NRNP 6675 Final Exa
gi gi gi
m
PSYCHOPATHOLOGY FINAL EXAM
disruptive,giimpulse-control,giandgiconductgidisordersgiaregiaginewgichaptergitogithegiDSM-5gi-gianswer--true
factorsgitogiconsidergiingiagicompetency-basedgiassessmentgiforgiDICCDgi-gianswer--pagegi355-gi366
oppositionalgidefiantgidisordergi-gianswer--
childrengiwhogihavegiagihistorygiofgidifferentgicaregiversgiorgiwhogilivegiingifamiliesgiwithgiharsh,giinconsistent,gineglectfulgic
d-raisinggipractices
-gilargeginumbergiofgipeoplegionlygishowgisymptomsgiATgiHOME
-
gicommongifeaturesgiincludegiexcessive,gioftengipersistentgianger,gifrequentgitempergitantrumsgiorgiangrygioutbursts,gian
disregardgiforgiauthority
-gipervasivenessgiindicatesgiseverity
prevailinggipatterngiofgiODDgi-gianswer--10.2%giofgipopulation
-gi11.2%gimales;gi9.2%gifemales
commongichildhoodgiandgiadolescentgionset
substantialgiriskgiforgiothergidisorders
-gisecondarygimoodgi(45%)
-gianxietygi(62%)
-giimpulse-controlgi(68%)
-gisubstancegiusegi(47%)
moregioftengiseengiingimales
differentialgiassessmentgiofgiODDgi-gianswer--
ongoinggipatternsgiofgidisobedient,gihostile,giandgidefiantgibehaviorgitowardgiauthoritygifiguresgithatgigoesgibeyondgithegib
ndsgiofginormalgichildhoodgibehavior
-gicangiappeargitogibegiverygistubborngiandgiangrygipeople
essentialgifeaturegi*girecurrentgipatterngiofgiangrygiorgiirritablegimood,giorgivindictivenessgiforgiatgileastgi6giMONTHSgi*
togimeetgidiagnosisgiforgiODDgi-gianswer--mustgimeetgiatgileastgi4gisymptomsgifromgianygi3gicategories:
-giangry/irritablegimood
-giargumentative/defiantgibehavior
-givindictiveness
moregispecificsgiongipagegi357
forgichildrengiundergi5:
-gibehaviorgicangibegiseengiongimostgidaysgiforgiatgileastgi6gimonths
5giandgiolder:gi
-gibehaviorsgioccurgiatgileastgioncegiagiweekgiforgi6gimonths
othergidisordersgidoginotgibettergiexplaingibehavior
mildgi=gionegisetting,gisuchgiasgihome
moderategi=giatgileastgi2gisettings
severegi=gi3+gisettings
1gi/
gi22
, NRNP 6675 Final Exa
gi gi gi
m
intermittentgiexplosivegidisordergi-gianswer--explosivegioutbursts,giunablegitogicontrolgiimpulsivegiaggressions
occurgiquicklygiwithoutgiwarning
lastgishortgiperiodsgiofgitimegi(lessgithangi30gimins)
unprovokedgiandgidirectedgiatgisomeonegiclosegitogithegiperson
tensegiofgitensiongithengiimmediategirelease
"spellsgiorgiattacks"
maygifeelgiupset,giremorseful,giregretful,giorgiembarrassedgiaboutgitheirgibehavior
prevailinggipatterngiofgiIEDgi-gianswer--4-7%gi
firstgioccurancegitypicallygiingiadolescencegi(14-18giyearsgiold)
moregicommongiamonggi35-40githangi50giyeargiolds
majoritygiaregimales
averagegiofgi14gilifetimegiattacks
onlygi28.8%gihavegievergireceivedgitreatment
differentialgiassessmentgiofgiIEDgi-gianswer--
distinctgiepisodesgiofgifailuresgitogiresistgiaggressivegiimpulsesgithatgiaregievidentgiingiverbalgiorgiphysicalgiaggressiongi
-giincidentsgihappengi2xgiagiweekgiforgiatgileastgi3gimonths
maygibegiinvolvedgiingimoregiseriousgiattacks
-giepisodesgiaregiNOTgipremeditatedgiandgibehaviorgiisgiNOTgimotivatedgibygiagipersonalgigaingiorgipower
aggressiongiisgioutgiofgiproportiongitogithegiprovocation
cangiappeargiasgiyounggiasgi6
conductgidisordergi-gianswer--
highgiratesgihavegibeengifoundgiingichildrengiofgidepressedgimothersgiwithgiagilackgiofgiemotionalgistabilitygiandgiavailability
-giinconsistentgichildgiraisinggi
