DULCAN’S TEXTBOOK OF CHILD AND ADOLESCENT PSYCHIATRY TEST BANK ALL CHAPTERS

DULCAN’S TEXTBOOK OF CHILD AND ADOLESCENT PSYCHIATRY TEST BANK ALL CHAPTERS. C h a p t e r 2 Assessing the Preschool-Age Child Select the single best response for each QUIZ. 2.1 The significant developmental differences between preschool- and school-age children require a tailored approach to obtaining a history and mental status exam. Which of the following principles should be kept in mind when evaluating a preschool-age child? A. The most meaningful evaluation occurs when the child is evaluated without the primary caregiver. B. The mental status examination should be conducted in the context of play. C. The preschooler should be evaluated in one session to avoid conflicting results. D. It is desirable to include only the primary caregiver when evaluating the child. E. All of the above. 2.2 The Washington University School of Medicine Infant/Preschool Mental Health (WUSM IPMH) clinic uses a standardized format for evaluating preschool-age children. Which of the following statements correctly describes this evaluation? A. The assessment is conducted in one 3-hour session. B. Free play is observed with the primary caregiver. C. A semistructured observation with secondary caregivers is included. D. Emotional, psychological, family, and developmental history is obtained only from the mother. E. None of the above. 2.3 Which of the following actions should be taken by parents to prepare their preschooler for the play evaluation? A. Parents should provide honest information to the child about the purpose of the evaluation. B. Parents should not disclose to their child that they have already met with the examiner. C. Parents should avoid discussing with the child that the examination will involve play. D. It is best to inform the child about the examination over several days to a week so he/she may ask QUIZs. E. Parents should not prepare their child for the examination. 2.4 Which of the following statements regarding conduct of the free-play assessment with the preschooler is true? A. A brief separation between the parent and child midway through the free-play session is useful. B. The clinician should avoid disclosing to the child what was learned about his or her problems from the meeting with the parents. C. When the parent asks QUIZs of the therapist during the play session, the therapist should freely answer the QUIZs in order to reduce the parents’ anxiety. CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED D. The examiner should not respond to the child’s bids to engage in play. E. All of the above. 2.5 Several standardized semistructured interviews may be useful in the dyadic assessment of parent and child. Which of the following are characteristics of the Parent-Child Early Relational Assessment (PCERA)? A. The parent blows bubbles to elicit affect from the child. B. Tasks of escalating difficulty are performed by the child and parent and videotaped for further review. C. The parent and child perform a structured task in which block designs are made from sample cards. D. None of the above. E. All of the above. 18 | CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED C h a p t e r 3 Assessing the Elementary School–Age Child Select the single best response for each QUIZ. 3.1 The key developmental milestones for the school-age child are related to A. Separation and individuation. B. Initiation and rapprochement. C. Object constancy and individual consolidation. D. Peer identity and social identity formation. E. Intimacy and generativity. 3.2 Which of the following is key to a successful evaluation? A. Seeing the child first. B. Seeing the parent(s) first. C. Seeing the child and parent(s) together. D. Seeing the referral professional first. E. Establishing a collaborative relationship between the clinician and the child and his or her family. 3.3 Key procedural information that should be covered in the first evaluation session includes all of the following except A. Office/departmental procedures. B. Plan/process of the evaluation. C. Communication with school. D. Confidentiality. E. Safety plans. 3.4 For the clinician, appropriate steps in the evaluation of a child whose parents are divorced include all of the following except A. Attempt to include both parents in gathering information. B. Agree to complete a custody evaluation. C. Clarify which parent has primary custody and request a copy of the custody agreement. D. Clarify health insurance responsibility. E. Clarify the role of the clinician. 3.5 Common presenting problems in school-age children include all of the following except CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED A. Sexualized behavior. B. Academic difficulties. C. Peer difficulties. D. School refusal. E. Social anxiety. 20 | CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED C h a p t e r 4 Assessing Adolescents Select the single best response for each QUIZ. 4.1 Which of the following statements concerning the assessment of adolescents is true? A. Because mothers and fathers may have divergent views about the adolescent’s problems, only one parent should be interviewed. B. Involve as few informants as possible in collecting information to minimize conflicting opinions. C. Understanding how the adolescent was referred for treatment is not important. D. Prior medical records from primary care physicians should be obtained as part of the assessment. E. Data from rating scales or psychological testing are rarely helpful in establishing the correct diagnosis. 4.2 In the initial assessment of an adolescent, which of the following strategies is usually most productive? A. Interview one parent, then the adolescent, then the other parent. B. Interview the adolescent alone first, then the parent or parents. C. Interview both parents, then the adolescent. D. Interview the parents together with the adolescent. E. None of the above. 4.3 What information obtained from adolescents should be shared with the parents? A. All details obtained from the adolescent should be shared with the parents. B. No information obtained from the adolescent should be shared with the parents. C. Safety issues involving the adolescent, such as suicidal behavior, should be shared with the parents. D. None of the above. E. All of the above. 