Deck 14: Mental, Behavioral, and Neurodevelopmental Disorders

Question 1

Which of the following is NOT associated with psychosis?

A)Visual hallucinations
B)Disorganized thinking
C)Paranoia
D)None of the above is correct

Answer 1

D

Question 2

Adjustment disorder with depressed mood due to unemployment.

A)Z56.0, F43.21
B)F43.21, Z56.0
C)F43.20
D)F43.23, Z56.0

Answer 2

B

Question 3

Patient is admitted with abdominal pain. After investigation, it is determined that the patient has alcoholic gastritis. Patient has a history of alcohol dependence and has no desire to stop drinking.

A)F10.220, K29.21
B)K29.21, F10.220
C)F10.20, K29.20
D)K29.20, F10.20

Answer 3

D

Question 4

Patient is receiving behavioral therapy for treatment of chronic pain syndrome due to psychological factors.

A)G89.4, F45.42
B)G89.21, F45.42
C)G89.11, F45.41
D)F45.41, G89.11

Question 5

Which of the following can cause intellectual disability in a child during the mother's pregnancy?

A)Malnutrition
B)Mother's use of alcohol or drugs
C)Environmental toxins such as lead or mercury
D)All of the above

Question 6

A patient is admitted after seizure-like activity. It is determined that the patient has a conversion disorder with seizures.

A)F44.5
B)G40.89
C)F44.5, R56.9
D)R56.9

Question 7

Severe intellectual disability is classified when the person has an IQ of ____.

A)50 to 70
B)35 to 49
C)20 to 34
D)less than 20

Question 8

Patient was admitted to the psychiatric floor for evaluation of mood disorder. After extensive testing and evaluation, it was determined that patient has major depression that is severe in nature and that some psychotic features are present.Final Diagnosis: Major depressive disorder, severe with psychosis

A)F34.1
B)F33.3
C)F32.3
D)F32.4

Question 9

Patient was admitted with delirium tremens as a result of alcohol withdrawal. Patient has had a bout of acute gastroenteritis and has not had a drink for a couple of days. Patient was admitted and was started on IV fluids and a banana bag. Patient is hypokalemic with a potassium level of 3.0 and is dehydrated. Patient's potassium was repleted with oral medication.Final Diagnoses: Acute gastroenteritis Alcohol withdrawal
Hypokalemia

A)K52.9, F10.231, E87.5, E86.0
B)F10.231, K52.9, E87.6, E86.0
C)E86.0, K52.9, F10.231
D)F10.250, K52.9, E87.6, E86.0

Question 10

A patient is admitted to the hospital for confusion. According to the family, the patient has been more difficult to manage at home and no longer is able to care for himself. The patient has known Alzheimer disease. No medical cause could be determined for the patient's increasing confusion, and it is believed that nursing home placement is appropriate.Discharge Diagnosis: Alzheimer dementia

A)G30.9, F03
B)F02.80, G30.9
C)G30.9, F02.80
D)G30.8, F02.80

Question 11

The most common type of intellectual disability is the mild type, which affects ____ of those who have intellectual disabilities.

A)20%
B)50%
C)85%
D)100%

Question 12

An adult female patient is admitted for treatment of anorexia nervosa. The patient has moderate malnutrition, severe electrolyte imbalance, and nutritional cardiomyopathy. The dietitian documents a BMI of 18.

A)F50.00, E44.0 E87.8, I43, Z68.1
B)E44.0, F50.00, E87.8, I43
C)E87.8, F50.02, E44.0, I43, Z68.1
D)F50.01, E44.1, E87.8, I43

Question 13

Patient presented to the ER requesting detox. Patient had a previous admission for heroin dependence 2 years ago. Patient used about $50 per day and occasionally smoked cocaine. Patient is unemployed. Patient was admitted, and the detoxification protocol was implemented. The patient did experience some mild withdrawal symptoms. The patient was discharged after 3 days and was instructed to attend 90 NA meetings in 90 days and to find a sponsor.Discharge Diagnosis: Heroin dependence with withdrawal Cocaine abuse

A)F11.21, F14.120, HZ5DZZZ
B)F11.20, F14.14, Z56.0, HZ91ZZZ
C)F11.229, F14.10, HZ2ZZZ
D)F11.23, F14.10, Z56.0, HZ2ZZZZ

Question 14

What drug could be given to treat depression?

A)Adderall
B)Zoloft
C)Valium
D)Dilantin

Question 15

Which of the following is NOT a sign or symptom of alcoholism?

A)The strong compulsion to drink
B)Regularly drinking on weekends or days off from work
C)The ability to stop drinking after the person starts
D)Increasing tolerance

Question 16

Which of the following is NOT one of the five types of schizophrenia?

A)Undifferentiated
B)Paranoid
C)Manoliphic
D)Catatonic

Question 17

Seizure due to alcohol withdrawal. Patient is dependent on alcohol and usually drinks every day.

A)R56.9, F10.230
B)F10.230, R56.9
C)F10.221, R56.9
D)F10.239, R56.1

Question 18

What drug could be given to treat ADD or ADHD?

A)Dilantin
B)Librium
C)Paxil
D)Ritalin

Question 19

A 28-year-old man was brought to the ER by a friend who stated that the patient had been acting bizarrely. The patient has been irritable, pacing the apartment, and talking nonstop. He was admitted to the psychiatric unit for management of his manic symptoms.Final Diagnosis: Bipolar affective disease Severe manic phase. Recurrent episode with psychosis.

