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

The DSM-5 replaced the GAF with the WHODAS 2.0 as its recommended measure of disability and overall functioning.

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

OCD is characterized by obsessions (intrusive contamination thoughts) and compulsions (hand-washing) causing significant time loss and distress.

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

Schizophrenia requires two or more active-phase symptoms lasting at least 6 months; this client meets criteria with 7 months of symptoms.

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

DSM-5 requires ADHD symptoms to be present in two or more settings; symptoms only at school do not meet this cross-situational criterion.

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

The MSE systematically evaluates appearance, behavior, speech, mood, affect, thought process, cognition, insight, and judgment at the time of assessment.

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE Intake, Assessment, and Diagnosis 4