Author Question: Which of the following clients or patients is exhibiting the signs of primary insomnia? A) Jason, ... (Read 59 times)

gbarreiro · **on:** Jul 19, 2018

Which of the following clients or patients is exhibiting the signs of primary insomnia?

A) Jason, who has delusions of persecution and drinks copious quantities of energy drinks to remain vigilant
B) Mr. Kwan, whose debts and business problems have caused him great stress in recent months.
C) Mrs. Fleming, who has frequent awakenings since becoming depressed
D) Amber, a methamphetamine user who sometimes goes several nights without sleep.

Question 2

During a therapy session, a client reveals that he masturbates eight to ten times daily and feels powerless to stop doing so, despite the fact that his behavior causes him shame and self-loathing. This client is exhibiting which of the following problems?

A) Compulsion
B) Obsession
C) Dyssomnia
D) Paramnesia

fromAlphatoOmega22 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: B
Primary insomnia is caused by emotional discomfort such as chronic stress. It is not caused by the direct physiologic effects of a substance or a general medical condition. Secondary insomnia is the inability to initiate or maintain sleep or nonrestorative sleep due to a psychiatric disorder such as depression, schizophrenia, or substance abuse.

Answer to Question 2

Ans: A
Compulsions are insistent, repetitive, intrusive, and unwanted urges to perform an act contrary to one's ordinary wishes or standards. An obsession is characterized by intrusive thinking; dyssomnias are disorders in which a client has difficulty with the amount, quality, or timing of sleep; paramnesia is the falsification of memory.