Deck 4: Assessment, Diagnosis, and Treatment

Question 1

Which of the following is NOT included in a clinical description?

A)different symptoms and their configuration
B)assessment of various symptoms
C)age of onset and duration of difficulties
D)intensity,frequency,and severity of the problem

Answer 1

assessment of various symptoms

Question 2

When working with children and families cultural information is necessary to:

A)establish a relationship with the child and family
B)motivate the family for change
C)get valid information
D)all of the above

Answer 2

all of the above

Question 3

What variables can impact scores on measures of psychopathology?

A)SES and acculturation
B)educational level
C)previous attendance in therapy
D)ability to remain focused

Answer 3

SES and acculturation

Question 4

Which of the following typically does NOT have much bearing on a clinician's approach to assessment,diagnosis,and treatment?

A)age
B)gender
C)culture
D)all of these have bearing

Question 5

All of the following psychological disorders are more common among males than females except:

A)mental retardation
B)autistic disorder
C)conduct disorder
D)adolescent depression

Question 6

The formal assignment of a clinical case to a DSM-IV-TR classification category is referred to as a(n):

A)empirical diagnosis
B)taxonomic diagnosis
C)proper diagnosis
D)psychological diagnosis

Question 7

Which of the following is not a common pair of comorbid disorders?

A)enuresis and schizophrenia
B)conduct disorder and ADHD
C)autism and mental retardation
D)depression and anxiety

Question 8

Jessica,age 15,gossips,verbally insults peers,and often ostracizes others.Jessica is displaying:

A)depressive symptoms
B)relational aggression
C)anxiety
D)ADHD

Question 9

What does it mean if a test is normed on a group that is representative of the population?

A)the majority culture was taken into consideration
B)the test is as free from cultural bias as possible
C)age and ethnicity were considered but not biological sex
D)the test yields higher rates of psychopathology for minorities

Question 10

Which of the following is equally common among males and females?

A)childhood depression
B)eating disorders
C)enuresis
D)attention deficit hyperactivity disorder

Question 11

Generally,isolated symptoms of behavioral and emotional problems:

A)are highly predictive of children's overall adjustment
B)show little relation to children's overall adjustment
C)are moderately related to children's overall adjustment
D)are completely useless in predicting children's overall adjustment

Question 12

The detailed representation of the individual child or family as a unique entity is referred to as a(n)___________ case formulation.

A)nomothetic
B)idiographic
C)diagnostic
D)prognostic

Question 13

Research demonstrates that,with respect to aggression,girls:

A)tend not to engage in aggressive acts
B)are more distressed by aggressive acts
C)engage in more relational forms of aggression
D)are more aggressive than boys

Question 14

Generalizations regarding cultural practices frequently fail to capture ____________ differences that exist within and across ethnic groups.

A)regional
B)generational
C)socioeconomic
D)all of the above

Question 15

A _______________ summarizes the child's unique behaviors,thoughts,and feelings that together make up the features of a given psychological disorder.

A)nomothetic description
B)symptomatic description
C)diagnostic description
D)clinical description

Question 16

Culturally competent mental health services include:

A)matching families with clinicians of the same ethnicity
B)customizing treatment to the family's values and customs
C)relying on knowledge gained through personal experience with that particular culture
D)both a and b

Question 17

A child's ______ has implications for judgments about deviancy and for selecting appropriate assessment and treatment methods.

A)peer group
B)family history
C)age
D)academic achievement

Question 18

The over-representation of boys with psychological disorders likely reflects:

A)functional deficits in the male brain
B)media influence
C)referral biases
D)different socialization practices for males and females

Question 19

A(n)____________ case formulation emphasizes general inferences that apply to broad groups of individuals.

A)nomothetic
B)idiographic
C)diagnostic
D)prognostic

Question 20

The relationship between assessment and intervention is best viewed as:

A)separate and unrelated
B)related and on-going
C)related but separate
D)related but time-limited

Question 21

Semi-structured interviews tend to be _______________ than unstructured interviews.

A)less consistent
B)more spontaneous
C)less reliable
D)more consistent and less spontaneous

Question 22

The Rorschach is an example of a(n)____________ test.

A)intelligence
B)achievement
C)projective
D)objective

Question 23

An advantage of behavior checklists over interviews is that checklists allow a clinician to ______________ while interviews typically do not.

A)establish rapport
B)assess mental status
C)compare results to a normative sample
D)obtain a measure of mood

Question 24

Projective tests ___________________ with children.

A)should not be used
B)are one of the most commonly used assessment methods
C)are one of the least commonly used assessment methods
D)have not been designed specifically for use

Question 25

Gathering information about a child's behavior for analysis does not involve:

A)observing the child in real-life settings
B)making inferences about the child's behavior
C)asking parents,teachers,or child about specific situations
D)observing the child in role-playing situations

Question 26

The Wechsler Intelligence Scale for Children (WISC-IV)provides a measure of:

A)verbal comprehension and working memory
B)perceptual reasoning and processing speed
C)full scale IQ
D)all of these

Question 27

___________ means generating predictions concerning future behavior under specified conditions.

A)Assessment
B)Diagnosis
C)Outcome generation
D)Prognosis

Question 28

The most universally used assessment procedure with parents and children is:

A)personality testing
B)behavioral observation
C)the clinical interview
D)intelligence testing

Question 29

The assessment of childhood problems typically makes use of a(n)__________ approach.

