Intake, Assessment, and Diagnosis

d

Which of the following questions might be asked by a counselor conducting a biopsychosocial interview as part of a new client’s intake appointment?

a. Do you drink or do drugs?

b. What do you consider to be your strengths?

c. How often do you get together with friends?

d. All of the above

a

Which of the following interviews use the DSM-5?

a. Diagnostic interview

b. Biopsychosocial interview

c. Mental status exam

d. Screening

c

For which client would a partial hospitalization program be the best place to get care?

Jacob - A thirteen year old whose mother recently died. While he is exhibiting some signs of depression, he is still maintaining a normal routine as far as school and his social life are concerned.

Amanda - A six year old who was recently diagnosed with ADHD. She is struggling in school because she is exhibiting a wide range of behaviors typically associated with ADHD. Her parents recently joined a support group for parents to try to help them sort through different treatment options.

Robert - A nine year old who is diagnosed with Oppositional Defiant Disorder and Disruptive Mood Dysregulation Disorder and is unable to currently control his emotional and behavioral outbursts at both home and school.

Olivia - A sixteen year old who has attempted suicide in the past and recently disclosed to her therapist she is feeling suicidal again.

a. Jacob

b. Amanda

c. Robert

d. Olivia

a

You are doing an intake, and you ask about family constellation, particularly the client’s family of origin. Your client tells you she has three siblings, all older by eight years or more, and she has one younger sibling, three years her junior. According to Adlerian theory, you can assume she will take the role of:

a. The oldest child

b. The youngest child

c. The middle child

d. Adler did not believe that birth order affected personality

d

After your initial session with Nicole, she asks you what you have diagnosed her with. Because your theoretical orientation is Rogerian, you answer:

a. “Tell me about why that’s important to you.”

b. “You have ________________________.”

c. “That is information for me to have to guide your treatment, but I cannot share it with you.”

d. “I don’t like to work with diagnoses, as I see little benefit in doing so.”

a

A counselor is setting up group therapy screening appointments. She gathers the information that she will give the members to help them understand the process of being part of a therapy group. The best predictor of client success in a therapy group is:

a. Commitment

b. Dispelled myths about group

c. What role one takes on

d. Their level of participation

a

In terms of a process group, pre-screening clients _____________________ group member satisfaction.

a. Increases

b. Decreases

c. Has no effect on

d

The following is not appropriate content for the pre-group screening discussion?

a. The stages and roles of group

b. Common myths of group therapy

c. The client’s needs and expectations

d. None of the above—they are all appropriate for discussion

c

Children who experience frequent mood swings, tantrums, periods of anger and depression were once diagnosed as having bi-polar disorder. Today, the diagnosis would be:

a. Intermediate Explosive Disorder

b. Autism Spectrum Disorder

c. Disruptive Mood Dysregulation Disorder

d. Asperger’s Syndrome

d

A couple is concerned about the behavior of their 5 year old who periodically throws tantrums and experiences angry outbursts when he is frustrated. This child does not quite meet the criteria to be diagnosed with bi-polar disorder but a counselor should withhold making the diagnosis because:

a. The parents have not disclosed whether there is a history of bi-polar disorder in the family.

b. An improper diagnosis could result in the child being labeled “special education” in the future.

c. Much of the child’s behavior could possibly be considered “normal” if it is found that the couple lacks parenting skills.

d. All of the above

d

The criteria for diagnosing children with autism and related disorders is known as:

a. Asperger’s Syndrome

b. Pervasive Developmental Disorders

c. Childhood Disintegrative Disorders

d. Autism Spectrum Disorder

a

Which of the following conditions is a criterion for determining an eating disorder?

a. Uncontrolled binging at least once a week for at least three months

b. Amenorrhea; the cessation of a woman’s menstrual period

c. A Body Max Index of 17

d. Generalized Anxiety

d

Which of the following would be affected by Major Neurocognitive Disorder?

a. Learning ability

b. Social skills

c. Executive functioning

d. All of the above.

a

What categories is Neurocognitive Disorder broken into?

a. Major and Mild

b. Adult and Elderly

c. Alzheimer’s and Traumatic Brain Injury

d. Chemical and Biological

d

A client’s father passed away over a month ago. Her symptoms are consistent with Major Depressive Disorder. In supervision, your Clinical Supervisor challenges you to reconsider your diagnosis based on the current DSM V which indicates:

a. Major Depressive Disorder is not distinguished from Bereavement.

