Caadc Practice Exam Correct 100%

In the midst of a relapse episode, and staff him with the treatment team - ANSWER Dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor Based on these observations, and in reviewing all of these factors you are concerned that he may be dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor. One of your clients witnessed a severe accident in which individuals were killed and badly injured. During group, about a month following the accident, he discloses that he has been having vivid physical reactions which include feelings of panic, shortness of breath, sweating, a tightness in his chest and palpitations. As an addictions counselor you would recognize these symptoms as: (Choose the BEST answer) Possible evidence of a Schizoid Disorder and make a referral to a mental health professional for an evaluation Possible evidence of a health disorder and make a referral to a medical health professional for an evaluation Possible evidence of Post Traumatic Stress Disorder and make a referral to a mental health professional for an evaluation Possible evidence of Depression and make a referral to a mental health professional for an evaluation - ANSWER Possible evidence of Post Traumatic Stress Disorder and make a referral to a mental health professional for an evaluation These symptoms, feelings of panic, shortness of breath, sweating, a tightness in his chest and palpitations are possible evidence of Post Traumatic Stress Disorder, and would justify a referral to a mental health professional for an evaluation. Which of these clients most need a referral to a physician? A 25 year old female who has relapsed using crack cocaine following a miscarriage A 53 year old woman grieving for a longer than normal period for her deceased husband A 47 year old man with a history of depression who suddenly exhibits bouts of rage A 12 year old boy who has been using inhalants - ANSWER A 47 year old man with a history of depression who suddenly exhibits bouts of rage The DSM-5 defines "Psychological Stressor" as: A chemical or biological agent that aggravates a symptoms of a mental disorder. Any emotional or physical factor that disrupts the normal physiological, cognitive, emotional, or behavioral balance of an individual. An early or premonitory sign or symptom of a disorder. Any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder. - ANSWER Any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder. The DSM-5 defines "Psychological Stressor" as: Any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder. For example, the diagnosis of Conversion Disorder (Functional Neurological Symptom Disorder) requires the examiner to specify: with psychological stressor (specify stressor) or without psychological stressor. The DSM-5 defines "Macropsia" as: The visual perception that objects are larger than they actually are. The misinterpretation of a real external stimulus. A hallucination involving sight, which may consist of formed images, such as of people, or of unformed images, such as flashes of light. Interpretation that things are smaller in proportion to the background landscape. - ANSWER The visual perception that objects are larger than they actually are. In the DSM-5, the term "Macropsia" is defined as: The visual perception that objects are larger than they actually are. Macropsis is different from micropsia, which the DSM-5 defines as the visual perception that objects are smaller than they actually are. Macropsia is a diagnostic criteria under substance use disorders, like Hallucinogen Persisting Perception Disorder. The DSM-5 defines "Mood" as: An exaggerated feeling of well-being, euphoria, or elation. A person experiencing mood may describe feeling "high," "ecstatic," "on top of the world", or "up in the clouds". An unpleasant emotion, such as sadness, anxiety, or irritability. A pervasive and sustained emotion that colors the perception of the world. A mental state that arises spontaneously rather than through conscious effort and is often accompanied by physiological changes. - ANSWER A pervasive and sustained emotion that colors the perception of the world. In the DSM-5, "Mood" is defined as: A pervasive and sustained emotion that colors the perception of the world. Common examples of mood include depression, elation, anger, and anxiety. In contrast to affect, which refers to more fluctuating changes in emotional "weather", mood refers to a pervasive and sustained emotional "climate". Types of mood include dysphoric, elevated, euthymic, expansive, and irritable. The DSM-5 defines "Parasomnias" as: Disorders involving the amount, quality, or timing of sleep. Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleep-wake transitions. Undesired daytime sleep episodes caused by excessive sleepiness. Primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia. - ANSWER Primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia. The DSM-5 defines "Parasomnias" as: Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleep-wake transitions. Parasomnias are different from dyssomnias, which the DSM-5 defines as primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia as the major presenting symptom. Dyssomnias are disorders of the amount, quality, or timing of sleep. Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleep-wake transitions. - ANSWER Parasomnias DSM-5 defines as primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia as the major presenting symptom. Disorders of the amount, quality, or timing of sleep - ANSWER Dyssomnias The DSM-5 defines "Auditory Hallucination" as: A hallucination involving the perception of sound, most commonly of voice. A sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ. A hallucination when one may continue to speak even though no one is listening. A misperception of a real external stimulus, such as hearing the rustling of leaves as the sound of voices. - ANSWER The DSM-5 defines "Auditory Hallucination" as: A hallucination involving the perception of sound, most commonly of voice. In general, consist of perception-like experiences with the clarity and impact of a true perception but without the external stimulation of the relevant sensory organ. One person may recognize the false sensory experience, whereas another may be convinced that the experience is grounded in reality. Are further categorized as: auditory, geometric, visual, gustatory, mood-congruent, mood-incongruent, olfactory, somatic, tactile, and