Tiêu đề FC PSYCH (Mr. Carmona) - SC ✅

3 | Page Situation: Gary, a 35-year old, has been an alcoholic for 5 years. He recently lost his job due to his frequent tardiness and has spent up all his savings. Despite this, he doesn’t admit that he has a problem, so his wife brought him to the Rehabilitation Center. 24. Gary states, “I don’t think my drinking has anything to do with why I am here in the hospital. I think I have problems with depression.” Which statement by the psychologist is the most therapeutic response? a. “I think you really need to look at the amount you are drinking and consider the effect on your family.” b. “That’s wrong. I disagree with that. Your admission is because of your alcohol abuse and not for any other reason.” c. C “I’m sure you don’t mean that. You have realized that alcohol is the root of you problems.” d. “I find it hard to believe that alcohol is not a problem because you have recently lost your job and your driver’s license.” 25. During a GP-client interaction, Gary shares with you that he hits his wife while intoxicated with alcohol. He asks the psychologist, “Mapapatawad pa ba niya ako?: Which of the following responses by the GP would be best in this situation? a. “Malalaman mo lang ang sagot sa tanong mo kung lalapitan mo siya.” b. “Maaari nating pag-usapan iyan sa ating family session.” c. “Depende sa kaniya kung mahal ka niya talaga.” d. Sa tingin ko may dinaramdam ka dahil nasaktan mo ang asawa mo.” 26. A client diagnosed with alcoholism is admitted to substance abuse unit complaining of decreased exercise tolerance, lower extremity edema, arrhythmias, and dyspnea. Which intervention as a psychologist therapist would be appropriate for this client? a. Providing thiamine-rich foods b. Administering digoxin (Lanoxin) and furosemide (Lasix) c. Reorienting the client to person, place, and time. d. Encouraging high-sodium foods. 27. A Psychologist has developed a relationship with a client who has an addiction problem. The following actions would indicate that the therapeutic intervention is in the working phase except: a. the client discusses how the addiction has contributed to family distress b. the client verbalizes difficulty identifying personal strengths c. the client discusses the financial problems related to the addiction d. the client expresses uncertainty about what topic to discuss Situation: Everyday the psychologist is faced with situations related to death and dying and grief and grieving. As a registered psychologist deals with the varied reactions of patients and relatives to the phenomenon of loss, the GP must also be in touch with his own concept of mortality. 28. Maria has been in a comatose state for the past 8 months as a result of an automobile accident. Although doctors have told her husband, Reuben, that there is no brain function, Reuben insists that she is showing responses. Which of the following stages of grief is Reuben experiencing? a. Bargaining b. Anger c. Denial d. Depression 29. A client recently lost his spouse. Which behavior indicates that the client is going through normal stage of grieving? a. The client starts using chemicals b. The client becomes an overachiever c. The client shows signs of hyperactivity d. The client shows a loss of warmth when interacting with others 30. A female client, who has been told by her physician that she has untreatable metastatic carcinoma, tells the psychologist that she believes the physician has made an error, she does not have cancer, and she is not going to die. The psychologist evaluates that the client is experiencing the stage of death and dying known as: a. Anger b. Shock c. Bargaining d. Acceptance 31. Immediately after the death of their 3-year-old son the psychologist would be most therapeutic by asking the parents: a. “Do you feel ready to consent to an autopsy?” b. “Have you made a decision about organ donation?” c. “Would you like to talk about how you will tell your other children?” d. “Can I be of some help with any practices that are important to you?” 32. Shortly after the death of her husband following a long illness, the wife visits the mental health clinic complaining of malaise, lethargy and insomnia. The psychologist, knowing that it is most important to help the wife cope with her husband’s death, should attempt to determine the: a. Age of the wife b. Timing of the husband’s death c. Socioeconomic status of the couple d. Adequacy of the wife’s support system Situation: Human being use various defense mechanism to ensure the integrity of the ego. 33. A person trying to lose weight decides to take a 15 – minute walk every time the temptation to snack between meals occurs. This demonstrates which of the following defense mechanisms? a. Displacement b. Projection c. Rationalization d. Sublimation 34. Ariel, a student, went to watch a movie with a friend the night prior to the unit exam. The next morning he received a low score on the exam. After seeing the score, Ariel slammed the book on the table and says to his classmate, "Our research is taking up much of our time and I don't have time to study! Anyway, I would not have mattered anyway because my teacher is unreasonable." Which of the following defense mechanisms is Ariel using?
