Deck 12: Assessment and Diagnosis

Question 1

On Axis V, the clinician reports:

A)the amount of time expected for treatment
B)the client's general medical condition
C)his or her professional judgment regarding the client's overall functioning level using the GAF
D)V-Codes

Answer 1

his or her professional judgment regarding the client's overall functioning level using the GAF

Question 2

A childhood disorder characterized by a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequent and severe than what is expected developmentally is:

A)Attention-Deficit/Hyperactivity Disorder
B)Conduct Disorder
C)Oppositional Defiant Disorder
D)Adjustment Disorder

Answer 2

Attention-Deficit/Hyperactivity Disorder

Question 3

For a Major Depressive Episode, how long must a client be in a depressed mood or have lost interest or pleasure in nearly all activities?

A)two weeks
B)one month
C)two months
D)six months

Answer 3

two weeks

Question 4

With Substance-Induced Disorders, the concerns are related to:

A)delirium and dementia
B)Substance Intoxication and Substance Withdrawal
C)substance use and abuse
D)the effects of the substance on behavioral and cognitive factors

Question 5

In the DSM-IV-TR, the term substance in Substance-Related Disorders:

A)refers to alcohol exclusively.
B)refers to alcohol and "street" drugs.
C)alcohol and both prescribed and nonprescribed psychoactive drugs.
D)includes drugs of abuse (including alcohol), side effects of prescribed and over-the-counter medication, or a toxin.

Question 6

Which of the following is NOT a characteristic of Autistic Disorder?

A)impairment in social interaction and communication
B)loss of previously acquired skills
C)restricted repetitive and stereotyped patterns of behavior, interests and activities
D)abnormal functioning in symbolic and/or imaginative play

Question 7

The main distinction between schizophrenia and schizophreniform disorder is:

A)schizophrenia is a childhood disorder, and schizophreniform disorder is diagnosed in adulthood.
B)schizophrenia is a medical condition, and schizophreniform disorder is a mental disorder.
C)schizophreniform disorder lasts for a shorter duration than schizophrenia.
D)schizophreniform disorder occurs over one long episode, and schizophrenia occurs in a series of brief episodes.

Question 8

How many axes are included in the DSM-IV-TR?

A)two (i.e., Axes I and II)
B)three
C)four
D)five

Question 9

According to the National Institute for Mental Health approximately ______ of American adults suffer from a diagnosable mental disorder in a given year.

A)8%
B)15%
C)26%
D)42%

Question 10

In the DSM-IV-TR, Axis I and Axis II describe the client's:

A)general medical conditions
B)current mental conditions
C)psychosocial and environmental problems
D)general functioning levels

Question 11

A memory impairment in the absence of other significant cognitive impairments is called:

A)dementia
B)amnestic disorder
C)delirium
D)Alzheimer's disorder

Question 12

A client reports that he has been using a pain killer (i.e., Loritab) for the last 18 months and has attempted to stop using the pain killer but has not been able to do so.He also reports taking higher doses to get the same effect, and he is going to multiple doctors to get various prescriptions.A diagnosis you should first consider would be:

A)Substance Abuse Disorder
B)Substance Dependence Disorder
C)Substance-Induced Somataform Disorder
D)Addictive Personality Disorder

Question 13

Before counselors can diagnosis a Mood Disorder, they must understand:

A)Major Depressive Episodes
B)Manic and Mixed Episodes
C)Hypomanic Episodes
D)all of the above

Question 14

What is the most commonly used diagnostic system in mental health settings?

A)Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revision (DSM-IV-TR)
B)International Classification of Diseases-Tenth Edition (ICD-10)
C)American Psychiatric Association Manual (APAM)
D)Mental Health Diagnostic System (MHDS-5)

Question 15

An episode characterized by abnormally elevated, expansive, or irritable moods is a(n) __________ Episode

A)Anxiety
B)Manic
C)Mixed
D)Hypomanic

Question 16

In diagnosing Substance Use Disorders, counselors needs to consider:

A)the amount of alcohol being consumed on a daily basis
B)whether the use of the substance is resulting in interpersonal problems
C)the difference between Substance Dependence and Substance Abuse
D)whether the alcohol use is resulting in intoxication

Question 17

The difference between a Hypomanic Episode and a Manic Episode is that:

A)the Hypomanic Episode is more intense and lasts longer.
B)there is more delusion in the Hypomanic Episode as compared to the Manic Episode.
C)the Hypomanic Episode has a minimum duration of four days as compared to a week for a Manic Episode.
D)the Hypomanic Episode has periods of depression while the Manic Episode does not.

Question 18

The primary purpose of diagnosis is to:

A)provide a description of client's symptoms in a way that is understandable to others.
B)provide a label for the client.
C)determine what the client's prognosis will be.
D)describe for the client into which category their symptoms fall.

