1. Which of the following is NOT a reason to understand diagnosis today?
a. Changes in federal and state laws that highlight the importance of understanding certain diagnoses (e.g.,
IDEA)
b. To be able to submit for insurance reimbursement
c. For clinicians to speak a common language and be able to communicate with one another
d. Often required for insurance reimbursement
e. All of these are reasons.
2. One of the first formal classification systems of mental illness prior to the DSM was called the:
a. Cattell classification of idiocy.
b. Medical 203.
c. Binet diagnostic manual.
d. 1942 MMPI.
3. Which edition of the APA Diagnostic and Statistical Manual first introduced the concept of multi-axial diagnosis?
a. DSM-I
b. DSM-II
c. DSM-III
d. DSM-IV
e. DSM-5
4. Which of the following is a reason the APA went to a single axis diagnosis in the DSM-5?
a. To make personality disorders on par with clinical disorders so they don’t seem untreatable
b. To make mental disorders a higher priority and more distinct from medical disorders
c. There has been a trend of GAF scores getting over-inflated by clinicians and psychiatrists.
d. None. The DSM-5 uses a multi-axial approach.
Chapter3—DiagnosisintheAssessmentProcess
5. Which of the following is true about ordering diagnoses in the DSM-5?
a. The ordering doesn’t matter since the DSM-5 has moved to a single-axis approach.
b. A medical diagnosis should be listed before a mental health diagnosis if the mental health diagnosis is the
result from that medical condition.
c. Diagnosis should be listed in the chronological order they occurred or were diagnosed.
d. Medical diagnoses are listed before mental health diagnoses.
e. Diagnoses need to be listed in the following order: clinical disorder, personality disorders, medical diagnosis, V
or Z codes.
6. In the DSM-IV-TR, which of the following axis was used to describe personality disorders?
a. Axis I
b. Axis II
c. Axis III
d. Axis IV
e. Axis V
7. Which of the following is true about specifiers in the DSM-5?
a. They are used to capture the severity of an illness.
b. They are mutually exclusive – you can only pick one.
c. They are noted by the phrase “Specify if.”
d. They are helpful in cross referencing DSM-5 diagnosis with ICD-9 or ICD-10 diagnosis.
8. Which of the following is true about subtypes in the DSM-5?
a. They are mutually exclusive – you can only pick one.
b. They are identified by the phrase “Specify if.”
c. They help capture the severity of an illness.
d. They are used to communicate the dimensional diagnosis.
9. A provisional diagnosis should be given in which of the following situations?
a. During the beginning or initial onset of an illness
b. For a temporary or transitory illness
c. When a masters level clinician who is not yet licensed makes the diagnosis
d. When the clinician believes this is the diagnosis but can’t yet substantiate
10. Professionals often use informal diagnostic labels to improve communications to each other. Which of the following
is NOT one that you would typically see?
a. Rule-in
b. Provisional
c. Traits
d. By history
e. By self-report
11. In the DSM-IV-TR, the GAF scale is used to:
a. assess the cognitive functioning of the client.
b. assess overall functioning of the client.
c. measure ethical decision making ability.
d. measure multicultural awareness.
e. assess mental status.
12. Why is diagnosis important in the assessment process?
a. It offers one additional means of understanding the whole person.
b. It provides an understanding of the etiology of the mental disorders.
c. It provides different ways of treating the client as a function of the clinician’s theoretical orientation.
d. All of these are reasons.
13. DSM-I was first developed around the turn of the 20th century.
a. True
b. False
14. One of the most important aspects of the DSM classification system is to describe and communicate with other
professionals.
a. True
b. False
15. The ordering of diagnoses in the DSM-5 is unimportant because it now uses a single-axis approach making them all
equal.
a. True
b. False
16. The DSM-5 has diagnostic codes that match both the the International Classification of Diseases, 9th revision, (ICD-
9) and 10th revision (ICD-10).
a. True
b. False
17. A client has a heart attack that results in an adjustment disorder with depression. When writing the diagnosis, the
adjustment disorder should be listed first and the heart attack should be listed second.
a. True
b. False
Write a brief description for each of the diagnostic categories listed below.
18. Neurodevelopmental disorders:
19. Schizophrenia spectrum and other psychiatric disorders:
20. Bipolar and related disorders:
Chapter3—DiagnosisintheAssessmentProcess
21. Depressive disorders:
22. Anxiety disorders:
23. Obsessive-compulsive and related disorders:
24. Trauma- and stressor-related disorders:
25. Dissociative disorders:
26. Somatic symptom and related disorders:
27. Feeding and eating disorders:
28. Elimination disorders:
29. Sleep-wake disorders:
30. Sexual dysfunctions:
31. Gender dysphoria:
32. Disruptive, impulse control, and conduct disorders:
33. Substance-related and addictive disorders:
34. Neurocognitive disorders:
35. Personality disorders:
36. Paraphilic disorders:
Match the correct informal diagnostic label with the closest definition.
a. By history
b. By self-report
c. Provisional
d. Rule-out
e. Traits
REFERENCES: The DSM-5
37. Has many features of this diagnosis
38. Seems to meet criteria but will know later
39. Noted in previous records
40. Almost meets criteria – consider further
41. Client informs you of his or her diagnosis
42. The Global Assessment of Functioning (GAF) has been historically considered an unreliable tool.
a. True
b. False
43. The phrase “specify current severity” when making a DSM-5 diagnosis allows the clinician greater flexibility is
describing the level of symptomology.
a. True
b. False
Personality disorders have three clusters called A, B, and C. Match each cluster with its corresponding
traits.
a. Cluster A
b. Cluster B
c. Cluster C
REFERENCES: The DSM-5
44. These individuals seem overly emotional, are melodramatic, or are unpredictable in their behaviors and interpersonal
relations.
45. These individuals tend to appear anxious, worried, or fretful in their behaviors.
46. These individuals seem bizarre or unusual in their behaviors and interpersonal relations.
47. You are making a diagnosis using the DSM-5. You believe this individual’s impairment to functioning and/or distress
is of clinical significance. However, his list of symptoms to meet criteria for Generalized Anxiety Disorder is one
short of that required in the DSM. Which would be the most accurate way to write this diagnosis?
a. Generalized Anxiety Disorder, Rule-Out
b. Generalized Anxiety Disorder, Traits
c. Generalized Anxiety Disorder, NOS
d. Generalized Anxiety Disorder, Other Specified, insufficient symptoms
e. Generalized Anxiety Disorder, Unspecified
48. The diagnosis of “unspecified” should be used when a client’s symptoms meet clinical significance but does not meet
strict diagnostic criteria.
a. True
b. False