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abnormal psych exam #4

front 1

Can children be diagnosed with GAD?

back 1

Yes

front 2

The diagnostic criteria for GAD remains the same for children except-

back 2

Only one of the six symptoms is required in children

- restlessness

- easily fatigued

- issues concentrating

- irritable

- muscle tension

- sleep issues

front 3

The Dx checklist for Selective Mutism includes:

back 3

1. individual persistently does not speak in certain social situation in which speech is expected, although speaking in other situation spresents no problem

2. academic or social interference

3. Symptoms last 1 MONTH or more, and are not limited to the first 4 weeks of a new school year

4. Symptoms not due to ASD, thought disorder, or language or communication disorder.

front 4

What is the Dx checklist for Disruptive Mood Dysregulation Disorder?

back 4

1. For at least 1 YEAR, the person repeatedly displays severe outbursts of temper that are significantly out of proportion to triggering situations and different from those displayed by most other individuals of the same age

2. The outbursts occur at least three times per week and are present in at least two settings

3. individual repeatedly displays irritable r angry mood between the outbursts

4. individual recieves initial diagnosis between 6 and 18 years old

front 5

What is the Dx checklist for Conduct Disorder?

back 5

1. individual repeatedly behaves in wasy that violated the rights of other people or ignores the norms or rules of society, beyond the violations displayed by most people of the same age

(3. SIGNIFICANT IMPAIRMENT)

2. At least THREE of the following features are present over the past year (and at least one in the past 6 months)

- bullying, threatening others

- provokes physical fights

- using weapons

- physical cruelty to people or animals

- stealing during confrontations with a victim

- forcing someone into sexual activity

- otther illegal shit

front 6

Studies indicate that at least ____ percent of students report having been bullied on at least one occasion.

back 6

50%

front 7

While many children experience feelings of anxiety, stress, and depression, roughly _____ percent experience a diagnosable psychological disorder each year.

back 7

20%

front 8

The childhood anxiety disorder, selective mutism, has been linked to which of the following adult anxiety disorders?

back 8

social anxiety disorder

front 9

In an attempt to reduce a perceived overuse of the diagnosis of childhood bipolar disorder, the DSM-5 included a new diagnostic category;

back 9

disruptive mood dysregulation disorder

front 10

A disorder in which children are repeatedly argumentative, angry, and irritable is known as:

back 10

oppositional defiant disorder

front 11

Which form of conduct disorder is more commonly seen in girls as compared to boys?

back 11

relational aggression

front 12

Recent research suggests that childhood maltreatment will lead to the development of conduct disorder only if the child has:

back 12

a variant of the MAOA gene

front 13

Bed-wetting, nightmares, and temper tantrums are examples of

back 13

typical childhood emotional and behavioral problems.

front 14

Which disorder is MOST likely to disappear by adulthood

back 14

elimination disorders

front 15

Nino has a conduct disorder. He will secretly ruin his parents’ belongings; for example, he cuts the curtains and draws on the walls. This pattern is known as:

back 15

covert-destructive

front 16

Eight-year-old Kimiko involuntarily urinates whenever she hears or sees her parents arguing. Kimiko likely:

back 16

has from enuresis.

front 17

Difficulties with focusing attention in ADHD appear to be a result of the child’s difficulty engaging _____ attention processes and shutting down _____ attention processes

back 17

Type 2; Type 1

front 18

What percentage of children with autism spectrum disorder experience significant impairment into adulthood?

back 18

90%

front 19

The majority of individuals with intellectual disability (ID) fall into the category of _____ ID.

