COUC 546 Exam 4 V2 | COUC 546
Psychopathology | Actual Q&A with
Rationale (COUC546 Exam 4) | Liberty
University
1. Which personality disorder is characterized by a pervasive pattern of instability in
interpersonal relationships, self-image, and affects, along with marked impulsivity?
A. Narcissistic Personality Disorder
B. Antisocial Personality Disorder
C. Histrionic Personality Disorder
D. Borderline Personality Disorder
Answer: D
Rationale: Borderline Personality Disorder involves a core pattern of instability across
multiple life domains. Individuals often experience frantic efforts to avoid real or imagined
abandonment. The DSM-5-TR notes that these symptoms must begin by early adulthood
and be present in a variety of contexts.
2. A 9-year-old child displays a persistent pattern of inattention and hyperactivity-impulsivity
that interferes with functioning. Symptoms have been present for 8 months in both school
and home settings. What is the most likely diagnosis?
A. Oppositional Defiant Disorder
,B. Attention-Deficit/Hyperactivity Disorder
C. Conduct Disorder
D. Autism Spectrum Disorder
Answer: B
Rationale: Attention-Deficit/Hyperactivity Disorder (ADHD) requires symptoms to be
present in two or more settings. The symptoms must persist for at least six months to a
degree that is inconsistent with developmental level. This diagnosis is common in school-
age children and requires evidence of direct negative impact on social or academic
activities.
3. What is the primary difference between Schizoid Personality Disorder and Schizotypal
Personality Disorder?
A. Schizoid involves hallucinations, while Schizotypal does not.
B. Schizotypal includes cognitive or perceptual distortions and eccentricities of behavior.
C. Schizoid individuals desire social relationships but are too shy.
D. Schizotypal is a Cluster B disorder, whereas Schizoid is Cluster A.
Answer: B
Rationale: Schizotypal Personality Disorder is distinguished by acute discomfort with
close relationships as well as odd beliefs or magical thinking. In contrast, Schizoid
Personality Disorder focuses primarily on social detachment and restricted emotional
, expression without the ‘odd’ beliefs. Both belong to Cluster A, but the presence of
perceptual eccentricities is the key clinical marker for Schizotypal.
4. Which paraphilic disorder involves over a period of at least 6 months, recurrent and
intense sexual arousal from the exposure of one’s genitals to an unsuspecting person?
A. Sexual Sadism Disorder
B. Voyeuristic Disorder
C. Frotteuristic Disorder
D. Exhibitionistic Disorder
Answer: D
Rationale: Exhibitionistic Disorder is defined by the urge or behavior of exposing genitals
to non-consenting individuals. The clinician must specify if the individual is sexually
aroused by exposing to prepubescent children, adults, or both. This condition must cause
significant distress or impairment, or the person must have acted on these urges with a
non-consenting person.
5. In the DSM-5-TR, which level of Autism Spectrum Disorder (ASD) requires ‘Very substantial
support’ for both social communication and restricted, repetitive behaviors?
A. Level 1
B. Level 2
C. Level 3
Psychopathology | Actual Q&A with
Rationale (COUC546 Exam 4) | Liberty
University
1. Which personality disorder is characterized by a pervasive pattern of instability in
interpersonal relationships, self-image, and affects, along with marked impulsivity?
A. Narcissistic Personality Disorder
B. Antisocial Personality Disorder
C. Histrionic Personality Disorder
D. Borderline Personality Disorder
Answer: D
Rationale: Borderline Personality Disorder involves a core pattern of instability across
multiple life domains. Individuals often experience frantic efforts to avoid real or imagined
abandonment. The DSM-5-TR notes that these symptoms must begin by early adulthood
and be present in a variety of contexts.
2. A 9-year-old child displays a persistent pattern of inattention and hyperactivity-impulsivity
that interferes with functioning. Symptoms have been present for 8 months in both school
and home settings. What is the most likely diagnosis?
A. Oppositional Defiant Disorder
,B. Attention-Deficit/Hyperactivity Disorder
C. Conduct Disorder
D. Autism Spectrum Disorder
Answer: B
Rationale: Attention-Deficit/Hyperactivity Disorder (ADHD) requires symptoms to be
present in two or more settings. The symptoms must persist for at least six months to a
degree that is inconsistent with developmental level. This diagnosis is common in school-
age children and requires evidence of direct negative impact on social or academic
activities.
3. What is the primary difference between Schizoid Personality Disorder and Schizotypal
Personality Disorder?
A. Schizoid involves hallucinations, while Schizotypal does not.
B. Schizotypal includes cognitive or perceptual distortions and eccentricities of behavior.
C. Schizoid individuals desire social relationships but are too shy.
D. Schizotypal is a Cluster B disorder, whereas Schizoid is Cluster A.
Answer: B
Rationale: Schizotypal Personality Disorder is distinguished by acute discomfort with
close relationships as well as odd beliefs or magical thinking. In contrast, Schizoid
Personality Disorder focuses primarily on social detachment and restricted emotional
, expression without the ‘odd’ beliefs. Both belong to Cluster A, but the presence of
perceptual eccentricities is the key clinical marker for Schizotypal.
4. Which paraphilic disorder involves over a period of at least 6 months, recurrent and
intense sexual arousal from the exposure of one’s genitals to an unsuspecting person?
A. Sexual Sadism Disorder
B. Voyeuristic Disorder
C. Frotteuristic Disorder
D. Exhibitionistic Disorder
Answer: D
Rationale: Exhibitionistic Disorder is defined by the urge or behavior of exposing genitals
to non-consenting individuals. The clinician must specify if the individual is sexually
aroused by exposing to prepubescent children, adults, or both. This condition must cause
significant distress or impairment, or the person must have acted on these urges with a
non-consenting person.
5. In the DSM-5-TR, which level of Autism Spectrum Disorder (ASD) requires ‘Very substantial
support’ for both social communication and restricted, repetitive behaviors?
A. Level 1
B. Level 2
C. Level 3
