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  • Question 1 - A 60-year-old man is experiencing severe psychomotor retardation despite being treated with antidepressant...

    Correct

    • A 60-year-old man is experiencing severe psychomotor retardation despite being treated with antidepressant medication for his major depressive disorder. What is the correct statement regarding his condition?

      Your Answer: Electroconvulsive therapy (ECT) is likely to improve her mood

      Explanation:

      Patients who do not experience any improvement from antidepressant medication may be recommended to undergo ECT. This is particularly relevant for elderly individuals who commonly experience relapse of depressive symptoms and may also have underlying medical conditions such as Alzheimer’s disease. Additionally, suicide risk in the elderly should be taken seriously and depression should be properly diagnosed and treated.

    • This question is part of the following fields:

      • History And Mental State
      29.4
      Seconds
  • Question 2 - Select the most important statement concerning the mental state examination: ...

    Incorrect

    • Select the most important statement concerning the mental state examination:

      Your Answer: The cooperation of the patient is essential in the mental state examination

      Correct Answer: In the mental state examination, facial appearance provides information about affect

      Explanation:

      The mental state examination involves evaluating and documenting characteristics of mental illness in order to diagnose a clinical syndrome. It includes observing and describing the significant aspects of a person’s mental state at a specific moment in time. This assessment can be conducted before obtaining a patient’s medical history.

    • This question is part of the following fields:

      • History And Mental State
      21.5
      Seconds
  • Question 3 - Ms Y is employed at the Bank. She takes twice as much time...

    Correct

    • Ms Y is employed at the Bank. She takes twice as much time as her colleagues to finish her tasks and always stays late at the office. She is very organized and aims for perfection in every detail. However, her co-workers find her tedious and overly meticulous, and she struggles to build good relationships with many of them. What is being described here?

      Your Answer: Anankastic personality disorder

      Explanation:

      Anankastic personality disorder, previously known as obsessive-compulsive personality disorder in DSM-IV, is a condition where individuals are excessively focused on schedules, rules, and details. Their perfectionism can hinder their ability to meet the criteria outlined in ICD-10, which characterizes the disorder as one marked by doubt, excessive conscientiousness, preoccupation with details, checking, stubbornness, caution, and rigidity. People with this disorder may experience persistent and unwanted thoughts of impulses that do not reach the level of an obsessive-compulsive disorder. They may also struggle to function effectively at work due to difficulty completing tasks.

    • This question is part of the following fields:

      • History And Mental State
      9.7
      Seconds
  • Question 4 - After a teenager mentions that they smoke cigarettes, and have been struggling to...

    Correct

    • After a teenager mentions that they smoke cigarettes, and have been struggling to quit, the counselor says, "I know this must be hard for you." This is an example of:

      Your Answer: Validation

      Explanation:

      Symptom exaggeration is a method of suggesting a behavior that is more problematic than expected to help the patient feel less guilty and provide a more truthful response.

      Confrontation involves the doctor pointing out something that the patient may be denying or missing.

      Clarification is used to clarify something the patient has said.

      Open-ended questions encourage the patient to respond in their own words and cannot be answered with a simple yes of no.

      Validation is used to make the patient’s thoughts, feelings, of behaviors seem more acceptable by normalizing them.

    • This question is part of the following fields:

      • History And Mental State
      8.4
      Seconds
  • Question 5 - A concerned couple brings their 45-year-old daughter to her primary care physician due...

    Correct

    • A concerned couple brings their 45-year-old daughter to her primary care physician due to her unusual behavior. What symptoms would indicate a diagnosis other than schizophrenia?

      Your Answer: Early morning waking

      Explanation:

      Severe depression is often characterized by early morning awakening, while schizophrenia is typically marked by primary delusions, thought withdrawal, ideas of reference, and auditory hallucinations (usually in the third person).

    • This question is part of the following fields:

      • History And Mental State
      14.1
      Seconds
  • Question 6 - Your elderly client informs you that she had a sudden realization that she...

    Correct

    • Your elderly client informs you that she had a sudden realization that she was a member of the senior center's board. This awareness came out of nowhere.

      Is this an instance of:

      Your Answer: Autochthonous delusion

      Explanation:

      Delusions that originate within the mind without any external influence are known as autochthonous. This term, derived from the Greek word for from the soil, emphasizes that the idea is self-generated rather than being triggered by a sensory experience of other external factor.

    • This question is part of the following fields:

      • History And Mental State
      5.9
      Seconds
  • Question 7 - You are requested to evaluate a young adult who has ingested a toxic...

    Incorrect

    • You are requested to evaluate a young adult who has ingested a toxic amount of medication. In terms of your evaluation, which of the following statements is accurate?

      Your Answer: The patient will certainly have a psychiatric disorder

      Correct Answer: If the patient has a family history of suicide they are more likely to die by suicide themselves

      Explanation:

      Risk Factors for Suicide

      A family history of suicide is a significant risk factor for suicide, even if there is no family history of psychiatric disorder. Asking someone about suicidal thoughts does not cause them to have those thoughts, and individuals who self-harm regularly are at a higher risk of suicide. In fact, studies have shown that 1-6% of individuals who present to the hospital after non-fatal self-poisoning of self-injury die by suicide within the first year. It is also important to note that 90% of people who die by suicide have a psychiatric disorder. These risk factors should be taken seriously and addressed in order to prevent suicide.

    • This question is part of the following fields:

      • History And Mental State
      23.8
      Seconds
  • Question 8 - During an evaluation, it appears difficult to obtain a straightforward response from your...

    Incorrect

    • During an evaluation, it appears difficult to obtain a straightforward response from your elderly client. They do eventually provide an answer, but only after an extended conversation about the intricacies of the topic, including precise and detailed information about each aspect. What is this occurrence referred to as?

      Your Answer: Tangentiality

      Correct Answer: Circumstantiality

      Explanation:

      Different types of thought disorders are associated with specific personality traits of mental illnesses. Circumstantiality involves taking a long and detailed route to get to the initial point. Loosening of association makes it difficult to follow how one idea connects to the previous one, resulting in derailment. Overinclusive thinking blurs the boundaries between words and concepts, causing unrelated ideas to be associated with each other. Tangentiality involves answers that are related to the question but do not directly answer it.

    • This question is part of the following fields:

      • History And Mental State
      13.8
      Seconds
  • Question 9 - An example of a delusional belief held by a middle-aged woman who thinks...

    Incorrect

    • An example of a delusional belief held by a middle-aged woman who thinks that the government is communicating with her through television advertisements.

      Your Answer: Autochthonous delusion

      Correct Answer: Delusion of reference

      Explanation:

      The patient has a false belief that others are manipulating situations of occurrences to communicate with them, which is known as a delusion of reference.

    • This question is part of the following fields:

      • History And Mental State
      15.5
      Seconds
  • Question 10 - What is impaired in pure word deafness? ...

    Incorrect

    • What is impaired in pure word deafness?

      Your Answer:

      Correct Answer: Ability to understand speech

      Explanation:

      Pure word deafness is a condition where a person is unable to comprehend speech despite having normal hearing abilities for other sounds. The individual is capable of speaking, reading, and writing with ease and understanding, but cannot grasp the meaning of spoken words. They perceive words as mere sounds without any recognition of their significance. This condition is also referred to as subcortical auditory dysphasia.

    • This question is part of the following fields:

      • History And Mental State
      0
      Seconds

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History And Mental State (7/9) 78%
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