A)F31.2
B)F31.73
C)F31.74
D)F31.10

Question 20

Fragile X syndrome with mild intellectual disability.

A)F71, Q99.2
B)Q99.2, F71
C)F70, Q99.2
D)Q99.2, F70

Question 21

____________________ is a structured program with the goal to stop and recover from the use of drugs or alcohol.

Question 22

Organic psychosis occurs because of deterioration in the brain and is usually progressive and irreversible.

Question 23

Patient was admitted because of aggressive behavior and wandering. Neurology diagnosed dementia due to Lewy bodies.

A)G31.83, F03.91, Z91.83
B)F03.91, G31.82
C)F02.81, G31.83
D)G31.83, F02.81, Z91.83

Question 24

An impaired mental state in which the perception of reality has become distorted is called ____________________.

Question 25

____________________ is a progressive deterioration of mental faculties characterized by impairment of memory and one or more cognitive impairments.

Question 26

Match each definition to one of the following items.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
Occur(s) when there has been a change in mood for a prolonged period of time

Question 27

Patient was seen in the ER for dizziness, fatigue, and difficulty concentrating. Patient was seen for a head injury a couple of weeks ago. Physician documents postconcussional syndrome.

A)F07.81
B)F07.89
C)R42, R53.83, R41.3
D)F07.81, R42, R53.83

Question 28

____________________ is the active management of withdrawal symptoms in a patient who is physically dependent on alcohol or drugs.

Question 29

In ICD-10-CM, mild alcohol use disorder codes to alcohol abuse.

Question 30

Match each definition to one of the following items.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
A disorder of the brain

Question 31

Match each definition to one of the following items.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
The chronic, exaggerated worry, tension, and irritability that may be without cause or is more intense in some situations

Question 32

Patient was admitted for psychiatric care for acute posttraumatic stress disorder.

A)F43.10
B)F43.11
C)F43.12
D)F43.8

Question 33

Mental disorders are very particular about the body system they affect.

Question 34

In ICD-10-CM, the nicotine dependence codes identify the type of nicotine product such as cigarettes, chewing tobacco, or other tobacco product.

Question 35

ICD-10-CM does not have a history code for history of drug or alcohol abuse.

Question 36

Alcohol withdrawal symptoms vary in severity from mild ____________________, ____________________, and ____________________ to the worst form of delirium tremens (DTs).

Question 37

Seizures are a common form of alcohol withdrawal.

Question 38

Drug withdrawal treatment depends on the drug from which a person is having withdrawal.

Question 39

Stress can be a contributing factor in mental disorders.

Question 40

The use of alcohol or drugs never has an effect in psychosis.

Question 41

Panic agoraphobia: __________

Question 42

Match each definition to one of the following items.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
Assuming the appearance, manner, or roles traditionally associated with members of the opposite sex (cross-dressing)

Question 43

Match each definition to one of the following items.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
An anxiety disorder that is triggered by memories of a traumatic event

Question 44

Match each definition to one of the following items.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
Terrifying experience that occurs suddenly without any warning

Question 45

Match each definition to one of the following items.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
The recurrent intense sexual urges and fantasies of the use of inanimate objects for sexual arousal or orgasm

Question 46

Name some symptoms/signs that characterize ADD or ADHD.

Question 47

What are the two most common mood disorders?

Question 48

Match each definition to one of the following items.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
The act of or gaining pleasure from experiencing physical or psychological pain

Question 49

Munchausen syndrome: __________

Question 50

What do ADD and ADHD stand for?

Question 51

Match each definition to one of the following items.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
The recurrent intense sexual urges and fantasies of exposing the genitals to an unsuspecting stranger

Question 52

Korsakoff disease due to alcohol dependence: __________

Question 53

Match each definition to one of the following items.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
The recurrent intense sexual urges and fantasies involving observation of unsuspecting people who are naked, disrobing, or engaging in sexual activity

Question 54

Match each definition to one of the following items.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
Problems that can be due to organic, medical, or psychological dysfunction that affect sexual function

Question 55

What cognitive impairments can be caused by dementia?

Question 56

Match each definition to one of the following items.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
Irrational anxieties or fears that can interfere with one's everyday life routine

Question 57

Major depressive disorder, recurrent, moderate: __________

Question 58

Catatonic schizophrenia in remission: __________

Question 59

Name one occurrence during birth that can cause intellectual disability.

Question 60

Match each definition to one of the following items.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
The act of or gaining pleasure from inflicting physical or psychological pain on another

Question 61

Family disruption due to parents' divorce: __________

Question 62

AIDS-related dementia: __________

Question 63

A patient has a history of PTSD and arrives at the ER with extreme anxiety. The patient has been noncompliant with medications and recently has been under a great deal of stress and indicates suicidal ideation. The patient is admitted for monitoring and reinstitution of medications for exacerbation of chronic PTSD.

Question 64

Homicidal ideation: __________

Question 65

Psychogenic dyspareunia (female): __________

Question 66

Dementia with wandering: __________

Question 67

Active Heller syndrome: __________

Question 68

Asexual transsexualism: __________

Question 69

Adjustment insomnia: __________

Question 70

Cirrhosis of liver due to alcohol dependence in remission: __________

Question 71

ADHD, combined type: __________

Question 72

A patient is brought to the ER and is found to be intoxicated. The patient is homeless and is being treated for schizophrenia, alcohol dependence, and intermittent heroin abuse. The patient is also HIV positive and has hepatitis C. All testresults were normal, and the patient was discharged the next day.Discharge Diagnosis: Alcohol intoxication