4 | Page a. compensation, rationalization, denial b. reaction formation, conversation, projection c. rationalization, displacement, projection d. displacement, regression, intellectualization 35. The relative confirmed that ever since his father died, he began talking, dressing up, and acting like his father. This is: a. Introjection b. Sublimation c. Reaction Formation d. Projection 36. Your client, prior to admission at the Remotivation Ward disclosed that he was troubled by homosexual urges and initiated a campaign in the Senate campaigning not to grant homosexuals rights to petition and assembly. Based on your previous lectures, you learned that this is: a. Sublimation b. Reaction Formation c. Denial d. Undoing Situation: Melissa, a new GP, admitted several suicidal patients in the last 3 days. 37. A client expressing suicidal thoughts suddenly becomes very calm and has a much improved outlook on life. The GP recognizes that this behavior typically indicates: a. improved coping skills. b. increased self-esteem. c. an increased suicide risk. d. a positive response to treatment. 38. A client was admitted to the psychiatric unit after a suicide attempt. Which of the following statements by the client would lead the psychologist to suspect that another suicide attempt may be imminent? a. “How often does the staff make rounds.” b. “I don’t want to be alone right now.” c. “There is something to do here.” d. “When will I be discharged?” 39. When children talk about wanting to kill themselves, parents need most to: a. get help for the child and take the idea of suicide seriously b. reduce the amount of television that the child views daily c. send the child to her room for a time out and to think d. ignore this kind of attention-seeking behaviour in their child 40. A male client is brought to the psychiatric emergency department after attempting to jump off a bridge. The client’s wife states that he lost his job several months ago and has been unable to find another job. The primary intervention as a psychologist at this time should be to assess for: a. Feelings of failure b. A history of depression c. Plans of committing suicide d. The presence of marital difficulties Situation: Matet, a 44 year old former government employee, had been in and out of the hospital due to his Bipolar Disorder. He is pacing constantly today while other clients are having a birthday party. There is music, noise and food. The client walks over to the table and starts grabbing handfuls of cake to eat as he paces up and down the halls. 41. Among the following, what is the best response of the GP to this behavior? a. Let him continue to pace and eat b. Medicate him with anxiety drug c. Restrain him in his room d. Invite him to go outside and take a walk with the psychologist 42. Clients experiencing a manic episode will most likely be noncompliant with treatment because: a. They do not realize they need treatment b. They are too busy c. They want to be liked by others d. They enjoy the “high” 43. The GP learns a client is a college sophomore who recently transferred to the local university from another school in his home state. He reports he has been feeling depressed since he arrived and tells the GP, “I can’t seem to get with it... I don’t know anyone here and can’t get interested in my classes.” Which of the following is an appropriate diagnosis? a. guilt related to failure to achieve his goals b. inability to cope related to loss or separation from loved ones c. feelings of hopelessness related to change of residence d. low self-esteem related to lack of trust 44. A male college student, age 19, is admitted to the psychiatric unit with complains of suicidal thoughts and plan to hang himself. Which of the following actions is not a priority for the GP? a. remove his clothing, have him put on a hospital gown, and admit him to a seclusion room until a complete assessment of suicide risk can be done b. contact a family member to ask if he has made any prior suicide attempts c. place the client on suicidal precautions d. encourage the client to discuss recent events which led him to feel so hopeless 45. Before she is discharged from the hospital, the client and her husband attend a client education class on the topic of depression. They learn about the behaviors that could indicate a recurrence of depression. These could include all of the following except: a. psychomotor retardation b. grandiosity c. self-devaluation d. insomnia 46. The psychiatrist orders tranylcypromine (Parnate) for a depressed client who has not responded to tricyclics. The psychologist knows that dietary teaching is essential. She should instruct the client to avoid all of the following substances except: a. beer and red wine b. cheddar cheese and sausage c. cottage cheese and canned peaches d. liver and Italian green beans 47. A psychologist instructor is teaching about the cause of mood disorders. Which statement by a psychology student best indicates an understanding of the etiology of mood disorders?