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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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