NCMHCE Intake, Assessment, and Diagnosis 2

Question 1

A client reports persistent sadness, loss of interest, weight gain, hypersomnia, and fatigue for 8 weeks. Which DSM-5 diagnosis is MOST appropriate?

Accepted Answer

Major Depressive Disorder

Answer

Persistent Depressive Disorder

Answer

Bipolar II Disorder, Depressive Episode

Answer

Adjustment Disorder with Depressed Mood

Question 2

During a mental status exam, a client jumps rapidly from topic to topic with no logical connection. This is BEST described as:

Accepted Answer

Loosening of associations

Answer

Tangential thinking

Answer

Flight of ideas

Answer

Circumstantial thinking

Question 3

Which structured diagnostic interview is specifically designed to assess DSM-5 criteria across major mental health disorders in adult outpatient settings?

Accepted Answer

Structured Clinical Interview for DSM-5 (SCID-5)

Answer

Beck Anxiety Inventory (BAI)

Answer

Hamilton Rating Scale for Depression

Answer

Minnesota Multiphasic Personality Inventory (MMPI-2)

Question 4

A counselor notices a client's affect is dramatically exaggerated and rapidly shifting during intake. This presentation is BEST described as:

Accepted Answer

Labile affect

Answer

Blunted affect

Answer

Flat affect

Answer

Restricted affect

Question 5

A 17-year-old client is brought in by parents. The client refuses to speak and the parents report the client has been arrested twice for theft. The counselor suspects Conduct Disorder. Which additional criterion is essential for this diagnosis?

Accepted Answer

Behavior must violate the rights of others or societal norms

Answer

Symptoms must be present for at least 6 months

Answer

Onset must occur before age 15

Answer

The client must show remorse for actions

Question 6

Which of the following BEST represents a biopsychosocial model component during intake assessment?

Accepted Answer

Exploring family history, current stressors, and medical conditions together

Answer

Administering only standardized psychological tests

Answer

Focusing exclusively on presenting symptoms

Answer

Reviewing insurance coverage and treatment history

Question 7

A client describes feeling detached from their body, as if watching themselves from outside. This experience is BEST described as:

Accepted Answer

Depersonalization

Answer

Derealization

Answer

Dissociative amnesia

Answer

Dissociative fugue