Deck 8: Diagnosis:developing Dsm-Iv-Tr Skills

Question 1

Other conditions that may be a focus of clinical attention are recorded on DSM-IV-TR's:

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

Answer 1

A

Question 2

The DSM-IV-TR alerts clinicians that bipolar disorders are equally common among men and women, unlike Major Depression, which is diagnosed more commonly among women. In other words, the DSM provides information:

A) feminist
B) gender-specific
C) psychological
D) psychiatric

Answer 2

B

Question 3

The job of the clinician, when employing the DSM system, is to:

A) find the best underlying themes for explaining the client's symptoms.
B) find the best clinical evidence to begin treatment.
C) find the best match between what the counselor observes, and the criteria for the
Different clinically significant patterns.
D) find the best treatment plan for the client's primary complaints.

Answer 3

C

Question 4

________ is defined by the DSM-IV-TR as a clinically significant pattern that occurs in an individual and is associated with distress, impairment, or significantly increased risk of distress or dysfunction.

A) Primary concern
B) Adjustment disorder
C) Mental disorder
D) Axis IV
E) Axis V

Question 5

Which of the following is true of the DSM-IV-TR's approach to diagnosing homosexuality?

A) It is classified as a mental disorder.
B) It is classified as a mental disorder when it causes the person emotional distress.
C) It is classified as a mental disorder when it causes the person interpersonal disfunction.
D) It is not classified as a mental disorder.

Question 6

The DSM is a classification system that is based on sets of information made up of observable features. In other words, the system is:

A) nomoclamatic.
B) idioclamatic.
C) criterion-referenced.
D) symptom-referenced.

Question 7

General medical conditions are recorded on DSM-IV-TR's:

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

Question 8

Psychosocial and environmental problems are recorded on DSM-IV-TR's:

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

Question 9

The DSM provides findings about predisposing factors, complications, and associated medical and counseling problems:

A) if they are known for a particular disorder.
B) for all disorders.
C) only for the disorders first diagnosed in childhood or adolescence.
D) only for personality disorders.

Question 10

Clinical disorders of childhood and adulthood are recorded on DSM-IV-TR's:

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

Question 11

The primary purpose of a DSM-IV-TR diagnosis is to provide clinicians a method for:

A) describing and communicating.
B) determining etiology.
C) specifying a treatment plan.
D) setting fees.

Question 12

The diagnosis of Major Depression is not made during the first months of a grief reaction because:

A) it is too early to tell.
B) low mood and poor functioning are considered to be normal and culturally
Expected during grief.
C) the grief reaction is faith-based and the DSM does not deal with spiritual concerns.
D) women experience grief differently than men.

Question 13

Personality disorders are recorded on DSM-IV-TR's:

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

Question 14

The ability to use the DSM-IV-TR is a required skill for:

A) counselors in inpatient settings.
B) counselors in outpatient settings.
C) psychotherapists in inpatient settings.
D) psychotherapists in outpatient settings.
E) Two of the above
F) All of the above

Question 15

The DSM provides all of the following types of information for each disorder covered in the system except:

A) subtypes and variations.
B) typical pattern, course, or progression of symptoms.
C) recommended psychotropic medications.
D) the disorder's main features.

Question 16

The DSM-IV-TR reflects which theoretical orientation?

A) Psychoanalytic
B) Cognitive-behavioral
C) Client-centered
D) Existential
E) None of the above

Question 17

Global Assessment of Functioning is recorded on DSM-IV-TR's:

A) Axis I.
B) Axis II.
C) Axis III.
D) Axis IV.
E) Axis V.
F) Axis VI.
21-25. Refer to the following case example:
Axis ___ Major Depression, Single Episode, Moderate
Axis ___ No Diagnosis
Axis ___ Chronic back pain
Axis ___ Threat of job loss
Axis ___ 45

Question 18

The DSM-IV-TR provides information helpful when making culturally-sensitive diagnoses:

A) in the discussion of each disorder.
B) in a discussion of cultural contexts that might influence assessment and diagnosis.
C) in an appendix of culture-specific client experiences.
D) Two of the above
E) All of the above
F) None of the above

Question 19

The DSM-IV-TR was introduced in which year?

A) 1952
B) 1980
C) 1987
D) 1994
E) 2000

Question 20

The DSM includes disorders of:

A) childhood.
B) adulthood.
C) Both a and b
D) Unable to tell from the information given

Question 21

_________ Disorders share the common feature of dysfunctional behavior such as problems with gambling or stealing.

A) Somatoform
B) Factititious
C) Dissociative
D) Impulse-Control
E) Adjustment

Question 22

Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders appear in which diagnostic cluster?

A) Personality Disorders Not Otherwise Specified
B) Dramatic-Emotional
C) Anxious-Fearful
D) Odd-Eccentric

Question 23

Antisocial, Borderline, Histrionic, and Narcissistic Personality Disorders appear in which diagnostic cluster?

A) Personality Disorders Not Otherwise Specified
B) Dramatic-Emotional
C) Anxious-Fearful
D) Odd-Eccentric

Question 24

Paranoid, Schizoid, and Schizoptypical Personality Disorders appear in which diagnostic cluster?

