WGU D334 Diagnostic processes OA Exam
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Kevin Sanders is a 34 year old man who has been feeling
unusually irritable for the past week. He tells the social worker
that during this period of time he has had increased energy and
activity and sleeps less. Kevin admits that it has been difficult
for him to complete reports on the job. His supervisor has
become concerned and referred Kevin to the Employee
Assistance Department. "I have rapid, pressured speech, and I
can't seem to stop talking." said Kevin. He adds, "I just can't
seem to sit still, either." The social worker notices that Kevin
was easily distracted. Kevin is in good health and takes no
medications. What diagnosis best fits Kevin's symptom picture?
-Manic episode
-Hypomanic episode
-Cyclothymic episode
-Bipolar I disorder, with mixed features - ANSWER-Manic
episode
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Which of the following statements best apply to a person with
"rapid cycling":
-Has a less severe form of Bipolar disorder
-Experiences manic symptoms only during certain times of the
year
-Has a more positive prognosis
-Experiences at least four manic or depressive episodes within a
year - ANSWER-Experiences at least four manic or depressive
episodes within a year
Which of the following features indicates a worse prognosis for
someone with bipolar I disorder?
-Less severe depressive episodes
-Rapid cycling
-Younger age at onset
-Marital status - ANSWER-Rapid cycling
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What is the difference between the depressive episodes
associated with bipolar II disorder from those associated with
bipolar I disorder?
-They are less severe that those episodes associated with bipolar
I disorder
-They are less disabling that those associated with bipolar I
disorder
-They are less frequent than those associated with bipolar I
disorder
-They are lengthier than those associated with bipolar I disorder
- ANSWER-They are lengthier than those associated with
bipolar I disorder
A family practice physician who has an office in the same
building where you have your private practice refers one of his
patients to you suspecting medication abuse. You see a 48 year
old man, John Clay Edsel, who tells you that his doctor
prescribed an antidepressant to help him with his symptoms of a
major depressive episode. In a rapid-fire fashion, Mr. Edsel very
quickly describes his symptom picture. As soon as he started his
antidepressant medication, Mr. Edsel reported that he began to
have increased energy, racing thoughts, found it hard to sit still,
and it was difficult for him to concentrate. Mr. Edsel also related
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a decreased need for sleep adding, "Three hours is all I need to
wake up refreshed. I'll sleep longer when I'm retired." He adds,
"After about 2 or 3 days I quit taking the antidepressants." Mr.
Edsel's depression stopped but the new symptoms have
continued. What is Mr. Edsel's diagnosis?
-Bip - ANSWER-Bipolar I disorder
Euphoria, boundless optimism, inflated self-esteem and
grandiosity are characteristic symptoms of Bipolar I disorder,
current or most recent episode manic.
-True
-False - ANSWER-TRUE
Of the bipolar disorders, bipolar I is less serious than bipolar II
-True
-False - ANSWER-FALSE