NCE Diagnosis and Psychopathology 3

Question 1

Which of the following is a hallmark symptom of Obsessive-Compulsive Disorder (OCD) that distinguishes it from GAD?

Accepted Answer

Intrusive, ego-dystonic obsessions followed by compulsions to neutralize anxiety

Answer

Excessive worry about multiple life domains

Answer

Avoidance of feared situations

Answer

Physical symptoms of arousal including muscle tension

Question 2

ADHD can be diagnosed in adults under the DSM-5. Which is a key requirement for adult ADHD diagnosis?

Accepted Answer

At least 5 inattentive or hyperactive-impulsive symptoms persisting with evidence of onset before age 12

Answer

Symptoms must have first appeared after age 18

Answer

A neuropsychological assessment confirming brain abnormality

Answer

Symptoms must be present in at least three settings

Question 3

A client reports seeing flashes of light and feeling detached from their body following a serious car accident 2 weeks ago. They also have nightmares, startle easily, and avoid driving. The MOST appropriate diagnosis at this time is:

Accepted Answer

Acute Stress Disorder

Answer

PTSD

Answer

Major Depressive Disorder

Answer

Depersonalization/Derealization Disorder

Question 4

Which of the following is TRUE about the relationship between substance use disorders and mental health disorders?

Accepted Answer

Comorbidity is common and bidirectional -- each can exacerbate the other

Answer

Substance use disorders are always primary and cause secondary mental health disorders

Answer

Mental health disorders always cause substance use disorders through self-medication

Answer

HIPAA prohibits treating both disorders simultaneously in a counseling setting

Question 5

A counselor assesses a client using the Columbia Suicide Severity Rating Scale (C-SSRS). What is the PRIMARY purpose of this tool?

Accepted Answer

To systematically assess the intensity and lethality of suicidal ideation and behavior

Answer

To diagnose a specific depressive disorder

Answer

To measure the impact of self-harm behaviors on quality of life

Answer

To screen for psychotic symptoms that may accompany suicidal crises

Question 6

Which DSM-5 Cluster correctly groups Paranoid, Schizoid, and Schizotypal personality disorders?

Accepted Answer

Cluster A (odd or eccentric)

Answer

Cluster B (dramatic, emotional, or erratic)

Answer

Cluster C (anxious or fearful)

Answer

Cluster D (thought-disordered)