Exam Preview for 3093: Mental Health of Adolescents October 10, 201

Mental Health of Adolescents

Please note: exam questions are subject to change.

1. Please answer questions #1 - #3 with regards to the following situation: Jack is an 18 year old senior in high school. He has been actively involved in the swim team and the year book committee, an honors student and has been looking forward to graduation and applied to and been accepted at several well known universities. He had a pet cat, named Ted, that he has cared for since he was a kitten, and one of his ongoing responsibilities has been cleaning the litter box, feeding him and giving him fresh water each morning and evening. A month ago Jack lost a close friend who died in an automobile accident, just six weeks after his cat had to be put down following complications due to feline leukemia. He has stopped going to swim practice, his grades have been poor and he has been spending a lot of time by himself. His friends have stopped by to see him, but he is not interested in seeing them. He does not get enjoyment out of things he really likes to do, and appears very different from the relaxed, easy going adolescent he has been up to now. He has a flat affect, and does not feel motivated to participate in his usual preferred occupations. His family is very concerned about this change in Jack as they have always been a very close knit family and Jack has enjoyed spending time with them. When he can be convinced to spend time with his family at dinner, he does not contribute to family discussions and often leaves the table without finishing his meal. A protective factor that Jack has that may positively support his resilience in recovery is ______________. Strong athletic skills Strong history of successful IADLs Strong family system Strong academic history
2. Given the scenario presented above and what you know about adolescent mental health, you believe that Jack may be developing which of the following disorders: Psychotic Bipolar Schizophrenia Depressive
3. Jack is referred to your outpatient practice. After he completes an interest checklist, the interventions most likely to be effective would involve: Assisting seniors with dementia Creating arts and crafts projects Developing ADL skills Practicing mindfulness exercises
4. Please answer questions #4 - #6 with regards to the following scenario: You are watching television with your best friend, Juan, in the eighth floor apartment where he lives and you notice he looks sad and is saying very little. He will turn 17 in two weeks. Lately he has been drinking on a regular basis. He told you this week that he has stopped seeing his psychiatrist and going to counseling. You ask him if everything is alright, and he says "no, not really." You ask him if he wants to talk about it and Juan says "I'm thinking of killing myself, I just can't take it anymore." "How do you think you would do it?" you ask. "I think I would probably hang myself since there are a lot of things I could use to do it right here in the apartment - I have to do it soon." "When?" you ask. "Before my birthday," Juan replies. "All things considered, I could just jump out the window. I'm pretty sure the fall would kill me." The risk factors for suicide that Juan has based on this scenario are ______________. Prior attempt and parental psychopathology Impulsive and aggressive tendencies Mental health issues and alcohol use Interpersonal losses and legal problems
5. The interaction with Juan indicates that he has ________________. Suicidal ideation Suicidal ideation and plan Suicidal ideation, plan and intent Suicidal tendencies
6. Assessing the situation, as Juan's friend, you _____________________. Tell Juan to "wait right here" and go into the next room and call 911 Assume he probably won't kill himself since the apartment windows don't open Encourage Juan to talk to his family, because you know they are very close D.Urge Juan to let you take him to the emergency room immediately
7. Which of the following statements best describes self-mutilation? It is always done by cutting. It is a means of getting attention. It is a maladaptive coping strategy. It is a way to commit suicide.
8. Adolescents are more likely to follow rules if ___________________. Negative consequences for non-compliance are clearly stated They don't create the rules that they are asked to follow The rules are imposed upon them by authority figures They are involved in creating the rules they are asked to follow
9. An effective method of avoiding power struggles with adolescents is _____________________. Providing firm limits and consequences for non-compliance Providing choices that give the adolescent a sense of control Providing few choices to clarify your role with the adolescent Power struggles are unavoidable with adolescents
10. Tad typically sits quietly in class and completes homework and assignments on time. He conforms to expectations, sometimes exceeds them, since he is actively involved in several clubs and extracurricular activities at school. He is soft spoken and polite. He is an "A" student and has a perfect attendance record. Mike is what his teacher describes as "a handful". He is often defiant when an authority figure asks him to do things, and frequently Mike is disrespectful and hostile. When asked to stop talking and making noises while an educational film was shown in class, he told his teacher to "go to hell" and was then sent to the principal's office. Both Tad and Mike may be experiencing mental health problems, but the one most likely to be overlooked is ______________________. The student exhibiting externalizing behaviors and symptoms The student exhibiting emotionalizing behaviors and symptoms The student exhibiting internalizing behaviors and symptoms The student exhibiting intellectualizing behaviors and symptoms