Question 1 Jose is a Latino client who presents with occupational difficulties.

Question

Question 1

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.

Based on the information provided, Jose’s principal diagnosis would likely be:

Alcohol use disorder

Cannabis use disorder

Adjustment disorder with mixed anxiety and depressed mood

Major depressive anxiety disorder

1 points

Question 2

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.

Jose reports “occasional” cannabis use. What diagnosis might be given?

F12.10 Cannabis Use Disorder, Mild

F12.20 Cannabis Use Disorder, Moderate

F18.129 Inhalant Intoxication, with Mild Use Disorder

F14.23 Cocaine Withdrawal

1 points

Question 3

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.

Which specifier might be given when considering Jose’s alcohol use?

Mild

Moderate

With panic attacks

None of the above

1 points

Question 4

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.

Jose should be diagnosed with F10.929 Alcohol Intoxication without use disorder?

True

False

1 points

Question 5

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.

Jose should be diagnosed with F43.22 Adjustment disorder with mixed anxiety and depressed mood.

True

False

1 points

Question 6

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.

Which disorders would you want to consider for Jose?

Posttraumatic stress disorder

Generalized anxiety disorder

Attention deficit disorder

Opioid use disorder

1 points

Question 7

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.

What additional information would you like to know about Jose?

More about his relationship with his wife and children

The frequency of his cannabis use

The nature and frequency of his symptoms of anxiety

All of the above

None of the above

1 points

Question 8

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.

According to the DSM-5 Cultural Formulation Interview, the clinician should inquire about the client’s cultural identity. In Jose’s case, which cultural considerations would be most relevant?

The languages he speaks

His race or ethnic background

His religion

A and B

All of the above

None of the above

1 points

Question 9

Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports “occasional” marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver’s license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.

Which V code would NOT apply in Jose’s case?

Z56.82

Z56.9

Z65.3

All of the above would apply.

1 points

Question 10

Stephanie is a 26-year-old female who presents with symptoms of depression. She attributes her depressive symptoms to the recent ending of her relationship with her boyfriend. Stephanie says she has not slept in 4 days because she is devastated by the break-up. She also reports feeling frustrated, because this is her fifth boyfriend this year, and they have all ended the relationship with her “for no reason.” Stephanie really wants the relationship to work. However, her boyfriend is not interested in reconciliation. Stephanie’s boyfriend suggested that she seek counseling after she wrote a letter to him stating that she was contemplating suicide. In the letter, she told her boyfriend that she would not commit suicide if he agreed to reconcile. She also told him that if he “really loved her,” he would attend counseling with her. When he refused to come with her, Stephanie became so angry that she smashed the windshield of his car with a crow bar. Stephanie has a history of self-injury during adolescence. She denies current episodes of self-injury, although she appears to have several superficial cuts on her arms. Stephanie reports having “mood swings” throughout her life. She says that she does not have many friends, because people describe her as being “moody.”

Based on the information provided, Stephanie’s principal diagnosis would likely be:

F34.0 Cyclothymic disorder

F60.3 Borderline personality disorder

F43.23 Adjustment disorder with mixed disturbance of emotions and conduct

F33.1 Major depressive disorder, recurrent, moderate

1 points

Question 11

Stephanie is a 26-year-old female who presents with symptoms of depression. She attributes her depressive symptoms to the recent ending of her relationship with her boyfriend. Stephanie says she has not slept in 4 days because she is devastated by the break-up. She also reports feeling frustrated, because this is her fifth boyfriend this year, and they have all ended the relationship with her “for no reason.” Stephanie really wants the relationship to work. However, her boyfriend is not interested in reconciliation. Stephanie’s boyfriend suggested that she seek counseling after she wrote a letter to him stating that she was contemplating suicide. In the letter, she told her boyfriend that she would not commit suicide if he agreed to reconcile. She also told him that if he “really loved her,” he would attend counseling with her. When he refused to come with her, Stephanie became so angry that she smashed the windshield of his car with a crow bar. Stephanie has a history of self-injury during adolescence. She denies current episodes of self-injury, although she appears to have several superficial cuts on her arms. Stephanie reports having “mood swings” throughout her life. She says that she does not have many friends, because people describe her as being “moody.”

