CMN 552 FINAL EXAM ACTUAL EXAM

CMN 552 FINAL EXAM ACTUAL EXAM

QUESTIONS

WITH 100% VERIFIED ANSWER UPDATED

A+ GRADE GUARANTEED

◍ What are the defining characteristics of dissociative identity disorder?Answer - Two or more distinct personality states or an experience of possession

• Involves marked discontinuity in sense of self and agency, accompanied by

alterations in affect, behavior, memory, cognition, consciousness, sensorymotor functioning

• Recurrent gaps in recall of everyday events, important personal information,

and/or traumatic events that are inconsistent with ordinary forgetting

• Symptoms cause distress and functional impairment
• Not better explained by imaginary play in children or substance abuse in all

ages

◍ Name the highest predictive factor for elder abuse. Answer ...

◍ A child experiencing PTSD may exhibit symptoms in the following: Answer -

Alterations in arousal (2+)

• Intrusion symptoms (1+)
• Avoidance of stimuli
• Dissociative reactions
• Depersonalization
• / 3

◍ Assessment findings indicating possible sexual abuse include what? Answer

Problematic sexual behaviors:

• Cross socially unacceptable boundaries
• Become coercive, aggressive
• Represent early onset of adult sexual activity

◍ Define alogia Answer Diminished speech output

◍ Define derailment Answer Shift in topics between clauses

◍ How would a child with bipolar disorder exhibit/meet the grandiosity criterion?Answer - Overestimation of abilities

• Belief they are the best, smartest
• Attempting clearly dangerous feats

_ Beliefs are despite clear evidence to contrary

• Represents a change from baseline

◍ In Bipolar I, what are the required criteria for a hypomanic episode? Answer Persistently elevated, expansive, or irritable mood and increased activity or energy for at least 4 consecutive days.

3+ of the following (4+ if irritable)

• inflated self esteem/grandiosity
• Decreased need for sleep (<3hrs)
• Talkative/pressure speech
• Flight of ideas/racing thoughts 2 / 3

• Distractibility
• Increase goal directed activity or psychomotor agitation
• Excessive risky behaviors

• Episode is uncharacteristic to baseline behavior
• Observable by others
• Does not cause marked impairment or require hospitalization
• Common in BP1 but not required for diagnosis

◍ In prescribing lamotrigine, why is slow upward titration is recommended?Answer Can cause rashes, rarely Steven's Johnson Syndrome (toxic epidermal necrolysis)

• Minimized with slow titration and avoiding drugs that raise levels (Valproate)

◍ Which medication is considered the gold standard for maintenance treatment of bipolar disorder? Answer Lithium

◍ Identify the types of sleep disturbances that may occur in patients with major depressive disorder in adults. Answer - Hypersomnia

• Decreased sleep
• Difficulty falling asleep
• Frequent awakenings
• Middle insomnia (wake during night and hard to fall back asleep)
• Terminal insomnia (wake early and can't fall back asleep)

◍ What is the mneumonic or assessing a manic episode of bipolar disorder?

• / 3