Medical And Psychosocial Aspects Of Chronic Illness And Disability

Question 1

When do psychiatric disabilities commonly affect people?

Mid-30s to mid-40s
Adolescence to early 20s
40s and older
Mid-teens to mid-30s

Answer 1

Mid-teens to mid-30s

Question 2

The single largest barrier to community integration for people with psychiatric disabilities is:

Lack of family support
Limited integration funding
Attitude of people without disabilities
Their symptoms are too severe

Answer 2

Attitude of people without disabilities

Question 3

A diathesis is:

The end stage of Livneh’s grief model
The onset of mental illness
A predisposition
A form of catheterization

Answer 3

A predisposition

Question 4

The leading cause of disability in the US is:

substance abuse
depression
anxiety
schizophrenia

Answer 4

depression

Question 5

You notice that Beth, who recently lost her job, seems to have difficulty concentrating, is irritable, has lost weight, and talks of being very fatigued although she has been sleeping a lot. Which of the following actions would be most advisable?

As you’re walking her to the door at the end of your meeting, refer her for a psychological evaluation to determine if she is depressed

Refer her for placement since a placement specialist should be able to motivate her

Suggest that she seek counseling because she is depressed

Ask questions to see if she feels she is depressed and refer her for services she feels comfortable with

Answer 5

Ask questions to see if she feels she is depressed and refer her for services she feels comfortable with

Question 6

You are working with a client who has a personality disorder, Clint. What do you know about Clint due to his diagnosis of a personality disorder?

his thoughts and behaviors would be inflexible

his behaviors would be similar to the expectations of his culture

his symptoms would fluctuate frequently

with medication, the symptoms would become significantly better

Answer 6

his thoughts and behaviors would be inflexible

Question 7

Which of the following is the Least Appropriate statement about people who have schizophrenia?

Prognosis is bleaker for men

They will never be the same as they were before they developed the illness

Few are dangerous or violent toward others when receiving treatment

They have a split personality

Answer 7

They have a split personality

Question 8

Anna, who has Bipolar Disorder, recently found a job and would like you to facilitate a conversation with the employer to disclose her disability. The employer is understanding and asks what would help Anna succeed. Which of the following would you avoid discussion of?

Anna’s responsibilities, such as taking her medication.

Providing an outlet for creative energy

Providing flexible deadlines

Providing flexible work hours

Answer 8

Providing flexible deadlines

Question 9

People with cognitive disabilities:

have no rights to pursue sexual relationships or have children

have been included in sex education similarly to their non-disabled peers

have no problems distinguishing between public and private behaviors

have sometimes regarded as sexually deviant due to socially inappropriate behavior

Answer 9

have sometimes regarded as sexually deviant due to socially inappropriate behavior

Question 10

What is the most commonly occurring psychiatric syndrome?

schizophrenia
depression
anxiety
personality disorders

Answer 10

anxiety

Question 11

Which of the following would be the LEAST appropriate technique for ensuring workplace success for a person with schizophrenia?

avoiding criticism of work
little expectation to work quickly
incentives like breaks to improve motivation
assigning the person a “buddy” to ease isolation

Answer 11

Avoiding criticism of work

Question 12

A delusion in which someone believes he/she is being tricked is:

persecutory
somatic
grandiose
referential

Answer 12

persecutory

Question 13

Your caseload primarily consists of people who have psychiatric disabilities. As their VR counselor, you want your clients to be vocationally successful. However, they will face many barriers that may prevent this goal. Which barrier proves to be the most significant when a person with a psychiatric disability tries to integrate into the community?

Attitudes of people without disabilities
Presence of a co-occurring disorder
Disclosure of their disability to their employer
Side effects of psychotropic medications

Answer 13

Attitudes of people without disabilities

Question 14

All of the following is TRUE about anxiety disorders in general, with the exception of?

They often co-occur with depression, eating disorders, or substance abuse
They occur more often in women
They are a result of traumatic events
Many people have more than one anxiety disorder

Answer 14

They are a result of traumatic events

Question 15

Which type of anxiety disorder would a war veteran most likely have?

Obsessive-compulsive
Generalized anxiety disorder
Agorophobia
Post-traumatic stress disorder

Answer 15

Post-traumatic stress disorder

Question 16

Devon is a 19 year old VR client who has Schizophrenia. He has difficulty relating to others, thinking clearly and managing his emotions. Currently, he is taking medication to help control his symptoms. As his VR counselor you want him to be vocationally successful. Which of following strategies would be least effective in helping Devon to become vocationally successful?

Work that is structured, routine and predictable
Strict work schedule with little flexibility
Social support at work and at home
Incentives to help motivation

Answer 16

Strict work schedule with little flexibility

Question 17

When someone experiences burnout, the most effective way to deal with it would be to:

continue on as usual because it will pass

relax by watching television and not thinking about interacting with others

quit the job causing the burnout as soon as possible

cultivate relationships outside of work

Answer 17

cultivate relationships outside of work

Question 18

What is the resource most frequently used for defining the disease process of psychiatric illness?

DSM V
Merck Manual
International Classification of Disorders
Physicians’ Desk Reference

Answer 18

DSM V

Question 19

Which personality disorder is characterized by need for admiration and lack of empathy?
Histrionic
Dependent
Narcissistic
Borderline

Answer 19

Narcissistic

Question 20

As a VR Counselor, you are working with Jody, a single 35-year old mother of two, who has been diagnosed with major depression. She is having difficulty maintaining employment. What strategy would be the most effective in helping her to become vocationally successful?

Have Jody work alone

Simplify tasks and expectations

Change jobs tasks often

Provide a strict schedule with little flexibility

Answer 20

Simplify tasks and expectations

Question 21

Antisocial personality disorder is in what cluster:

Dramatic
None of the above
Odd
Anxious

Answer 21

Dramatic

Question 22

Tanya, a 21 year old female, has just been referred for VR services. She experiences manic episodes where she has elevated moods, hyperactive behavior, and sleeps very little. Her speech is loud and rapid. She takes antidepressants to help her control her symptoms. What mood disorder does Tanya most likely have?

Bipolar
Panic disorder
Manic depression
Schizophrenia

Answer 22

Bipolar

Question 23

Which type of hallucinations are most common?

auditory
olfactory
visual
tactile

Answer 23

auditory

Question 24

Schizoaffective disorder is a combination of characteristics of schizophrenia and which other disorder?
mania
mood
personality disorder
You Answered
depression

Answer 24

mood