,Liberty University COUC 546 Quiz 3 | Psychopathology
(2026) Q&A
1. A client presents with a pervasive pattern of social and interpersonal deficits marked
by acute discomfort with, and reduced capacity for, close relationships, as well as
cognitive or perceptual distortions and eccentricities of behavior. Which diagnosis is
most appropriate?
A) Schizoid Personality Disorder
B) Paranoid Personality Disorder
C) Avoidant Personality Disorder
D) Schizotypal Personality Disorder
Correct Answer: Schizotypal Personality Disorder
Rationale: Schizotypal Personality Disorder is distinguished by eccentric behavior
and cognitive distortions such as ideas of reference or magical thinking. Unlike Schizoid
Personality Disorder, which focuses on social withdrawal, Schizotypal involves active
discomfort and peculiar perceptions. This diagnosis belongs to Cluster A and requires
five or more specific symptoms for clinical validation.
2. In the DSM-5-TR, which personality disorder is characterized by a pervasive pattern
of grandiosity, a need for admiration, and a lack of empathy?
A) Histrionic Personality Disorder
B) Narcissistic Personality Disorder
C) Antisocial Personality Disorder
D) Borderline Personality Disorder
Correct Answer: Narcissistic Personality Disorder
,Rationale: Narcissistic Personality Disorder involves a sense of self-importance and
entitlement that often leads to the exploitation of others. Clinicians look for a pattern
where the individual believes they are unique and can only be understood by other high-
status people. The lack of empathy is a core feature that distinguishes it from Histrionic
Personality Disorder, which focuses more on being the center of attention.
3. Which of the following is a core requirement for a diagnosis of Anorexia Nervosa
according to the DSM-5-TR?
A) Amenorrhea for at least three consecutive months
B) Recurrent episodes of binge eating at least twice a week
C) Restriction of energy intake relative to requirements leading to a significantly low
body weight
D) Use of laxatives or diuretics regardless of weight
Correct Answer: Restriction of energy intake relative to requirements leading to a
significantly low body weight
Rationale: Anorexia Nervosa focuses primarily on the restriction of caloric intake and
the resulting significantly low body weight. While amenorrhea was a requirement in
previous DSM versions, it is no longer mandatory for a diagnosis in the DSM-5-TR. The
clinical focus remains on the intense fear of gaining weight and the disturbance in how
one's body weight is experienced.
4. A client presents with multiple physical symptoms such as pain, gastrointestinal
issues, and fatigue that are distressing or result in significant disruption of daily life,
accompanied by excessive thoughts and feelings related to these symptoms. What is the
most likely diagnosis?
A) Illness Anxiety Disorder
B) Somatic Symptom Disorder
C) Conversion Disorder
D) Factitious Disorder
, Correct Answer: Somatic Symptom Disorder
Rationale: Somatic Symptom Disorder is defined by the presence of somatic
symptoms that are distressing, along with excessive thoughts, feelings, or behaviors
related to them. The emphasis in the DSM-5-TR has shifted from the 'unexplained'
nature of symptoms to the individual's reaction to them. This distinguishes it from
Illness Anxiety Disorder, where physical symptoms are minimal or absent.
5. An individual deliberately feigns or induces physical or psychological symptoms in
themselves for the purpose of assuming the 'sick role,' without obvious external
rewards. This is:
A) Malingering
B) Somatic Symptom Disorder
C) Conversion Disorder
D) Factitious Disorder
Correct Answer: Factitious Disorder
Rationale: Factitious Disorder involves the intentional falsification of medical or
psychological signs or symptoms. The motivation is to be perceived as ill or injured in
the absence of external incentives, such as money or avoiding legal responsibility. When
the individual induces symptoms in another person, it is called Factitious Disorder
Imposed on Another.
