NCMHCE Intake, Assessment, and Diagnosis 3

Question 1

A counselor uses the PHQ-9 during intake. A client scores 18. This score indicates:

Accepted Answer

Moderately severe depression

Answer

Minimal depression

Answer

Moderate depression

Answer

Severe depression

Question 2

During intake, a client discloses ongoing domestic violence at home. The counselor's FIRST clinical obligation is to:

Accepted Answer

Assess the client's immediate safety

Answer

Contact law enforcement immediately

Answer

File a mandatory abuse report

Answer

Refer the client to a shelter

Question 3

Which of the following is NOT a specifier used with Major Depressive Disorder in the DSM-5?

Accepted Answer

With rapid cycling

Answer

With melancholic features

Answer

With psychotic features

Answer

With anxious distress

Question 4

A client presents with a 2-year history of depressed mood more days than not, accompanied by poor concentration and low self-esteem. No Major Depressive Episodes are identified. The MOST likely diagnosis is:

Accepted Answer

Persistent Depressive Disorder (Dysthymia)

Answer

Major Depressive Disorder, recurrent

Answer

Cyclothymic Disorder

Answer

Adjustment Disorder with Depressed Mood

Question 5

Which screening tool is MOST appropriate for initial assessment of alcohol use disorder severity?

Accepted Answer

CAGE questionnaire

Answer

Beck Depression Inventory

Answer

Columbia Suicide Severity Rating Scale

Answer

GAD-7

Question 6

A client reports that for the past 5 months they have felt 'on top of the world,' needed only 3 hours of sleep, spent $40,000 impulsively, and started three businesses. This pattern MOST suggests:

Accepted Answer

Manic episode

Answer

Hypomanic episode

Answer

Major Depressive Episode with mixed features

Answer

Cyclothymic Disorder

Question 7

In a clinical intake with a refugee client, the counselor observes culturally specific expressions of distress unfamiliar in Western diagnostic frameworks. The counselor should FIRST:

Accepted Answer

Consult the DSM-5 Cultural Formulation Interview (CFI)

Answer

Apply DSM-5 criteria strictly without modification

Answer

Refer the client to a cultural specialist

Answer

Document the presentation as 'unspecified'