A) Personality Disorders Not Otherwise Specified
B) Dramatic-Emotional
C) Anxious-Fearful
D) Odd-Eccentric

Question 25

Competing diagnoses the clinician should consider before settling on a particular disorder are referred to as:

A) subtype diagnoses.
B) specifier diagnoses.
C) differential diagnoses.
D) conditional diagnoses.

Question 26

The four red flag chapters, containing critical conditions that should be considered first, identified, or ruled out by the clinician, include all of the following except:

A) mental disorders related to specific medical problems.
B) mood disorders.
C) substance-induced disorders.
D) schizophrenia and other psychotic disorders.
E) dementia, amnesia, and other severe cognitive disturbances.

Question 27

The two most commonly diagnosed sets of disorders probably are:

A) Mood Disorders and Anxiety Disorders.
B) Mood Disorders and Attention-Deficit Disorder.
C) Impulse Control Disorders and Anxiety Disorders.
D) Sleep Disorders and Eating Disorders.

Question 28

_________ Disorders share the common feature of intentionally producing or feigning physical or psychological symptoms to create for the client a "sick role."

A) Somatoform
B) Factititious
C) Dissociative
D) Impulse-Control

Question 29

are characterized by episodes of abnormally elevated, expansive, or irritable mood.

A) Depressive disorders
B) Anxiety disorders
C) PTSD disorders
D) Adjustment disorders
E) Bipolar disorders

Question 30

A diagnosis of Mental Retardation requires which of the following?

A) Significantly sub-average intellectual functioning
B) Deficits or impairments in everyday functioning
C) Either a or b
D) Both a and b

Question 31

_________ Disorders share the common feature of physical symptoms suggesting a medical problem.

A) Somatoform
B) Factititious
C) Dissociative
D) Impulse-Control

Question 32

On Axis IV, clinicians record information to answer which of the following questions?

A) "What psychosocial or environmental problems is the client facing?"
B) "What stressors are currently taxing the client's ability to cope?"
C) "How is the client meeting such basic needs as survival, food, shelter, and clothing?"
D) "What is the client's social support system and how well is it functioning?"
E) Two of the above
F) Three of the above
G) All of the above

Question 33

The question, "Does the client evidence any long-term pattern of maladaptive character traits that cause significant impairment or distress?" is answered on Axis:

A) I.
B) II.
C) III.
D) IV.
E) V.
F) VI.

Question 34

Appearing first in the DSM are:

A) the four red flags.
B) the Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence.
C) the Substance-Related Disorders.
D) the Mood Disorders.
E) the Anxiety Disorders.

Question 35

A diagnosis of Mental Retardation generally requires a score of or lower on a professionally administered IQ test?

A) 80
B) 70
C) 60
D) 50

Question 36

Information about prescribed medications the client is taking and whether those medications may have side effects can be recorded:

A) under Substance-Induced Disorders.
B) On Axis III.
C) On Axis IV.
D) under Other Conditions.

Question 37

_________ Disorders share the common feature of disruption in usually sound consciousness, memory, identity, or perceptions.

A) Somatoform
B) Factititious
C) Dissociative
D) Impulse-Control
E) Adjustment

Question 38

When symptoms are clinically significant, but do not warrant any of the diagnoses appearing earlier in the text, and when the symptoms are in response to significant life stressors, the clinician considers which diagnosis?

A) Somatoform
B) Factititious
C) Dissociative
D) Impulse-Control
E) Adjustment

Question 39

Diagnostic features, subtypes and specifiers, recording procedures, etc., make up the DSM-IV-TR's:

A) inter-chapter organization.
B) criterion-references.
C) contextual-references.
D) intra-chapter organization.

Question 40

Personality disorders:

A) characteristically first appear in adolescence or young adulthood.
B) are stable over time.
C) are enduring patterns.
D) are different from cultural or social expectations.
E) Three of the above
F) All of the above

Question 41

Thinking about important cultural differences when making diagnoses, somatic complaints, like headaches among Latino clients, and fatigue and weakness among Asian clients, are symptoms that are more likely to suggest among these populations than among other groups:

A) Substance Abuse
B) PTSD
C) Depression
D) Anxiety
E) Bipolar Disorder

Question 42

According to Seligman, clients seen in outpatient settings typically fall in what range on the GAF?

A) 70-90
B) 50-70
C) 30-50
D) 10-30

Question 43

The GAF is used to indicate the client's level of:

A) distress.
B) dysfunction.
C) severity of symptoms.
D) Two of the above
E) All of the above

Question 44

Higher numbers on the GAF scale indicate:

A) symptoms have been present for a longer duration.
B) symptoms have been present for a shorter duration.
C) more severe symptoms and poorer functioning.
D) less severe symptoms and better functioning.

Question 45

An recording of GAF=65 (Current), GAF=85 (Highest in past year) indicates a person who:

A) had been experiencing few, if any, symptoms but now is suicidal.
B) had been experiencing few, if any, symptoms but now is experiencing a mild decline in
Functioning with mild symptoms.
C) was suicidal but now is experiencing few, if any, symptoms.
D) had been experiencing a mild decline but now is experiencing few, if any, symptoms.