Deck 14: Functional Implications of Selected Psychiatric Diagnoses

Question 1

All of the subtypes of schizophrenia described in the DSM-IV-TR are ____________.

A) paranoid, disorganized, and catatonic
B) catatonic, undifferentiated, residual, and paranoid
C) paranoid, disorganized, catatonic, undifferentiated, and residual
D) disorganized, undifferentiated, and flattened affect

Answer 1

C

Question 2

What condition of schizophrenia can be described as the inability to experience pleasure?

A) Visual hallucinations
B) Anhedonia
C) Avolution
D) Flattened affect

Answer 2

B

Question 3

Which of the following is a manifestation of a major depressive disorder?

A) Feeling of exaggerated self-esteem
B) Feelings of worthlessness or excessive guilt
C) Recurrent thoughts of sex
D) Excess energy

Answer 3

B

Question 4

Bipolar disorder is a condition characterized by_____________.

A) extremes in mood or mood instability
B) disorganized speech
C) delirium
D) apathy

Question 5

Manifestations of bipolar disorder may be disguised by ________________.

A) highly intelligent persons
B) viral infections
C) similar manifestations to schizophrenia
D) alcohol or substance abuse

Question 6

Which of the following is classified as an anxiety disorder?

A) Bipolar disorder
B) Agoraphobia
C) Schizophrenia
D) Hypochondriasis

Question 7

Where does the condition of delirium most frequently occur?

A) In the home
B) In social situations
C) During hospitalizations
D) Out of doors

Question 8

Which of the following conditions describe a global deterioration of multiple intellectual abilities, including memory?

A) Delirium
B) Dementia
C) Dissociative fugue
D) Dissociative amnesia

Question 9

________________ is (are) a progressive, degenerative type of dementia featuring an insidious onset and gradual deterioration of cognitive function, eventually resulting in death.

A) Delirium
B) Personality disorders
C) Factitious disorders
D) Alzheimer's disease

Question 10

What is the cause of the rare type of dementia Creutzfeldt-Jacob disease (CJD)?

A) Accumulation of prion proteins
B) Excessive stress
C) Lack of adequate nutrition
D) Obesity

Question 11

MC brings her mother to the clinic today with the statement that her mother just does not seem herself. Mrs. C has been forgetting to do her regular household tasks such as watering her plants, reading her mail, and locking her doors at night. Additionally, she has been unable to remember her way home from the market twice in the last two weeks. She has been living alone in her home since her husband's demise five years earlier, without problem. Discuss the differences between delirium and dementia and which of these might be developing in Mrs. C.
A. Define delirium and dementia.
B. Discuss the symptoms and causes of both conditions.
C. Discuss how either condition might be treated.

Question 12

Sgt. Blue presents at the clinic today with his wife who states that he has been suffering worsening depression since coming home from his second tour of military duty in Afghanistan. She states that he wakes at night from dreams where he appears to be reliving his recent experiences. He has had frequent episodes of being unable to go to work related to extreme fatigue and inability to concentrate. On further assessment, you find that Sgt. Blue is easily startled by loud noises (things as innocuous as a car backfire) and continually looks at the door while talking to you. He is exhibiting signs of posttraumatic stress disorder. Discuss what is this condition, how it is diagnosed, what the major symptoms are as well as how this will impact his life, and what is the potential prognosis for him.
A. Define PTSD.
B. What are the main symptoms (psychological and physical) associated with PTSD?
C. What are the anticipated treatments for PTSD?
D. What medications might be expected to be prescribed?
E. How can his family receive help to assist living with him?

Question 13

Discuss why adherence to medication protocols has been shown to be a major problem for individuals with schizophrenia.

Question 14

Individuals with schizophrenia tend to have a number of health issues, in addition to the manifestations experienced as a result of their condition. Describe the health issues that they might experience.

Question 15

Major depressive disorder is defined by depressed mood or loss of interest in nearly all activities (or both) for at least two weeks. Discuss how the following manifestations can affect performance in the workplace.
A. Insomnia or hypersomnia (excessive sleeping)
B. Feelings of worthlessness or excessive guilt
C. Fatigue or loss of energy
D. Diminished ability to concentrate
E. Substantial change in appetite or weight
F. Psychomotor agitation or retardation
G. Recurrent thoughts of death or suicide

Question 16

Describe the similarities and differences of the major classifications of bipolar disorder.
A. Bipolar I disorder
B. Bipolar II disorder
C. Cyclothymia

Question 17

There are several types of anxiety disorders each with their own individual manifestations. However, they also have common features. Describe these common features that make them hard to manage and recognize.

Question 18

Discuss some of the difficulties a person might face if diagnosed with dementia.

Question 19

Delirium occurs more frequently during hospitalizations and it can be the initial manifestation of a more serious underlying condition that has gone unrecognized. Describe underlying conditions a health care professional should look for if a patient exhibits delirium.

Question 20

Medications are often used when managing bipolar disorders. Describe what medications are used and what manifestations they are effective managing.