visual. - ANSWER Hallucinations The DSM-5 defines "Olfactory Hallucination" as: An imagined perception that people are conspiring to steal one's nose (or other sensory body part). An imagined perception where one envisions people having multiple noses or lacking one altogether. An imagined perception involving the sensation of electric shocks. An imagined perception involving odor, such as burning rubber or decaying fish. - ANSWER An imagined perception involving odor, such as burning rubber or decaying fish. The DSM-5 defines "Echolalia" as: The pathological, parrot-like, and apparently senseless repetition (echoing) of a word or phrase just spoken by another person. A nearly continuous flow of accelerated speech with abrupt changes from topic to topic. Repetition by imitation of the movements of another. The action is not a willed or voluntary one and has a semiautomatic and uncontrollable quality. Discordance between affective expression and the content of speech or ideation. - ANSWER The pathological, parrot-like, and apparently senseless repetition (echoing) of a word or phrase just spoken by another person. Echolalia falls under Criterion B - restricted, repetitive patterns of behavior, interests, or activities required to diagnose Autism Spectrum Disorder. Echolalia is also one of the behaviors that characterizes complex vocal tics necessary in the diagnosis of Tourette's Disorder and Persistent (Chronic) Motor or Vocal Tic Disorder. The DSM-5 defines "Hypervigilance" as: An enhanced state of sensory sensitivity accompanied by an exaggerated intensity of behaviors whose purpose is to detect threats. A state of unresponsiveness with immobility and mutism. An increased auditory perception. The condition of maintaining an abnormally low awareness of environmental stimuli. - ANSWER An enhanced state of sensory sensitivity accompanied by an exaggerated intensity of behaviors whose purpose is to detect threats. Also accompanied by a state of increased anxiety which can cause exhaustion. Other symptoms include abnormally increased arousal, a high responsiveness to stimuli, and a continual scanning of the environment for threats. In hypervigilance, there is a perpetual scanning of the environment to search for sights, sounds, people, behaviors, smells, or anything else that is reminiscent of threat or trauma. The individual is placed on high alert in order to be certain danger is not near. Hypervigilance can lead to a variety of obsessive behavior patterns, as well as producing difficulties with social interaction and relationships. The DSM-5 defines "Expansive Mood" as: An unpleasant mood, such as sadness, anxiety, or irritability. Mood in the "normal" range, which implies the absence of depressed or elevated mood. An exaggerated feeling of well-being or elation. Lack of restraint in expressing one's feelings, frequently with an overvaluation of one's significance or importance. - ANSWER Lack of restraint in expressing one's feelings, frequently with an overvaluation of one's significance or importance. Mood is further defined as a pervasive and sustained emotion that colors the perception of the world. Examples of mood include depression, elation, anger, and anxiety whereas types of mood include dysphoric, elevated, euthymic, expansive, and irritable. The DSM-5 defines "Micropsia" as: The visual perception that objects are smaller than they actually are. The interpretation that objects are larger than they appear to be. A hallucination involving sight, which may consist of formed images, such as of people, or of unformed images, such as flashes of light. The misinterpretation of a real external stimulus. - ANSWER The visual perception that objects are smaller than they actually are. Micropsia is a diagnostic criteria under substance use disorders, like Hallucinogen Persisting Perception Disorder. The DSM-5 defines "Tic" as: Stereotyped or repetitive/rhythmic motor movements, use of objects, or speech. Repetitive, seemingly driven, and nonfunctional motor behavior. The manifestation of impaired skills requiring motor coordination. An involuntary, sudden, rapid, recurrent, nonrhythmic motor movement or vocalization. - ANSWER An involuntary, sudden, rapid, recurrent, nonrhythmic motor movement or vocalization. Tics are often associated under neurodevelopmental motor disorders that include Developmental Coordination Disorder, Stereotypic Movement Disorder, Tourette's Disorder, Persistent (Chronic) Motor or Vocal Tic Disorder, and Provisional Tic Disorder. The duration, presumed etiology, and clinical presentation define the specific tic disorder that is diagnosed; Diagnostic Criterion A states that "Both multiple motor and one or more vocal tics have been present at some time during the illness, although not necessarily concurrently." - ANSWER Tourette's Disorder Criterion A states that "Single or multiple motor OR vocal tics have been present during the illness, but NOT BOTH motor and vocal." - ANSWER Persistent Motor or Vocal Tic Disorder Criterion A states that there should be a "single or multiple motor and/or vocal tics." - ANSWER Provisional Tic Disorder The DSM-5 defines "Irritable Mood" as: A pervasive and sustained emotion that colors the perception of the world. An unpleasant mood, such as anxiety, or irritability. Mood with the absence of depressed or elevated affect. Easily annoyed and provoked to anger. - ANSWER Easily annoyed and provoked to anger. The DSM-5 defines "Late Insomnia" as: Awakening in the middle of the night followed by eventual return to sleep, but with difficulty. Difficulty in falling asleep. Early-morning awakening with an inability to return to sleep. A subjective complaint of difficulty falling or staying asleep or poor sleep quality. - ANSWER Early-morning awakening with an inability to return to sleep. In general, refers to a subjective complaint of difficulty falling or staying asleep or poor sleep quality. Different manifestations of insomnia can occur at different times of the sleep period; these are: Initial insomnia/Sleep-onset insomnia; Sleep maintenance insomnia/Middle insomnia); and Late insomnia. Difficulty maintaining sleep is the most common single symptom of insomnia, followed by difficulty falling asleep, while a combination of these symptoms is the most common presentation overall. - ANSWER INSOMNIA Difficulty maintaining sleep is the most common single symptom, followed by difficulty