Exam Simulation: Test 1 Flashcards
Obsessive-Compulsive Disorder is more common in males than in females among those aged:
Select one:
A.
8 to 12
B.
21 to 26
C.
35 to 40
D.
60 to 65
The correct answer is A.
The rates of OCD for males and females are about equal among adolescents and adults. However, because the onset of the disorder is earlier for males than for females, OCD is more prevalent among male children than female children.
Answers B, C, and D: Obsessive-Compulsive Disorder is more common in males than in females among those aged 8-12 years of age.
Level 1 cross-cutting symptom measures are useful for:
Select one:
A.
confirming a diagnosis
B.
screening symptoms
C.
treatment planning
D.
measuring treatment outcomes
The correct answer is B.
Level 1 cross-cutting symptom measures assess 13 domains for adults and 12 domains for children and adolescents and are useful for identifying areas that require additional evaluation.
Answers A, C, & D: Level 2 cross-cutting symptom measures provide in-depth information on specific domains (e.g., anxiety, depression, substance use) to help guide diagnosis, treatment planning, and follow-up.
The Outline for Cultural Formulation assess all of the factors except:
Select one:
A.
cultural identity
B.
cultural conceptualization of distress
C.
psychosocial stressors and cultural factors that impact the client’s vulnerability and resilience
D.
universal factors relevant to the client-therapist relationship
The correct answer is D.
The Outline for Cultural Formulation provides guidelines for assessing four factors: the client’s cultural identity; the client’s cultural conceptualization of distress; the psychosocial stressors and cultural factors that impact the client’s vulnerability and resilience; and cultural factors relevant to the relationship between the client and therapist. Universal factors are not the focus of a cultural formulation.
Answer A: Cultural identity is an important assessment factor.
Answer B: One’s conceptualization of distress within the context of culture is also an important factor.
Answer C: Cultural factors impacting vulnerability and resilience are also important factors to assess when making a cultural formulation.
The Cultural Formulation Interview is:
Select one:
A.
structured
B.
open-ended
C.
semi-structured
D.
unstructured
The correct answer is C.
The Cultural Formulation Interview (CFI) is a semi-structured interview consisting of 16 questions designed to obtain information on the client’s views regarding the social/cultural context of his/her presenting problems.
Answer A: The CFI is semi-structured.
Answer B: The CFI is not an open-ended interview.
Answer D: The CFI is not unstructured.
The Cultural Formulation Interview (CFI) assesses all of the following except:
Select one:
A.
cultural identity development
B.
cultural perceptions of cause, context, and support
C.
cultural definition of the problem
D.
cultural factors affecting self-coping and help seeking
The correct answer is A.
The CFI focuses on four domains: cultural definition of the problem; cultural perceptions of cause, context, and support; cultural factors affecting self-coping and past help-seeking; and cultural factors affecting current help-seeking. The CFI does not assess cultural identity development.
Answer B: Cultural perceptions of the cause, context, and support are assessed by the CFI.
Answer C: Assessing cultural definitions of the problem is also an important component of the CFI.
Answer D: Assessing cultural factors related to self-coping and help-seeking are also crucial to the CFI.
Specific Learning Disorder often co-occurs with all of the following except:
Select one:
A.
delays in language development
B.
attention and memory deficits
C.
below-average intelligence
D.
low self-esteem
The correct answer is C.
Individuals with Specific Learning Disorder typically have an IQ in the average to above-average range but have higher-than-normal rates of other problems and disorders, including delays in language development and/or motor coordination, attention and memory deficits, and low self-esteem.
Answer A: Delays in language development and/or motor coordination are correlated with Specific Learning Disorder diagnoses.
Answer B: ADHD is closely correlated with Specific Learning Disorder.
Answer D: Low self-esteem is also correlated with this diagnosis.
Research suggests that, in general, the most effective treatment for Obsessive-Compulsive Disorder (OCD) is which of the following?
Select one:
A.
Exposure with response prevention
B.
Overcorrection
C.
Desensitization and behavioral rehearsal
D.
Desensitization with reinforced practice
The correct answer is A.
A combination of exposure with response prevention and the tricyclic clomipramine or an SSRI is usually the treatment-of-choice for OCD. Exposure is often supplemented with thought stopping or other interventions that directly target obsessions.
