NR605 Exam 3 Actual Exam Style V2 | NR 605
Diagnosis & Management in Psychiatric-Mental
Health across the Lifespan | Chamberlain
1. A 24-year-old female presents with a pattern of unstable relationships, intense
anger, and recurrent suicidal gestures. Which therapeutic modality is considered the
gold standard for this diagnosis?
A. Cognitive Behavioral Therapy (CBT)
B. Interpersonal Therapy (IPT)
C. Dialectical Behavior Therapy (DBT)
D. Exposure Therapy
Correct Answer: C
Expert Explanation: Dialectical Behavior Therapy (DBT) was specifically designed
to treat the emotional dysregulation and self-harming behaviors found in Borderline
Personality Disorder. It focuses on four modules including mindfulness, distress
tolerance, emotion regulation, and interpersonal effectiveness. Research
consistently shows that DBT is more effective than standard care in reducing
hospitalizations and self-injury in this population.
,2. According to the DSM-5, what is the minimum age required for a diagnosis of
Antisocial Personality Disorder?
A. 18 years old
B. 15 years old
C. 12 years old
D. 21 years old
Correct Answer: A
Expert Explanation: A patient must be at least 18 years old to be diagnosed with
Antisocial Personality Disorder. There must also be evidence of Conduct Disorder
with onset before age 15. This requirement ensures that the personality patterns
are stable and not reflective of temporary adolescent developmental phases.
3. Which personality disorder is characterized by a pervasive distrust and
suspiciousness of others, such that their motives are interpreted as malevolent?
A. Paranoid Personality Disorder
B. Schizotypal Personality Disorder
C. Schizoid Personality Disorder
D. Avoidant Personality Disorder
Correct Answer: A
,Expert Explanation: Paranoid Personality Disorder involves a baseline level of
suspicion that others are exploiting or deceiving the individual. These patients often
hold grudges and are reluctant to confide in others for fear the information will be
used against them. Unlike schizophrenia, these individuals do not typically
experience frank hallucinations or delusions.
4. A patient displays odd beliefs, magical thinking, and unusual perceptual experiences
but does not meet the criteria for Schizophrenia. What is the most likely diagnosis?
A. Schizoid Personality Disorder
B. Obsessive-Compulsive Personality Disorder
C. Avoidant Personality Disorder
D. Schizotypal Personality Disorder
Correct Answer: D
Expert Explanation: Schizotypal Personality Disorder is classified within Cluster A
and is often viewed as being on the schizophrenia spectrum. Symptoms include
ideas of reference, bodily illusions, and social anxiety that does not diminish with
familiarity. Treatment often includes low-dose antipsychotics or social skills
training.
, 5. Which personality disorder is characterized by a complete lack of interest in social
relationships and a restricted range of emotional expression?
A. Schizoid Personality Disorder
B. Avoidant Personality Disorder
C. Schizotypal Personality Disorder
D. Dependent Personality Disorder
Correct Answer: A
Expert Explanation: Individuals with Schizoid Personality Disorder are often
described as ‘loners’ who prefer solitary activities. They lack a desire for close
relationships, including being part of a family, and appear indifferent to praise or
criticism. This differs from Avoidant Personality Disorder where the individual
desires connection but fears rejection.
6. A patient who is excessively preoccupied with orderliness, perfectionism, and
control, often at the expense of flexibility, likely has:
A. Obsessive-Compulsive Disorder (OCD)
B. Histrionic Personality Disorder
C. Narcissistic Personality Disorder
D. Obsessive-Compulsive Personality Disorder (OCPD)
Diagnosis & Management in Psychiatric-Mental
Health across the Lifespan | Chamberlain
1. A 24-year-old female presents with a pattern of unstable relationships, intense
anger, and recurrent suicidal gestures. Which therapeutic modality is considered the
gold standard for this diagnosis?
A. Cognitive Behavioral Therapy (CBT)
B. Interpersonal Therapy (IPT)
C. Dialectical Behavior Therapy (DBT)
D. Exposure Therapy
Correct Answer: C
Expert Explanation: Dialectical Behavior Therapy (DBT) was specifically designed
to treat the emotional dysregulation and self-harming behaviors found in Borderline
Personality Disorder. It focuses on four modules including mindfulness, distress
tolerance, emotion regulation, and interpersonal effectiveness. Research
consistently shows that DBT is more effective than standard care in reducing
hospitalizations and self-injury in this population.
,2. According to the DSM-5, what is the minimum age required for a diagnosis of
Antisocial Personality Disorder?
A. 18 years old
B. 15 years old
C. 12 years old
D. 21 years old
Correct Answer: A
Expert Explanation: A patient must be at least 18 years old to be diagnosed with
Antisocial Personality Disorder. There must also be evidence of Conduct Disorder
with onset before age 15. This requirement ensures that the personality patterns
are stable and not reflective of temporary adolescent developmental phases.
3. Which personality disorder is characterized by a pervasive distrust and
suspiciousness of others, such that their motives are interpreted as malevolent?
A. Paranoid Personality Disorder
B. Schizotypal Personality Disorder
C. Schizoid Personality Disorder
D. Avoidant Personality Disorder
Correct Answer: A
,Expert Explanation: Paranoid Personality Disorder involves a baseline level of
suspicion that others are exploiting or deceiving the individual. These patients often
hold grudges and are reluctant to confide in others for fear the information will be
used against them. Unlike schizophrenia, these individuals do not typically
experience frank hallucinations or delusions.
4. A patient displays odd beliefs, magical thinking, and unusual perceptual experiences
but does not meet the criteria for Schizophrenia. What is the most likely diagnosis?
A. Schizoid Personality Disorder
B. Obsessive-Compulsive Personality Disorder
C. Avoidant Personality Disorder
D. Schizotypal Personality Disorder
Correct Answer: D
Expert Explanation: Schizotypal Personality Disorder is classified within Cluster A
and is often viewed as being on the schizophrenia spectrum. Symptoms include
ideas of reference, bodily illusions, and social anxiety that does not diminish with
familiarity. Treatment often includes low-dose antipsychotics or social skills
training.
, 5. Which personality disorder is characterized by a complete lack of interest in social
relationships and a restricted range of emotional expression?
A. Schizoid Personality Disorder
B. Avoidant Personality Disorder
C. Schizotypal Personality Disorder
D. Dependent Personality Disorder
Correct Answer: A
Expert Explanation: Individuals with Schizoid Personality Disorder are often
described as ‘loners’ who prefer solitary activities. They lack a desire for close
relationships, including being part of a family, and appear indifferent to praise or
criticism. This differs from Avoidant Personality Disorder where the individual
desires connection but fears rejection.
6. A patient who is excessively preoccupied with orderliness, perfectionism, and
control, often at the expense of flexibility, likely has:
A. Obsessive-Compulsive Disorder (OCD)
B. Histrionic Personality Disorder
C. Narcissistic Personality Disorder
D. Obsessive-Compulsive Personality Disorder (OCPD)
