Psychiatric Advanced Practice Nursing A Biopsychosocial Foundation for Practice 1st Edition -Test Bank

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Psychiatric Advanced Practice Nursing A Biopsychosocial Foundation for Practice -1st Edition by Eris F. Perese -Test Bank

Chapter 5: Case Formulation and Diagnosis, Differential Diagnoses and Developing a Biopsychosocial Plan of Care

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. The primary function of a biopsychosocial case formulation is to

A.

Generate an understanding of the person as a whole

B.

Identify comorbid medical illnesses

C.

Assess the maturity of the patient’s defense mechanisms

D.

Determine patient’s level of social support

____ 2. The primary purpose of a biopsychosocial case formulation is to

A.

Predict response to different treatment modalities

B.

Organize key facts around a cause, the source of the problem

C.

Provide information required for reimbursement

D.

Determine the level of care required

____ 3. Sociocultural factors have the strongest influence on

A.

How diagnosis of a psychiatric disorder is accepted

B.

The age of onset of symptoms of a psychiatric disorder

C.

The gender distribution of the disorder

D.

Prediction of response to psychoeducation

____ 4. In a biopsychosocial case formulation, social contributions would be considered to be

A.

Genetic influences and adverse circumstances of birth

B.

Substance use and medical disorders

C.

Cognitive deficits and dysregulation of emotions

D.

Religious/cultural factors and living situations

____ 5. A predisposing event would be all of the following except

A.

Early prolonged separation from the mother

B.

Having been born unwanted

C.

Recent arrests or incarcerations

D.

History of childhood neglect or abuse

____ 6. A precipitating event might be

A.

Financial losses or loss of housing

B.

Chronic health problems

C.

Childhood separations and anxiety disorders

D.

Genetic influences and premature birth

____ 7. Mechanisms that maintain a problem are biopsychosocial causes or sources of the problem. Psychological causes might include

A.

Poverty and social isolation

B.

Impaired neural circuitry

C.

Impaired ability to regulation emotions

D.

Abnormalities of neurotransmission

____ 8. Effective case formulation outcomes are stated

A.

In terms of behaviors that must be changed

B.

As incorporating efforts of others to achieve goal

C.

In broad terms such as life satisfaction

D.

As directly related to patients’ identified problem or problems

____ 9. In developing a biopsychosocial plan of treatment, focus in the biological domain is on

A.

Identification and treatment of comorbid medical illnesses

B.

Social skills training and social support enhancement

C.

Vocational rehabilitation and supported employment

D.

Interpersonal therapy or cognitive behavioral therapy

____ 10. In the problem-oriented method of case formulation, the patient’s problems are defined as a solvable target of treatment. Which of the following is an example of a problem-oriented case formulation description?

A.

“Lack of interpersonal communication skills”

B.

“Due to early childhood conflicts”

C.

“Due to use of immature defense mechanisms”

D.

“Caused by stigma and discrimination”

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