Answers B, C, & D: Studies investigating the effects of various behavioral therapies have consistently found exposure with response (ritual) prevention to be the most effective treatment for OCD.
___________ refers to the ways that cultural groups experience, understand, and communicate suffering, behavioral problems, or troubling thoughts and emotions.
Select one:
A.
Cultural syndromes
B.
Cultural concepts of distress
C.
Cultural idioms
D.
Cultural explanations
The correct answer is B.
The DSM-5 defines cultural concepts of distress as the “ways that cultural groups experience, understand, and communicate suffering, behavioral problems, or troubling thoughts and emotions.”
Answer A: Cultural syndromes are clusters of symptoms and attributions that co-occur among individuals from a particular culture and are recognized by members of that culture as coherent patterns of experience.
Answer C: Cultural idioms of distress are used by members of different cultures to express distress and provide shared ways for talking about personal and social concerns.
Answer D: Cultural explanations refer to the explanatory models that members of a culture use to explain the meaning and causes of symptoms, illness, and distress.
Cultural idioms of distress are:
Select one:
A.
the explanatory models that members of a culture use to explain the meaning and causes of symptoms, illness, and distress
B.
clusters of symptoms and attributions that co-occur among individuals from a particular culture and are recognized by members of that culture as coherent patterns of experience
C.
phrases used by members of different cultures to express distress and provide shared ways for talking about personal and social concerns
D.
ways that cultural groups experience, understand, and communicate suffering, behavioral problems, or troubling thoughts and emotions
The correct answer is C.
Cultural idioms of distress are used by members of different cultures to express distress and provide shared ways for talking about personal and social concerns.
Answer A: This is the definition of cultural explanations.
Answer B: This is the definition of cultural syndromes.
Answer D: This is the definition of cultural concepts of distress.
The explanatory models that members of a culture use to explain the meaning and causes of symptoms, illness, and distress are referred to as:
Select one:
A.
cultural idioms of distress
B.
cultural narratives
C.
cultural syndromes
D.
cultural explanations
The correct answer is D.
The DSM 5 defines cultural explanations as the explanatory models that members of a culture use to explain the meaning and causes of symptoms, illness, and distress.
Answer A: Cultural idioms of distress are used by members of different cultures to express distress and provide shared ways for talking about personal and social concerns.
Answer B: This is a made up term.
Answer C: Cultural syndromes are clusters of symptoms and attributions that co-occur among individuals from a particular culture and are recognized by members of that culture as coherent patterns of experience.
Cultural syndromes are defined as:
Select one:
A.
clusters of symptoms and attributions that co-occur among individuals from a particular culture and are recognized by members of that culture as coherent patterns of experience
B.
ways that cultural groups experience, understand, and communicate suffering, behavioral problems, or troubling thoughts and emotions
C.
the explanatory models that members of a culture use to explain the meaning and causes of symptoms, illness, and distress
D.
phrases used by members of different cultures to express distress and provide shared ways for talking about personal and social concerns
The correct answer is A.
Cultural syndromes are clusters of symptoms and attributions that co-occur among individuals from a particular culture and are recognized by members of that culture as coherent patterns of experience.
Answer B: This is the definition of cultural concepts of distress.
Answer C: This is the definition of cultural explanations.
Answer D: This defines cultural idioms of distress.
____________ is/are useful for obtaining information on a client’s cultural concepts of distress.
Select one:
A.
The Outline for Cultural Formulation
B.
The Cultural Formulation Interview
C.
Cross-cutting symptom measures
D.
Cross-cutting cultural measures
The correct answer is B.
The Cultural Formulation Interview (CFI) is a semi-structured interview consisting of 16 questions designed to obtain information on the client’s views regarding the social/cultural context of his/her presenting problems. It focuses on four domains: cultural definition of the problem; cultural perceptions of cause, context, and support; cultural factors affecting self-coping and past help seeking; and cultural factors affecting current help seeking. The CFI is useful for obtaining information on a client’s cultural concepts of distress.
Answer A: The Outline for Cultural Formulation provides guidelines for assessing four factors: the client’s cultural identity; the client’s cultural conceptualization of distress; the psychosocial stressors and cultural factors that impact the client’s vulnerability and resilience; and cultural factors relevant to the relationship between the client and therapist.
