BARKLEY PMHNP Pract.. One
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Solutions Graded A+
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,Harriet is a well-established business woman who provides for
her family. She was recently arrested for stealing over $10,000
worth of merchandise from the mall. When Harriet is asked to
describe her behavior, she says: "It just comes on me quickly,
and when it's done, I feel really good." She also describes how
she grew up poor and sees the theft as a way to "even the
score" against those with "empty wealth." Which of the
following does not meet the diagnostic criteria for
kleptomania?
Harriet views her shoplifting as a righteous act.
Harriet's stealing is described as pleasurable.
Harriet is well-off and can support her family's needs.
Harriet's stealing is described as impulsive. - Answer:
Although the patient may be rationalizing her behavior as a
righteous act, patients with kleptomania do not commit theft
to express anger or vengeance. Kleptomania is characterized
as failing to resist the impulse to steal, and the stolen objects
are typically not needed. The act of stealing, which usually is
performed alone, gives the person gratification.
,Tony, a 16-year-old male, has been sent to your clinic for
counseling. He has a long record of skipping school, talking
back to his teachers, and getting poor grades. His parents say
he has often gotten in fights with them, has frequently been
caught sneaking girls into his room, and has run away from
home on two occasions. During the session, you notice Tony
acts tough and aloof, not deigning to speak much. If you
suspect conduct disorder, which of the following conditions
would you be least likely to include in your differential
diagnosis?
1. Borderline personality disorder
2. Oppositional defiant disorder
3. Adjustment disorder with disturbance of conduct
4. Bipolar disorder - Answer: Borderline personality disorder
is not considered a differential diagnosis for conduct disorder,
as indicated by the patient's truancy, defiance of authority
figures, fights with family members, poor academic
performance, sexual promiscuity, running away from home,
, and "tough guy" demeanor. Oppositional defiant disorder,
bipolar disorders, and adjustment disorders are all considered
potential differential diagnoses for conduct disorder, as are
depressive disorders, attention-deficit/hyperactivity disorder,
and intermittent explosive disorder.
Which of these lab findings would be least expected in a
patient with depression?
1. Decreased nocturnal growth hormone secretion
2. Decreased thyroid-stimulating hormone response
3. Increased somatostatin in cerebrospinal fluid
4. Increased secretion of cortisol - Answer: Depressive
symptoms are associated with decreased, not increased,
levels of somatostatin in cerebrospinal fluid. Patients with
depression may exhibit a decreased thyroid-stimulating
hormone response to thyrotropin-releasing hormone, as well
as hypersecretion of cortisol. Depressive symptoms are also
associated with irregularities in growth hormone release, such
as reduced nocturnal secretion and diurnal hypersecretion.
Examination Comprehensive
Study Guide + Exam Questions &
Solutions Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic
Support
Helping Students Achieve Academic Excellence
,Harriet is a well-established business woman who provides for
her family. She was recently arrested for stealing over $10,000
worth of merchandise from the mall. When Harriet is asked to
describe her behavior, she says: "It just comes on me quickly,
and when it's done, I feel really good." She also describes how
she grew up poor and sees the theft as a way to "even the
score" against those with "empty wealth." Which of the
following does not meet the diagnostic criteria for
kleptomania?
Harriet views her shoplifting as a righteous act.
Harriet's stealing is described as pleasurable.
Harriet is well-off and can support her family's needs.
Harriet's stealing is described as impulsive. - Answer:
Although the patient may be rationalizing her behavior as a
righteous act, patients with kleptomania do not commit theft
to express anger or vengeance. Kleptomania is characterized
as failing to resist the impulse to steal, and the stolen objects
are typically not needed. The act of stealing, which usually is
performed alone, gives the person gratification.
,Tony, a 16-year-old male, has been sent to your clinic for
counseling. He has a long record of skipping school, talking
back to his teachers, and getting poor grades. His parents say
he has often gotten in fights with them, has frequently been
caught sneaking girls into his room, and has run away from
home on two occasions. During the session, you notice Tony
acts tough and aloof, not deigning to speak much. If you
suspect conduct disorder, which of the following conditions
would you be least likely to include in your differential
diagnosis?
1. Borderline personality disorder
2. Oppositional defiant disorder
3. Adjustment disorder with disturbance of conduct
4. Bipolar disorder - Answer: Borderline personality disorder
is not considered a differential diagnosis for conduct disorder,
as indicated by the patient's truancy, defiance of authority
figures, fights with family members, poor academic
performance, sexual promiscuity, running away from home,
, and "tough guy" demeanor. Oppositional defiant disorder,
bipolar disorders, and adjustment disorders are all considered
potential differential diagnoses for conduct disorder, as are
depressive disorders, attention-deficit/hyperactivity disorder,
and intermittent explosive disorder.
Which of these lab findings would be least expected in a
patient with depression?
1. Decreased nocturnal growth hormone secretion
2. Decreased thyroid-stimulating hormone response
3. Increased somatostatin in cerebrospinal fluid
4. Increased secretion of cortisol - Answer: Depressive
symptoms are associated with decreased, not increased,
levels of somatostatin in cerebrospinal fluid. Patients with
depression may exhibit a decreased thyroid-stimulating
hormone response to thyrotropin-releasing hormone, as well
as hypersecretion of cortisol. Depressive symptoms are also
associated with irregularities in growth hormone release, such
as reduced nocturnal secretion and diurnal hypersecretion.
