LMSW Clinical Assessment and Diagnosis 4

Question 1

A client with no prior psychiatric history presents after a traumatic car accident with flashbacks, nightmares, hypervigilance, and avoidance of driving for 2 weeks.
The most appropriate diagnosis to consider is:

Accepted Answer

Acute Stress Disorder

Answer

PTSD

Answer

Adjustment Disorder

Answer

Specific Phobia

Question 2

Which of the following is an example of a negative symptom of schizophrenia?

Accepted Answer

Alogia

Answer

Auditory hallucinations

Answer

Grandiose delusions

Answer

Disorganized speech

Question 3

A social worker is assessing an elderly client for cognitive impairment. The Mini-Mental State Examination (MMSE) is administered. Which domain is NOT assessed by the MMSE?

Accepted Answer

Abstract reasoning and executive function

Answer

Orientation to time and place

Answer

Short-term memory recall

Answer

Language and writing

Question 4

A client describes episodes of unexpected intense fear lasting about 10 minutes with heart pounding, sweating, and fear of dying, occurring twice in the past month. Between episodes they worry constantly about having another one. This best describes:

Accepted Answer

Panic Disorder

Answer

Generalized Anxiety Disorder

Answer

Social Anxiety Disorder

Answer

Agoraphobia

Question 5

When using the Columbia Suicide Severity Rating Scale (C-SSRS), which item most specifically indicates HIGH acute risk?

Accepted Answer

Active ideation with intent and a specific plan

Answer

Passive suicidal ideation without intent or plan

Answer

History of a single low-lethality attempt more than 5 years ago

Answer

Verbal reports of hopelessness without ideation

Question 6

A social worker is assessing a client who recently immigrated and notes that the client's described experiences of spiritual visitations may reflect cultural beliefs rather than psychotic symptoms. This consideration is an example of:

Accepted Answer

Cultural formulation and differential diagnosis

Answer

Countertransference management

Answer

Diagnostic overshadowing

Answer

Confirmatory bias

Question 7

Which DSM-5 disorder is characterized by recurrent episodes of binge eating without compensatory purging behaviors, occurring at least once a week for 3 months?

Accepted Answer

Binge Eating Disorder

Answer

Bulimia Nervosa

Answer

Purging Disorder

Answer

Other Specified Feeding or Eating Disorder