Question 19

Based on the DSM-IV-TR, mental retardation is diagnosed based on an IQ of approximately 70 or below, in addition to impairment in:

A)academic achievement.
B)social skills.
C)adaptive behavior.
D)attention.

Question 20

Axis I on the DSM-IV-TR includes:

A)Personality Disorders
B)psychosocial and environmental disorders
C)all clinical syndromes except for Personality Disorders and Mental Retardation
D)Global Assessment of Functioning

Question 21

In Sexual Dysfunction, the client may experience:

A)a disturbance in sexual desire.
B)an abnormal or unnatural sexual attraction.
C)problems in the psychophysiological changes of the sexual response cycle.
D)all of the above

Question 22

If a client experiences a Manic or a Mixed episode, then the appropriate diagnosis should be:

A)Depressive Disorder
B)Other Mood Disorder
C)Dysthymic Disorder
D)Bipolar I Disorder

Question 23

What do kleptomania, pyromania, intermittent explosive disorder, and pathological gambling have in common?

A)They are all obsessive-compulsive disorders
B)They are all disruptive behavior disorders
C)They are all impulse-control disorders
D)They are all disorders of adolescence

Question 24

With cyclothymic disorder, the client has:

A)to have had at least four major depressive episodes.
B)to have had at least four manic episodes.
C)depressed mood for most of the day, for more days than not, for at least two years.
D)at least two years of numerous periods of hypomanic symptoms and numerous periods of depressive symptoms.

Question 25

A key difference between Axis I and Axis II disorders is that:

A)Axis I disorders are typically temporary, and Axis II disorders are more enduring.
B)Axis I disorders are diagnosed in adulthood, and Axis II disorders are diagnosed in childhood.
C)Axis I disorders are psychological in nature, and Axis II disorders are medical.
D)There is no difference between Axis I and Axis II disorders.

Question 26

Generalized Anxiety Disorder:

A)is the umbrella category for the disorders of Posttraumatic Stress Disorder, Acute Stress Disorder, and Obsessive-Compulsive Disorder.
B)is similar to Acute Stress Disorder, except the reactions are to more than one incident.
C)concerns a feeling of doom about numerous places and situations.
D)involves anxiety and worry that persists for many months and is difficult to control.

Question 27

In counseling, a 15-year-old client reports that he has repeatedly had to leave his classroom because there was a spider near his desk.He knows that his fear of spider is "over the top," but he reports he cannot stay near one.When using the DSM-IV-TR, you would probably first consider:

A)agoraphobia
B)a specific phobia
C)an impulse control disorder
D)a personality disorder

Question 28

With Dysthymic Disorder, the client:

A)suffers from Mixed Episodes with at least one Major Depressive Episode
B)is persistently in an elevated, expansive, or irritable mood
C)does not suffer from a Major Depressive Episode but is in a chronically depressed mood for a long period of time (i.e., two or more years)
D)suffers from chronic feelings of apprehension, anxiety, and irritability

Question 29

With Agoraphobia, the client is fearful of places or situations where they may have trouble coping and:

A)has a panic attack whenever they are at that place or involved in that situation.
B)avoids those places or situations.
C)has a feeling of impending doom in those places and situations.
D)become obsessed with rituals to decrease the anxiety.

Question 30

This group of disorders is characterized by a disruption in the usually integrated functions of consciousness, memory, identity, or perceptions of the environment.

A)Factitious Disorders
B)Dissociative Disorders
C)Impulse-Control Disorders Not Elsewhere Classified.
D)Sleep Disorders

Question 31

Which of the following involves the development of clinically significant symptoms in response to an identifiable psychosocial stressor(s)?

A)Stress-Related Disorders
B)Stress Alleviation Disorders
C)Adjustment Disorders
D)V-Codes

Question 32

In the DSM-IV-TR, on which axis are maladaptive personality disorders and mental retardation categorized?

A)Axis I
B)Axis II
C)Axis III
D)Axis IV

Question 33

Trichotillomania involves:

A)recurrent pulling out of one's hair for pleasure, gratification, or relief of tension
B)eating non-food items (e.g., dirt)
C)recurrent, intense sexually arousing fantasies, sexual urges, or behaviors
D)qualitative impairment in social interaction and, secondly, Restricted repetitive and stereotyped patterns of behavior, interests, and activities

Question 34

In Obsessive-Compulsive Disorder, the compulsions are:

A)persistent thoughts or images that interfere with normal activities.
B)memories of traumatic events that elicit strong thoughts and feelings of anxiety.
C)repetitive behaviors or mental acts with the goal being to reduce or prevent the anxiety.
D)panic-like symptoms including physical symptoms like difficulty breathing and the sense of losing control or "going crazy."

Question 35

Bulimia Nervosa is characterized by:

A)the inability to eat almost all types of food.
B)severely restricting food intake and low body weight.
C)binge eating on a regular basis (e.g., twice a week).
D)binge eating and inappropriate compensatory behaviors to prevent weight gain.

