Diagnosis and Treatment Planning Midterm questions
with correct answers
Diagnosis Formula Correct Answer-Symptoms, Culture/Context, Time
and Duration, Impairment/Functioning
How long did it take for the DSM V to be developed ? Correct Answer-
19 years and was created by the American Psychological Association
DSM IV five axis system Correct Answer-Axis I
Disorders that required clinical attention
Axis II
Pervasive disorders that were considered to last for a lifetime
(Personality disorders and developmental disorders)
Axis III
General Medical Conditions that would impact mental health
Axis IV
Psychosocial/environmental problems (Homelessness, lack of access to
medical and mental health care, poverty, unemployment )
v. Global Assessment of Functioning (GAF) score
1-100. Anything below a 40 or 50 is concerning.
GAF score was removed due to lack of inter-rater reliability
Which of the following was NOT one of the 8 common headings found
for each diagnosis entry in the DSM-5
,a. Treatment methodologies
b. cultural and gender issues
c. differential diagnosis
d. prevalence Correct Answer-a. treatment methodologies
Eight common headings for each diagnosis entry in the DSM-5 Correct
Answer-1. Diagnostic criteria
2. Specifiers (level 1, 2,3, / mild, moderate, severe
3. Diagnostic features ("The essential feature....)
4. Prevalence % who usually gets diagnosed with this disorder
5. Development and course
i. How does this typically happen
1) Starts in childhood and adolescence
2) Picture of diagnosis
6. Cultural/gender issues
7. Differential diagnosis
i. List of other disorders that might fit
ii. Need to understand if the story can be explained by another
diagnosis.
iii. PTSD and GAD are often mixed up.
8. Comorbidity
i. Other common diagnosis accompanies the current diagnosis
ii. For PTSD substance abuse often is a comorbid disorder.
,New structure for DSM-5 Correct Answer-To create a problem list
Comorbidity in diagnosis refers to? Correct Answer-common diagnoses
that could possibly accompany the current diagnosis.
ACA Ethical Guidelines discussed in class related to the diagnostic
process Correct Answer-Section E.S.A.
1) You have the responsibility to give someone the proper diagnosis
Section E.5.B
1) Have to be culturally sensitive in giving a diagnosis.
2) White male bias in what is considered "normal"
E.5.C
1) Historical prejudices in diagnosis.
E.5.D
1) Have to have the least restrictive diagnosis
a) Shouldn't give someone a diagnosis that is incorrect because you
would like to hurt them.
The ICD-10 codes were created by which of the following
organizations? Correct Answer-The World Health Organization
Medical Model Correct Answer-1) Talk about patients and curing
2) Diagnosing and treatment in terms of an event
a) Linear
, 3) Helper is the expert
4) Answers are outside the patient
5) Standard treatments
6) Use objective data
7) Absolute truth
Coping Model Correct Answer-1) Clients and coping
2) Diagnosing, treatment, helping cope better if not the situation is
recycled
a) Circular
3) Helper has an egalitarian relationship with patient in which the
answers are within the client.
4) Unique treatments that meet individual's needs.
5) Clients truth
Five Steps for Treatment Correct Answer-Step 1 Biopsychosocial
process (Initiate, first contact, assess)
1) Don't practice outside of their scope in discussing medications or
medical diagnosis and refer to their physician
2) Need to understand if the client met their developmental milestones.
3) AOX4
a) Alert to person, place, time, and purpose
Step 2 Preliminary diagnosis (working or active)
Step 3 treatment planning
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