COUC 546 Exam 4 V1 | COUC 546 Psychopathology | Actual Q&A with
Rationale (COUC546 Exam 4) | Liberty University
1. A 24-year-old female presents with a pervasive pattern of instability in interpersonal
relationships, self-image, and affects. She reports chronic feelings of emptiness and has a
history of non-suicidal self-injury. Which personality disorder is most likely present?
A. Histrionic Personality Disorder
B. Avoidant Personality Disorder
C. Borderline Personality Disorder
D. Dependent Personality Disorder
Answer: C
Explanation: Borderline Personality Disorder is characterized by significant instability in
various life domains including relationships and self-concept. The presence of self-harm
and chronic emptiness are hallmark indicators of this diagnosis according to the DSM-5-TR.
It is often distinguished from other Cluster B disorders by these specific affective and self-
destructive patterns.
2. To meet the diagnostic criteria for Antisocial Personality Disorder, the individual must be at
least how many years of age?
A. 15 years old
B. 16 years old
C. 18 years old
D. 21 years old
Answer: C
Explanation: The DSM-5-TR mandates that a person must be at least 18 years old to be
diagnosed with Antisocial Personality Disorder. Additionally, there must be evidence of
Conduct Disorder with onset before age 15. This age requirement ensures that the
personality pattern is stable and distinguishes it from adolescent rebellion.
3. Which disorder is characterized by a pattern of detachment from social relationships and a
restricted range of expression of emotions in interpersonal settings?
A. Paranoid Personality Disorder
B. Schizotypal Personality Disorder
C. Schizoid Personality Disorder
D. Avoidant Personality Disorder
,Answer: C
Explanation: Schizoid Personality Disorder involves a lack of interest in social
relationships and emotional coldness. Unlike Schizotypal, it does not involve cognitive or
perceptual distortions or eccentric behavior. Individuals with this disorder typically prefer
solitary activities and lack close friends.
4. An individual with a strong need for admiration, a lack of empathy, and a belief that they
are ‘special’ and unique most likely meets the criteria for:
A. Borderline Personality Disorder
B. Narcissistic Personality Disorder
C. Antisocial Personality Disorder
D. Histrionic Personality Disorder
Answer: B
Explanation: Narcissistic Personality Disorder is defined by grandiosity and a pervasive
lack of empathy for others. These individuals often exploit others to achieve their own ends
and require constant validation. The sense of entitlement is a central feature of the clinical
presentation.
5. Which of the following is a core requirement for a diagnosis of Intellectual Disability
(Intellectual Developmental Disorder)?
A. An IQ score below 85
B. Deficits in adaptive functioning that result in failure to meet developmental and
sociocultural standards
C. Symptoms must be present before the age of 5
D. Evidence of a genetic mutation or chromosomal abnormality
Answer: B
Explanation: Intellectual Disability requires both intellectual and adaptive functioning
deficits. In the DSM-5, the severity is determined by adaptive functioning rather than IQ
scores alone. This reflects the individual’s ability to navigate daily life and social
responsibilities.
6. In Autism Spectrum Disorder, the severity levels (Level 1, 2, or 3) are based on the amount
of:
A. Intellectual impairment
B. Support required for social communication and restricted, repetitive patterns of
behavior
C. Social communication deficits only
, D. Medication required for symptom management
Answer: B
Explanation: Severity levels in ASD are categorized based on the level of support needed
by the individual. Level 3 represents ‘requiring very substantial support,’ while Level 1 is
‘requiring support.’ This assessment must be applied to both social communication and
repetitive behavior domains.
7. A child who presents with multiple motor tics and at least one vocal tic, which have
persisted for more than one year, should be diagnosed with:
A. Provisional Tic Disorder
B. Persistent Motor Tic Disorder
C. Tourette’s Disorder
D. Persistent Vocal Tic Disorder
Answer: C
Explanation: Tourette’s Disorder requires the presence of both multiple motor tics and
one or more vocal tics. These tics must have persisted for more than one year since the first
tic onset. The onset must also occur before the age of 18.
8. Gender Dysphoria in children requires how many symptoms from the diagnostic criteria for
a duration of at least 6 months?
A. At least 4 symptoms
B. At least 2 symptoms
C. At least 8 symptoms
D. At least 6 symptoms
Answer: D
Explanation: The DSM-5-TR requires at least six symptoms for children to be diagnosed
with Gender Dysphoria, whereas adults only require two. One of these symptoms in
children must be the strong desire to be of the other gender or an insistence that one is the
other gender. This higher threshold accounts for developmental variations in gender play.
9. Which paraphilic disorder involves the act of observing an unsuspecting person who is
naked, in the process of disrobing, or engaging in sexual activity?