b. Symptoms of mania and impulsivity are common in bereavement.

c. All persons with depressed mood grieve and experience loss.

d. Bereavement can actually resemble depressive episode but not fully meet the criteria.

c

“Separation Anxiety Disorder” is no longer a current diagnosis and has been replaced by:

a. Separation Anxiety Disorder across the lifespan

b. Separation Anxiety with adult onset

c. Anxiety Disorder

d. Borderline Personality Disorder

d

Tom is in session with a teenager who just lost his dad. The client says very little in the session. In his progress note, Tom writes, “Client is experiencing grief and depressed mood as evident of his weeping during session.” What type of behavior has Tom observed in order to make this conclusion?

a. Sub-conscious

b. Conscious

c. Defensive

d. Non-verbal

c

Jack is a 48-year-old man with first-break psychosis. He has been medicated, and still has some transient paranoia. Which statement is most true?

a. Jack would make an excellent group therapy candidate.

b. Jack would most likely not benefit from group.

c. Jack would most likely not benefit from group and he could impair the group process.

d. Jack would likely not only benefit from group therapy himself, but he would be a therapeutic force for others in the group.

c

You are starting a psychotherapy group. It is your first night, and you are reviewing the basic group guidelines. Regarding confidentiality, you should tell members:

a. That you will guarantee it no matter what

b. That confidentiality does not apply in the group setting

c. That while it is an expectation, you cannot guarantee it

d. That the need to breach confidentiality to protect a member from harm does not apply to the group setting

b

Which of the following might be inappropriate for group?

a. A mother with post-partum depression

b. A young adult with bipolar disorder who is easily irritated

c. A recent retiree with generalized anxiety

d. An 18 year old with school refusal

b

Which method of conveying pre-group information was not listed in Couch’s article “Four Steps to Conducting a Pregroup Screening Interview” and the Associates for Specialists in Group Work’s ethical guidelines?

a. Individual in person interviews

b. The use of filmed or videotaped information

c. Group interviews

d. The provision of written information

b

If a counselor is interested in starting a psycho-educational group for people who are grieving the loss of a pet in the community, the counselor would have to _______________ for members.

a. assess and diagnose

b. recruit and screen

c. plan and organize

d. find resources and referrals

b

After the group session, one counselor asks his co-facilitator, “It’s been six weeks, so what changes do you see taking place in the group?” This group counselor is:

a. Participating in the group

b. Evaluating the group

c. Auditing the group

d. Re-organizing the group

b

There are _______ combinations of the Myers-Briggs Type Indicator.

a. 5

b. 16

c. 24

d. 48

c

The ASVAB measures _______.

a. achievement

b. ability

c. aptitude

d. adjustment

a

Jerod is a successful lawyer who often is in the courtroom. Of the following, which set of letters would most likely correspond to his profession, using Holland’s criteria?

a. EIS

b. CRA

c. RAS

d. ERC

b

Which of the following does the strong Interest Inventory measure?

a. Aptitude

b. Interest

c. Both a and b

d. Neither a and b

b

Sally has always wanted to be an elementary school teacher and just completed the Self-Directed Search to determine the occupation that best matches her interests. She is happy to learn that her chosen career of teacher is in her type. Sally’s type is:

a. Enterprising

b. Social

c. Realistic

d. Conventional

a

Which of the following codes does not have a strong resemblance to RIE in Holland’s Self- Directed Search system?

a. SAC

b. EIR

c. IRC

d. RIA

c

Which of the following is NOT one of Holland’s six kinds of occupations?

a. Social

b. Enterprising

c. Inventive

d. Artistic

c

“Are you a logical person?” This question most closely coincides to which continuum of the MBTI?

a. Introvert/extravert

b. Sensing/intuiting

c. Thinking/feeling

d. Judging/perceiving

d

“Do you like to try new things?” This question most closely coincides to which continuum of the MBTI?

a. Introvert/extravert

b. Sensing/intuiting

c. Thinking/feeling

d. Judging/perceiving

b

“Do you like metaphors?” This question most closely coincides to which continuum of the MBTI?

a. Introvert/extravert

b. Sensing/intuiting

c. Thinking/feeling

d. Judging/perceiving

a

“Do you like to talk at parties?” This question most closely coincides to which continuum of the MBTI?

