LMSW Clinical Assessment and Diagnosis 2

Question 1

A client presents with persistent depressed mood, loss of interest, fatigue, and hypersomnia lasting 3 weeks. Which DSM-5 diagnosis is most appropriate to consider?

Accepted Answer

Major Depressive Disorder

Answer

Persistent Depressive Disorder

Answer

Bipolar II Disorder

Answer

Adjustment Disorder with Depressed Mood

Question 2

During a biopsychosocial assessment, a social worker learns a client drinks 6 beers daily and experiences withdrawal symptoms when attempting to stop. This pattern best indicates:

Accepted Answer

Alcohol Use Disorder, Severe

Answer

Alcohol Abuse

Answer

Alcohol Dependence (DSM-IV)

Answer

Alcohol Use Disorder, Mild

Question 3

A social worker notices a client's affect is restricted and inconsistent with the content of their speech about a happy event. This observation belongs in which section of the mental status exam?

Accepted Answer

Mood and affect

Answer

Thought content

Answer

Insight and judgment

Answer

Orientation

Question 4

Which of the following best describes the diagnostic concept of 'specifiers' in DSM-5?

Accepted Answer

Additional descriptors that communicate clinical information beyond the core diagnosis

Answer

Alternative diagnoses to consider when primary diagnosis is uncertain

Answer

Subtypes that replace the primary diagnosis

Answer

Severity ratings used only for psychotic disorders

Question 5

A 14-year-old client has shown a persistent pattern of lying, shoplifting, and fighting for over 12 months. The most appropriate diagnosis to evaluate is:

Accepted Answer

Conduct Disorder

Answer

Antisocial Personality Disorder

Answer

Oppositional Defiant Disorder

Answer

Intermittent Explosive Disorder

Question 6

When assessing a client for PTSD, which symptom cluster involves persistent negative alterations in cognition and mood?

Accepted Answer

Cluster D — Negative alterations in cognition and mood

Answer

Cluster B — Intrusion symptoms

Answer

Cluster C — Avoidance symptoms

Answer

Cluster E — Alterations in arousal and reactivity

Question 7

A social worker is conducting a risk assessment and asks about the client's specific plan, means, and timeline for suicide. This line of inquiry is designed to assess:

Accepted Answer

Suicidal intent and lethality

Answer

Passive suicidal ideation

Answer

Hopelessness and cognitive distortions

Answer

Protective factors and reasons for living