NCE Diagnosis and Psychopathology

Question 1

According to the DSM-5, which of the following is a key distinguishing feature between Major Depressive Disorder (MDD) and Persistent Depressive Disorder (Dysthymia)?

Accepted Answer

MDD episodes last at least 2 weeks; Dysthymia involves persistent low mood for at least 2 years

Answer

MDD is characterized by discrete episodes lasting at least 2 weeks with 5+ symptoms, while Persistent Depressive Disorder (Dysthymia) involves chronic, lower-level depressed mood for at least 2 years (1 year in children).

Question 2

A client reports hearing voices telling them they are chosen by God, believing they have special powers, going 4 days without sleep, and feeling on top of the world. Which DSM-5 diagnosis is MOST likely?

Accepted Answer

Bipolar I Disorder, Manic Episode

Answer

The combination of elevated/expansive mood, grandiosity, decreased need for sleep, and psychotic features (auditory hallucinations) describes a manic episode, which is the defining feature of Bipolar I Disorder.

Question 3

Which of the following BEST differentiates Generalized Anxiety Disorder (GAD) from normal worry?

Accepted Answer

GAD involves excessive, uncontrollable worry that causes significant impairment across multiple domains

Answer

GAD is distinguished from normal worry by its excessive nature, the difficulty controlling it, its pervasiveness across multiple life domains, and the significant distress or impairment it causes.

Question 4

A counselor uses the CAGE screening tool with a client. What substance use concern does CAGE primarily screen for?

Accepted Answer

Alcohol use disorder

Answer

The CAGE questionnaire is a 4-item brief screening tool specifically developed to identify potential alcohol use disorder. Two or more 'yes' responses suggest problematic alcohol use requiring further assessment.

Question 5

The essential feature of Somatic Symptom Disorder (SSD) in the DSM-5 is:

Accepted Answer

One or more distressing somatic symptoms accompanied by excessive thoughts, feelings, or behaviors related to those symptoms

Answer

DSM-5 SSD is defined by distressing somatic symptoms plus disproportionate thoughts, feelings (health anxiety), or behaviors related to those symptoms -- regardless of whether the symptoms have a medical explanation.

NCE Exam Practice Test

NCE Exam Practice Test

NCE Diagnosis and Psychopathology