AIIMS Bhuvneshwar NO- 2018
Mental Health Nursing
Easy

Asperger's syndrome is a type of?

Appeared in: AIIMS Bhuvneshwar NO- 2018

Explanation

  • The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) reclassified Asperger's syndrome under the single umbrella diagnosis of Autism Spectrum Disorder (ASD).
  • This change reflects the scientific consensus that Asperger's is not a separate condition but part of a spectrum of disorders with shared core symptoms.
  • Core symptoms of ASD include persistent difficulties in social communication and interaction, alongside restricted, repetitive patterns of behavior, interests, or activities.
  • Individuals formerly diagnosed with Asperger's are now diagnosed with ASD, often specified as 'Level 1 severity' or 'without accompanying intellectual or language impairment'.

Why Other Options Were Wrong

  • Option A: Depressive disorder is a mood disorder, primarily affecting emotional state with symptoms like persistent sadness and anhedonia, which are not the defining features of Asperger's syndrome.
  • Option B: Schizophrenia is a psychotic disorder characterized by hallucinations, delusions, and disorganized thought. These symptoms are fundamentally different from the social and behavioral patterns of ASD.
  • Option D: Anxiety is characterized by excessive worry, fear, and panic. While anxiety is very common in individuals with ASD, it is a separate, co-occurring condition and not the primary classification for Asperger's syndrome.

Related Visual

A Venn diagram or flowchart showing how the previous DSM-IV diagnoses of Autistic Disorder, Aspergers Disorder, and Pervasive Developmental Disorder-Not Otherwise Specified PD...
Clinical Relevance
  • Nursing practice connection: Knowing Classification of Asperger's syndrome according to DSM-5 helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • Nurses must use precise, up-to-date terminology (Autism Spectrum Disorder) for accurate documentation, communication with the healthcare team, and patient education.
  • Understanding that ASD is a spectrum helps nurses tailor care plans to the individual's specific level of need, focusing on strengths and challenges rather than a single label.
  • Nurses play a key role in screening for co-occurring conditions like anxiety, depression, and ADHD, which are common in individuals with ASD and require specific management.
How to Approach the Question
  • First, identify the core term in the question, which is 'Asperger's syndrome'.
  • Recall or recognize that psychiatric and developmental diagnoses are classified by the Diagnostic and Statistical Manual of Mental Disorders (DSM).
  • Remember the major update in the DSM-5 (released in 2013) which consolidated several pervasive developmental disorders.
  • Evaluate the options to find the current diagnostic category for Asperger's. 'Autism Spectrum Disorder' is the correct umbrella term.
  • Eliminate the other options by identifying them as different classes of disorders: Depressive disorder (mood), Schizophrenia (psychotic), and Anxiety (anxiety).
Concept Tested & Keywords
  • Concept Tested: Classification of Asperger's syndrome according to DSM-5.
  • Stem keywords: Asperger's syndrome
  • Lead-in keywords: is a type of
  • Negative lead-in flag: false

Question ID

QdcT3CR4JL8Cli2hpc8_qN

Reference Book

E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 12035-12037

E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 393-395

E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 422-424

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