Deck 12: Clinical Assessment
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Deck 12: Clinical Assessment
1
Inventories and checklists typically used in clinical assessment fall under what umbrella of test categories?
A)Functioning
B)Memory
C)Personality
D)Psychometric
A)Functioning
B)Memory
C)Personality
D)Psychometric
C
2
Susan was recently diagnosed with one of the Cluster A Personality Disorders.Which of the following is her diagnosis?
A)Avoidant Personality Disorder
B)Borderline Personality Disorder
C)Antisocial Personality Disorder
D)Paranoid Personality Disorder
A)Avoidant Personality Disorder
B)Borderline Personality Disorder
C)Antisocial Personality Disorder
D)Paranoid Personality Disorder
D
3
All of the following are likely to be measured during a neuropsychological assessment EXCEPT:
A)attention and concentration
B)learning and memory
C)depression and anxiety
D)psychomotor speed
A)attention and concentration
B)learning and memory
C)depression and anxiety
D)psychomotor speed
C
4
Why is it crucial for mental health professionals to be skilled in Suicide Risk Assessment?
A)Suicide is the eleventh leading cause of death in the United States and the second among people age 15-24
B)For every person who commits suicide,there are an estimated 10 to 20 who have attempted suicide
C)About one in four mental health practitioners will experience a client suicide.
D)All of the above
A)Suicide is the eleventh leading cause of death in the United States and the second among people age 15-24
B)For every person who commits suicide,there are an estimated 10 to 20 who have attempted suicide
C)About one in four mental health practitioners will experience a client suicide.
D)All of the above
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5
What is the primary reason the DSM-5 is used to diagnose mental disorders?
A)It provides detailed information about mental disorders,such as prevalence rates,course,and differential diagnoses how to distinguish one disorder from a similar one).
B)It is convenient and does not require much training to learn how to use.
C)It provides clinicians with treatment plan suggestions for each disorder.
D)It is standardized for use across disciplines and across treatment settings.
A)It provides detailed information about mental disorders,such as prevalence rates,course,and differential diagnoses how to distinguish one disorder from a similar one).
B)It is convenient and does not require much training to learn how to use.
C)It provides clinicians with treatment plan suggestions for each disorder.
D)It is standardized for use across disciplines and across treatment settings.
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6
The Child Behavior Checklist is comprised of several different types of scales.Which of the following is an element of the "Competence" scale?
A)Attention problems
B)Social Performance
C)Social Withdrawal
D)Delinquent Behavior
A)Attention problems
B)Social Performance
C)Social Withdrawal
D)Delinquent Behavior
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7
The following is an excerpt from Tom's written MSE of a new client: "The client presented as somewhat disheveled and unkempt,but was cooperative and friendly.The client was aware of date,time,and place,and reported no hallucinations or delusions." All of the following MSE categories were noted in this excerpt EXCEPT:
A)attitude toward examiner
B)orientation and consciousness
C)concentration and attention
D)perceptual disturbances
A)attitude toward examiner
B)orientation and consciousness
C)concentration and attention
D)perceptual disturbances
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8
Which of the following best describes the typical use/ administration of the Mental Status Exam MSE)in clinical non-inpatient)settings?
A)At the beginning of each session,to monitor the client's progress toward treatment goals
B)When the clinician suspects that the client may have some level of intellectual disability
C)To determine whether or not the client meets the DSM-5 criteria for a specific disorder
D)During the first and last session,as a means of evaluating the client's overall progress
A)At the beginning of each session,to monitor the client's progress toward treatment goals
B)When the clinician suspects that the client may have some level of intellectual disability
C)To determine whether or not the client meets the DSM-5 criteria for a specific disorder
D)During the first and last session,as a means of evaluating the client's overall progress
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9
In using the Bender-Gestalt to screen for "emotional indicators," or emotional-behavior problems in children,which of the following pairs is CORRECT?
A)Fine line: anxiety,frustration
B)Large size: attempt to control impulsivity,need for outer limits and structure
C)Dashes substituted for circles: mental confusion,poor motor coordination
D)Second attempt at drawing designs: impulsivity and anxiety
A)Fine line: anxiety,frustration
B)Large size: attempt to control impulsivity,need for outer limits and structure
C)Dashes substituted for circles: mental confusion,poor motor coordination
D)Second attempt at drawing designs: impulsivity and anxiety
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10
In clinical assessment via informal observation,according to the text,the first element of the observation process is the?
A)Initial handshake between the clinician and client
B)Client's tone of voice on the phone when making the initial appointment
C)Degree to which the client makes initial eye contact with the clinician
D)Client's posture in their seat during the initial appointment
A)Initial handshake between the clinician and client
B)Client's tone of voice on the phone when making the initial appointment
C)Degree to which the client makes initial eye contact with the clinician
D)Client's posture in their seat during the initial appointment
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11
Which of the following best describes "visuospatial skills?"
A)Ability to mentally manipulate 2-dimensional and 3-dimensional objects
B)Ability to reasonably estimate the size,in square feet,of a room or building
C)Speed at which one can copy a sketch of a square,Greek cross,a triangle,and/or a key
D)Speed at which one can write their first and last name with their non-dominant hand
A)Ability to mentally manipulate 2-dimensional and 3-dimensional objects
B)Ability to reasonably estimate the size,in square feet,of a room or building
C)Speed at which one can copy a sketch of a square,Greek cross,a triangle,and/or a key
D)Speed at which one can write their first and last name with their non-dominant hand
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12
Counselor Jessica is interested in gathering data about the efficacy of a specific group therapy program for eating disorders.As such,she co-facilitates a six-week eating disorder treatment group.Jessica is utilizing ____________ observation?