Which disorders would you want to consider (i.e., rule-out) for Stephanie?

F90.1 Attention deficit disorder, predominantly hyperactive/impulsive presentation

F31.12 Bipolar I disorder, moderate

F331.1 Major depressive disorder, recurrent episode, moderate

Both B and C

None of the above

1 points

Question 12

Stephanie is a 26-year-old female who presents with symptoms of depression. She attributes her depressive symptoms to the recent ending of her relationship with her boyfriend. Stephanie says she has not slept in 4 days because she is devastated by the break-up. She also reports feeling frustrated, because this is her fifth boyfriend this year, and they have all ended the relationship with her “for no reason.” Stephanie really wants the relationship to work. However, her boyfriend is not interested in reconciliation. Stephanie’s boyfriend suggested that she seek counseling after she wrote a letter to him stating that she was contemplating suicide. In the letter, she told her boyfriend that she would not commit suicide if he agreed to reconcile. She also told him that if he “really loved her,” he would attend counseling with her. When he refused to come with her, Stephanie became so angry that she smashed the windshield of his car with a crow bar. Stephanie has a history of self-injury during adolescence. She denies current episodes of self-injury, although she appears to have several superficial cuts on her arms. Stephanie reports having “mood swings” throughout her life. She says that she does not have many friends, because people describe her as being “moody.”

Which Z Codes would apply in Stephanie’s case?

Z59.0

Z64.0

Z91.5

All of the above

None of the above

1 points

Question 13

Stephanie is a 26-year-old female who presents with symptoms of depression. She attributes her depressive symptoms to the recent ending of her relationship with her boyfriend. Stephanie says she has not slept in 4 days because she is devastated by the break-up. She also reports feeling frustrated, because this is her fifth boyfriend this year, and they have all ended the relationship with her “for no reason.” Stephanie really wants the relationship to work. However, her boyfriend is not interested in reconciliation. Stephanie’s boyfriend suggested that she seek counseling after she wrote a letter to him stating that she was contemplating suicide. In the letter, she told her boyfriend that she would not commit suicide if he agreed to reconcile. She also told him that if he “really loved her,” he would attend counseling with her. When he refused to come with her, Stephanie became so angry that she smashed the windshield of his car with a crow bar. Stephanie has a history of self-injury during adolescence. She denies current episodes of self-injury, although she appears to have several superficial cuts on her arms. Stephanie reports having “mood swings” throughout her life. She says that she does not have many friends, because people describe her as being “moody.”

What other information would you want to know about Stephanie?

Legal History

Family history of mental health issues

Substance use

B and C

All of the above

None of the above

1 points

Question 14

Stephanie is a 26-year-old female who presents with symptoms of depression. She attributes her depressive symptoms to the recent ending of her relationship with her boyfriend. Stephanie says she has not slept in 4 days because she is devastated by the break-up. She also reports feeling frustrated, because this is her fifth boyfriend this year, and they have all ended the relationship with her “for no reason.” Stephanie really wants the relationship to work. However, her boyfriend is not interested in reconciliation. Stephanie’s boyfriend suggested that she seek counseling after she wrote a letter to him stating that she was contemplating suicide. In the letter, she told her boyfriend that she would not commit suicide if he agreed to reconcile. She also told him that if he “really loved her,” he would attend counseling with her. When he refused to come with her, Stephanie became so angry that she smashed the windshield of his car with a crow bar. Stephanie has a history of self-injury during adolescence. She denies current episodes of self-injury, although she appears to have several superficial cuts on her arms. Stephanie reports having “mood swings” throughout her life. She says that she does not have many friends, because people describe her as being “moody.”

Which of the following treatments would likely be most effective with Stephanie?

Dialectical behavior therapy

Psychodynamic psychotherapy

Mentalization

parent management training.

None of the above would be effective.

