MFT Assessment and Diagnosis 5

Question 1

A client endorses recurrent, intrusive thoughts about contamination that are ego-dystonic and tries to suppress them through repetitive hand-washing. The DSM-5 diagnosis is:

Accepted Answer

Obsessive-Compulsive Disorder

Answer

OCD is characterized by ego-dystonic obsessions (unwanted intrusive thoughts) and compulsions (repetitive behaviors to neutralize distress), distinguishing it from OCPD.

Question 2

Which of the following BEST characterizes the difference between a delusion and an overvalued idea?

Accepted Answer

Overvalued ideas are held with some doubt; delusions are held with absolute certainty

Answer

A key distinction is that overvalued ideas are strongly held beliefs that admit some doubt, while delusions are fixed, false beliefs held with unshakeable certainty.

Question 3

During intake, a client's spouse reports that the client's mood has been 'all over the place' — cycling from very high energy to depressed within a single week, occurring regularly. This pattern is consistent with which DSM-5 specifier?

Accepted Answer

With rapid cycling

Answer

Rapid cycling specifier applies when there are 4 or more mood episodes (manic, hypomanic, or depressive) within a 12-month period.

Question 4

A family genogram that marks a family member with a square containing an 'X' indicates:

Accepted Answer

A deceased male family member

Answer

In standard genogram notation, an 'X' through a symbol indicates the person is deceased; a square denotes male gender.

Question 5

Which of the following criteria distinguishes Acute Stress Disorder from PTSD in the DSM-5?

Accepted Answer

Acute Stress Disorder symptoms occur within 1 month and last 3 days to 1 month post-trauma

Answer

Acute Stress Disorder is diagnosed when trauma-related symptoms emerge within 1 month of the trauma and last between 3 days and 1 month; beyond that, PTSD is considered.

MFT Exam Practice Test

MFT Exam Practice Test

MFT Assessment and Diagnosis 5