A)multi-method
B)idiographic
C)divergent
D)single theoretical

Question 30

The purpose(s)of assessment is/are:

A)description and diagnosis
B)treatment planning and evaluation
C)prognosis
D)all of the above

Question 31

The "C" in the "ABCs of behavioral assessment" stands for:

A)consequences
B)causes
C)child
D)correction

Question 32

Functions assessed in neuropsychological functioning do not include:

A)motor functions
B)perceptual functions
C)cognitive functions
D)none of the above

Question 33

What are the most commonly used assessment methods?

A)scales and tests
B)observations
C)gathering of family histories
D)interviews with children

Question 34

Which of the following would generally NOT be assessed by behavioral assessment methods?

A)aggression
B)mood
C)distractibility
D)social skills

Question 35

Which of the following would NOT typically be addressed in the developmental/family history component of the initial interview?

A)the child's birth
B)the age at which the child began walking and self-toileting
C)the mental history of parents and siblings
D)all of these would typically be addressed

Question 36

A leading checklist for assessing behavioral problems in children and adolescents is the:

A)Wechsler Scales for Children
B)Kaufman Assessment Battery for Children
C)Child Behavior Checklist
D)Rorschach

Question 37

Unstructured interviews tend to be _______________ than semi-structured interviews.

A)more consistent
B)less reliable and more flexible
C)more reliable and less flexible
D)less biased

Question 38

The most commonly used intelligence scale today is the:

A)Stanford-Binet 5 (SB5)
B)Wechsler Intelligence Scale for Children (WISC-IV)
C)Kaufman Assessment Battery for Children (K-ABC-II)
D)none of the above

Question 39

A clearly defined group used to compare an individual child's test score against is called a:

A)reference group
B)comparative group
C)standard group
D)norm group

Question 40

Neuropsychological assessments are primarily used to:

A)identify underlying brain lesions
B)identify genetic abnormalities
C)make inferences about central nervous system dysfunction
D)diagnose mental deficits

Question 41

Which of the following medications would best be used for a child diagnosed with bipolar disorder?

A)Depakote
B)Elavil
C)Ritalin
D)Zyprexa

Question 42

Minimum ethical standards for practice include:

A)selecting treatment goals and procedures that are in the best interest of the child
B)making sure client participation is active and voluntary
C)protecting the confidentiality of the therapeutic relationship
D)all of the above

Question 43

More than 70% of practicing clinicians identify their therapeutic approach as ________.

A)behavioral
B)cognitive
C)humanistic
D)eclectic

Question 44

Which of the following is a common goal of treatment?

A)improved outcomes relating to child functioning
B)improved outcome relating to family functioning
C)improved outcomes of societal importance
D)all of these are common goals

Question 45

Which of the following is NOT true of the meta-analytic findings of research therapy with children?

A)Changes achieved by children receiving treatment are greater than those for children not receiving treatment.
B)Treatment effects are larger for problems that are specifically targeted than they are for nonspecific areas of functioning.
C)Treatments have been shown to be more effective for internalizing that for externalizing disorders.
D)Treatment effects tend to be lasting.

Question 46

Best practice guidelines take into consideration:

A)what the clinician feels is in the best interest of the child and family
B)expert and evidence based approaches
C)what the family feels is in the best interest of the child
D)the family's history of mental illness

Question 47

___________ refers to efforts to increase adherence with treatment over time to prevent reoccurrence.

A)Maintenance
B)Prevention
C)Treatment
D)Intervention

Question 48

The ___________ classification approach assumes that all children possess the same traits to varying degrees.

A)trait
B)categorical
C)feature
D)dimensional

Question 49

_____________ approaches to treatment view child psychopathology as the result of social or environmental circumstances that are imposed on the child and interfere with his or her capacity for personal growth and adaptive functioning.

A)Psychodynamic
B)Client-centered
C)Cognitive-behavioral
D)Family

Question 50

Which of the following is NOT a criticism of the DSM-IV-TR?

A)It fails to capture the complexity of influences on child psychopathology.
B)It gives relatively less attention to disorders of infancy and childhood than to those of adulthood.
C)It fails to consider factors such as culture,age,and gender associated with the expression of each disorder.
D)It fails to capture the comorbidity known to exist among many childhood disorders.

Question 51

If a child with asthma were suffering from anxiety because of the fear of an impending attack,the asthma would be noted on Axis _____ of the DSM-IV-TR.

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

Question 52

If a child's best friend had recently died,this factor would be noted on Axis ______ of the DSM-IV-TR.

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

Question 53

Intervention does not include:

A)maintenance
B)assimilation
C)prevention
D)treatment

Question 54

Which of the following medications would best be used for a child suffering from ADHD?

A)Concerta
B)Elavil
C)Xanax
D)Zyprexa

Question 55

A GAF of _______ reflects significant impairment in social functioning or personal care.

A)-50
B)10
C)90
D)150

Question 56

Which of the following would NOT be reported on Axis I of the DSM-IV-TR?

A)mental retardation
B)schizophrenia
C)attention deficit hyperactivity disorder
D)autistic disorder

Question 57

_____________ approaches to treatment view child psychopathology as the result of faulty thought patterns and faulty learning and environmental experiences.

A)Behavioral
B)Cognitive
C)Cognitive-behavioral
D)Client-centered

Question 58

Interventions are ___________.

A)unique to the field of psychology
B)designed to maintain the status quo
C)problem solving strategies
D)typically rejected by children and families

Question 59

Which of the following medications would best be used for a child suffering from a severe anxiety disorder?

A)Concerta
B)Elavil
C)Xanax
D)Zyprexa

Question 60

Categorical classification systems are based primarily on:

A)underlying etiologic bases of the disorders classified
B)normative data
C)informed clinical consensus
D)multivariate statistical methods