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

OCD is characterized by ego-dystonic obsessions (unwanted, intrusive thoughts recognized as products of one's own mind) followed by compulsions (repetitive behaviors or mental acts) to reduce anxiety. This distinguishes it from GAD's ego-syntonic worry.

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

DSM-5 requires that ADHD symptoms in adults meet a reduced threshold of 5+ symptoms (vs. 6+ for children) in either inattention or hyperactivity-impulsivity, with evidence that symptoms were present before age 12.

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

Acute Stress Disorder (ASD) describes trauma symptoms occurring between 3 days and 4 weeks after a traumatic event. Beyond 4 weeks, if symptoms persist, the diagnosis shifts to PTSD. The symptoms described are consistent with ASD.

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

Research consistently shows high rates of comorbidity between substance use disorders and mental health disorders (co-occurring disorders). The relationship is bidirectional and complex -- neither consistently causes the other, and each can worsen the other.

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

The C-SSRS is a standardized suicide risk assessment tool that measures suicidal ideation (from passive to active with plan/intent) and suicidal behavior (from preparatory acts to attempts), helping counselors make evidence-informed safety decisions.

NCE Exam Practice Test

NCE Exam Practice Test

NCE Diagnosis and Psychopathology 3