essentialgifeature:giconsistentgipatterngiofgiviolatinggithegirightsgiofgiothers,giorgiothergimajorgiage-
appropriategisocietalginormsgiandgivaluesgi**
highergiriskgiforgiothergimentalgidisorders,gilegalgiproblems,giandgiprematuregideath
highergilevelsgiofgidistressgiingiimpairmentgiingibasicallygiALLgiaspectsgiofgilivegithangiothersgilivinggiwithgidifferentgimentalg
sorders
prevailinggipatterngiofgiCDgi-gianswer--2-4%
highergiingimales
tendsgitogimanifestgibeforegiagegi16
environmentalgiandgigeneticgifactorsgiplaygiagirole
mediangionsetgiisgi~gi11giyearsgiold
differentialgiassessmentgiofgiCDgi-gianswer--
diagnosisgirequiresgi3giofgithegi15gisymptomsgiforgiatgileastgi12gimonths,giwithgiatgileastgi1gisymptomgipresentgiovergithegipa
gi6gimonths
-giaggressiongitogipeoplegiandgianimalsgi
-gidestructiongiofgiproperty
-gideceitfulnessgiorgitheft
-giseriousgiviolationgiofgirules
moregiongipagegi364
childhoodgiandgiadolescentgionset
moregilikelygitogiengagegiingiearlygisexualgibehaviors,gismoking,gidrinking,gidruggiuse,gifighting,girecklessgiacts,gigang-
relatedgiactivity,gibecomegipregnant,gigetgiangiSTI,giandgigetgiinjuredgifromgiaccidentsgiorgifighting
pyromaniagi-gianswer--deliberategiandgipurposefulgisettinggiofgifiregiongimoregithangionegioccasiongi
2gi/
gi22
, NRNP 6675 Final Exa
gi gi gi
m
tensiongiorgiemotionalgiarousalgibeforegisettinggifire
prevalencegiisgiunknown
showgiinterestgiingifiregirelatedgithings
sensegiofgireliefgiaftergisettinggithegifire
nogimotivationgiforgisettinggifiregisuchgiasgifinancialgigain
kelptomaniagi-gianswer--inabilitygitogiresistgistealinggisomethinggithatgihasginogipersonalgiusegiorgimonetarygivalue
verygirare
moregiprevalentgiingifemalesgi(3:1)
tensiongibeforegiandgireliefgiafter
differentgithangishoplifting
summarygiofgidisruptive,giimpulse-control,giandgiconductgidisordersgi-gianswer--characterizedgibygiself-control
anger,giaggression,gidestructiongiofgiproperty,giviolatinggithegirightsgiofgiothers,giorgiconflictsgiwithgiauthoritygifigures
commongifeaturegiacrossgidissociativegidisordersgi-gianswer--dysfunctiongiingithegimemorygiand/orgiawarenessgiprocess
generallygiendgisuddenly
profoundgidisturbancegiofgimemorygi(exceptgiingidepersonalization/derealizationgidisorders)
episodesgiaregiprecipitatedgibygipsychologicalgiconflicts
riskgifactorsgiofgiDDgi-gianswer--childhoodgitrauma
suggestibility
biologicalgifactors
dissociativegidisordersgi-gianswer--disruptiongiofgiand/
orgidiscontinuitygiingitheginormalgiintegrationgiofgiconsciousness,gimemory,giidentitygiemotion,giperception,gibodygirepres
tations,gimotorgicontrol,giandgibehavior
commongisymptomsgiamonggiDDgi-gianswer--1.giamnesia
2.gidepersonalization
3.giderealization
4.giidentitygiconfusion
5.giidentitygialteration
pagegi248
culturalgiperspectivesgiofgiDDgi-gianswer--248-250
dissociativegiidentitygidisordergi-gianswer--consideredgithegimostgiseveregiofgiDD
averageginumbergiofgipersonalitiesgiisgi15
lastsgiagilifetime
traceablegitogitraumaticgichildhoodgievents
severalgireasonsgisymptomsgicangiemerge
processgiofgiswitchinggidecreasesgiwithgiagegiandgipersonalitiesgibecomegidominantgiovergieachgiother
presencegiofgiDIDgiisgioftengiundetectedgiingiadulthoodgi--giwellgientrenchedgiingiwaysgiofgicoping
relatedgitogiPTSD
DIDgichangesgiingithegibraingi-gianswer--bottomgiofgipagegi251gi-gi252
prevailinggipatterngiofgiDIDgi-gianswer--verygismall
12gimonthgiprevalencegiwasgi1.5%
