NCMHCE Intake, Assessment, and Diagnosis 4

Question 1

A counselor completes a clinical intake and must document the client's overall level of functioning. Which DSM-5 tool is used for this purpose?

Accepted Answer

World Health Organization Disability Assessment Schedule (WHODAS 2.0)

Answer

Global Assessment of Functioning (GAF)

Answer

Hamilton Anxiety Rating Scale

Answer

Psychiatric Status Rating Scales

Question 2

A client presents with recurring, intrusive thoughts about contamination and spends 4 hours daily washing hands. Which DSM-5 diagnosis is MOST appropriate?

Accepted Answer

Obsessive-Compulsive Disorder

Answer

Generalized Anxiety Disorder

Answer

Illness Anxiety Disorder

Answer

Somatic Symptom Disorder

Question 3

During an intake, a client endorses auditory hallucinations, disorganized speech, and flat affect for the past 7 months. No mood episodes are identified. The MOST appropriate diagnosis is:

Accepted Answer

Schizophrenia

Answer

Schizoaffective Disorder

Answer

Schizophreniform Disorder

Answer

Brief Psychotic Disorder

Question 4

A school counselor assesses a 9-year-old who has been inattentive and hyperactive at school for 8 months but shows no symptoms at home. Which DSM-5 criterion is NOT met for ADHD?

Accepted Answer

Symptoms present in two or more settings

Answer

Symptom onset before age 12

Answer

Duration of at least 6 months

Answer

Several symptoms causing impairment

Question 5

Which of the following BEST describes the purpose of a mental status examination (MSE)?

Accepted Answer

To provide a structured assessment of current psychological functioning

Answer

To determine a client's insurance eligibility

Answer

To replace the clinical diagnostic interview

Answer

To establish a long-term treatment plan

Question 6

A client describes recurrent unexpected panic attacks and persistent worry about having more attacks for 6 months, leading to avoidance of public places. The MOST accurate diagnosis is:

Accepted Answer

Panic Disorder with Agoraphobia

Answer

Specific Phobia

Answer

Social Anxiety Disorder

Answer

Generalized Anxiety Disorder

Question 7

During intake, a client presents with symptoms after a traumatic car accident 6 weeks ago, including nightmares, hypervigilance, and avoidance of driving. The counselor should FIRST consider:

Accepted Answer

PTSD, as the 1-month threshold is met

Answer

Acute Stress Disorder, which occurs within 1 month of trauma

Answer

Adjustment Disorder, given the recent stressor

Answer

Specific Phobia to driving