DIAGNOSIS & TREATMENT PLANNING (25)

A therapist completes a biopsychosocial assessment of a new client. This is:
A) Partial evaluation
B) Comprehensive diagnostic evaluation
C) Only history
D) Diagnosis only

B – Comprehensive diagnostic evaluation.

A therapist uses DSM 5 TR criteria to assign a diagnosis. This is:

A) Alternative method

B) Standard diagnostic framework

C) Ethical violation

D) Treatment plan

B – Standard diagnostic framework.

A client presents overlapping symptoms for anxiety and ADHD. Therapist should:

A) Ignore comorbidity

B) Conduct differential diagnosis

C) Assign one diagnosis only

D) Refer elsewhere

B) Conduct differential diagnosis

A therapist rules out medical conditions before diagnosing a mental disorder.

This is:

A) Ethical diagnostic practice

B) Unnecessary

C) Confidentiality concern

D) Treatment plan step

A) Ethical diagnostic practice

A therapist writes vague treatment goals like “improve mood.” This is:

A) Acceptable

B) Incorrect – goals should be measurable

C) Ethical

D) Best practice

B – Goals must be measurable (SMART).

Treatment aligns with the therapist’s chosen theory. This ensures:

A) Client autonomy

B) Treatment integrity

C) Confidentiality

D) Ethics

B – Treatment integrity.

Therapist collaborates with client to set goals. This is:

A) Ethical violation
B) Client-centered planning
C) Dual relationship
D) Confidentiality breach

B) Client-centered planning

Therapist revises the treatment plan over time. This is:

A) Ethical violation

B) Ongoing assessment

C) Competence issue

D) Confidentiality issue

B – Ongoing assessment.

Therapist ignores cultural factors in treatment planning. This is:

A) Ethical

B) Clinical and ethical error

C) Best practice

D) Treatment integrity

B – Clinical and ethical error.

Therapist documents medical necessity for insurance. This is:

A) Optional

B) Required for reimbursement

C) Ethical violation

D) Not needed

B – Required for insurance/reimbursement.

Therapist assesses suicide risk during intake. This is:

A) Optional

B) Safety standard of care

C) Ethical violation

D) Confidentiality issue

B – Standard of care.

Client meets criteria for depression and substance use disorder.

Therapist should:

A) Ignore comorbidity

B) Address both disorders

C) Assign one diagnosis

D) Terminate therapy

B – Address comorbidity.

Therapist selects interventions with strong empirical support. This is:

A) Best clinical practice

B) Ethical violation

C) Dual relationship

D) Confidentiality concern

A – Best clinical practice.

Therapist monitors treatment outcomes over sessions. This is:

A) Unnecessary

B) Evaluating effectiveness

C) Ethical violation

D) Dual relationship

B – Treatment effectiveness.

Therapist identifies and leverages client strengths in the plan. This is:
A) Ignored
B) Strengths-based planning
C) Ethical violation
D) Confidentiality concern

B) Strengths-based planning

Therapist assigns an inappropriate level of care. This is:

A) Ethical

B) Clinical error

C) Confidentiality issue

D) Competence concern

B – Clinical error.

Therapist provides psychoeducation about diagnosis to client. This is:

A) Ethical transparency

B) Unethical

C) Confidentiality breach

D) Dual relationship

A – Ethical transparency.

Therapist gives a provisional diagnosis while awaiting further assessment. This is:

A) Unethical

B) Appropriate when uncertain

C) Confidentiality violation

D) Dual relationship

B – Appropriate clinical practice.

Therapist coordinates with other providers involved in client care. This is:

A) Integrated care

B) Ethical violation

C) Confidentiality breach

D) Dual relationship

A – Integrated care.

Therapist continues treatment without progress. This is:

A) Best practice

B) Reassess and modify plan

C) Ethical

D) Dual relationship

B – Reassess and modify plan.

Therapist exaggerates symptoms to justify treatment. This is:

A) Ethical

B) Ethical violation

C) Confidentiality concern

D) Best practice

B – Ethical violation.

Therapist terminates treatment without reviewing treatment goals. This is:

A) Good practice

B) Poor planning

C) Ethical

D) Confidentiality issue

B – Poor planning.

Therapist updates diagnosis as client symptoms change. This is:

A) Not required

B) Ongoing diagnostic responsibility

C) Ethical violation

D) Confidentiality breach

B) Ongoing diagnostic responsibility

Therapist refers client outside scope of competence. This is:

A) Ethical clinical practice

B) Ethical violation

C) Dual relationship

D) Confidentiality concern

A – Ethical clinical practice.

Therapist writes a discharge summary at termination. This is:

A) Optional

B) Continuity of care

C) Ethical violation

D) Confidentiality breach

B) Continuity of care