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Adult Clinical Problems Question Paper
Adult Clinical Problems
Course:Bachelor Of Arts In Psychology
Institution: Kenyatta University question papers
Exam Year:2010
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2010/2011
FIRST SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR OF
ARTS
APS 305: ADULT CLINICAL PROBLEMS
=================================================================
DATE:
WEDNESDAY 1ST DECEMBER 2010
TIME: 2.00 P.M. - 4.00 P.M.
INSTRUCTIONS
This paper has 2 Sections Aand B.
Answer ALL questions in SECTION A and Choose TWO questions from Section B.
SECTION A: (30 MARKS) COMPULSORY
1.
Read the following case and use it to answer the questions that follow:
Metro a 42 year old male client is checked in at your clinic by a family member. According to the family member, lately he has gone into some sort of ?hiding? not leaving the house except on extremely rare occasions like to the shop. Neighbours say that he was seen leaving the house through the window alleging that some enemy is waiting for him at the door. He has lately been in great distress saying that the newspapers and radio are reporting about him so he?s worried for his life. It is for this reason that the family members thought it wise to take him for a check up. According to the family member, Metro has behaved strange most of his life preferring to be a loner with little or no interest on what was happening around him. He has never married and has not been spotted with any women as a friend. During his early years he always preferred to be on his own rather than join other children at play and preferred to remain at home when other family members went out visiting. Metro worked at a pharmaceutical firm and was once diagnosed with TB and chest complications and retired on medical grounds. Currently Metro does not have a job and leaves alone. He also takes drugs for ulcers.
With reference to the case of Metro above answer the following questions.
a)
Using the five criteria for defining a clinical problem, assess the degree to which Metro can be said to be suffering from a clinical problem/s. (10 marks)
b)
How would you use a clinical interview and a mental status examination to gather information to make an assessment and diagnosis of Metro?s case. (10 marks)
c)
Analyze Metro?s case from the information given above and attempt a DSM-IV multi axial classification. Justify your diagnosis for each axis. (10 marks)
SECTION B (40 MARKS)
Instructions: This Section has four questions.
Answer ANY TWO (Each is 20 marks)
2.
A)
What are mood disorders? (2 marks)
b)
Describe the characteristic symptoms of bipolar disorders. (10 marks)
c)
Using the cognitive perspective, discuss
i)
the causes and
ii)
the intervention for depressive disorders.
(8 marks)
3.
a)
What is schizophrenia? (2 marks)
b)
Distinguish between positive and negative types of schizophrenia (10 marks)
c)
Discuss the causes and interventions for schizophrenia from a biological perspective. (8 marks)
4.
a)
Define the terms ?stress? and stressor?. (3 marks)
b)
Explain four factors that predispose one to stress. (8 marks)
c)
Explain three psychological effects of long term stress. (6 marks)
d)
Suggest three ways of coping with stress. (3 marks)
5.
a)
What are substance related disorders (2 marks)
b)
How would you assess a client at your clinic with substance related disorders? (9 marks)
c)
Describe in detail an intervention plan you would use for a client with substance related disorders. (9 marks)
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