TCC Texas Counselor Evaluation & Diagnosis 3

Question 1

A school counselor in Texas evaluates a 10-year-old who has shown inattention and hyperactivity across home and school for 8 months. Per DSM-5, which duration criterion must be met for an ADHD diagnosis?

Accepted Answer

6 months

Answer

DSM-5 requires that ADHD symptoms persist for at least 6 months across multiple settings.

Question 2

Which standardized instrument is most appropriate for assessing trauma-related symptoms in adults consistent with PTSD criteria?

Accepted Answer

PCL-5

Answer

The PTSD Checklist for DSM-5 (PCL-5) is specifically designed to assess the severity of PTSD symptoms aligned with DSM-5 criteria.

Question 3

During a clinical interview, a counselor discovers a client's grandiosity, decreased need for sleep, and reckless spending have persisted for 5 days. This symptom cluster best supports a diagnosis of:

Accepted Answer

Manic Episode

Answer

A Manic Episode requires elevated or expansive mood with associated symptoms lasting at least 7 days, but hospitalization or marked impairment can qualify at any duration; 5 days with severity suggests mania rather than hypomania.

Question 4

A Texas counselor uses the Columbia Suicide Severity Rating Scale (C-SSRS). What does this tool primarily assess?

Accepted Answer

The nature and intensity of suicidal ideation and behavior

Answer

The C-SSRS is a validated scale that assesses the intensity of suicidal ideation and documents suicide-related behaviors.

Question 5

A client reports hearing voices that comment on her actions and believes her thoughts are being broadcast on television. In the mental status exam, these are recorded respectively as:

Accepted Answer

Auditory hallucination and delusion of reference

Answer

Commenting voices are auditory hallucinations, and the belief that one's thoughts are broadcast is a delusion of reference.

(TCC) Texas Counselor Certification Practice Test

(TCC) Texas Counselor Certification Practice Test

TCC Texas Counselor Evaluation & Diagnosis 3