a. Introvert/extravert

b. Sensing/intuiting

c. Thinking/feeling

d. Judging/perceiving

a

A high school senior completed the Strong Interest Inventory and according to the Holland Code, scored ESA. Based on the Holland Code, what career could be of possible interest to this student?

a. Lawyer

b. Accountant

c. Journalist

d. Aircraft Mechanic

a

According to the Holland Code, “People who prefer to work outdoors, or with tools, objects, or machinery are the ____________ type.

a. Realistic

b. Investigative

c. Enterprising

d. Conventional

b

Jenny is a veteran returning from Afghanistan. Prior to joining the army Jenny had no work experience. Jenny completed the Strong Interest Inventory and according to the Holland Code scored Social, Enterprising and Realistic (SER). Which may not be a good career option for her?

a. Police Officer

b. Accountant

c. Air Traffic Controller

d. Athletic Director

d

Which of the following is the best argument for the purpose of using the DSM V for diagnosis?

a. It provides a standard of symptoms upon which to compare like groups of people.

b. It provides a name and prognosis for a set of symptoms and feelings.

c. It is required for billing and coding.

d. It provides disease sets that are applicable across theoretical orientations, settings and professions for accurate symptom determination and comparison.

a

Professional counselors who are able to bill insurance companies for their client’s mental health treatment must use what current reference in providing a diagnosis?

a. DSM

b. NBCC standards

c. PDR

d. Mental Health Encyclopedia

c

A professional counselor is making a diagnosis to submit to the insurance company. The client has no other mental health issues other than grieving the loss of her cat of 20 years. How should the counselor document this?

a. Axis II: Narcissistic Personality Traits

b. Axis III: Obese, Type II Diabetes

c. Axis I: V62.82 Bereavement

d. Axis V: GAF, 32

c

Your supervisor suggests that you give your client a Beck’s Depression Inventory (BDI) Test. This is a(n) ____________________.

a. aptitude test

b. intelligence test

c. self-report test

d. achievement test

d

Self-report tests like the BDI:

a. Consistently and accurately measure its intended criterion regardless of internal or environment factors

b. Depend much on the present state of the person taking it

c. May not always be accurate

d. Both b and c

c

Which of the following is not considered a subjective test?

a. Rorschach

b. TAT

c. WISC-III

d. None; all are subjective

a

The TAT test uses _________________ to ____________________.

a. Pictures, interpret

b. Photos, sort

c. Numbers, order

d. Inkblots, interpret

a

A multiple-choice test is a ________________ test.

a. recognition

b. projective

c. free choice

d. subjective

a

A test ___________ is the degree to which a test is measuring what it is intended to measure.

a. validity

b. reliability

c. reliability coefficient

d. difficulty index

c

A newly-developed intelligence test is said to have a high correlation with the WAIS-III. What does this mean?

a. It has low concurrent validity.

b. It has no concurrent validity.

c. It has high concurrent validity.

d. It has high concurrent reliability.

b

Your client has interviewed for a labor job. After a round of training, he is asked to come in and work on the assembly line to see how many gadgets he can package in ten minutes. What is this an example of?

a. A power test

b. A speed test

c. An achievement test

d. A projective test

b

Your client says her employer is considering her for a promotion, and that the employer wanted to see if she could handle the job, so she was asked to take a chemistry test. Your client tells you that, while there is a lot of chemistry involved in the prospective job, it also requires skill in physics and management. Which of the following can be said of the employer’s chemistry test?

a. It has high content validity.

b. It has low content validity.

c. It measured projective qualities.

d. It was an interest inventory.

c

The GMAT, SAT, and LSAT are most well-known for their:

a. Ability to discern interests

b. Ability to assess intelligence

c. Predictive ability

d. All of the above

b

A reliable instrument ______________.:

a. offers random results

b. offers similar readings if repeated

c. is always valid

d. Both b and c

c

A colleague suggests trying a new personality test. You read the manual and see that it’s reliability co-efficient is 0.60. Which of the following is an accurate statement?

a.This is acceptable for most standard psychological tests.

b. This is superior to most standard psychological tests.

c. This is inferior to most standard psychological tests.

d. This is irrelevant, as the reliability co-efficient is not used for standard psychological tests.