Answer C: Cross-cutting symptom measures are designed to be used in the initial patient interview and during treatment to monitor progress. They provide information on mental health domains that are important across the psychiatric diagnoses.
Answer D: This is a made up term.
The DSM-5 provides three tools to help clinicians consider and understand the importance of cultural diagnosing and planning treatment. This tool set includes all of the following except:
Select one:
A.
the Cultural Formulation Interview
B.
Cultural concepts of distress
C.
Cultural measures of distress
D.
the Outline for Cultural Formulation
The correct answer is C.
The DSM-5 provides three tools to help clinicians consider and understand the impact of a client’s cultural background on diagnosis and treatment: the Outline for Cultural Formulation, the Cultural Formulation Interview, and Cultural concepts of distress. Cultural measures of distress is a made up term.
Answer A: The Cultural Formulation Interview (CFI) is a semi-structured interview consisting of 16 questions designed to obtain information on the client’s views regarding the social/cultural context of his/her presenting problems.
Answer B:The DSM-5 defines cultural concepts of distress as the “ways that cultural groups experience, understand, and communicate suffering, behavioral problems, or troubling thoughts and emotions.
Answer D: The Outline for Cultural Formulation provides guidelines for assessing four factors: the client’s cultural identity; the client’s cultural conceptualization of distress; the psychosocial stressors and cultural factors that impact the client’s vulnerability and resilience; and cultural factors relevant to the relationship between the client and therapist.
A patient is extremely suspicious, distrustful, and sensitive to criticism. He appears to be constantly on guard, checking his environment for potential threats and evidence to confirm his suspicions and beliefs. In addition, he describes his relationship with his employer as one that was originally warm and supportive but quickly turned into a contest of wills. The patient’s clothes are wrinkled and do not fit him well, and his glasses are held together with duct tape. The patient’s symptoms are most suggestive of which personality disorder?
Select one:
A.
Obsessive-Compulsive Personality Disorder
B.
Schizotypal Personality Disorder
C.
Paranoid Personality Disorder
D.
Antisocial Personality Disorder
The correct answer is C.
This question is a reminder to consider all of the symptoms presented and not to over-focus on an atypical or unusual symptom. Although many personality disorders involve problems with relationships, your clue was this patient’s tendency toward suspicion and distrust. Paranoid Personality Disorder involves a pervasive distrust and suspiciousness of others that leads to the misinterpretation of the motives of others as malevolent.
Answer A: Obsessive-Compulsive Personality Disorder involves a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency.
Answer B: Schizotypal Personality Disorder involves a pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships and cognitive or perceptual distortions and eccentricities of behavior. While wrinkled, the man’s ill-fitting clothing may be more suggestive of Schizotypal Personality Disorder, his other symptoms are consistent with Paranoid Personality Disorder.
Answer D: Antisocial Personality Disorder involves a pervasive pattern of disregard for and violation of the rights of others. You have no evidence of antisocial acts in this case.
Echokinesis involves:
Select one:
A.
imitating someone else’s movements
B.
repeating the sounds someone else makes
C.
repeating socially undesirable words
D.
imitating the sounds and movements that other’s make
The correct answer is A.
Echokinesis involves imitating someone else’s movements.
Answer B: This sounds more like echolalia.
Answer C: This defines Coprolalia.
Answer D: Echokinesis does not involve mimicking sound.
Research in the area of pediatric psychology has found that openly communicating with children about their illness:
Select one:
A.
is detrimental
B.
has mixed results
C.
is recommended
D.
is inadvisable
The correct answer is C.
In most situations, open communication with a child about his/her illness is advisable.
Answer A: While it is important to provide children information in a developmentally appropriate manner, research has generally not found open communication to be detrimental.
Answer B: This is not true.
Answer D: The opposite is true.
Coprolalia involves:
Select one:
A.
repeating other’s vocalizations
B.
mimicking others movements
C.
mimicking other’s facial expressions
D.
repeating socially undesirable words
The correct answer is D.
Coprolalia involves repeating socially undesirable words.
Answer A: This is the definition of echolalia.
Answer B: This defines echokinesis.
Answer C: This does not describe coprolalia.
The rates of Schizophrenia are generally higher among Black Americans. This is due to:
Select one:
A.
internalized racism
B.
misdiagnosis
C.
poverty
D.
substance abuse
The correct answer is B.