back 19

mild

front 20

Typical emotional and behavioral problems that occur as children encounter new people and situations are

back 20

temper tantrums, nightmares, restlessness, phsyical symptoms

front 21

Despite the high prevalence of childhood and adolescent anxiety disorders-

back 21

two-thirds of anxious children go untreated

front 22

Individuals display openly aggressive and confrontational behaviors

back 22

Overt-destructive pattern

front 23

Dominated by openly offensive but nonconfrontational behaviors such as lying

back 23

Overt-nondestructive pattern

front 24

Characterized by secretive, destructive behaviors

back 24

Covert-destructive pattern

front 25

Individuals secretly commit nondestructive behaviors

back 25

Covert-nondestructive pattern

front 26

Consequences of conduct disorder

back 26

School suspension; foster home placement; incarceration

juvenile delinquents/recidivism

front 27

Relational aggression

back 27

  • Individuals are socially isolated and primarily display social misdeeds; more common among girls than boys
  • _____Slander________________
  • Rumor-starting

Friendship manipulation

front 28

How do clinicians treat conduct disorder?

back 28

Treatments are generally most effective with children younger than age 13.

  • Parent management training (PCIT; iPCIT)
  • _____Child-focused_____________
  • Residential treatment

_____Prevention_____________

front 29

Why are neurodevelopmental disorders labeled as such?

back 29

group of disabilities in the functioning of the brain that emerge at birth or during very early childhood and affect the individual’s behavior, memory, concentration, and/or ability to learn

front 30

Clinicians generally consider ADHD to have several interacting causes which is one of them?

back 30

  • Biological causes
  • Breakdown of balance of Type 1 and Type 2 attention processes
  • Dysfunctional attention circuit, marked by poor communication (faulty interconnectivity) between the circuit structures and abnormal activity of neurotransmitter dopamine throughout brain circuit
  • High levels of stress, family dysfunction

front 31

Traditionally four levels of intellectual development disorder have been distinguished:

back 31

  • Mild (IQ 50–70)
  • Moderate (IQ 35–49)
  • Severe (IQ 20–34)
  • Profound (IQ below 20)

front 32

While more than _____ percent of elderly
people meet criteria for a mental disorder,
studies suggest that _____ percent of all
elderly people would benefit from mental
health services

back 32

20;50

front 33

Of the following psychological disorders
seen among elderly people, the least
common is

back 33

substance use disorder

front 34

Individuals with Alzheimer’s disease form
an extraordinary number of twisted protein
fibers called

back 34

NTs

front 35

The ApoE-4 gene has been found to increase
the risk of developing:

back 35

Alzheimer's disease

front 36

A rapidly developing and acute disturbance
in attention and orientation are symptoms
of

back 36

delirium

front 37

_____ is to early-onset Alzheimer’s disease
as _____ is to late-onset Alzheimer’s disease.

back 37

Familial; sporadic

front 38

Which of following statements is FALSE
regarding Alzheimer’s disease

back 38

rates are higher among non-Hispanic White Americans than
among Hispanic or Black Americans

front 39

_____ is an inherited disease associated with
memory problems, personality changes,
mood difficulties, and severe involuntary
movements

back 39

Huntington's disease

front 40

An 86-year-old, who just had hip surgery, reports that
there are “spooks” floating around their bed and that the
staff didn’t really give them a transfusion but instead
injected chemicals to control his thoughts. You suspect a
diagnosis of

back 40

delirium

front 41

_______________ is something that older adults report fearing the most

back 41

Aging/loss of memory

front 42

Psychotic symptoms are only experienced by younger adults, not elderly people

back 42

False, they can still experience delusions and hallucinations

front 43

Alcohol and substance use disorders appear to decline after age 60.

back 43

True; but older adults are more liekly to misue prescription drugs OPIATES! and alcohol

front 44

Which anxiety disorder is the most common among the elderly?

back 44

GAD

front 45

In most cases, Alzheimer’s disease can be diagnosed with certainty only after death, when structural changes in the brain can be examined. Which 2 structural changes have been linked to Alzheimer’s disease? Hint: these occur at the neuron level

back 45

NTs and amyloid plaques (senile plaques)

front 46

  1. There are two levels of neurocognitive disorders.

________________________________________________ and ______________________________________________

  • What are they and what is the MAIN difference between them?

