Deck 3: Diagnosis in the Assessment Process

Question 1

Which of the following is true about specifiers in the DSM-5?

A) They are used to capture the severity of an illness.
B) They are mutually exclusive - you can only pick one.
C) They are noted by the phrase "Specify if."
D) They are helpful in cross referencing DSM-5 diagnosis with ICD-9 or ICD-10 diagnosis.

Answer 1

They are noted by the phrase "Specify if."

Question 2

A provisional diagnosis should be given in which of the following situations?

A) During the beginning or initial onset of an illness
B) For a temporary or transitory illness
C) When a masters level clinician who is not yet licensed makes the diagnosis
D) When the clinician believes this is the diagnosis but can't yet substantiate

Answer 2

When the clinician believes this is the diagnosis but can't yet substantiate

Question 3

Write a brief description for each of the diagnostic categories listed below.
Neurodevelopmental disorders:

Answer 3

Description comes directly from the textbook.
This group of disorders typically refers to those that manifest during early development, although diagnoses are sometimes not assigned until adulthood. Examples of neurodevelopmental disorders include intellectual disabilities, communication disorders, autism spectrum disorders (incorporating the former categories of autistic disorder, Asperger's disorder, childhood disintegrative disorder, and pervasive developmental disorder), ADHD, specific learning disorders, motor disorders, and other neurodevelopmental disorders.

Question 4

Which edition of the APA Diagnostic and Statistical Manual first introduced the concept of multi-axial diagnosis?

A) DSM-I
B) DSM-II
C) DSM-III
D) DSM-IV
E) DSM-5

Question 5

Which of the following is NOT a reason to understand diagnosis today?

A) Changes in federal and state laws that highlight the importance of understanding certain diagnoses (e.g., IDEA)
B) To be able to submit for insurance reimbursement
C) For clinicians to speak a common language and be able to communicate with one another
D) Often required for insurance reimbursement
E) All of these are reasons.

Question 6

Which of the following is a reason the APA went to a single axis diagnosis in the DSM-5?

A) To make personality disorders on par with clinical disorders so they don't seem untreatable
B) To make mental disorders a higher priority and more distinct from medical disorders
C) There has been a trend of GAF scores getting over-inflated by clinicians and psychiatrists.
D) None. The DSM-5 uses a multi-axial approach.

Question 7

Write a brief description for each of the diagnostic categories listed below.
Bipolar and related disorders:

Question 8

Professionals often use informal diagnostic labels to improve communications to each other. Which of the following is NOT one that you would typically see?

A) Rule-in
B) Provisional
C) Traits
D) By history
E) By self-report

Question 9

Write a brief description for each of the diagnostic categories listed below.
Schizophrenia spectrum and other psychiatric disorders:

Question 10

In the DSM-IV-TR, the GAF scale is used to:

A) assess the cognitive functioning of the client.
B) assess overall functioning of the client.
C) measure ethical decision making ability.
D) measure multicultural awareness.
E) assess mental status.

Question 11

In the DSM-IV-TR, which of the following axis was used to describe personality disorders?

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

Question 12

A client has a heart attack that results in an adjustment disorder with depression. When writing the diagnosis, the adjustment disorder should be listed first and the heart attack should be listed second.

Question 13

One of the most important aspects of the DSM classification system is to describe and communicate with other professionals.

Question 14

Why is diagnosis important in the assessment process?

A) It offers one additional means of understanding the whole person.
B) It provides an understanding of the etiology of the mental disorders.
C) It provides different ways of treating the client as a function of the clinician's theoretical orientation.
D) All of these are reasons.

Question 15

DSM-I was first developed around the turn of the 20^th century.

Question 16

Which of the following is true about ordering diagnoses in the DSM-5?

A) The ordering doesn't matter since the DSM-5 has moved to a single-axis approach.
B) A medical diagnosis should be listed before a mental health diagnosis if the mental health diagnosis is the result from that medical condition.
C) Diagnosis should be listed in the chronological order they occurred or were diagnosed.
D) Medical diagnoses are listed before mental health diagnoses.
E) Diagnoses need to be listed in the following order: clinical disorder, personality disorders, medical diagnosis, V or Z codes.

Question 17

One of the first formal classification systems of mental illness prior to the DSM was called the:

A) Cattell classification of idiocy.
B) Medical 203.
C) Binet diagnostic manual.
D) 1942 MMPI.

