Deck 15: Diagnosis

Question 1

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 1

A

Question 2

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

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

Answer 2

B

Question 3

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.

Answer 3

C

Question 4

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 5

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 6

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 7

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 8

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 9

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 10

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 11

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

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

Question 12

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)25%
D)42%

Question 13

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 14

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 Use Disorder.
C)Substance-Induced Somataform Disorder. ​
D)Addictive Personality Disorder.

Question 15

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 16

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 17

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)Symptoms present in the early developmental period

Question 18

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 19

In the DSM-5, 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 20

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.

Question 21

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 22

Do you think the idea of diagnosis is inconsistent with the developmental philosophy of counseling? Why or why not?

Question 23

What are the possible ramifications if a practitioner incorrectly diagnoses a client?

Question 24

Given the characteristics of personality disorders, what would be your prognosis for improvement via counseling? ​

Question 25

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 26

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 27

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 28

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 DSM-5 Disorders (SCID-5)
D)Diagnostic Interview for Adolescents & Adults (DIAA)

Question 29

How do you feel about the World Health Organization Disability Schedule? Is it useful?

Question 30

Are "normal" developmental issues a form of psychopathology? Why or why not?