back 46

mild and major; degree of functional impact

front 47

The psychological problems of elderly persons may be divided into two groups-

back 47

  • Disorders common in people of all ages but are connected to the process of aging ( depression, anxiety, SUDs)
  • Disorders of cognition that result from brain abnormalities ( delirium, mild NCD, major NCD )

front 48

Delusional disorder ____________ in elderly population

back 48

Increases; beliefs will not be bizzare, can be delusions of persecution

front 49

Leading cognitive disorders among the elderly

back 49

Delirium, Major neurocognitive disorder, Mild neurocognitive disorder

front 50

Which of these is NOT one of the categories
of personality disorders

back 50

depressed or apathetic behavior

front 51

Community surveys indicate that the most
common personality disorder

back 51

obsessive-compulsive personality disorder

front 52

Leo is constantly concerned about the behavior of others.
He thinks his coworker is trying to get him fired, that his
best friend is spreading rumors about him, and that his
partner is cheating on him. In reality, none of these are
true. This overly suspicious behavior on her part is most
likely

back 52

paranoid personality disorder

front 53

Which of the following personality disorders
are more common in men than in women

back 53

obsessive-compulsive personality disorder

front 54

Jules is a 40-year-old woman whose twin was diagnosed
with schizophrenia. Jules does not have many friends,
because she has some very unusual views about the world
that people find strange. She’s very superstitious and
won’t wear anything black because it attracts the evil eye.
Which personality disorder is Jules probably experiencing

back 54

schizotypal

front 55

Psychopaths/sociopaths are most likely to
have which personality disorder

back 55

antisocial personality disorder

front 56

It is suggested that individuals diagnosed
with antisocial personality disorder have
_____, which explains their difficulties with
impulse control

back 56

low levels of serotonin

front 57

Which of these shows high responsiveness
to treatment

back 57

All of these personality disorders show poor to modest responsiveness (antisocial, narcissitic, paranoid, histrionic)

front 58

Which of the following personality disorders
are more common in women than in men?

back 58

borderline personality disorder

front 59

_____ is a key feature in borderline
personality disorder. It affects the patients’
_____.

back 59

Instability; mood, self-image, and interpersonal relationships

front 60

Whereas individuals with histrionic personality
disorder look _____ for approval and
acknowledgement of worth, people with
narcissistic personality disorder look _____ for
approval and acknowledgement of worth.

back 60

to others; to themselves

front 61

Em is extremely afraid of being rejected and fears
criticism. Yet they crave human contact. Jo needs human
contact and appears unable to function without it. Em
avoids any close relationships with others. Jo is helpless
without a partner. What personality disorders could they
be diagnosed with

back 61

Em may have avoidant personality disorder; Jo may have dependent
personality disorder.

front 62

Which of the following is NOT one of the five
dimensions or groups of traits that would
result in a diagnosis of personality disorder–
trait specified (PDTS) under DSM-5’s
dimensional approach

back 62

neuroticism

front 63

Paranoid personality disorder is characterized by

back 63

deep distrust and suspicion of motives of others

front 64

Antisocial personality disorder was referred to as ______________ during the nineteenth century

back 64

moral insanity

front 65

people with social anxiety disorder primarily fear_____________________ , while people with the
personality disorder tend to fear close ______________________

back 65

social circumstances, social relationships

front 66

People with ______________________ typically do not want or like their
symptoms; those with ________________________________________ often embrace
their symptoms and rarely wish to resist them

back 66

OCD; obsessive compulsive personality disorder

front 67

What is the dark triad?

back 67

a trio of malicious behaviors that work to produce socially offensice behaviors. (narcissism, psychopathy, machiavellianism)

front 68

Negative Affectivity

back 68

People who display negative affectivity experience
negative emotions frequently and intensely

front 69

Antagonism

back 69

People who display antagonism behave in ways that put them at odds with other people. They may exhibit any of the following traits: manipulativeness, deceitfulness, grandiosity, attention seeking, callousness, and hostility. Hostility is also found in the negative affectivity group.