Author Question: An attractive female client presents with high anxiety levels because of her belief that her facial ... (Read 43 times)

Deast7027 · **on:** Jul 19, 2018

An attractive female client presents with high anxiety levels because of her belief that her facial features are large and grotesque. Body dysmorphic disorder (BDD) is suspected.

Which of the following additional symptoms would support this diagnosis? (Select all that apply.) 1. Mirror checking
2. Excessive grooming
3. History of an eating disorder
4. History of delusional thinking
5. Skin picking

Question 2

After disturbing the peace, an aggressive, disoriented, unkempt, homeless individual is escorted to an emergency department. The client threatens suicide.

Which of the following criteria would enable a physician to consider involuntary commitment? (Select all that apply.) 1. Being dangerous to others
2. Being homeless
3. Being disruptive to the community
4. Being gravely disabled and unable to meet basic needs
5. Being suicidal

wtf444 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1, 2, 5
Rationale: The DSM-5 lists preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others as a diagnostic criteria for the diagnosis of BDD. Also listed is that at some point during the course of the disorder, the person has performed repetitive behaviors, such as mirror checking, excessive grooming, skin picking, or reassurance seeking.

Answer to Question 2

1, 4, 5
Rationale: The physician could consider involuntary commitment when a client is dangerous to others, gravely disabled, or is suicidal. If the physician determines that the client is mentally incompetent, consent should be obtained from the legal guardian or court-approved guardian or conservator. A hospital administrator may give permission for involuntary commitment when time does not permit court intervention.