Exam Week 5: NR668 / NR 668 (Latest )
Psychiatric-Mental Health Capstone Practicum &
Intensive | Review Questions and Answers | 100% Correct |
Grade A – Chamberlain
Which of the following statements are true regarding the literature and suicide?
1. asking a patient about suicide may increase the risk of suicide attempt.
2. women attempt more often.
3. Men attempt more often.
4. making a will and a lack of future plans imply an increased risk of suicide.
5. persons of the Muslim faith have higher rates of suicide.
- ANS -All even #'s are true:
2. women attempt more often.
4. making a will and a lack of future plans imply an increased risk of suicide.
Jack is a 19 year old male who survived a motor vehicle accident with minor
injuries. His best friend and passenger did not survive the crash. Approximately 2
days after the accident, Jack began having recurrent distressing dreams and
flashbacks of the accident. Jack has been avoiding driving for 10 days now. In
addition to negative mood, Jack has been hypervigilant, complained of poor sleep,
struggling at work, very easy to startle and refusing to talk about the accident in
social situations.
1. Identify the 2 most likely diagnosis.
2. One key factor which would distinguish between the two?
- ANS -1. Acute Stress Disorder (ASD) or PTSD
2. Duration of symptoms
*PTSD symptoms > 1 month
Lance is very serious and is described as "uptight" by his coworkers. Lance often
reads hidden meanings into benign jokes at work. Lance's friend got a promotion
at work this year and Lance feels betrayed by both his friend and his boss. Lance
,has accused his friend of sabotaging his career. Last year, Lance attended the
company holiday party. Lance went to the restroom and returned to find his
spouse talking to his boss. Later that evening, he accused his wife of infidelity
without cause.
Which character disorder would best describe Lance?
- ANS -Paranoid personality disorder
*Clues: suspiciousness, serious, lacks warmth, doesn't seek out help for themself,
suspects deception without reason, preoccupied with loyalty, reluctant to
confide, benign remarks/threatening, grudges, quick to react, infidelity suspicions
Dan is a 39 year old male with depressive symptoms. Dan reports feeling
depressed "since forever". With further questioning, you learn that Dan has been
depressed since adolescence. Upon further exam, you note that Dan does not
meet the DSM 5 criteria for major depressive episode. However, Dan does report
several vegetative symptoms of depression.
1. What disorder does Dan likely suffer from?
2. What are the vegetative symptoms of depression?
- ANS -1. Persistant Depressive Disorder (Dysthymia)
2. Anhedonia, loss of appetite, sleeping difficulties, changes in bowel patterns
Hanna is a 22 year old female who complains of daily symptoms of "tight
muscles", irritable mood, difficulty falling asleep, restlessness and excessive worry
x1 year. Hanna reports worrying about her job performance and meeting
expected deadlines.
What disorder does Hanna most likely have?
- ANS -Generalized Anxiety Disorder
*clues: excessive anxiety and worry for at least 6 months, difficult to control the
worry, restlessness, fatigue, diff concentrating, irritability, muscle tension, sleep
disturbance
Greg is a 58 year old physical education teacher. Greg was fired from his teaching
job this year after 30 years of continuous employment. Greg had above average
performance reviews for all of his tenure. Over the last 18 months Greg became
more "absent" at work. Greg became very picky with eating and would not eat
anything that was not laden with sugar. Greg lost 10lb this year. He started to
, make inappropriate jokes with the students. He no longer paid attention during
morning meeting. Greg was found chewing on the end of a tennis racket in the
gymnasium. Greg was fired after swearing at another teacher without
provocation. This was very unusual behavior for Greg.
1. What type of Major Neurocognitive disorder does Greg have?
2. If Greg had brain imaging, what changes would the radiologist most likely see?
- ANS -1. Frontotemporal dementia (FTD)
2. Atrophy of Frontotemporal regions and Pick bodies
*clues: behavioral changes, age, oral fixations
Sarah is a 27 year old female. She has been married for 2 years. She found her
husband on an online dating site 1 day after her previous relationship of 3 years
ended. She calls her husband at work upwards of 10 times a day. She does very
poorly when left alone. She struggles with decisions such as what courses she
should take at the local university. She has changed her career path several times.
She often calls her brother and parents for advice on everyday affairs. Her
husband takes care of all the bills and finances. Sarah claims that she doesn't
want to mess up the check book. Sarah is afraid that her husband will leave her
and she fears being alone and unable to manage things herself.
What personality disorder best describes Sarah?
- ANS -Dependent personality disorder
Rawley has a major neurocognitive disorder. Rawley resides at a local home
nursing despite his young age of 47. Rawley's father suffered from the same type
of dementia. When he first moved into the nursing home, some of the staff
thought Rawley was trying to hit them. This was an incorrect assumption. Rawley
suffers from choreoathetoid movements.
Name the cause of the major neurocognitive disorder listed in the scenario
above? - ANS -Huntington's Disease
*clues: young age, genetic, movements
Nancy is a 28 year old administrative assistant. She was sent home for wearing
provocative clothing that failed to meet the standards of normal business attire.
She returned to work in clothing that was extremely bright and what could be
described as extroverted fashion. Nancy is very dramatic and often speaks up in
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