A)formal
B)monitoring
C)intrusive
D)rating
A)formal
B)monitoring
C)intrusive
D)rating
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13
Rachel presents with the following symptoms: excessive worry,constantly feeing "tense," and sleep disturbances.She further reports smoking marijuana occasionally to help her relax.Which combination of tests would probably be most appropriate as part of Rachel's initial clinical assessment?
A)Symptom Checklist 90-Revised,Beck Anxiety Inventory,and Substance Abuse Subtle Screening Inventory
B)Brief Symptom Inventory,Symptom Checklist 90-Revised,and Detailed Assessment of Posttraumatic Stress
C)Millon Clinical Multiaxial Inventory,State-Trait Anxiety Inventory,and Beck Scale for Suicidal Ideation
D)Brief Symptom Inventory,Beck Depression Inventory,and Multiscale Dissociation Inventory
A)Symptom Checklist 90-Revised,Beck Anxiety Inventory,and Substance Abuse Subtle Screening Inventory
B)Brief Symptom Inventory,Symptom Checklist 90-Revised,and Detailed Assessment of Posttraumatic Stress
C)Millon Clinical Multiaxial Inventory,State-Trait Anxiety Inventory,and Beck Scale for Suicidal Ideation
D)Brief Symptom Inventory,Beck Depression Inventory,and Multiscale Dissociation Inventory
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14
Jim is considered a high-suicide-risk client.He is single,suffers from depression and alcoholism,is giving away prized possessions,is lonely and isolated,and has a family history of suicide.Which of these factors is considered a warning sign for suicide?
A)Loneliness and isolation
B)Giving away prized possessions
C)Family history of suicide
D)Depression and alcoholism
A)Loneliness and isolation
B)Giving away prized possessions
C)Family history of suicide
D)Depression and alcoholism
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15
Which of the following is NOT one of the general classification disorders in the DSM-5?
A)Adjustment Disorders
B)Sleep-Wake Disorders
C)Neurodevelopmental Disorders
D)Neurocognitive Disorders
A)Adjustment Disorders
B)Sleep-Wake Disorders
C)Neurodevelopmental Disorders
D)Neurocognitive Disorders
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16
What is the primary purpose of a structured interview?
A)To obtain information about the client in a shorter amount of time than with other types of interviews
B)To obtain a greater amount of information about the client than other types of interviews
C)To prevent the client from deviating off-topic during the interview
D)To determine whether or not the client meets diagnostic criteria for a specific mental disorder
A)To obtain information about the client in a shorter amount of time than with other types of interviews
B)To obtain a greater amount of information about the client than other types of interviews
C)To prevent the client from deviating off-topic during the interview
D)To determine whether or not the client meets diagnostic criteria for a specific mental disorder
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17
The key function of clinical assessment is to _________________.
A)develop treatment plans
B)diagnose mental disorders
C)decide what additional tests to administer
D)build rapport with clients
A)develop treatment plans
B)diagnose mental disorders
C)decide what additional tests to administer
D)build rapport with clients
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18
Tom is a counselor conducting an interview as part of his client Henry's,clinical assessment.Tom asks a list of standardized,predetermined questions about Henry's family background information about parents,siblings,divorces,grandparents,etc.When Henry answers "yes" to a question regarding a family history of mental disorders,counselor Tom decides to ask Henry additional questions,and they talk about this matter for around 5 minutes.What type of interview strategy is Tom most likely using?
A)Semistructured
B)Multistructured
C)Unstructured
D)Structured
A)Semistructured
B)Multistructured
C)Unstructured
D)Structured
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19
Which of the following is a Cluster B Personality Disorder in the DSM-5?
A)Schizoid Personality Disorder
B)Histrionic Personality Disorder
C)Obsessive-Compulsive Personality Disorder
D)Dependent Personality Disorder
A)Schizoid Personality Disorder
B)Histrionic Personality Disorder
C)Obsessive-Compulsive Personality Disorder
D)Dependent Personality Disorder
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20
With regard to best practices and multicultural considerations what should you,the clinician,DO as part of the clinical assessment?
A)Approach all assessment and diagnosis processes with the same assumptions and perceptions,regardless of client diversity
B)Accept a client's belief that the source of their distress is due to immoral behavior in a former life
C)Interpret physical complaints or ailments as psychological concerns
D)Avoid asking questions about tribal,ethnic,or background differences that are obvious or are made obvious by information provided by the client
A)Approach all assessment and diagnosis processes with the same assumptions and perceptions,regardless of client diversity
B)Accept a client's belief that the source of their distress is due to immoral behavior in a former life
C)Interpret physical complaints or ailments as psychological concerns
D)Avoid asking questions about tribal,ethnic,or background differences that are obvious or are made obvious by information provided by the client
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21
Explain some methods of assessing suicide risk.What is the difference between suicide risk factors and suicide warning signs? Discuss why suicide risk is often difficult to assess.
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22
Discuss the advantages and disadvantages of using the DSM-5 to diagnose mental disorders.
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23
Many methods of assessment are discussed in this chapter.Which specific method should the clinician use first in the process of clinical assessment? Why?
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