Nokea
A boy with a conduct disorder diagnosis would be most likely to have which symptom?
- A. Withdrawal
- B. Ritualistic behavior
- C. Class bully
- D. Class clown
Correct Answer: C
Rationale: A pattern of bullying is a common sign of conduct disorder. Responses A and B may reflect autism.
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Which characteristics are most likely in a sexual perpetrator? Select all that apply.
- A. Male.
- B. Female.
- C. Stranger.
- D. Age 30 or younger.
Correct Answer: A
Rationale: Step 1: Research shows that the majority of sexual perpetrators are male.
Step 2: Societal norms and power dynamics often contribute to male perpetration.
Step 3: Males are more likely to have societal privilege and opportunity to commit sexual offenses.
Step 4: Gender stereotypes and toxic masculinity can influence male behavior towards sexual violence.
Summary: Choice A is correct because statistical data and societal factors support the likelihood of male sexual perpetrators. Choices B, C, and D are incorrect as they do not align with the established patterns and research on sexual perpetration.
Which of the following is not a psychiatric condition commonly associated with oppositional behaviour in children?
- A. Attention Deficit/Hyperactivity Disorder
- B. Conduct Disorder
- C. Post-Traumatic Stress Disorder
- D. Autism Spectrum Disorder
Correct Answer: C
Rationale: PTSD is less commonly linked to oppositional behavior compared to ADHD, Conduct Disorder, ASD, and Anxiety Disorders.
A client displays disorganized thinking, difficult-to-follow speech, and silly, inappropriate affect. The client isolates himself from other clients and staff, ignores unit activities, and often seems to be listening and responding to unseen stimuli. This client's behavior most closely conforms to the characteristic behavior of:
- A. Residual schizophrenia
- B. Schizoaffective disorder
- C. Paranoid schizophrenia
- D. Disorganized schizophrenia
Correct Answer: D
Rationale: The correct answer is D: Disorganized schizophrenia. The client's symptoms of disorganized thinking, difficult-to-follow speech, inappropriate affect, social withdrawal, and hallucinations (responding to unseen stimuli) align with the diagnostic criteria for Disorganized Schizophrenia. This subtype is characterized by disorganized behavior, speech, and affect, as well as social withdrawal and hallucinations.
A: Residual schizophrenia does not involve active psychotic symptoms like hallucinations or delusions, which are present in the client's behavior described.
B: Schizoaffective disorder combines symptoms of schizophrenia and mood disorders, and the client's symptoms do not strongly suggest a mood disorder component.
C: Paranoid schizophrenia typically involves prominent delusions and auditory hallucinations, which are not emphasized in the client's behavior described.
A patient has recently been under significant stress and worked long hours. At home, the patient watches television and eats until going to bed. The patient is too tired to exercise and has gained 25 pounds in 1 month. A desired outcome for the patient is to recognize anxiety that precedes binge eating and reduce it. Which intervention addresses the outcome?
- A. Teach stress-reduction techniques such as relaxation and imagery.
- B. Encourage the patient to design and implement an exercise program.
- C. Explore ways in which the patient may feel more in control of the environment.
- D. Encourage the patient to attend a support group such as Overeaters Anonymous.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Teaching stress-reduction techniques (relaxation, imagery) helps patient identify anxiety triggers leading to binge eating.
2. By recognizing anxiety, patient can interrupt pattern of mindless eating and address root cause.
3. Relaxation techniques empower patient to cope effectively without turning to food.
4. Encouraging exercise (choice B) may not directly address underlying anxiety and binge eating triggers.
5. Exploring control over the environment (choice C) does not necessarily address emotional aspects of binge eating.
6. Attending a support group (choice D) may provide peer support but doesn't focus on recognizing and reducing anxiety triggers.
In the OB follow-up clinic, your patient, who is 4 weeks post-delivery, tells you she is sleeping for long hours, wants to avoid taking care of the baby, and wishes she had never had the baby. What would be your first response?
- A. Its normal to feel overwhelmed at first.
- B. Tell me more about these feelings.
- C. Report her to Child Protective Services.
- D. Ill call your husband right away to get you back home to rest.
Correct Answer: B
Rationale: The open-ended question (B) will give you more information and be less judgmental to this patient. This behavior is not normal at 4 weeks post-delivery and more rest is probably not adequate treatment. You would like a lot more information before reporting this as neglect.