Competency Test-DSM-5 Key Points And Principles

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Competency Test-DSM-5 Key Points And Principles - Quiz

This reviews your knowledge, skills, and attitudes for Section 1: Key points and principles of DSM-5
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Questions and Answers
  • 1. 

    DSM-5 is a reference book that requires knowledge and skills to use it effectively. 

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The statement is true because DSM-5, which stands for Diagnostic and Statistical Manual of Mental Disorders, is a comprehensive reference book used by mental health professionals to diagnose and classify mental disorders. It contains detailed information about various mental disorders, their symptoms, and diagnostic criteria. To effectively use DSM-5, one needs to have knowledge and skills in understanding and applying the information provided in the manual. Therefore, it can be concluded that DSM-5 is indeed a reference book that requires knowledge and skills to use it effectively.

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  • 2. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    The statement is false because DSM-5 diagnoses are not constructed without bias or interpretation of what constitutes psychopathology. The DSM-5 is a manual used by mental health professionals to classify and diagnose mental disorders. However, the process of constructing diagnoses involves subjective judgments and interpretation of symptoms and criteria. Different professionals may have varying interpretations and biases, leading to potential inconsistencies in diagnoses. Therefore, the statement is incorrect.

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  • 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

    Correct Answer
    B. Categories that are separate from one another but assumed to have overlap on some dimensions
    Explanation
    DSM-5 diagnoses are organized by categories that are separate from one another but assumed to have overlap on some dimensions. This means that the diagnoses are grouped into distinct categories, but there is an understanding that there may be some overlap or similarities between certain categories. This approach allows for flexibility and recognition of the complex nature of mental disorders, as individuals may exhibit symptoms that can be classified under multiple categories. It also acknowledges that mental health conditions can be interconnected and may share certain underlying dimensions or characteristics.

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  • 4. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The statement is true because the categorical system of diagnosis, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM), tends to focus on diagnosing one specific disorder at a time. However, in reality, many individuals often experience multiple disorders simultaneously. This can make it challenging to accurately diagnose and treat individuals, as the presence of co-occurring disorders can complicate the diagnostic process and require a more comprehensive approach to treatment.

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  • 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

    Correct Answer
    A. Everyone with a particular diagnosis tends to present with the same symptoms and functional problems
    Explanation
    The statement that "Everyone with a particular diagnosis tends to present with the same symptoms and functional problems" is not true for making diagnoses in DSM-5. In reality, people with the same diagnosis can have different symptoms and functional problems. Each individual is unique, and making a diagnosis requires clinical judgment to assess their specific symptoms and functional problems. The diagnosis then informs the choices of treatment interventions tailored to the individual's needs. People tend to be more diagnostically heterogeneous, meaning that there is variation within diagnostic categories, rather than being homogeneous with identical symptoms and functional problems.

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  • 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

    Correct Answer
    C. DSM-5 is overrated in how it helps with communication
  • 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

    Correct Answer
    B. There will be ambiguity and confusion. Clinicians may be challenged to figure out proper reference points for assessment
    Explanation
    The transition from DSM-IV to DSM-5 is expected to bring about ambiguity and confusion because clinicians may struggle to determine the appropriate reference points for assessment. This suggests that the new categories and criteria in DSM-5 may not be as clear and unambiguous as expected, leading to challenges in accurately diagnosing and assessing patients.

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  • 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

    Correct Answer
    C. Bio-markers and genetic testing
    Explanation
    The DSM-5 task force committees made final decisions on diagnoses based on scientific research findings, expert opinions, and voting to reach consensus. However, they did not rely on bio-markers and genetic testing as a determining factor for their decisions.

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  • 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

    Correct Answer
    A. True
    Explanation
    The explanation for the given correct answer is that while brain science and neurobiology are recognized as crucial components in psychiatric diagnoses, currently there are no available blood tests, bio-markers, or brain scans that can definitively determine a diagnosis. This implies that the state of the science is not advanced enough to provide objective and concrete evidence for psychiatric diagnoses. Therefore, the statement that there are no blood-tests, bio-markers, or brain scans to determine a diagnosis is true.