A. Exhibitionistic Disorder
B. Frotteuristic Disorder
C. Voyeuristic Disorder
D. Fetishistic Disorder
Rationale (COUC546 Exam 4) | Liberty University
1. A 24-year-old female presents with a pervasive pattern of instability in interpersonal
relationships, self-image, and affects. She reports chronic feelings of emptiness and has a
history of non-suicidal self-injury. Which personality disorder is most likely present?
A. Histrionic Personality Disorder
B. Avoidant Personality Disorder
C. Borderline Personality Disorder
D. Dependent Personality Disorder
Answer: C
Explanation: Borderline Personality Disorder is characterized by significant instability in
various life domains including relationships and self-concept. The presence of self-harm
and chronic emptiness are hallmark indicators of this diagnosis according to the DSM-5-TR.
It is often distinguished from other Cluster B disorders by these specific affective and self-
destructive patterns.
2. To meet the diagnostic criteria for Antisocial Personality Disorder, the individual must be at
least how many years of age?
A. 15 years old
B. 16 years old
C. 18 years old
D. 21 years old
Answer: C
Explanation: The DSM-5-TR mandates that a person must be at least 18 years old to be
diagnosed with Antisocial Personality Disorder. Additionally, there must be evidence of
Conduct Disorder with onset before age 15. This age requirement ensures that the
personality pattern is stable and distinguishes it from adolescent rebellion.
3. Which disorder is characterized by a pattern of detachment from social relationships and a
restricted range of expression of emotions in interpersonal settings?
A. Paranoid Personality Disorder
B. Schizotypal Personality Disorder
C. Schizoid Personality Disorder
D. Avoidant Personality Disorder
,Answer: C
Explanation: Schizoid Personality Disorder involves a lack of interest in social
relationships and emotional coldness. Unlike Schizotypal, it does not involve cognitive or
perceptual distortions or eccentric behavior. Individuals with this disorder typically prefer
solitary activities and lack close friends.
4. An individual with a strong need for admiration, a lack of empathy, and a belief that they
are ‘special’ and unique most likely meets the criteria for:
A. Borderline Personality Disorder
B. Narcissistic Personality Disorder
C. Antisocial Personality Disorder
D. Histrionic Personality Disorder
Answer: B
Explanation: Narcissistic Personality Disorder is defined by grandiosity and a pervasive
lack of empathy for others. These individuals often exploit others to achieve their own ends
and require constant validation. The sense of entitlement is a central feature of the clinical
presentation.
5. Which of the following is a core requirement for a diagnosis of Intellectual Disability
(Intellectual Developmental Disorder)?
A. An IQ score below 85
B. Deficits in adaptive functioning that result in failure to meet developmental and
sociocultural standards
C. Symptoms must be present before the age of 5
D. Evidence of a genetic mutation or chromosomal abnormality
Answer: B
Explanation: Intellectual Disability requires both intellectual and adaptive functioning
deficits. In the DSM-5, the severity is determined by adaptive functioning rather than IQ
scores alone. This reflects the individual’s ability to navigate daily life and social
responsibilities.
6. In Autism Spectrum Disorder, the severity levels (Level 1, 2, or 3) are based on the amount
of:
A. Intellectual impairment
B. Support required for social communication and restricted, repetitive patterns of
behavior
C. Social communication deficits only
, D. Medication required for symptom management
Answer: B
Explanation: Severity levels in ASD are categorized based on the level of support needed
by the individual. Level 3 represents ‘requiring very substantial support,’ while Level 1 is
‘requiring support.’ This assessment must be applied to both social communication and
repetitive behavior domains.
7. A child who presents with multiple motor tics and at least one vocal tic, which have
persisted for more than one year, should be diagnosed with:
A. Provisional Tic Disorder
B. Persistent Motor Tic Disorder
C. Tourette’s Disorder
D. Persistent Vocal Tic Disorder
Answer: C
Explanation: Tourette’s Disorder requires the presence of both multiple motor tics and
one or more vocal tics. These tics must have persisted for more than one year since the first
tic onset. The onset must also occur before the age of 18.
8. Gender Dysphoria in children requires how many symptoms from the diagnostic criteria for
a duration of at least 6 months?
A. At least 4 symptoms
B. At least 2 symptoms
C. At least 8 symptoms
D. At least 6 symptoms
Answer: D
Explanation: The DSM-5-TR requires at least six symptoms for children to be diagnosed
with Gender Dysphoria, whereas adults only require two. One of these symptoms in
children must be the strong desire to be of the other gender or an insistence that one is the
other gender. This higher threshold accounts for developmental variations in gender play.
9. Which paraphilic disorder involves the act of observing an unsuspecting person who is
naked, in the process of disrobing, or engaging in sexual activity?
A. Exhibitionistic Disorder
B. Frotteuristic Disorder
C. Voyeuristic Disorder
D. Fetishistic Disorder