3gi/
gi22
gi gi gi
m
PSYCHOPATHOLOGY FINAL EXAM
disruptive,giimpulse-control,giandgiconductgidisordersgiaregiaginewgichaptergitogithegiDSM-5gi-gianswer--true
factorsgitogiconsidergiingiagicompetency-basedgiassessmentgiforgiDICCDgi-gianswer--pagegi355-gi366
oppositionalgidefiantgidisordergi-gianswer--
childrengiwhogihavegiagihistorygiofgidifferentgicaregiversgiorgiwhogilivegiingifamiliesgiwithgiharsh,giinconsistent,gineglectfulgic
d-raisinggipractices
-gilargeginumbergiofgipeoplegionlygishowgisymptomsgiATgiHOME
-
gicommongifeaturesgiincludegiexcessive,gioftengipersistentgianger,gifrequentgitempergitantrumsgiorgiangrygioutbursts,gian
disregardgiforgiauthority
-gipervasivenessgiindicatesgiseverity
prevailinggipatterngiofgiODDgi-gianswer--10.2%giofgipopulation
-gi11.2%gimales;gi9.2%gifemales
commongichildhoodgiandgiadolescentgionset
substantialgiriskgiforgiothergidisorders
-gisecondarygimoodgi(45%)
-gianxietygi(62%)
-giimpulse-controlgi(68%)
-gisubstancegiusegi(47%)
moregioftengiseengiingimales
differentialgiassessmentgiofgiODDgi-gianswer--
ongoinggipatternsgiofgidisobedient,gihostile,giandgidefiantgibehaviorgitowardgiauthoritygifiguresgithatgigoesgibeyondgithegib
ndsgiofginormalgichildhoodgibehavior
-gicangiappeargitogibegiverygistubborngiandgiangrygipeople
essentialgifeaturegi*girecurrentgipatterngiofgiangrygiorgiirritablegimood,giorgivindictivenessgiforgiatgileastgi6giMONTHSgi*
togimeetgidiagnosisgiforgiODDgi-gianswer--mustgimeetgiatgileastgi4gisymptomsgifromgianygi3gicategories:
-giangry/irritablegimood
-giargumentative/defiantgibehavior
-givindictiveness
moregispecificsgiongipagegi357
forgichildrengiundergi5:
-gibehaviorgicangibegiseengiongimostgidaysgiforgiatgileastgi6gimonths
5giandgiolder:gi
-gibehaviorsgioccurgiatgileastgioncegiagiweekgiforgi6gimonths
othergidisordersgidoginotgibettergiexplaingibehavior
mildgi=gionegisetting,gisuchgiasgihome
moderategi=giatgileastgi2gisettings
severegi=gi3+gisettings
1gi/
gi22
, NRNP 6675 Final Exa
gi gi gi
m
intermittentgiexplosivegidisordergi-gianswer--explosivegioutbursts,giunablegitogicontrolgiimpulsivegiaggressions
occurgiquicklygiwithoutgiwarning
lastgishortgiperiodsgiofgitimegi(lessgithangi30gimins)
unprovokedgiandgidirectedgiatgisomeonegiclosegitogithegiperson
tensegiofgitensiongithengiimmediategirelease
"spellsgiorgiattacks"
maygifeelgiupset,giremorseful,giregretful,giorgiembarrassedgiaboutgitheirgibehavior
prevailinggipatterngiofgiIEDgi-gianswer--4-7%gi
firstgioccurancegitypicallygiingiadolescencegi(14-18giyearsgiold)
moregicommongiamonggi35-40githangi50giyeargiolds
majoritygiaregimales
averagegiofgi14gilifetimegiattacks
onlygi28.8%gihavegievergireceivedgitreatment
differentialgiassessmentgiofgiIEDgi-gianswer--
distinctgiepisodesgiofgifailuresgitogiresistgiaggressivegiimpulsesgithatgiaregievidentgiingiverbalgiorgiphysicalgiaggressiongi
-giincidentsgihappengi2xgiagiweekgiforgiatgileastgi3gimonths
maygibegiinvolvedgiingimoregiseriousgiattacks
-giepisodesgiaregiNOTgipremeditatedgiandgibehaviorgiisgiNOTgimotivatedgibygiagipersonalgigaingiorgipower
aggressiongiisgioutgiofgiproportiongitogithegiprovocation
cangiappeargiasgiyounggiasgi6
conductgidisordergi-gianswer--
highgiratesgihavegibeengifoundgiingichildrengiofgidepressedgimothersgiwithgiagilackgiofgiemotionalgistabilitygiandgiavailability
-giinconsistentgichildgiraisinggi