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  • 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

    Correct Answer
    A. It is another description for a "meta" diagnosis
    Explanation
    The term "transdiagnostic" refers to a treatment approach that identifies common factors across diagnoses and uses a core set of interventions to address these common factors. It does not refer to being another description for a "meta" diagnosis.

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  • 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

    Correct Answer
    A. True
    Explanation
    Clinicians who are well-versed in DSM-5 may still need to look up diagnoses and check specific criteria before making a diagnosis because the DSM-5 is a comprehensive manual that includes a wide range of mental health disorders with specific diagnostic criteria. It is important for clinicians to ensure accuracy and make informed diagnoses by referring to the manual when necessary.

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  • 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

    Correct Answer
    D. All of the above
    Explanation
    The challenges to making the proper diagnosis include the fact that diagnostic criteria can be complicated, clinicians may forget to check exclusionary criteria, and the option for using the "Not otherwise specified--NOS" diagnosis is no longer available.

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  • 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

    Correct Answer
    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.
  • 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

    Correct Answer
    A. True
    Explanation
    The statement is true because the DSM-5 does indeed have three main sections. Section I provides an introduction to the DSM-5, Section II contains all the diagnostic criteria and codes for various mental disorders, and Section III focuses on trends and new treatment outcome measures.

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  • 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)

    Correct Answer
    B. Neither reliable nor valid because because it combines symptom severity and functional severity that do not neatly line up
    Explanation
    The GAF score of DSM-IV is viewed as neither reliable nor valid because it combines symptom severity and functional severity that do not neatly line up. This means that the score may not accurately reflect an individual's level of functioning, as it fails to distinguish between the severity of symptoms and the impact on daily functioning. Therefore, it is not considered a reliable or valid assessment tool in determining an individual's level of functioning.

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  • 16. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    The elimination of the multi-axial system will have a significant impact on how we formulate diagnoses. The multi-axial system allows for a comprehensive assessment of an individual's mental health by considering various factors such as clinical symptoms, psychosocial stressors, and overall functioning. Without this system, diagnoses may become less nuanced and fail to capture the complexity of an individual's mental health. Therefore, the statement that the elimination of the multi-axial system will have little impact on how we formulate diagnoses is false.

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  • 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"

    Correct Answer
    B. Diagnostic categories are listed in no particular order
    Explanation
    DSM-5 is organized differently than DSM-IV in several ways. One of these ways is the elimination of the classification "Disorders Usually First Diagnosed in Infancy, Childhood, and Adolescence." Another change is that bipolar disorder and depressive disorders are now separate diagnostic categories rather than being grouped together under "Mood Disorders." Additionally, PTSD is now part of "Trauma- and Stressor-Related Disorders" and is no longer considered an "Anxiety Disorder." However, DSM-5 still organizes diagnostic categories in a particular order, so this is not a difference between DSM-IV and DSM-5.

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  • 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

    Correct Answer
    B. False
    Explanation
    It is not always better to use the new DSM-5 category of "Other Specified Disorder" or "Unspecified Disorder" instead of a more definitive diagnosis when challenged to decide on a diagnosis. While these categories can be useful when there is not enough information to make a specific diagnosis, it is generally preferable to use a more definitive diagnosis when possible. This allows for more accurate treatment planning and better understanding of the individual's condition.

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  • 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

    Correct Answer
    A. True
    Explanation
    In DSM-IV, the fallback diagnosis of "Not otherwise specified--NOS" was used when a definitive diagnosis could not be made. However, in DSM-5, this diagnosis has been eliminated and replaced with "Other Specified Disorder" or "Unspecified Disorder." These new diagnoses require the clinician to provide specific reasons for not being able to make a definitive diagnosis. Therefore, the statement that the fallback diagnosis of NOS has been eliminated in DSM-5 and replaced with more specific diagnoses is true.

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  • 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

    Correct Answer
    B. There is only one protocol for assessing cultural influence on diagnosis

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  • Current Version
  • Mar 15, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jul 17, 2014
    Quiz Created by
    Ccocis
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