Question 36

Concerning Anxiety Disorders, a brief period where the client feels intense apprehension, fearfulness, or terror is called a(n):

A)Panic Attack
B)Agoraphobic Attack
C)Anxiety Attack
D)Panic Disorder

Question 37

All of the __________ Disorders have the presence of physical symptoms which cannot be fully explained by a general medical condition.

A)Imitation
B)Hypochondria
C)Somatoform
D)Morbid Melancholia

Question 38

The inability to maintain a minimally normal body weight is the central feature of:

A)Anorexia Nervosa
B)Bulimia Nervosa
C)Primary Eating Disorder
D)Intermittent Eating Disorder

Question 39

_______________________ are characterized by abnormal behaviors while sleeping, whereas __________________ involve abnormalities in the amount, timing or quality of sleep.

A)Dyssomnias; parasomnias
B)Parasomnias; dyssomnias
C)Insomnias; hypersomnias
D)Hypersomnias; insomnias

Question 40

In the DSM-IV-TR, the category of Other Conditions That May Be a Focus of Clinical Attention (e.g., partner relational problems, bereavement, occupational issues) is commonly referred to as:

A)C-Codes
B)V-Codes
C)Adjustment Disorders
D)Relational Problems

Question 41

What are some important factors counselors should consider when using the MCMI-III?

A)it is not designed for normal functioning adults and should not be used as a general personality inventory
B)it should always be used in conjunction with the MMPI-2 in order to get a full diagnostic assessment
C)there is no theoretical foundation and DSM diagnostic criteria are not taken into consideration
D)all of the above Discussion Questions

Question 42

The Millon Clinical Multiaxial Inventory (MCMI-III) is an instrument that:

A)measures psychopathology.
B)is based on Millon's theory of personality.
C)is designed to correspond to the DSM-IV and assist in the diagnosis process.
D)all of the above

Question 43

What are the major feature(s) of Antisocial Personality Disorder?

A)an extreme fear and avoidance of any social activity
B)eccentric behavior and detachment from others
C)aggressive outbursts and impulse control problems
D)manipulation, disregard, and deceit of others

Question 44

Axis IV is used for reporting:

A)psychosocial and environmental problems.
B)general medication conditions.
C)the client's overall functioning level using the Global Assessment of Functioning (GAF).
D)additional Axis I or Axis II diagnoses.

Question 45

Avoidant Personality Disorder, Dependent Personality Disorder, and Obsessive-Compulsive Personality Disorder are all part of __________ personality disorders.

A)Cluster A
B)Cluster B
C)Cluster C
D)Cluster D

Question 46

Which of the following is NOT among the proposed changes to be incorporated into the DSM-5?

A)a new model for the assessment of personality disorders
B)the addition of a sixth axis
C)increased compatibility with the ICD-10
D)removal of the chapter concerning disorders of infancy, childhood or adolescence

Question 47

Medical conditions that are the cause of the client's mental disorder should be coded on:

A)Axis I
B)Axis II
C)Axis III
D)Axis IV

Question 48

Concerning Personality Disorders, the behavior of individuals with Cluster B disorders tend to be:

A)characterized by lack of relationships, aloof behaviors, restricted affect, and peculiar ideas.
B)erratic and unstable, with fluctuating and heightened affect.
C)tend to display anxious and avoidant behaviors.
D)all of the above.

Question 49

This personality disorder is characterized by a pervasive pattern of instability in interpersonal relationships, self-image, mood and accompanying impulsivity.

A)Schizotypal Personality Disorder
B)Antisocial Personality Disorder
C)Borderline Personality Disorder
D)Dependent Personality Disorder

Question 50

This semi-structured interview is considered the current standard with the field and is psychometrically robust.

A)World Mental Health-Composite International Diagnostic Interview (WMH-CIDI)
B)Diagnostic Interview Schedule (DIS)
C)Structured Clinical Interview for Axis I or Axis II) DSM-IV-TR Disorders (SCID-I or II)
D)Diagnostic Interview for Adolescents & Adults (DIAA)

Question 51

If a client has a personality disorder, it:

A)will be readily apparent in the first session
B)can be readily assessed with the NEO-PI-3
C)will become slowly evident through recurrent themes (e.g., relationship difficulties) and through the client's interactions with the counselor
D)is typically associated with legal difficulties and counselors should ask clients about their legal record in the first session.

Question 52

Personality Disorders are:

A)longer-term functioning difficulties
B)an integral part of the "self" of the client
C)characterized by significant impairments in social and/or occupational functioning
D)all of the above

Question 53

On Axis V, the clinician reports:

A)the amount of time expected for treatment.
B)the client's general medical condition.
C)the client's overall functioning level using the Global Assessment of Functioning (GAF).
D)V-Codes.