Unit quiz: Distinguishing the experience, the adaptation, and the alternative explanation

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5 questions · 80% to pass · no timer. This quiz checks the lessons in this unit. These authored questions assess recognition and application of the taught distinctions, not professional qualification. You may review the lessons and retry. Repeat attempts reuse the question bank; a remembered answer is not proof of transfer to a new situation.

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Question 1

A fictional trainee writes: 'client pulls out hair when anxious - diagnosis: hair-pulling disorder'. Which correction best reflects the symptom/strategy distinction?The record describes an experience and an action with a stated function; the function and its evidence should be recorded before any category is consideredThe behaviour is self-directed and repetitive, which is sufficient for the category to apply

Question 2

Two fictional clients both stop attending a day programme. One describes dread in the group setting and relief on leaving; the other describes two months of early waking, appetite loss and inability to feel pleasure. What does the distinction between symptom and coping strategy add?It shows that the first client is avoiding and the second is depressed, so the same behaviour has two diagnosesIt generates different questions for each case: what the behaviour achieves for the first, and what has changed in the second person's functioning

Question 3

A fictional patient is described as anxious, tremulous and sleepless, with onset about ten hours after their last drink and gradual easing thereafter. A colleague records an anxiety disorder. Which correction is strongest?The onset within hours of cessation and resolution with abstinence point to a withdrawal state, which should be reassessed after observed abstinenceAnxiety and insomnia are specific to anxiety disorders, so the record is appropriate

Question 4

A fictional young adult presents agitated and suspicious during several days of heavy stimulant use. A partner reports two weeks of unusual beliefs two months earlier, before the current use began. What should the formulation record?A substance-induced psychosis, because the current episode clearly began in the context of useBoth a possible substance-related component and the possibility of a condition that persisted outside the use window, with an explicit reassessment plan after abstinence

Question 5

A fictional 27-year-old is referred for exhaustion and repeated sick leave. He says school was 'fine, I was just quiet', his mother organised everything until he moved out at 22, and he needs hours alone after work. What does the developmental frame require next?A cross-setting developmental history with the disappearance of earlier support recorded explicitly, alongside exclusion of current alternative explanationsA diagnosis of an autism spectrum condition, because lifelong social difficulty and need for routine are present

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