NR607 Week 6 | Diagnosis &
Management in Psychiatric-Mental
Health III Practicum | Questions &
Verified Answers Latest 2024/2025
Paola is a 22-year-old who presents with complaints of insomnia. She
states that she experienced a sexual assault during an off-campus party
about three months ago, and since then, she has not been able to sleep
through the night. She can recall what she did the day of the assault and
remembers, specifically, what she was wearing to the party, how she got
there, and with whom she arrived. She stated that she had two beers
and flirted with a man she knew casually through a shared acquaintance;
the next thing she remembers was being in a bedroom, alone, with her
shirt off and undergarments torn. She is concerned that she cannot
remember everything that happened, especially since she has been
having vivid nightmares about the event. She states that when she walks
past the house where the party occurred, she feels like she is floating
outside her body and does not feel like anything is real, so she has
started walking a - Correct Answer - post-traumatic stress disorder
Rationale: According to the DSM 5-TR diagnostic criteria, the most likely
diagnosis for Paola is post-traumatic stress disorder. Paola has selective
amnesia surrounding her assault but remembers what happened before
and following the attack. She is experiencing nightmares, insomnia, guilt,
and depersonalization related specifically to the assault. Although Paola
has some symptoms that are consistent with dissociative amnesia or
, depersonalization/derealization disorder, post-traumatic stress disorder
is a better diagnostic fit.
Carson is a 17-year-old who presents with his mother. She is concerned
because he was involved in a minor car crash last week; he states that
he does not remember what happened because he "zoned out" while
driving. He states that this occurs several times per week; when it
happens, he is typically thinking about his upcoming college applications
and admissions. Which of the following is the most likely diagnosis for
Carson?
dissociative identity disorder
dissociative amnesia with dissociative fugue
does not meet diagnostic criteria
dissociative amnesia
depersonalization/derealization disorder
- Correct Answer - does not meet diagnostic criteria
Rationale: Although Carson has had episodes of derealization, he does
not meet the DSM-5-TR diagnostic criteria for a dissociative disorder.
Tiffani is a 34-year-old who presents after a referral from her primary
provider. She complains of severe headaches and periods of memory
loss; after thorough diagnostic testing, no physiologic cause was
identified. Tiffani has a history of major depressive disorder (MDD),
diagnosed as a teen, and generalized anxiety disorder (GAD),
diagnosed at age 28. She has a history of cutting which she states
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