods that are non -nutritious or non -edible, in this case, sand and houseplants. A therapist begins treatment with a child diagnosed with ADHD and intends to DSM -5 Scenarios ; Questions a nd Answers 100% Correct use cognitive behavioral treatment to help improve the child's concentration. The therapist will MOST likely need to help the child in which additional area? A. Expressive language B. Social skills C. Basic hygiene D. Bladder Control Correct answer -B. Social skills Social skills is a common difficulty for children with ADHD because of impulsivity and difficulty focusing on one task. Therefore the child may have difficulty doing things with peers such as focusing on games, or interrupting conversation. A couple enters treatment with a therapist due to increasing conflicts and distance after 2 years of marriage. The man reports feeling as if his wife needs his approval for everything and he's exhausted with her constant worries and questions about what she should do. The woman endorses frequent worries about her husband leaving her or dying young and states that she only asks his opinion because she "trusts him more than I t rust myself." The man says that he feels more like a parent than a husband and that this can't continue. The woman's diagnosis is MOST likely: A. Avoidant Personality Disorder B. Histrionic Personality Disorder C. Dependent Personality Disorder D. Generalized Anxiety Disorder Correct answer -C. Dependent Personality Disorder DSM -5 Scenarios ; Questions a nd Answers 100% Correct A key factor in Dependent Personality Disorder is a need for constant approval regarding everything that someone does. The individual may also need others to take responsibility, lack self -confidence, and have difficulty doing things independently which are all indicated in the stem. (Histrionic Personality Disorder include sexual seductiveness, a constant need for approval/praise, and a use of physical appearance to draw attention.) A therapist is asked to evaluate a 5 -year -old boy whose parents are concerned about his inability to sit still periodically at school. During the interview, the boy makes multiple barking noises, blinks almost constantly, and jerks his right arm back and forth. His parents report that these symptoms started in preschool and are getting in the way of their son learning and making friends. What is the MOST likely diagnosis at this time? A. Tourette's Disorder B. Attention -Deficit/Hyperactivity Disorder C. Stereotypic Movement Disorder D. Autism Spectrum Disorder Correct answer -A. Tourette's Disorder Tourette's syndrome is a disorder that involves repetitive, involuntary movements and vocalizations called tics which are seen in the stem through the barking noises, blinking, and jerking of arm. (C is similar to Tourette's, however, the main difference is that in Stereotypic Movement Disorder the repetitive movements generally start at a younger age
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