Question 18

The DSM-5 has diagnostic codes that match both the the International Classification of Diseases, 9^th revision, (ICD-
9) and 10th revision (ICD-10).

Question 19

Which of the following is true about subtypes in the DSM-5?

A) They are mutually exclusive - you can only pick one.
B) They are identified by the phrase "Specify if."
C) They help capture the severity of an illness.
D) They are used to communicate the dimensional diagnosis.

Question 20

The ordering of diagnoses in the DSM-5 is unimportant because it now uses a single-axis approach making them all equal.

Question 21

Write a brief description for each of the diagnostic categories listed below.
Personality disorders:

Question 22

Has many features of this diagnosis

A)By history
B)By self-report
C)Provisional
D)Rule-out
E)Traits

Question 23

Noted in previous records

A)By history
B)By self-report
C)Provisional
D)Rule-out
E)Traits

Question 24

Write a brief description for each of the diagnostic categories listed below.
Sexual dysfunctions:

Question 25

Seems to meet criteria but will know later

A)By history
B)By self-report
C)Provisional
D)Rule-out
E)Traits

Question 26

Write a brief description for each of the diagnostic categories listed below.
Substance-related and addictive disorders:

Question 27

Write a brief description for each of the diagnostic categories listed below.
Obsessive-compulsive and related disorders:

Question 28

Write a brief description for each of the diagnostic categories listed below.
Neurocognitive disorders:

Question 29

Write a brief description for each of the diagnostic categories listed below.
Paraphilic disorders:

Question 30

Write a brief description for each of the diagnostic categories listed below.
Sleep-wake disorders:

Question 31

Write a brief description for each of the diagnostic categories listed below.
Depressive disorders:

Question 32

Write a brief description for each of the diagnostic categories listed below.
Disruptive, impulse control, and conduct disorders:

Question 33

Write a brief description for each of the diagnostic categories listed below.
Somatic symptom and related disorders:

Question 34

Write a brief description for each of the diagnostic categories listed below.
Trauma- and stressor-related disorders:

Question 35

Write a brief description for each of the diagnostic categories listed below.
Feeding and eating disorders:

Question 36

Write a brief description for each of the diagnostic categories listed below.
Elimination disorders:

Question 37

Write a brief description for each of the diagnostic categories listed below.
Dissociative disorders:

Question 38

Almost meets criteria - consider further

A)By history
B)By self-report
C)Provisional
D)Rule-out
E)Traits

Question 39

Write a brief description for each of the diagnostic categories listed below.
Gender dysphoria:

Question 40

Write a brief description for each of the diagnostic categories listed below.
Anxiety disorders:

Question 41

The Global Assessment of Functioning (GAF) has been historically considered an unreliable tool.

Question 42

The diagnosis of "unspecified" should be used when a client's symptoms meet clinical significance but does not meet strict diagnostic criteria.

Question 43

The phrase "specify current severity" when making a DSM-5 diagnosis allows the clinician greater flexibility is describing the level of symptomology.

Question 44

These individuals tend to appear anxious, worried, or fretful in their behaviors.

A)By history
B)By self-report
C)Provisional
D)Rule-out
E)Traits

Question 45

Client informs you of his or her diagnosis

A)By history
B)By self-report
C)Provisional
D)Rule-out
E)Traits

Question 46

These individuals seem overly emotional, are melodramatic, or are unpredictable in their behaviors and interpersonal relations.

A)By history
B)By self-report
C)Provisional
D)Rule-out
E)Traits

Question 47

You are making a diagnosis using the DSM-5. You believe this individual's impairment to functioning and/or distress is of clinical significance. However, his list of symptoms to meet criteria for Generalized Anxiety Disorder is one short of that required in the DSM. Which would be the most accurate way to write this diagnosis?

A) Generalized Anxiety Disorder, Rule-Out
B) Generalized Anxiety Disorder, Traits
C) Generalized Anxiety Disorder, NOS
D) Generalized Anxiety Disorder, Other Specified, insufficient symptoms
E) Generalized Anxiety Disorder, Unspecified

Question 48

These individuals seem bizarre or unusual in their behaviors and interpersonal relations.

A)By history
B)By self-report
C)Provisional
D)Rule-out
E)Traits