Question 1

The primary function of a biopsychosocial case formulation is to&#10;A)Generate an understanding of the person as a whole&#10;B)Identify comorbid medical illnesses&#10;C)Assess the maturity of the patient's defense mechanisms&#10;D)Determine patient's level of social support

Accepted Answer

The primary function of a biopsychosocial case formulation is to generate an understanding of the person as a whole, taking into account biological, psychological, and social factors that may be contributing to their presenting problem. While comorbid medical illnesses, level of social support, and maturity of defense mechanisms may all be important factors to consider in a case formulation, they are secondary to the overarching goal of understanding the person as a biopsychosocial being.

Question 2

In developing a biopsychosocial plan of treatment,focus in the biological domain is on&#10;A)Identification and treatment of comorbid medical illnesses&#10;B)Social skills training and social support enhancement&#10;C)Vocational rehabilitation and supported employment&#10;D)Interpersonal therapy or cognitive behavioral therapy

Accepted Answer

In the biopsychosocial model, the biological domain refers to the physical and biomedical aspects of the individual, including any comorbid medical illnesses. Therefore, the focus in this domain would be to identify and treat any medical conditions that may be impacting the individual's overall health and functioning.

Question 3

Mechanisms that maintain a problem are biopsychosocial causes or sources of the problem.Psychological causes might include&#10;A)Poverty and social isolation&#10;B)Impaired neural circuitry&#10;C)Impaired ability to regulation emotions&#10;D)Abnormalities of neurotransmission

Accepted Answer

Impaired ability to regulation emotions

Question 4

A precipitating event might be&#10;A)Financial losses or loss of housing&#10;B)Chronic health problems&#10;C)Childhood separations and anxiety disorders&#10;D)Genetic influences and premature birth

Accepted Answer

Financial losses or loss of housing can be an example of a precipitating event as it can lead to stress and other negative life events that contribute to the development of mental health disorders.

Question 5

In the problem-oriented method of case formulation,the patient's problems are defined as a solvable target of treatment.Which of the following is an example of a problem-oriented case formulation description?

A)"Lack of interpersonal communication skills"
B)"Due to early childhood conflicts"
C)"Due to use of immature defense mechanisms"
D)"Caused by stigma and discrimination"

Accepted Answer

"Lack of interpersonal communication skills" is an example of a problem-oriented case formulation as it defines the patient's specific problem as a solvable target of treatment. The other options (B, C, and D) provide potential explanations or contributing factors to the patient's problem, but do not define the problem itself as a target of treatment.

Question 6

In a biopsychosocial case formulation,social contributions would be considered to be&#10;A)Genetic influences and adverse circumstances of birth&#10;B)Substance use and medical disorders&#10;C)Cognitive deficits and dysregulation of emotions&#10;D)Religious/cultural factors and living situations

Accepted Answer

Social contributions in a biopsychosocial case formulation include religious/cultural factors and living situations, such as family dynamics, socioeconomic status, and support networks. It does not include genetic influences or medical disorders (which fall under biological contributions) or cognitive deficits and dysregulation of emotions (which fall under psychological contributions). Substance use may be considered a social contribution if it is related to social, cultural, or environmental factors.

Question 7

The primary purpose of a biopsychosocial case formulation is to&#10;A)Predict response to different treatment modalities&#10;B)Organize key facts around a cause,the source of the problem&#10;C)Provide information required for reimbursement&#10;D)Determine the level of care required

Accepted Answer

The primary purpose of a biopsychosocial case formulation is to organize key facts from biological, psychological, and social domains in order to create a comprehensive understanding of a patient's presenting problem, which includes potential causes and contributing factors. It does not primarily focus on predicting treatment response, reimbursement, or level of care.

Question 8

Effective case formulation outcomes are stated&#10;A)In terms of behaviors that must be changed&#10;B)As incorporating efforts of others to achieve goal&#10;C)In broad terms such as life satisfaction&#10;D)As directly related to patients' identified problem or problems

Accepted Answer

Effective case formulation outcomes should be directly related to the patient's identified problem or problems. This allows for a clear focus on what needs to be addressed and sets achievable goals for treatment. Outcomes stated in terms of behaviors that must be changed, incorporating efforts of others or in broad terms may not provide enough specificity and focus for effective treatment planning.

Question 9

Sociocultural factors have the strongest influence on&#10;A)How diagnosis of a psychiatric disorder is accepted&#10;B)The age of onset of symptoms of a psychiatric disorder&#10;C)The gender distribution of the disorder&#10;D)Prediction of response to psychoeducation

Accepted Answer

Sociocultural factors, such as attitudes towards mental illness in a particular culture or community, can strongly influence how accepting individuals are of a diagnosis of a psychiatric disorder. This can impact their willingness to seek treatment and adhere to treatment plans.

Question 10

A predisposing event would be all of the following except&#10;A)Early prolonged separation from the mother&#10;B)Having been born unwanted&#10;C)Recent arrests or incarcerations&#10;D)History of childhood neglect or abuse

Accepted Answer

The other three options (A, B, and D) are all examples of adverse childhood experiences that have been shown to increase the likelihood of developing mental health issues later in life. Option C, recent arrests or incarcerations, is not necessarily a childhood experience and may be a result of a variety of factors unrelated to predisposition to mental health issues.

Deck 5: Case Formulation and Diagnosis,differential Diagnoses and Developing a Biopsychosocial Plan of Care