a need to understand and know

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Lillian comes to see you in your office complaining of olfactory flashbacks and experiences of detachment from reality and her surroundings. When she smells glue she sweats, shakes, experiences heart palpitations, and feels dizzy. After further exploration, Lillian reveals that 6 months ago she was robbed in an elevator by an individual who grabbed her, put their hand over her mouth, and demanded all her money and jewelry. The robber had a persistent smell of glue on their hands.

Which of the following is the most likely diagnosis for Lillian?

Question 1 options:

a) 

Dissociative disorder

b) 

Panic disorder

c) 

Adjustment disorder with anxiety

d) 

Posttraumatic stress disorder

Question 2 (Mandatory) (1 point)

 

Lillian's roommate (Reta) moved in with Lillian about two months ago. Reta seeks care from her primary care provider stating that after she moved in with Lillian she was impacted by Lillian's symptoms. Specifically, Reta states she often experiences distress and anxiety impacting her ability to work or see friends, and she has been thinking about suicide, but has no serious plan. However, Reta does not meet the criteria for Major Depressive Disorder.

The most justifiable diagnosis is:

Question 2 options:

a) 

Adjustment disorder with mixed anxiety and depressed mood.

b) 

Persistent depressive disorder (dysthymia)

c) 

Social anxiety disorder

d) 

Generalized anxiety disorder

Question 3 (Mandatory) (1 point)

 

According to the American Psychological Association (APA) which of the following treatments does not have empirical support of effectiveness in the treatment of posttraumatic stress disorder:

Question 3 options:

a) 

Cognitive processing therapy (CPT)

b) 

Prolonged exposure therapy (PE)

c) 

Solution focused brief therapy (SFTB)

d) 

Eye Movement Desensitization and Reprocessing (EMDR)

Question 4 (Mandatory) (1 point)

 

According to the DSM 5, dissociative disorders are characterized by

Question 4 options:

a) 

A disturbance in normal integration of memories and emotions that may be due to the effects of a substance (e.g., alcohol)

b) 

A disruption and/or discontinuity in the normal integration of memories, emotions, etc.

c) 

The presence of acute stress and/or anxiety

d) 

The presence of post-traumatic stress disorder

Question 5 (Mandatory) (1 point)

 

An adjustment disorder can be diagnosed when

Question 5 options:

a) 

the stress-related disturbance does not meet the criteria for another mental disorder

b) 

people are reasonably upset (e.g., the loss of a loved one)

c) 

there is no identifiable stressor

d) 

the symptoms are merely the exacerbation of a preexisting mental disorder

Question 6 (Mandatory) (1 point)

 

Which of the following is the main difference between the diagnosis of acute stress disorder and posttraumatic stress disorder?

Question 6 options:

a) 

Prognosis of treatment

b) 

Duration of symptoms

c) 

Type of traumatic event or stressor

d) 

Previous mental health conditions of client

Question 7 (Mandatory) (1 point)

 

Which of these factors predict how distressing an event is for a person?     

Question 7 options:

a) 

the event

b) 

the individual

c) 

the supports available

d) 

all the above

Question 8 (Mandatory) (1 point)

 

Which of the following is not a typical symptom of posttraumatic stress disorder?

Question 8 options:

a) 

Avoidance of events, people, places and situations that remind the person of the event

b) 

Experiencing distressing dreams or intrusive thoughts of the stressful event

c) 

Experiencing hallucinations

d) 

Changes in mood and outlook

Question 9 (Mandatory) (1 point)

 

A different diagnosis, rather than Adjustment Disorder, is more appropriate if a person’s symptoms last for more than:

Question 9 options:

a) 

Three months

b) 

Nine moths

c) 

Twelve months

d) 

Six months

Question 10 (Mandatory) (1 point)

 

Which of the following is not one of the diagnostic criteria for dissociative identity disorder?

Question 10 options:

a) 

Persistent gaps in recall of day to day events

b) 

Hallucinations or behaviors due to alcohol or substance use

c) 

Significant distress that impacts day to day social, work and personal functioning

d) 

Two or more distinct personality states that cause identity changes