Situation: An old woman was brought for evaluation due to increasing forgetfulness and limitations in daily function. The daughter revealed that the client used her toothbrush to comb her hair. She is manifesting:

Correct Answer: C

Rationale: The correct answer is C: Agnosia. Agnosia is the inability to recognize or interpret sensory information correctly, such as mistaking a toothbrush for a comb due to cognitive impairment. In this case, the old woman's confusion in using a toothbrush to comb her hair indicates a sensory recognition issue. Apraxia (A) is the inability to execute purposeful movements, Aphasia (B) is the loss of ability to understand or express speech, and Amnesia (D) is the loss of memory, none of which are demonstrated in this scenario.

Correct Answer: B

Rationale: The correct answer is B because malingering involves intentionally feigning or exaggerating symptoms for secondary gain, such as avoiding responsibilities or obtaining benefits. In contrast, somatoform disorders are characterized by genuine physical symptoms without a conscious intent to deceive. Choice A is incorrect as malingering does not have an organic basis, unlike genuine medical conditions. Choice C is incorrect as malingering is not driven by obtaining gratification from the environment. Choice D is incorrect as stress being expressed through physical symptoms is characteristic of somatoform disorders, not malingering.

Correct Answer: D

Rationale: The correct answer is D because for clients with somatoform disorders, expressing anxiety verbally can help them address underlying psychological issues rather than manifesting physical symptoms. This goal focuses on improving emotional expression and reducing reliance on physical symptoms for coping. Choice A is incorrect as it does not address the root cause of the disorder. Choice B is incorrect because coping with physical illness is not the primary goal in somatoform disorders. Choice C is incorrect as medication alone may not address the psychological aspects of the disorder.

Correct Answer: B

Rationale: The correct answer is B: Heroin dependence. Heroin is a highly addictive substance that can pass through the placenta to the developing fetus, leading to physical dependence in the baby. This can result in withdrawal symptoms after birth, known as Neonatal Abstinence Syndrome (NAS). NAS can cause various health issues for the baby, including respiratory problems, feeding difficulties, seizures, and even death. Therefore, if the mother continues to be dependent on heroin during pregnancy, the baby is at high risk for developing heroin dependence due to exposure in utero. Incorrect choices: A: Mental retardation - Heroin use during pregnancy can impact the baby's cognitive development, but it is not directly linked to mental retardation. C: Addiction in adulthood - While exposure to heroin in utero can increase the risk of addiction later in life, the immediate concern is the baby developing heroin dependence. D: Psychological disturbances - Heroin use can contribute to psychological issues in both the mother and the baby, but the

Correct Answer: C

Rationale: The correct answer is C because focusing on the positive experience during termination helps validate the group's progress and accomplishments. It encourages reflection on the growth and learning achieved, fostering a sense of closure and satisfaction. Choice A (Deciding to continue) is incorrect as termination implies the end of the group. Choice B (Elevating group progress) is incorrect as the focus should be on reflecting on past experiences, not necessarily pushing for further progress. Choice D (Stopping attendance) is incorrect as it undermines the purpose of termination and the opportunity for closure and reflection.