essentialgifeature:giconsistentgipatterngiofgiviolatinggithegirightsgiofgiothers,giorgiothergimajorgiage-
appropriategisocietalginormsgiandgivaluesgi**
highergiriskgiforgiothergimentalgidisorders,gilegalgiproblems,giandgiprematuregideath
highergilevelsgiofgidistressgiingiimpairmentgiingibasicallygiALLgiaspectsgiofgilivegithangiothersgilivinggiwithgidifferentgimentalg
sorders
prevailinggipatterngiofgiCDgi-gianswer--2-4%
highergiingimales
tendsgitogimanifestgibeforegiagegi16
environmentalgiandgigeneticgifactorsgiplaygiagirole
mediangionsetgiisgi~gi11giyearsgiold
differentialgiassessmentgiofgiCDgi-gianswer--
diagnosisgirequiresgi3giofgithegi15gisymptomsgiforgiatgileastgi12gimonths,giwithgiatgileastgi1gisymptomgipresentgiovergithegipa
gi6gimonths
-giaggressiongitogipeoplegiandgianimalsgi
-gidestructiongiofgiproperty
-gideceitfulnessgiorgitheft
-giseriousgiviolationgiofgirules
moregiongipagegi364
childhoodgiandgiadolescentgionset
moregilikelygitogiengagegiingiearlygisexualgibehaviors,gismoking,gidrinking,gidruggiuse,gifighting,girecklessgiacts,gigang-
relatedgiactivity,gibecomegipregnant,gigetgiangiSTI,giandgigetgiinjuredgifromgiaccidentsgiorgifighting
pyromaniagi-gianswer--deliberategiandgipurposefulgisettinggiofgifiregiongimoregithangionegioccasiongi
2gi/
gi22
, NRNP 6675 Final Exa
gi gi gi
m
tensiongiorgiemotionalgiarousalgibeforegisettinggifire
prevalencegiisgiunknown
showgiinterestgiingifiregirelatedgithings
sensegiofgireliefgiaftergisettinggithegifire
nogimotivationgiforgisettinggifiregisuchgiasgifinancialgigain
kelptomaniagi-gianswer--inabilitygitogiresistgistealinggisomethinggithatgihasginogipersonalgiusegiorgimonetarygivalue
verygirare
moregiprevalentgiingifemalesgi(3:1)
tensiongibeforegiandgireliefgiafter
differentgithangishoplifting
summarygiofgidisruptive,giimpulse-control,giandgiconductgidisordersgi-gianswer--characterizedgibygiself-control
anger,giaggression,gidestructiongiofgiproperty,giviolatinggithegirightsgiofgiothers,giorgiconflictsgiwithgiauthoritygifigures
commongifeaturegiacrossgidissociativegidisordersgi-gianswer--dysfunctiongiingithegimemorygiand/orgiawarenessgiprocess
generallygiendgisuddenly
profoundgidisturbancegiofgimemorygi(exceptgiingidepersonalization/derealizationgidisorders)
episodesgiaregiprecipitatedgibygipsychologicalgiconflicts
riskgifactorsgiofgiDDgi-gianswer--childhoodgitrauma
suggestibility
biologicalgifactors
dissociativegidisordersgi-gianswer--disruptiongiofgiand/
orgidiscontinuitygiingitheginormalgiintegrationgiofgiconsciousness,gimemory,giidentitygiemotion,giperception,gibodygirepres
tations,gimotorgicontrol,giandgibehavior
commongisymptomsgiamonggiDDgi-gianswer--1.giamnesia
2.gidepersonalization
3.giderealization
4.giidentitygiconfusion
5.giidentitygialteration
pagegi248
culturalgiperspectivesgiofgiDDgi-gianswer--248-250
dissociativegiidentitygidisordergi-gianswer--consideredgithegimostgiseveregiofgiDD
averageginumbergiofgipersonalitiesgiisgi15
lastsgiagilifetime
traceablegitogitraumaticgichildhoodgievents
severalgireasonsgisymptomsgicangiemerge
processgiofgiswitchinggidecreasesgiwithgiagegiandgipersonalitiesgibecomegidominantgiovergieachgiother
presencegiofgiDIDgiisgioftengiundetectedgiingiadulthoodgi--giwellgientrenchedgiingiwaysgiofgicoping
relatedgitogiPTSD
DIDgichangesgiingithegibraingi-gianswer--bottomgiofgipagegi251gi-gi252
prevailinggipatterngiofgiDIDgi-gianswer--verygismall
12gimonthgiprevalencegiwasgi1.5%
3gi/
gi22