1 points

Question 15

Lee presents in counseling with relationship difficulties. He is often mistrustful of others and withdraws when he feels anxious. Lee seems rather eccentric, and you suspect that he might have a diagnosis of schizotypal personality disorder. However, you do not feel that you have enough information. Based on the Alternative DSM-5 Model for Personality Disorders, which diagnosis could be given?

PD-TS

PD-S

PD-SCHIZ

None of the above

All of the above

1 points

Question 16

Which of the following are criteria for a diagnosis of a personality disorder?

Impairments in personality functioning and personality trait expression that is relatively inflexible and pervasive across a broad range of personal and social situations

Disturbances of self and interpersonal functioning

Impairments in personality functioning due to substance use

A and B

All of the above

None of the above

1 points

Question 17

John is 19 years old and was recently court ordered to counseling after attempting to rob a local gas station. He has been arrested numerous times for shoplifting, vandalism, and other misdemeanors. John dropped out of school at the age of 16 after being suspended numerous times for fighting. It is possible that John could be diagnosed with:

F60.2 Antisocial Personality Disorder

F60.0 Paranoid Personality Disorder

F60.3 Borderline Personality Disorder

All of the above

None of the above

1 points

Question 18

Geneva is a 68-year-old female who has recently been diagnosed with G30.9 Major Neurocognitive Disorder due to possible Alzheimer’s Disease. Geneva was referred by her primary care physician for counseling. She is accompanied by her daughter, Stacey, who assists with her care. Which of the following strategies might be helpful in counseling?

Behavioral approaches to enhance Geneva’s ability to engage in self-care

An injection of haldol

Nursing home care

Supportive therapy for Stacey

C and D

A and D

All of the above

None of the above

1 points

Question 19

Jeremy presents in counseling with anxiety due to job stress. Jeremy’s boss has recently criticized Jeremy’s job performance, largely because Jeremy does not work well on group projects. Jeremy does not like to participate in group projects because he is easily embarrassed and he feels inferior to his co-workers. Jeremy feels uncomfortable in social situations and reports that he feels very guarded in his personal relationships. Jeremy could possibly be diagnosed with:

F60.2 Antisocial Personality Disorder

F60.0 Paranoid Personality Disorder

F60.6 Avoidant Personality Disorder

All of the above

None of the above

1 points

Question 20

Which of the following is a challenge when treating individuals with alcohol-related disorders?

Individuals with alcohol-related disorders always experience a high degree of discrimination.

There are no treatment approaches that have been proven to be successful in treating alcohol-related disorders.

Many people with alcohol-related disorders also have personality disorders, which cannot be treated.

Many people with alcohol-related disorders leave treatment before therapy is completed.

A.

Alcohol use disorder

B.

Cannabis use disorder

C.

Adjustment disorder with mixed anxiety and depressed mood

D.

Major depressive anxiety disorder

Explanation / Answer

Question 1.

Jose is using alcohol as a escape from issues that is causing him stress and tensions. This had made him dependent on alcohol, this is causing impairing him to carry out his normal daily routine, and even to the marijuana use

Answer. Option A. Alcohol use disorder.

Question 2

Because Jose uses marijuana occasionally, accompanied with alcohol diaorder. And this is impairing him from carrying out his day to day responsibilities with regard to his family and job. This is

Answer. Option A. F12.10 Cannabis use disorder, Mild.

Question 3

The symptoms that alcohol abuse interfers in carrying out his responsibilities towards his family, has been in situation that has put his life in danger due to alcohol abuse, hinders his responsibility towards his job, adversely affecting his psychological health. These symptoms indicate that Jose is a

Answer. Option B. Moderate.

Question 4.

The condition of Jose can be categorized under unspecified under ICD 10

Answer. True.

Question 5

Answer. True

Question 6

Answer .Option B. Generalized Anxiety Disorder

Question 7.

Answer. Option D. All of the above.

Question 8

Answer. Option B. His race and ethinic background.

Question 9

Answer. Option A.Z56.82

Question 10.

Answer. Option B. F60.3 Borderline personality disorder

Question 11.

Answer. Option E. None of the above

Question 12.

Answer. Option C. Z 92.5

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