Deck 17: Psychiatric Mental Health

Question 1

Clinical depression with mixed features:

A) Indicates at least three manic symptoms coexist with a major depressive episode
B) Is more prevalent in older adults than adolescents and young adults
C) Decreases the likelihood that the illness exists in a bipolar spectrum
D) All of the above

Answer 1

Indicates at least three manic symptoms coexist with a major depressive episode

Question 2

Which of the following statements is true regarding phobia?

A) The anxiety associated with phobia is out of proportion to the actual danger or threat in the situation
B) Diagnosis is based on the presence of symptoms for at least a 6-month duration
C) Persons with phobias have apprehension of a future attack,which is referred to as anticipatory anxiety
D) A and B

Answer 2

A and B

Question 3

In order to diagnose an individual with bipolar I syndrome,the clinician should look for episodes of:

A) Irritability and rage
B) Grandiosity and high self-esteem
C) Rapidly alternating moods
D) None of the above

Answer 3

Rapidly alternating moods

Question 4

It is important for the clinician to recognize that a recurrence of depression is:

A) 50% likely after one episode
B) 70% likely after two episodes
C) 90% likely after three episodes
D) All of the above

Question 5

A manic episode is a distinct period of a persistently elevated,expansive,or irritable mood lasting at least:

A) 1 week
B) 2 weeks
C) 3 months
D) 6 months

Question 6

It is widely recognized that bereavement-associated depression can last for up to:

A) 6 months
B) 1 year
C) 2 years
D) 5 years

Question 7

Abuse of alcohol or street drugs is a frequent cause of:

A) Mania
B) Obsessive-compulsive disorder
C) Depression
D) Hypomania

Question 8

Which of the following medications may cause depression in some individuals?

A) Amantadine
B) "Statin" anti-lipidemia drugs
C) Levodopa
D) A and C

Question 9

Depression can cause the following physiological changes:

A) Lack of appetite or overeating
B) Avolition or agitation
C) Insomnia or hypersomnia
D) All of the above

Question 10

When assessing an individual with depression,it is important for the clinician to:

A) Ask if there are thoughts of suicide
B) Ask if there is a plan for suicide
C) Ask if the individual wants to harm others
D) All of the above

Question 11

Patients with anxiety frequently complain of:

A) Chest pain
B) Dizziness
C) Shortness of breath
D) A and B

Question 12

In bereavement-associated depression:

A) Antidepressant medications usually do not provide relief
B) The same antidepressants used for non-bereavement depression can provide relief
C) Only SSRI antidepressants can provide relief for grieving individuals
D) Only TCA antidepressants can provide relief for bereaved individuals

Question 13

With all mental health diagnoses,the clinician should be sure to:

A) Exclude medical conditions that can cause physiological anxiety
B) Review all medications regarding possible mental health side effects
C) Recognize that the presence of anxiety influences treatment and prognosis
D) All of the above

Question 14

In obsessive-compulsive disorder,a common obsession:

A) Is that of "contamination" and washing or avoidance of a particular object that is contaminated
B) Involves repetitive behaviors in response to preoccupations with perceived flaws in physical appearance
C) Is a marked fear of being the center of attention or behaving in a way that will result in embarrassment or humiliation
D) None of the above

Question 15

What percentage of patients who commit suicide have depressive illness?

A) 100%
B) 90%
C) 70%
D) 50%

Question 16

It is a psychiatric emergency if a patient confides in you that:

A) There are no reasons for him to keep from dying
B) He is having episodes of elation and increased energy
C) He is experiencing free floating anxiety and fear
D) Death and dying is constantly on his mind

Question 17

Which of the following is true about separation anxiety?

A) It is a fear mainly expressed by children and adolescents under age 18
B) It is a fear limited to children under age 8.
C) A duration of 6 months is required to minimize overdiagnosis of transient fears
D) A and C

Question 18

Hypomania is different from mania in that:

A) Hypomania does not cause impaired social or occupational functioning
B) Hypomania does not require hospitalization
C) Mania can endure for a longer period of time than hypomania
D) A and B

Question 19

Which of the following statements is true regarding generalized anxiety disorder?

A) Recent studies suggest that chronic anxiety disorders may increase the rate of cardiovascular-related mortality
B) Women are 60% more likely than men to experience an anxiety disorder over their lifetime
C) More than 90% of patients with anxiety present primarily with somatic complaints in primary care and emergency department settings
D) All of the above

Question 20

High distractibility or leaving projects unfinished is characteristic of:

A) Hypomania
B) Mania
C) Obsession
D) Cyclothymic disorder

Question 21

A schizoaffective disorder is characterized by:

A) Mood component coexisting with the schizophrenic symptoms
B) Thought disorder that comes and goes
C) Psychotic disorder with substance abuse
D) Schizophrenia with auditory and visual hallucinations

Question 22

Which of the following is a feature of physical dependence in substance abusers?

A) Tolerance
B) Compulsive behavior
C) Withdrawal
D) A and C

Question 23

Which of the following questions is not used to diagnose an individual with anorexia?

A) "Do you think your current weight is normal or excessive?"
B) "Do you think that any part of your body is still too fat?"
C) "Do you have concern or fear about gaining weight even though you are underweight?"
D) "Do you want to gain weight?"

Question 24

Which of the following mental health disorders commonly affects substance abusers?

A) Obsessive-compulsive disorder
B) Antisocial personality
C) Mania
D) None of the above

Question 25

Eating disorders are driven by:

A) Perfectionism
B) Feelings of inadequacy
C) Obsessive-compulsive disorder
D) A and B

Question 26

Individuals with bulimia are commonly:

A) Overweight
B) Normal weight
C) Underweight
D) Obese

Question 27

For premenstrual dysphoric disorder (PMDD)the clinician should:

A) Give patients a trial of an SSRI to see if it relieves symptoms
B) Recognize that oral contraceptives can relieve symptoms
C) Ask the patient to keep a diary of mood and menses for 2 months
D) Diagnose the disorder only if the patient exhibits psychotic symptoms

Question 28

Individuals with anorexia are below % of the normal weight for their height,which is not attributed to a medical condition.

A) 25
B) 50
C) 85
D) 100

Question 29

Individuals with bulimia commonly have:

A) Low self-esteem
B) Loss of teeth enamel
C) Enlarged parotid glands
D) All of the above

Question 30

Thought disorders are evaluated in terms of:

A) The patient's ability to form an accurate assessment of reality
B) How the patient presents his or her ideas
C) The patient's perception of stimuli in the environment
D) All of the above

Question 31

It is important for the clinician to recognize that elderly patients may present with drug-induced psychosis particularly with:

A) Beta blocker drugs
B) Anticholinergic drugs
C) Antibiotics
D) Antiviral agents

Question 32

To diagnose a patient with binge eating,a binge is defined as occurring at least:

A) Once a week for 3 months.
B) Twice a week for 6 months
C) Three times a week for 3 months
D) None of the above

Question 33

In bipolar II disorder,individuals:

A) Do not experience depression
B) Do not experience manic episodes
C) Have episodes of elation and high energy
D) Do not experience hypomania

Question 34

A significant physical finding in females with anorexia is:

A) An irregular menstrual cycle or amenorrhea
B) Hair loss
C) Ascites
D) Esophageal tear