b

The reliability co-efficient of 0.60 means:

a. That 40% of the scores are accurate

b. That 60% of the scores are accurate

c. That 4% of the scores are inaccurate

d. That 60% of the questions will be answered correctly

d

Projective and subjective tests often require high _________________.:

a. inter-observer reliability

b. inter-rater reliability

c. split-half method scores

d. Both a and b

d

To reduce the chance of cheating, and to reduce the effect that memory has on test results, sometimes different versions of the same test are given. What is this practice called?

a. Cyclical tests

b. Group tests

c. Spiral tests

d. Parallel tests

a

High-school students are given the opportunity to take the SATs more than once. This is one way of testing:

a. Test-retest reliability

b. Speed

c. Resilience

d. Personality

a

A valid test is always reliable.

a. True

b. False

d

Which is one of the main factors in test bias?

a. Socio-economic level

b. Gender

c. Race

d. All of the above

e. Both b and c

c

Binet founded the first. What was Binet attempting to do when he founded the first intelligence test in 1907?

a. Gain esteem with colleagues

b. Determine his daughters’ intelligence and tutor them appropriately

c. Discern between intelligent children and those needing alternative education methods

d. Use as a measure of how group tests perform

b

Which of the following are not for use with children under 16?

a. WPPSI- III

b. WAIS-III

c. WISC-IV

d. None, all are appropriate for use with children

b

Interest inventories measure aptitude.

a. True

b. False

a

Your client took a MMPI. During the next session, she tells you that she may have answered some of the questions untruthfully, because she thought she was supposed to answer them a certain way. What research error does this demonstrate?

a. Social desirability

b. Cultural test bias

c. Personality influence

d. Subjective interpretation bias

b

A test should be considered a single source of reliable data and its data can be generalized.

a. True

b. False

b

The MMPI-2 is a ______ test.

a. free choice

b. forced choice

c. essay

d. short-answer

c

A colleague comes to your office and announces that a new personality test has shown to have a .90 reliability coefficient. This means that:

a. The plausible error is 90%

b. The plausible error is .90%

c. The plausible error is 10%

d. The plausible error is .10%

c

The generally acceptable level for most psychological attributes is a reliability coefficient of ____.

a. .50

b. .60

c. .70

d. .80

b

_________ testing has been at the center of more debates among experts than any other type of testing.

a. Aptitude

b. Intelligence

c. Achievement

d. Personality

a

The “R” in SBIRT stands for:

a. Referral

b. Resources

c. Ritalin

d. Reference

d

You are looking for an assessment tool that will allow you to screen individuals quickly for depression that is a self-report test. Which of the following would you choose?

a. GAD-7

b. CAGE

c. MMPI-2

d. PHQ-9

b

On the WAIS-IV, the mean is ________ and the standard deviation is ________.

a. 15; 100

b. 100; 15

c. 150; 10

d. 10; 150

b

Lucretia has decided to apply to the mall for a seasonal job. In addition to filling out the application, she is directed to a website to complete a 125-question survey about her behavior and attitudes. The questionnaire gives her choices and asks her to select the answer that best fits her. This survey is an example of:

a. Subjective testing

b. Objective testing

c. Reality testing

d. Intelligence testing

a

The Rorschach test is an example of a(n):

a. Projective test

b. Objective test

c. Reality test

d. Intelligence test

a

______ is a hypothetical factor that accounts for differences in intelligence among people.

a. g

b. t

c. z

d. q

d

Which of the following is NOT a group test?

a. SAT

b. MCAT

c. Otis Lennon

d. WISC-V

b

The overall increase in general IQ scores from 1932 to 1997 is known as:

a. An error

b. The Flynn Effect

c. The Hawthorne Effect

d. The Yerkes-Dodson Law

c

Brian has an IQ of 140 on the Stanford-Binet. He would be classified as:

a. Superior

b. Average

c. Gifted

d. Genius

a

Taelyn’s mental age is 17 and her chronological age is 14. Her IQ is:

a. higher than average.

b. about average.

c. lower than average.

d. a mistake has occurred since this result is not possible.

c

Who developed the Culture Fair Intelligence Test?

a. Wechsler

b. Stanford

c. Cattell

d. Pearson

a

The degree to which a test measures what it claims to be measuring is known as:

a. construct validity

b. criterion validity

c. reliability

d. predictive validity

b

Which of the following is NOT an example of a cyclical test?

