Question 1

Disadvantages associated with structured diagnostic interviews include all of the following EXCEPT:

Accepted Answer

Structured diagnostic interviews are actually very suitable for scientific research because they ensure consistency and reliability in the assessment process, making them a preferred method for gathering data in studies.

Question 2

The SCID-I is a good example of a:

Accepted Answer

The SCID-I is a broad or comprehensive semi-structured diagnostic interview that covers a range of mental disorders. It is not circumscribed, as it can be used to diagnose a variety of diagnoses and is semi-structured, meaning that it has a set of specific questions that the interviewer poses to the client, but still allows for some flexibility in conversational flow. Option A is incorrect because circumscribed structured and semi-structured diagnostic interview protocols are typically used to assess specific aspects or symptoms of mental illness. Option B is incorrect because the SCID-I is not an assessment of core values, but rather a diagnostic tool. Option D is incorrect because the SCID-I is not a depression scale, and option E is incorrect because the SCID-I is a reliable interview protocol.

Question 3

Which of the following factors do(es) NOT present a problem when trying to establish an accurate diagnosis for clients?

Accepted Answer

All of the choices listed (A through D) present challenges in accurately diagnosing clients. Clients may not always be honest about their symptoms or history, diagnostic comorbidity can make it difficult to distinguish between disorders, cultural factors can influence the presentation and interpretation of symptoms, and interviewer countertransference can bias the diagnostic process.

Question 4

Which statement(s) is/are true of the Diagnostic and Statistical Manual of Mental Disorders?

Accepted Answer

The answer of Which statement(s) is/are true of the Diagnostic...

Question 5

Practical advantages of diagnosis include which of the following?

Accepted Answer

All of the given options are practical advantages of diagnosis. Naming and defining problems can provide relief to clients by reducing uncertainty and facilitating understanding. Efficient communication with other professionals and insurance companies is possible when using a standardized language of diagnosis. Diagnosis is also a working hypothesis that guides the selection of appropriate theories, techniques, and interventions to address the presenting problems. Hence, D is the best answer.

Question 6

Which of the following is true about the SCID-I?

Accepted Answer

The SCID-I (Structured Clinical Interview for DSM Disorders) has both research and clinical versions available, making it versatile for different settings. It is a highly structured interview, not loosely structured or unstructured, and is widely used among practitioners for diagnostic assessment, contradicting the statements in B and C.

Question 7

Caitlin is one of Maxine's clients. After Maxine worked collaboratively with her to identify an appropriate diagnosis of Panic Disorder, which positive outcome was Caitlin most likely to feel?

Accepted Answer

Caitlin is most likely to feel relieved that what she was experiencing had a name or label. This can give her a sense of validation and understanding of her symptoms, which can lead to a more effective treatment plan.

Question 8

The central focus of structured or semi-structured diagnostic interviews is on:

Accepted Answer

The central focus of structured or semi-structured diagnostic interviews is to gather reliable and valid data to support accurate mental disorder diagnoses. Establishing rapport, identifying core conflictual relationship themes, and exploring the BASIC I.D. may be important goals of therapy, but they are not the primary focus of diagnostic interviews.

Question 9

Which of the following is/are NOT part of the formal DSM definition of mental disorder?

Accepted Answer

Nonconforming social behavior is not considered a mental disorder unless it results from a dysfunction in the individual. The DSM focuses on clinically significant disturbances in cognition, emotion regulation, or behavior.

Question 10

Which statement(s) is/are true of the relationship between the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the International Classification of Diseases-10-CM?

Accepted Answer

While both the DSM-5 and ICD-10-CM are useful in aiding diagnosis and are often used together, the ICD-10-CM codes should be used as they are the official codes recognized by insurance companies and other healthcare systems. The DSM-5 is the primary manual used in the U.S. for mental disorder diagnosis, but the ICD-11 has not yet been widely adopted. Therefore, choice C is the most accurate answer.

Question 11

Which of the following is/are true regarding the science of diagnostic interviewing?

Accepted Answer

All the statements are true regarding the science of diagnostic interviewing. The DSM's diagnostic criteria have been refined over time to improve reliability and validity. Adhering closely to these criteria and having formal training in diagnostic procedures both contribute to more reliable diagnoses.

Question 12

What is true regarding the use of the terminology mental illness and mental disorder in the DSM and ICD systems?

Accepted Answer

The DSM and ICD systems tend to use "mental disorder" as the preferred terminology, viewing "mental illness" as more problematic due to its implications and lack of precision.

Question 13

When a client is presenting with confusing symptom clusters, therapists must tease out possible __________ in order to establish an accurate diagnostic label.

Accepted Answer

When a client presents with confusing symptom clusters, therapists must consider various factors such as client misinformation, interviewer countertransference, differential diagnoses, and confounding cultural factors to establish an accurate diagnostic label. Each of these elements can influence the understanding and interpretation of the client's symptoms, making it crucial to address them to achieve an accurate diagnosis.

Question 14

Miguel's client, Thomas, has been arrested many times for protesting political and religious freedoms. Assuming that his social deviance is NOT caused by a personal dysfunction, what is his appropriate diagnosis?

Accepted Answer

Since Thomas' social deviance is not caused by personal dysfunction, it cannot be classified as a disorder. Therefore, no diagnosis is appropriate.

Question 15

Advantages of structured diagnostic interviewing include which of the following?

Accepted Answer

Structured diagnostic interviewing has advantages of higher inter-rater reliability, making it well suited for scientific research. However, it may not always be fast to administer, so C is incorrect. Therefore, the best answer is D because A and B are correct advantages of structured diagnostic interviewing.

Question 16

Which of the following is NOT a symptom of Generalized Anxiety Disorder?

Accepted Answer

Auditory hallucinations are not a symptom typically associated with Generalized Anxiety Disorder, whereas the rest of the options (apprehension, motor tension, blank mind or problems with concentration) are common symptoms.

Question 17

Which of the following are the two main systems for diagnosing mental disorders in the U.S.?

Accepted Answer

The two main systems for diagnosing mental disorders in the U.S. are the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM). While the Research Domain Criteria (RDoC) is a newer framework for understanding mental disorders, it is not yet widely used for diagnostic purposes. Similarly, the Psychodynamic Diagnostic Manual (PDM) is a lesser-known alternative to the DSM. Therefore, option B is the most accurate choice.

Question 18

Maxine is a mental health provider. She hates diagnosis, but she uses it anyway because of some of the benefits of using diagnostic systems:

Accepted Answer

Maxine uses diagnosis despite hating it because it provides benefits such as predicting clients' prognosis, monitoring specific symptoms, and communicating with other professionals. Therefore, the correct answer is D, which includes all of the above benefits.

Question 19

The Hamilton Rating Scale for Depression (HSRD) is an example of:

Accepted Answer

The Hamilton Rating Scale for Depression (HRSD) is a widely used clinician-administered depression assessment scale that falls under the category of a circumscribed structured or semi-structured diagnostic interview protocol, specifically designed to assess the severity of depression symptoms.

Question 20

A semi-structured interview is best described as:

Accepted Answer

The answer of A semi-structured interview is best described as:
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Quiz 11: Diagnosis and Treatment Planning