DSM5 Final

Psychosocial pathology is defined as the study of mental disorders including their problems causes processes

True

What does the etiology of a mental health disorder refer to

The origins of a particular disorder

What is the purpose of psychiatric diagnosis

1) to assist in treatment planning

2) to define clinical entities so that clinicians have the same understanding of what a diagnosis means

3) to offer a common language for clinicians and researchers

The most recent edition of the DSM (the dsm-5-TR) is based on which of the following

Evidence form cognitive behavioral and neurological science.

What does the term nosology refer to

The naming and classification of diseases

What is the descriptive approach to diagnosing psychopathology informed by

Clinical inference of objective phenomena that includes signs symptoms and natural history

Volition refers to which or the following

How much the patient is able to willfully influence or determine their behavior experienced as part of their mental disorder

Most psychiatric diagnoses have diverse etiological influences, such as a generic predisposition and biological constitution, as well as psychosocial environmental influences

True

Psychosocial theories that help us to understand how numerous psychological and social factors influence the course of a mental illness include…

1) developmental models such as Freud & Erikson

2) family systems models

3) behavioral models

The term in the dsm 5 that Clinicians may use to document and explain why a client symptoms do not meet that criteria within a diagnostic class is refers to as…

Other specified disorder

Differential diagnosis refers to…

The process of choosing correct diagnosis from conditions with similar features.

Inadequate data in the diagnostic process

Information that is missing that would be helpful in clarifying diagnosis but is obtained at a later time

What would be the best course of action for when a clinician is trying to arrive at a diagnosis but there is a decent amount of diagnostic uncertainty

The clinician uses either other specified or unspecified disorders

According to kilgus “rote memorization of diagnostic criteria is a long and pointless endeavor; the learning of specific criteria occurs through clinical experience.”

True

During assessment, what do you call the patient’s description of their main problem, as told from their own point of view

The chief complaint

During intake interviews, clinicians do not usually have any difficulty asking questions about these important issues:

drug and alcohol use, violence, or homicidal tendencies, suicidal tendencies

False

Regarding evaluating suicide at the time of assessment, what is important to note

1) there is a greater risk of subside when a client has had previous attempts

2) clients, who have a plan with details, present greater risk, and then clients who have suicidal thoughts

3) individuals who talk about suicide, often attempt to commit suicide

Collecting auxiliary data and tells that the commission should do what

Clinician collects outside data from sources, such as family members or physicians in order to complete the client assessment and determine diagnosis

What does the diagnostic principle of hierarchy suggest

Mental disorders exist on a hierarchy of decreasing severity

Evaluating the patients mental status is part of the overall assessment that a clinician conducts with the patient

True

Brief psychotic disorder is called brief because

The duration of psychotic symptoms

Negative symptoms refer to a key feature of psychotic disorders, and often includes

Diminished emotional expression

When is schizophreniform disorder an appropriate diagnosis

The patient has significant symptoms of schizophrenia for at least one month, but less than six months

When is schizophrenia diagnosed

The patient has two or more symptoms of hallucinations, delusions, disorganized, speech, grossly disorganized thoughts

Which of the following is/are necessary in order to meet the criteria for a delusional disorder

1) the client reports one or more delusions, with the duration of one month or longer

2) schizophrenia has never been met

3) apart from the impact of delusions functioning, is not markedly impaired

Which of the following would be the best approach to use when engaging a client who is actively experiencing a delusion

Th validate the client, reflecting you heard what they shared wall not challenging it to content or ignore it

Disorganized thoughts may impact, not only clients speech, but also their daily living skills, including keeping good hygiene and appointments

True

Clients experiencing schizophrenia, spectrum and other psychotic disorders may be hesitant to take their medication due to

1) they are unable to acknowledge their experience of mental illness, and do not believe medication is needed

2) they do not like unpleasant side effects associated with the medication

3) they do not believe in the use of medication entirely due to their culture

It is not possible for individuals who experience schizophrenia spectrum, or other psychotic disorders to sustain employment

False

Which of the following is a typical medication prescribed for clients with schizophrenia, spectrum or other psychotic disorders

Risperdal

What is the name of the depressive disorder that manifests with symptoms that are more acute and episodic

Major depressive disorder

Persistent depressive disorder is characterized by symptoms of

Depressed mood most of the day, every day, for at least 2 years

What is the major difference between hypomania and mania

Hypomania is less severe than mania but includes the same symptoms. It also lasts shorter than mania

Bipolar 1 disorder always does…

Must include Mania

A diagnosis of cyclothymic disorder includes…

mood instability-less severe than bipolar 1&2

Full criteria for hypomania episodes or depressive episodes were never met, even if symptoms are sometimes apparent.

Which of the following is not a symptom required for the criteria of a major depressive episode

distractibility

According to the dsm 5, which of the following features is the most indiscipline of bipolar and related disorders

Mood disturbance

Related to the experience of bereavement and major depression, which of the following statements reflect the dsm 5 and recent research

The loss of a loved one can trigger a major depressive episode

What is disruptive mood dysregulation disorder

A diagnosis that only applies to children and adolescents

Assessing for lethality (suicidal, homicidal, or self-injurious thoughts, behaviors, intent, or planning) is critical when working with clients diagnosed with which of the following disorders

Either MDD or Bipolar 1

“Fear or anxiety about a specific object or situation that consistently triggers fear and anxiety, and that is out of proportion to the actual danger” is part of the diagnosis for which of the following disorders

Specific Phobia

Which of the following statements is true about panic attacks

They make the patient feel like they’re having a heart attack

Which of the following best describes the anxiety disorder of agoraphobia

Anxiety or fear of situations where the ability to escape is difficult

Which of the following represents GAD

Worrying about something that’s real but the worrying is difficult to control

To warrant the diagnosis of PTSD, symptoms must be experienced in which ways…

symptoms must last for more than one month

To meet the criteria for PTSD a patient must report what…

1) Be in the adverse event

Or

2) Indirect exposure to adverse event

Or

3) Witness adverse event

Acute stress disorder occurs after exposure to a traumatic stressor (like PTSD) and includes the same experience of symptoms as PTSD, but experience lasts for shorter time

TRUE

Reactive attachment disorder can best be described as

1) In children

2) Emotionally withdrawn from caregivers

3) Minimal social responsiveness

Examples of intrusion symptoms that may be experienced with PTSD include…

Nightmares and flashbacks

In order for an individual to be diagnosed with OCD they must experience both obsessions and compulsions

False

GAD is more common in woman

TRUE

Social anxiety disorder is characterized by symptoms that include…

Anxiety from being in a social situation where they can experience scrutiny