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EarlRock8346
1) Which one of the following alternatives contains risk factors…
1) Which one of the following alternatives contains risk factors that represent all four dimensions of suicide according to the Multipath Perspective of Suicide?
Select one:
a.impulsivity, mental illness, physical disability, prior attempts of suicide
b.access to firearms, male gender, cultural alienation, genetic and epigenetic effects
c.childhood abuse, alcohol affects, bullying, prior attempts
d.psychache, sleep difficulties, isolation, financial decline
2) Mary, a 40-year-old woman, has been unable to function on almost all levels of her life since the death of her beloved husband four months ago. She is deeply depressed and has a general sense of worthlessness. She is also socially withdrawn and experiences no joy. She has lost 10 kg weight, cannot concentrate on her work and suffers from persistent insomnia. She has profoundly pessimistic beliefs about the future. Two days ago, she attempted suicide by trying to gas herself. Mary is very disappointed that her suicide attempt has failed. Mary has no history of any mental disorders. Which one of the following would be the most appropriate DSM-5 diagnosis in Mary’s case?
Select one:
a.Major Depressive Disorder, severe
b.Bereavement, with anxious distress
c.Adjustment Disorder; with depressed mood
d.Persistent Depressive Disorder (Dysthymia); with melancholic features
3) Which of the following statements about suicide are incorrect according to Sue et al. (2016)?
Select one:
a.Triggering factors include intense interpersonal conflicts and feelings of depression and guilt.
b.The person who attempts or commits suicide has a perceived inability to make progress towards goals or to solve problems.
c.The person who attempts/commits suicide has a strong desire to die.
d.Suicidal intent is communicated directly or indirectly through verbal or behavioural cues.
4) Ben, a 28-year-old dentist, has a five-year history of mild mood swings. When he is “low” he feels sad and pessimistic but is still able to function. When he is “high”, as he is currently, his self-esteem is inflated, he sleeps less and he is overactive but still coherent. Stacey, a 35-year-old woman, is a successful and well respected state agent but for the past 18 days she has been experiencing the following symptoms: she is in a particularly good mood, her thoughts are racing from one idea to the next and she cannot stay focused on one idea. She experiences a decreased need for sleep and an increased need to talk continuously. She has boundless energy and spends huge amounts of money during her shopping sprees. She becomes angered when she is frustrated and has made several serious business mistakes due to poor judgement. Stacey has no history of any previous mental disorders. According to the DSM-5 classification system Ben’s abnormal behaviour can be classified as – – – – – and Stacey’s abnormal behaviour as – – – – -.
Select one:
a.Bipolar II Disorder; Borderline Personality Disorder
b.Bipolar I Disorder; Bipolar II Disorder
c.Cyclothymic Disorder; Bipolar I Disorder
d.Bipolar II Disorder; Cyclothymic Disorder
5) Gloria’s symptoms of weight change and terminal insomnia illustrate the – – – – – symptoms of her diagnosis of Major Depressive Disorder (MDD), her symptoms of sadness and hopelessness illustrate the – – – – – domain, and her poor hygiene and lowered productivity and energy, illustrate the – – – – – domain of MDD.
Select one:
a.physiological; affective; behavioural
b.behavioural; physiological; cognitive
c.affective; behavioural; physiological
d.somatic; cognitive; behavioural
6) Claire, a 37-year-old woman, has been experiencing intense mood swings for the past 14 months which cause severe impairment in her occupational and social functioning. When she is “high” (which lasts approximately two weeks), her mood is irritable, her thinking grandiose, her speech incoherent and her judgement poor. During these episodes she is overactive and has little need for sleep. When she is “low” (which lasts two to four weeks), she is very tired and withdrawn, and she feels intensely sad and worthless and incapable of being successful. She is also very pessimistic, does not enjoy any activities, her appetite is very poor and she suffers from terminal insomnia as well as amenorrhea. Her drastic mood changes cannot be predicted as they do not follow a specific pattern. In diagnosing Claire’s abnormal behaviour according to the DSM-5 classification system, Premenstrual Depressive Disorder (PDD) is considered as a possible diagnosis. Would you – – – – -?
Select one:
a.make the diagnoses of Premenstrual Dysphoric Disorder with Borderline Personality Disorder as a comorbid diagnosis
b.make the diagnoses of Premenstrual Dysphoric Disorder as Claire’s symptoms meet the DSM-5 criteria for PDD
c.eliminate PDD as a possible diagnosis because the symptoms do not follow a clear premenstrual pattern
d.eliminate PDD as a possible diagnosis because the symptoms meet the criteria for Cyclothymic Disorder
7) Simon is diagnosed with Bipolar II Disorder according to the DSM-5 classification system. Which one of the following alternatives contains the correct information about Bipolar II Disorder?
Select one:
a.None of Simon’s hypomanic episodes has ever lasted for more than two consecutive days.
b.The disorder is characterised by the presence or history of one or more major depressive episodes and at least one hypomanic episode.
c.Although Simon experiences recurrent episodes of depressed mood, none of these depressive episodes lasts for more than a week.
d.Bipolar II Disorder is regarded as a “milder” form of Bipolar Disorders and does not cause any significant distress or impairment in functioning.
8) According to behavioural explanations of abnormal behaviour, the development of a Major Depressive Disorder can mainly be attributed to – – – – -.
Select one:
a.thinking patterns associated with learned helplessness
b.arbitrary inference
c.the loss of a positive reinforcer
d.her current negative life situation
9) Juan, 39 years old, has been pessimistic, depressed and fatigued with a decreased appetite and little interest in social activities for the past three years. In fact, his colleagues would not recognise him if he was not down and disinterested in work. His boss noticed that although Juan still did most of his work, it was not at the level that the job required. The most appropriate DSM-5 diagnosis in Juan’s case is a – – – – -.
Select one:
a.Major Depressive Disorder
b.Cyclothymic Disorder
c.Persistent Depressive Disorder (Dysthymia)
d.Personality Disorder
10) Zanelli presents with severe elevated mood, persistently increased energy, inflated self-esteem, distractibility, talkativeness, excessive sleep and irritability with others. Her occupational functioning is also impaired. She has been suffering from these symptoms for the past ten days. Before this current episode, Zanelli suffered from a major depressive episode during which she became obsessed with her personal appearance. She spent hours on choosing the right outfit and doing her hair. The depressive episode lasted for eight weeks. According to the DSM-5 classification system, Zanelli’s abnormal behaviour could be classified as – – – – -. However, – – – – – and – – – – – are unusual for her diagnosed mental disorder.
Select one:
a.Major Depressive Disorder with mood-incongruent features; the duration of the current elevated mood and the presence of distractibility
b.Cyclothymic Disorder; the history of a major depressive episode and the duration of this episode.
c.Bipolar I Disorder; an increased need for sleep during the current episode and an obsession with appearance during a major depressive episode.
d.Persistent Depressive Disorder (Dysthymia); the impairment in occupational functioning and the irritable mood during the current episode of elevated mood and increased activity.
