Final Exam: NR 606 / NR606 (Latest
Update ) Diagnosis and
Management in Psychiatric-Mental
Health II Practicum | Questions &
Answers | Grade A | 100% Correct –
Chamberlain
Question:
Tell me about the structural dissociation model
Answer:
Defense System: When a child is abused, their defense system will naturally
work to shield them from harm, BUT...
Attachment System: ...their attachment system will still want to be loved and
cared for by the parent.
This creates an internal tug-of-war where different motivational systems are
working against each other simultaneously.
This can cause a patient's conflicting parts to separate. That can lead to a split
in their sense of self and a dysregulated nervous system.
,Question:
Define dissociation
Answer:
feelings of detachment from one's own body
Question:
Define derealization
Answer:
feelings that one's surroundings are not reality
Question:
Time line with adjustment disorder
Answer:
development of emotional or behavioral symptoms within 3 months of the
onset of a new stressor lasts no longer than 6 months
Question:
Child has had symptoms for 2 months
Answer:
adjustment disorder is most likely. Symptoms do not meet criteria for other
diagnoses.
,Question:
Symptoms of adjustment disorder
Answer:
cause significant impairment in social or occupational functioning but do not
persist past 6 months after the initial stressor has resolved.
Question:
What are specifiers for adjustment disorder
Answer:
-depressed mood
-anxiety
-mixed anxiety and depressed mood
-disturbance of conduct
-mixed disturbance of emotions and conduct
Question:
Treatment for adjustment disorder
Answer:
-Family therapy and/or individual therapy
-Parent training
-Meds usually aren't indicated as it resolves by 6 months
, Question:
DSM5 adjustment disorder in children and adolescents
Answer:
A. Development of emotional or behavioral symptoms in response to an
identifiable stressor(s) occurring within 3 months of the onset of the stressor.
These symptoms or behaviors are clinically significant, as evidenced by one or
both of the following:
-Marked distress that is out of proportion to the severity or intensity of the
stressor, taking into account the external context and cultural factors.
-Significant impairment in social, academic (occupational), or other
important areas of functioning
Once the stressor or its consequences have terminated, the symptoms do not
persist for more than 6 months.
Update ) Diagnosis and
Management in Psychiatric-Mental
Health II Practicum | Questions &
Answers | Grade A | 100% Correct –
Chamberlain
Question:
Tell me about the structural dissociation model
Answer:
Defense System: When a child is abused, their defense system will naturally
work to shield them from harm, BUT...
Attachment System: ...their attachment system will still want to be loved and
cared for by the parent.
This creates an internal tug-of-war where different motivational systems are
working against each other simultaneously.
This can cause a patient's conflicting parts to separate. That can lead to a split
in their sense of self and a dysregulated nervous system.
,Question:
Define dissociation
Answer:
feelings of detachment from one's own body
Question:
Define derealization
Answer:
feelings that one's surroundings are not reality
Question:
Time line with adjustment disorder
Answer:
development of emotional or behavioral symptoms within 3 months of the
onset of a new stressor lasts no longer than 6 months
Question:
Child has had symptoms for 2 months
Answer:
adjustment disorder is most likely. Symptoms do not meet criteria for other
diagnoses.
,Question:
Symptoms of adjustment disorder
Answer:
cause significant impairment in social or occupational functioning but do not
persist past 6 months after the initial stressor has resolved.
Question:
What are specifiers for adjustment disorder
Answer:
-depressed mood
-anxiety
-mixed anxiety and depressed mood
-disturbance of conduct
-mixed disturbance of emotions and conduct
Question:
Treatment for adjustment disorder
Answer:
-Family therapy and/or individual therapy
-Parent training
-Meds usually aren't indicated as it resolves by 6 months
, Question:
DSM5 adjustment disorder in children and adolescents
Answer:
A. Development of emotional or behavioral symptoms in response to an
identifiable stressor(s) occurring within 3 months of the onset of the stressor.
These symptoms or behaviors are clinically significant, as evidenced by one or
both of the following:
-Marked distress that is out of proportion to the severity or intensity of the
stressor, taking into account the external context and cultural factors.
-Significant impairment in social, academic (occupational), or other
important areas of functioning
Once the stressor or its consequences have terminated, the symptoms do not
persist for more than 6 months.
