Deck 3: Introduction to Clinical Assessment and Diagnosis

Question 1

Case management, including referrals to necessary social services is part of the process of clinical assessment and diagnosis and is the responsibility of the competent counselor.

Answer 1

True

Question 2

Explain the difference between diagnosis and clinical assessment.

Answer 2

Not Answer

Question 3

Mental health professionals from all disciplines share a common set of competencies related to clinical assessment, which include all of the following EXCEPT: ___________________.

A) performing a mental status exam and making a diagnosis
B) monitoring for client safety
C) identifying medical and psychiatric conditions that warrant attention outside of the scope of practice
D) recommending chemical/biological interventions to assist the client

Answer 3

D

Question 4

The DSM-5 uses several new specifiers that are used across several diagnosis. These are referred to as ______________________________.

A) cross-diagnostic specifiers
B) ICD-10 specifiers
C) sub-types
D) non-axial diagnosis

Question 5

Which of the following approaches best describes the author's approach to introducing a mental status exam without confusing the client and interfering with the empathic nature of the counseling relationship?

A) Sending the questions home for the client to fill out prior to the session
B) Including the questions in the packet the client fills out when they arrive at the office.
C) Explaining to the client that the questions are part of the assessment process and do not reflect the counseling process.
D) Conducting the exam without need to explain it to the client as it may make them suspicious and impede trust later in the counseling relationship.

Question 6

Which of the following best describes cultural formulation?

A) It defines cultural norms for each culture to aid the counselor in understanding client issues.
B) It provides the counselor with formulas to identify with the experiences and feelings of the client.
C) It identifies sweeping norms that are consistent across cultures from which counselors can make diagnosis.
D) It invites counselors to learn from clients about how the problems are understood in the cultural context of the client.

Question 7

One of the most notable changes in the DSM-5 is the reorganization of chapters in order facilitate comprehensive diagnosis and treatment approaches and ______________ across disorders.

A) research
B) commonality
C) understanding
D) parity

Question 8

In the DSM-5, the _________________________ approach was identified, resulting in diagnosis generally being listed on a single line, or listed on set of lines.

A) radial
B) 5 axis
C) non-axial
D) ICD-10

Question 9

The _______________________________, involving level one and level two assessments, are broad overall assessments to help guide the counselor in the correct direction for making a diagnosis.

A) non axial diagnosis
B) cross-cutting symptom measures
C) DSM-5 behavioral standards test
D) assessing for client safety questions

Question 10

Mental status exams are used to gather information necessary to make a diagnosis and most often include all of the following areas of function, EXCEPT: ________________________.

A) behavior in session
B) reported emotional state
C) medical history
D) thought process and content

Question 11

The Recovery Model uses a ____________ model of disability that emphasizes _____________________.

A) medical model; diagnostic labeling
B) psychological model; counselor expertise
C) social; psychosocial functioning
D) fatalistic; genetics and likely outcomes

Question 12

In 2014, the US adopted a change to __________________ for diagnosis, which have been in use in other countries since 1994.

A) ICD-10 codes
B) counseling standards
C) intervention practices
D) culturally sensitive practices

Question 13

Clinical assessments focus on the ______________ and ______________ symptoms of clients.

A) interpersonal; relational
B) psychiatric; medical
C) physical; emotional
D) real; imagined

Question 14

Diagnosis is based on statistical norms, which can be problematic when working with people who differ from the norm such as ___________, ____________ and _________ clients.

A) cultural; sexual; minority
B) addicted; personality disordered; bi-polar
C) depressed; suicidal; anxious
D) happy; well adjusted, stable

Question 15

In 2008, The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act was passed, requiring ________________________________________.

A) all mental health diagnosis to be free of economic, cultural, and gender bias
B) mental health professions to change mental health diagnosis, which became the DSM-5
C) doctors and other medical professionals to understand and be proficient in basic mental health diagnosis
D) insurance companies to reimburse for mental health and substance abuse disorders

Question 16

Regarding a competent approach to diagnosis, the author suggests that ____________________________________.

A) the counselor utilize diagnosis to conceptualize in order to get paid by third party payers
B) the counselor not concern him/herself with diagnosis if practicing from an approach that does not conceptualize treatment this way.
C) diagnose for requirements, then ignore diagnostic information and criteria in favor of a theoretical approach
D) master diagnosis, understand the limitations of diagnosis, and learn to balance diagnosis with thoughtful case conceptualization

Question 17

The purpose of dimensional assessments in the DSM-5 is to help counselor's _______________ and _______________________.

A) make diagnosis; define the course of treatment
B) assess symptoms; make referrals
C) assess severity; track progress
D) identify approaches; choose effective interventions
E)

Question 18

The DSM-5 represents an effort to move from discreet categories of mental disorders, for which there is less supporting evidence, toward ______________________________.

A) theoretical approach
B) dimensional approach
C) diagnostic approach
D) serious approach

Question 19

In addition to the changes in diagnosis the mental health community has made through the DSM-5, ___________________ such as the Recovery Model are reshaping how government-funded agencies view diagnosis and mental illness.

A) consumer movements
B) group treatment
C) traditional methods
D) medical-based models

Question 20

All of the following approaches are based on the assumption that diagnosis is not the most useful means for conceptualizing treatment EXCEPT: __________________________.

A) humanistic therapy
B) family therapy
C) traditional psychotherapy
D) postmodern therapy

Question 21

How can diagnosis be problematic when working with diverse clients?

Question 22

How can diagnosis play a part in case conceptualization?

Question 23

Explain, in general, the changes and the reasons for change in the DSM-5?

Question 24

How is the recovery model different the medical model and why is it becoming widely used in government-funded agencies?