Which of the following is not one of the five key areas of interest in clinical examination according to the SIRSE acronym?
Systems
Impact
Risk Factors
Environment
Which disorder is characterized by impulsive, anger-based, aggressive outbursts that appear suddenly and often in response to insignificant stressors?
Oppositional Defiant Disorder
Intermittent Explosive Disorder
ADHD
Autism
When conducting an interview with a child, direct questions should be ____, ______, & _____.
Vague, interpretive, open-ended
Short, simple, precise
Collaborative, simple, address multiple problems
Short, investigative, address multiple problems
interventions for externalizing disorders encourage young people to increase their awareness of thoughts that occur in the context of day-to-day life.
Oppositional Defiance Disorder is genetic, indicating that aggression and temperament traits can be inherited.
The impulsivity and behavioural symptoms associated with pyromania is similar to what other disorder?
Attention-Deficit/Hyperactivity Disorder
Conduct Disorder
According to Gural and MacKay-Chiddenton (2016), why is it important to rule out the possible diagnosis of Fetal Alcohol Spectrum Disorder (FASD) when ADHD is suspected? It is important because...
FASD can cause ADHD
FASD and ADHD are almost always comorbid disorders
There are similarities between the behavioural symptoms of both disorders
Prenatal and perinatal exposure to alcohol may be linked to ADHD
During the assessment/information-gathering stage, the most effective way to learn about internalizing symptoms such as anxiety, depression, and suicide ideation, as well as behaviours such as sexual activity or drug use is to:
Connect the family with a clinician who is of the same cultural background for a better chance of building a trusting relationship and showing understanding for their situation
Ask clear and simple questions using developmentally appropriate vocabulary
Interview the child/adolescent by themselves right at the beginning of the diagnostic process before information has the chance to become complicated with the parent/guardian’s perspective
Interview the child/adolescent with their parent/guardian at the beginning of the diagnostic process, then open up these topics at a later time with the child/adolescent by themselves
Oppositional Defiant Disorder (ODD) is often association with physical aggression with adults, authority figures, and peers.
ADHD interferes with the area of the brain, impacting attention regulation and the management of behavioural and emotional responses.
Which of the following is NOT suggested as one of the four building blocks when building a diagnostic wall:
Medical History and Physical Examination
Parent and Child Interview
Observations
The Mental Status Examination
The DSM-V identifies abnormalities in at least three areas for ADHD to be diagnosed. Which of the following is NOT an area considered:
Inattention
Anxiousness
Hyperactivity
Impulsivity
Which of the following disorders falls under the “Anxiety Disorders” classification in the DSM-V
Kleptomania
Selective Mutism
Delusional Disorder
“Callous disregard” in youth with Conduct Disorder is considered a lack of "
True or False, when conducting a clinical examination five key areas of interest are remembered using the acronym SIRSE. This stands for : S-Symptoms I-Impact R-Risk Factors S-Severity E-Explanations
Anxiety disorders are caused by stress and trauma
ADHD typically involves the following except?
Attentional capacity
Selective attention
Sustained attention
According the Lempp, Lange, Radeloff and Bachmann, 2012 the acronym SIRSE stands for
Signs, impact, risk factors, strengths and explanations
Strengths, influence, risk factors, symptoms and explanations
Strengths, impact, risk factors and extenuate
Symptoms, impact, risk factors, strengths and explanations
Young people with Oppositional Defiance disorder are known to exhibit more proactive aggression than people with conduct disorder.
Which definition is associated with delusional disorder?
at least one month of non-bizarre delusions without other symptoms.
psychotic symptoms that last more than one day and end within one month
psychotic symptoms that occur together with a mood disorder and are preceded or are followed by at least two weeks of delusions or hallucinations
psychotic symptoms that are a direct consequence of a general medical condition
Which disorder is not listed under the Anxiety disorder section in the DSM-5?
specific phobia
body dysmorphic disorder
panic disorder
selective mutism
An individual who has a panic attack in a movie theatre and then avoids going to that movie theater and eventually all movie theatres or even all public places may be diagnosed with
What percentage of all children and adolescents suffer from symptoms associated with anxiety disorder?
7-12 %
9-24 %
15-25 %
8-22%
As stated by Gural & Mackay-Chiddenton, “ When concerned about any signs or symptoms related to mental health, CYCPs’ first response is to ____________, __________, and ___________, where appropriate.
Collaborate, consult, refer
Document, observe, communicate
Document, investigate, collaborate
Listen, consult, investigate
According to chapter The Clinical Examination of Children, Adolescents and Their Families, “Internalizing symptoms, such as ____________ or __________, can be difficult for children to describe and tend to be less troublesome or apparent to adults than disruptive or externalizing symptoms.”
Pain, fear
Anxiety, depression
Depression, anger
Low self-esteem, suicidal thoughts
As claimed by Gural & MacKay-Chiddenton, “It’s important to recognize that whereas is treatable but not curable, is both treatable and curable”.
According to the psychodynamic perspective, “ADHD symptoms are seen as resulting from difficulties with interacting in the social environment”.
While interviewing preschool children, generic toys should be available for the children, as they are not expected to sit still. “Getting involved in the child’s play can help to:
assess their affective state, test attention span, understand their capacity for complex thinking
assess their affective state, set space for longer, complex questions, assess their capacity for interactive play and “as if” games
allow them to follow a prefabricated script, empathize with them and ascertain their coordination and motor skills
ensure they are utilizing this play to explain their situation, and assess their capacity for memory recall
Cognitive restructuring involves teaching young people how to:
change how others perceive them
how to block or reframe negative thoughts
create a scale to rate symptoms
monitor prescription medication side effects and cognitive changes
Schizophrenia is considered to be one of the most serious psychological disorders. It is characterized by:
one or more psychotic symptoms and persist for at least six months and are associated with significant decline in functioning.
two or more psychotic symptoms and persist for at least four months and are associated with significant decline in functioning.
two or more psychotic symptoms and persist for at least one month and are associated with significant decline in functioning.
three or more psychotic symptoms and persist for at least one week
“Given that ADHD is defined by the context of a and almost always by other people- in families, in classrooms, and in schoolyards- children at either end of the spectrum are relatively easily identified…”
In regards to parent and child interviews, “The child is usually the best information source for externalizing symptoms whereas parents can give reliable information about internalizing ones.”
ADHD pharmacotherapy drugs are stimulants that increase which of the following neurotransmitter(s)?
Serotonin
GABA
Dopamine
Dopamine and Norepinephrine
The following behavioral criteria belongs to which Anxiety disorder? Feelings of overwhelming nervousness, anxiety or stress, inability to sleep, vague bodily pains, headache, dizziness, stomach upset…
Panic Attacks and Phobias
Social Anxiety Disorder
Generalized Anxiety Disorder (GAD)
Unspecified anxiety Disorder
People with mental health issues, as well as people living with addictions and including those in long-term recovery often experience
According to the text (Gural, MacKay-Chiddenton), alogia, avolition, and affective flattening are all symptoms related to what mental health diagnosis?
Psychosis
Brief Psychotic Disorder
Schizophrenia
Schizoaffective disorder
SIRSE is the acronym used to remember the five key areas of interest in the clinical examination: Symptoms, Impact, Risk Factors, Strengths, and
The behavioural activation system (BAS) stimulates behaviour and is associated with the experience of fear and avoiding pain.