6. The presence of two or more distinct personality states or an experience of
possession, along with recurrent gaps in the recall of everyday events, describes:
A) Dissociative Amnesia
B) Dissociative Identity Disorder
C) Depersonalization/Derealization Disorder
(2026) Q&A
1. A client presents with a pervasive pattern of social and interpersonal deficits marked
by acute discomfort with, and reduced capacity for, close relationships, as well as
cognitive or perceptual distortions and eccentricities of behavior. Which diagnosis is
most appropriate?
A) Schizoid Personality Disorder
B) Paranoid Personality Disorder
C) Avoidant Personality Disorder
D) Schizotypal Personality Disorder
Correct Answer: Schizotypal Personality Disorder
Rationale: Schizotypal Personality Disorder is distinguished by eccentric behavior
and cognitive distortions such as ideas of reference or magical thinking. Unlike Schizoid
Personality Disorder, which focuses on social withdrawal, Schizotypal involves active
discomfort and peculiar perceptions. This diagnosis belongs to Cluster A and requires
five or more specific symptoms for clinical validation.
2. In the DSM-5-TR, which personality disorder is characterized by a pervasive pattern
of grandiosity, a need for admiration, and a lack of empathy?
A) Histrionic Personality Disorder
B) Narcissistic Personality Disorder
C) Antisocial Personality Disorder
D) Borderline Personality Disorder
Correct Answer: Narcissistic Personality Disorder
,Rationale: Narcissistic Personality Disorder involves a sense of self-importance and
entitlement that often leads to the exploitation of others. Clinicians look for a pattern
where the individual believes they are unique and can only be understood by other high-
status people. The lack of empathy is a core feature that distinguishes it from Histrionic
Personality Disorder, which focuses more on being the center of attention.
3. Which of the following is a core requirement for a diagnosis of Anorexia Nervosa
according to the DSM-5-TR?
A) Amenorrhea for at least three consecutive months
B) Recurrent episodes of binge eating at least twice a week
C) Restriction of energy intake relative to requirements leading to a significantly low
body weight
D) Use of laxatives or diuretics regardless of weight
Correct Answer: Restriction of energy intake relative to requirements leading to a
significantly low body weight
Rationale: Anorexia Nervosa focuses primarily on the restriction of caloric intake and
the resulting significantly low body weight. While amenorrhea was a requirement in
previous DSM versions, it is no longer mandatory for a diagnosis in the DSM-5-TR. The
clinical focus remains on the intense fear of gaining weight and the disturbance in how
one's body weight is experienced.
4. A client presents with multiple physical symptoms such as pain, gastrointestinal
issues, and fatigue that are distressing or result in significant disruption of daily life,
accompanied by excessive thoughts and feelings related to these symptoms. What is the
most likely diagnosis?
A) Illness Anxiety Disorder
B) Somatic Symptom Disorder
C) Conversion Disorder
D) Factitious Disorder
, Correct Answer: Somatic Symptom Disorder
Rationale: Somatic Symptom Disorder is defined by the presence of somatic
symptoms that are distressing, along with excessive thoughts, feelings, or behaviors
related to them. The emphasis in the DSM-5-TR has shifted from the 'unexplained'
nature of symptoms to the individual's reaction to them. This distinguishes it from
Illness Anxiety Disorder, where physical symptoms are minimal or absent.
5. An individual deliberately feigns or induces physical or psychological symptoms in
themselves for the purpose of assuming the 'sick role,' without obvious external
rewards. This is:
A) Malingering
B) Somatic Symptom Disorder
C) Conversion Disorder
D) Factitious Disorder
Correct Answer: Factitious Disorder
Rationale: Factitious Disorder involves the intentional falsification of medical or
psychological signs or symptoms. The motivation is to be perceived as ill or injured in
the absence of external incentives, such as money or avoiding legal responsibility. When
the individual induces symptoms in another person, it is called Factitious Disorder
Imposed on Another.
6. The presence of two or more distinct personality states or an experience of
possession, along with recurrent gaps in the recall of everyday events, describes:
A) Dissociative Amnesia
B) Dissociative Identity Disorder
C) Depersonalization/Derealization Disorder