Research suggests that the higher reported rate of Schizophrenia for African Americans is the result of misdiagnosis rather than actual differences in the prevalence of the disorder.
Answer A: While a lack of cultural competence among clinicians contributes to misdiagnosis among this population, internalized racism is not the cause of this discrepancy.
Answer C: Poverty may be a contributing factor to receiving adequate mental health care; however, misdiagnosis is believed to be the primary cause of this discrepancy.
Answer D: This is not true.
In the DSM-5, personality traits are measured using 5 domains:
Select one:
A.
affect, attachment, antagonism, disinhibition, and psychoticism
B.
affect, attachment, antagonism, inhibition, and psychoticism
C.
negative affect, detachment, protagonism, inhibition, and psychoticism
D.
negative affect, detachment, antagonism, disinhibition, and psychoticism
The correct answer is D.
The DSM-5’s personality inventories measure personality traits in five domains: negative affect, detachment, antagonism, disinhibition, and psychoticism.
Answer A: Attachment and affect are not personality domains.
Answer B: Affect, attachment, and inhibition are not personality domains.
Answer C: Protagonism and inhibition are not personality domains.
African Americans are more likely to experience hallucinations and delusions as symptoms of:
Select one:
A.
schizophrenia
B.
depression
C.
antisocial personality disorder
D.
borderline personality disorder
The correct answer is B.
The research suggests that the higher reported rate of Schizophrenia for African Americans is the result of misdiagnosis rather than actual differences in the prevalence of the disorder and that misdiagnosis is due to the fact that African Americans are more likely to experience hallucinations and delusions as symptoms of depression.
Answer A: African Americans are commonly misdiagnosed with Schizophrenia rather than depression or other disorders.
Answer C: These symptoms are not traditionally associated with this disorder.
Answer D: This is not true.
In order to meet DSM-5 criteria for Brief Psychotic Disorder, the presence of at least one of the following symptoms must be present with the exception of:
Select one:
A.
disorganized speech
B.
hallucinations
C.
grossly disorganized behavior
D.
delusions
The correct answer is C.
Brief Psychotic Disorder is characterized by the presence of one or more of four characteristic symptoms (delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior) with at least one symptom being delusions, hallucinations, or disorganized speech.
Answers A, B, & D: One of these three symptoms is required for this diagnosis.
When considering diagnosing a Black American client with Schizophrenia, a culturally competent clinician would:
Select one:
A.
rule out substance use
B.
make sure the full criteria for the disorder is met
C.
assess for the potential of malingering
D.
assess whether psychotic symptoms are linked to depression
The correct answer is D.
The research suggests that the higher reported rate of Schizophrenia for African Americans is the result of misdiagnosis rather than actual differences in the prevalence of the disorder and that misdiagnosis is due to the fact that African Americans are more likely to experience hallucinations and delusions as symptoms of depression.
Answer A: Making this rule out is necessary with any client who may meet criteria for Schizophrenia.
Answer B: This would be necessary regardless of the client’s demographic.
Answer C: Ruling out malingering is not a cultural competence factor.
The three subtypes of Specific Learning Disorder include impairment in:
Select one:
A.
reading, writing, and spelling
B.
reading, writing, and comprehension
C.
reading, comprehending, and spelling
D.
reading, writing, and math
The correct answer is D.
The DSM-5 distinguishes between three subtypes of Specific Learning Disorder: impairment in reading, impairment in written expression, and impairment in mathematics.
Answer A: Spelling is not included as a subtype.
Answer B: Comprehension is not a subtype.
Answer C: Comprehension and spelling are not subtypes.
Beck’s depression cognitive triad includes negative illogical self-statements about:
Select one:
A.
oneself, the world, and the future
B.
oneself, others, and the world
C.
oneself, others, and the meaning of life
D.
oneself, others, and the future
The correct answer is A.
Beck’s (1976) cognitive theory views depression as being related to negative, illogical self-statements about oneself, the world, and the future. This is referred to as the “depressive cognitive triad.
Answer B: The triad does not include negative thoughts about others.
Answer C: Beck did not include negative thoughts about others or the meaning of life in this categorization.
Answer D: The triad does not include negative thoughts about others.