Competency Test-DSM-5 Key Points And Principles

20 Questions | Total Attempts: 248

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Competency Test-DSM-5 Key Points And Principles

This reviews your knowledge, skills, and attitudes for Section 1: Key points and principles of DSM-5Click SAVE after every question! Otherwise you will lose your answers when you exit the system.


Questions and Answers
  • 1. 
    DSM-5 is a reference book that requires knowledge and skills to use it effectively. 
    • A. 

      True

    • B. 

      False

  • 2. 
    DSM-5 diagnoses are constructed with no bias or interpretation of what constitutes psychopathology.
    • A. 

      True

    • B. 

      False

  • 3. 
    DSM-5 diagnoses are organized by:
    • A. 

      Stand-alone categories that are separate from one another

    • B. 

      Categories that are separate from one another but assumed to have overlap on some dimensions

    • C. 

      Dimensions of symptoms and functioning

    • D. 

      Categories that have been fully determined to be valid

  • 4. 
    One limitation of the categorical system of diagnosis is the prevalence of co-occurring disorders.
    • A. 

      True

    • B. 

      False

  • 5. 
    What is NOT a true for making diagnoses in DSM-5?
    • A. 

      Everyone with a particular diagnosis tends to present with the same symptoms and functional problems

    • B. 

      Making a diagnosis requires clinical judgment to assess an individual's symptoms and functional problems

    • C. 

      The diagnosis informs our choices of treatment interventions

    • D. 

      People tend to be more diagnostically heterogeneous than homogeneous

  • 6. 
    DSM-5 is important for communication for all of the following reasons EXCEPT: 
    • A. 

      It is a common language between clinicians

    • B. 

      It provides a point of reference for a clinician to have a discussion with a consumer about his or her problems

    • C. 

      DSM-5 is overrated in how it helps with communication

    • D. 

      It provides an objective assessment of diagnosis that can be communicated to an insurance company

  • 7. 
    During the transition from DSM-IV to DSM-5 it is expected that:
    • A. 

      There should be minimal confusion because all the categories are clear and unambiguous

    • B. 

      There will be ambiguity and confusion. Clinicians may be challenged to figure out proper reference points for assessment

    • C. 

      There will be no confusion with diagnosis codes translating from DSM-IV to DSM-5 to ICD-9

    • D. 

      Everyone will agree that DSM-5 is better than DSM-IV

  • 8. 
    The DSM-5 task force committees made final decisions on diagnoses by all of the following except?
    • A. 

      Scientific research findings

    • B. 

      Expert opinions

    • C. 

      Bio-markers and genetic testing

    • D. 

      Voting to reach consensus

  • 9. 
    Brain science and neurobiology are considered very important elements of psychiatric diagnoses; however, the state of the science is such that we do not yet have blood-tests, bio-markers, or brain scans to determine a diagnosis.
    • A. 

      True

    • B. 

      False

  • 10. 
    The term "transdiagnostic" refers to all of the following EXCEPT?
    • A. 

      It is another description for a "meta" diagnosis

    • B. 

      A treatment approach that identifies common factors across diagnoses

    • C. 

      A treatment approach that uses a core set of interventions to address common factors

    • D. 

      Individuals suffering from depression often have symptoms that are part of anxiety disorders

  • 11. 
    It is expected that clinicians who are well-versed in DSM-5 will still need to look up diagnoses and check specific criteria before making a diagnosis?
    • A. 

      True

    • B. 

      False

  • 12. 
    What are challenges to making the proper diagnosis?
    • A. 

      Diagnostic criteria can be complicated

    • B. 

      Sometimes clinicians forget to check exclusionary criteria

    • C. 

      There is no longer an option for using the "Not otherwise specified--NOS" that was often a fallback diagnosis

    • D. 

      All of the above

  • 13. 
    Axis IV psychosocial stressors from DSM-IV has been replaced by what for DSM-5?
    • A. 

      Make a general list of psychosocial stressors

    • B. 

      Assign a number from 1 to 10 on the level of psychosocial stress

    • C. 

      At the end of Section II, refer to "Other conditions that may be a focus of clinical attentions" and use the accompanying "V" codes or 900 codes.

    • D. 

      Psychosocial stressors are not relevant to the diagnosis

  • 14. 
    DSM-5 has three main sections: Section I on the introduction to DSM-5, Section II has all Diagnostic Criteria and codes, and Section III describes trends such as new treatment outcome measures?
    • A. 

      True

    • B. 

      False

  • 15. 
    The GAF score of DSM-IV is now viewed as?
    • A. 

      An excellent assessment as it assigns a single number to an individual's level of functioning

    • B. 

      Neither reliable nor valid because because it combines symptom severity and functional severity that do not neatly line up

    • C. 

      Praised by mental health community for its utility to further understand diagnostic complexity

    • D. 

      Comparable to the World Health Organization Disability Assessment Schedule (WHO-DAS 2.0)

  • 16. 
    The elimination of the multi-axial system will have little impact on how we formulate diagnoses?
    • A. 

      True

    • B. 

      False

  • 17. 
    DSM-5 is organized differently than DSM-IV in all of the following ways EXCEPT?
    • A. 

      Elimination of the classification "Disorders Usually First Diagnosed in Infancy, Childhood, and Adolescence

    • B. 

      Diagnostic categories are listed in no particular order

    • C. 

      Bipolar disorder and Depressive Disorders are now separate diagnostic categories rather than both under "Mood Disorders"

    • D. 

      PTSD is now part of "Trauma- and Stressor-Related Disorders" and no longer considered an "Anxiety Disorder"

  • 18. 
    When challenged to decide on a diagnosis, it is always better to use the new DSM-5 category of "Other Specified Disorder" or "Unspecified Disorder instead of a more definitive diagnosis?"
    • A. 

      True

    • B. 

      False

  • 19. 
    The fallback diagnosis in DSM-IV, "Not otherwise specified--NOS" has been eliminated.  DSM-5 has replaced it with "Other Specified Disorder" or "Unspecified Disorder" which require the clinician to list the specific reasons for not making a definitive diagnosis.
    • A. 

      True

    • B. 

      False

  • 20. 
    Regarding cultural factors and diagnosis, all are true EXCEPT:
    • A. 

      Understanding the cultural context of an individual is essential to for making an effective diagnosis

    • B. 

      There is only one protocol for assessing cultural influence on diagnosis

    • C. 

      "Cultural Identity" and "Cultural conceptualization of distress" are two components of the Cultural Formulation

    • D. 

      DSM-5 provides the Cultural Formulation Interview protocol as a structure for a systematic assessment

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