a. WAIS-IV

b. SAT

c. WISC-III

d. Stanford Binet

c

It is the last day of the semester and your instructor reminds you that you must complete the student opinion form in order to access your final grade. You return to your dorm room and quickly pull up the questionnaire on your computer. Instead of reading the questions, you select “strongly agree” to all of the answers, close and submit the questionnaire. You have just committed:

a. Social desirability bias

b. Experimenter bias

c. Response set bias

d. Inter-rater reliability error

a

A ______ test is always ________ and ________ a test’s length increases reliability.

a. Valid, reliable, increasing

b. Valid, reliable, decreasing

c. Reliable, valid, increasing

d. Reliable, valid, decreasing

c

Brady was administered the WAIS-IV IQ test when he was in college and then took it again when he was in graduate school. There was a noticeable change in his scores. Brady’s experience demonstrated poor:

a. Inter-rater reliability

b. Scorer reliability

c. Test-retest reliability

d. Alternate form reliability

a

Examiner bias is likely to be present with the following test:

a. Projective test

b. Objective test

c. Likert scale testing

d. IQ test

c

Harry scores a 72 on the WAIS-IV IQ test. His score is within ____ compared to the mean.

a. Standard

b. 1 standard deviation

c. 2 standard deviations

d. 3 standard deviations

c

The purpose of an assessment in counseling is to:

a. Differentiate observable information from psychological constructs

b. Identify a client with a diagnosable disorder

c. Gather data for the purpose of identifying and analyzing a client’s problem

d. Form a clinical hypothesis

a

The difference between an assessment and a test:

a. An assessment gathers information and a test focuses on measuring

b. An assessment is administered verbally and a test in writing

c. An assessment concerns measuring and a test gathers information

d. Assessments take place in a counseling setting and tests take place in classrooms

b

Measurement is:

a. A process of ordering things or events

b. The procedure of determining the dimensions of an attribute or trait

c. Identifying a sequence of characteristics or traits

d. Comparing the dimensions of two objects against each other

c

Another word often used interchangeably for “appraisal” is:

a. Test

b. Exam

c. Evaluation

d. Survey

a

A client states that they “think they may have depression”. The counselor administers the Becks Depression Inventory (BDI), in order to:

a. Measure the severity of depressive symptoms

b. Measure the level of honesty in a clients reporting depressive symptoms

c. Assess the need for medication

d. Assess the type of mood disorder

c

Psychological measurement is also referred to as:

a. Psychoanalysis

b. Psychotherapy

c. Psychometrics

d. Psychopathology

b

The Counselor Preparation Comprehensive Examination, (CPCE) is an example of a:

a. Academic Test

b. Achievement Test

c. Authentic Assessment

d. Aptitude Test

d

What does an aptitude test assess?

a. emotional intelligence

b. tolerance

c. problem solving ability

d. capability

c

What is used by police departments to screen candidates to become police officers?

a. Rorschach Test

b. ASVAB

c. LEAB Assessment

d. IQ Test

b

A psychic says to the counselor, “You have a gift…People are drawn to you. Your friends always come to you for advice.” The psychic is relying on:

a. False praise

b. Barnum effect

c. Empathic ability

d. Psychic ability

d

The Stanford-Binet Intelligence Scale is an example of:

a. Cognitive dissonance

b. Cognitive deficit

c. Cognitive ethology

d. Cognitive instrument

a

Adam visited a counseling services center on his local campus because he is having trouble concentrating, sitting still in class, remembering things and being organized. The counselor considers giving him an assessment for ADHD. Why?

a. An assessment can be useful in identifying the problem.

b. This student has ADHD.

c. This client is a candidate for medication treatment.

d. The client has a learning disability.

c

A person’s weight can be measured by a scale but emotions or a person’s intelligence are much harder to measure. What are these types of variables called?

a. Psychological development

b. Psychological assessments

c. Psychological constructs

d. Psychological test

d

An instrument that has already established materials and fixed directives for administering and scoring:

a. Standard deviation

b. Standardized measure

c. Standardized group

d. Standardized test

b

Briana is seven years old and has a remarkable vocabulary for her age. The counselor wants to give Briana an IQ test in order to gather more information regarding her cognitive abilities. What test would the counselor use?

a. Wechsler Intelligence Scale for Adults

b. Wechsler Intelligence Scale for Children

c. Myers Briggs Type Indicator

d. Revised NEO Personality Inventory