4.4 An evidence-based approach that has been successfully used for interviewing adolescents is A. Psychodynamic interviewing. B. Dialectical behavioral interviewing. C. Cognitive-behavioral interviewing. D. Interpersonal interviewing. E. Motivational interviewing. 4.5 Goals for the initial parent interview include all of the following except A. Data collection. CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED B. Sharing differential diagnostic possibilities. C. Understanding the parent’s point of view. D. Establishing a relationship with the parents. E. None of the above. 4.6 A respondent-based interview that is highly structured and designed to be administered by trained lay interviewers is A. Diagnostic Interview Schedule for Children, Version IV (DISC-IV). B. Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS). C. Child Adolescent Psychiatric Assessment (CAPA). D. Child Behavior Checklist (CBCL). E. Behavior Assessment System for Children (BASC). 22 | CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED C h a p t e r 5 Classification of Psychiatric Disorders Select the single best response for each QUIZ. 5.1 DSM-I (American Psychiatric Association 1952) categories relating specifically to childhood or adolescence included all of the following except A. Chronic brain syndrome associated with birth trauma. B. Schizophrenia reaction, childhood type. C. Special symptom reactions such as learning disturbance, enuresis, and somnambulism. D. Adjustment reactions. E. Hyperkinetic reaction of childhood. 5.2 All of the following statements regarding DSM-II (American Psychiatric Association 1968) are correct except A. It was intended to coincide with the International Classification of Diseases, 8th Revision (ICD-8). B. The developers tried to avoid terms that implied either the nature of a disorder or its cause. C. It reflected the growing importance of biological theories and research findings. D. It emphasized psychoanalytic theory. E. Descriptive phenomenology assumed a larger role. 5.3 All of the following statements regarding DSM-III (American Psychiatric Association 1980) are correct except A. It was highly controversial when introduced. B. Assumed etiology was included for most disorders. C. It was modeled on the Feighner criteria. D. It provided specific phenomenological diagnostic criteria for each disorder, in contrast to the global clinical impression of DSM-IV (American Psychiatric Association 1994). E. Each diagnosis had inclusion and exclusion criteria, and a five-part multiaxial system was introduced. 5.4 All of the following statements about DSM-IV (American Psychiatric Association 1994) are correct except A. It was a reconceptualization of its predecessor. B. There was greater coordination and agreement with the ICD development process. C. For most DSM-IV disorders, a single criteria set was provided that applies to children, adolescents, and adults. CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED D. A number of disorders were moved from Axis II to Axis I, and only personality disorders and mental retardation remained on Axis II. E. The category ―attention-deficit and disruptive behavior disorders‖ replaced the DSM-III-R (American Psychiatric Association 1987) category of disruptive behavior disorders. 24 | CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED 5.5 Other diagnostic systems have been developed for populations of patients or professionals who have not been well served by either the DSM or ICD models. All of the following statements are correct except A. The Diagnostic and Statistical Manual for Primary Care (DSM-PC) was developed collaboratively by the American Academy of Pediatrics and the American Psychiatric Association. B. DSM-PC was designed to be used by pediatricians and faculty physicians to classify emotional and behavioral problems. C. DSM-PC includes a simplified single cluster approach. D. The Diagnostic Classification on Infancy and Early Childhood (DC:0–3) was revised in 2005. E. The goals of DC:0–3 were to increase the recognition of mental health and developmental challenges in young children. CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED C h a p t e r 6 The Process of Assessment and Diagnosis Select the single best response for each QUIZ. 6.1 Child assessment differs from adult assessment in a number of ways. Which of the following describes aspects of the child assessment that are different from the adult assessment? A. Multiple sources constitute the field for data collection with children. B. Child assessments frequently require information from the school. C. For younger children, verbal communication is much less important than play. D. Children rarely seek out an evaluation. E. All of the above. 6.2 In conducting the parent interview, clinicians should not A. Request information about the child’s interests, activities, or strengths. B. Ask what preparation the parents have given the child for the evaluation. C. Ask parents for their understanding of the problem. D. Explain that the evaluation will invariably lead to treatment by the clinician. E. Discuss confidentiality of sessions between the child and the clinician. 6.3 Which of the following is the most important source of an outside report the clinicians should obtain (with permission) when assessing a child? A. Friends. B. Teachers. C. Siblings. D. Noncaregiving relatives. E. Group activities. 6.4 In constructing a case formulation, Ebert et al. (2000) suggested that the clinician examine child and family factors along a time axis and categorize them as predisposing, precipitating, perpetuating, or prognostic. According to this approach, parents going through a divorce would be considered what type of factor? A. Predisposing. B. Precipitating. C. Perpetuating. D. Prognostic. E. None of the above. CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED 6.5 The major purpose of the parental feedback interview is A. To develop a concrete treatment plan to help their child. B. To gather additional information about the relationship between the child and parents. C. To test hypotheses concerning the case formulation. D. To inform the parents and child what has been found and what the clinician would recommend to address the issues that led to the assessment. E. To provide referral sources to the parents for either further assessment or treatment of their child. 26 | CHILD AND ADOLESCENT PSYCHIATRY STUDY GUIDE 2023 UPDATED C h a p t e r 7 Diagnostic Interviews Select the single best response for each QUIZ. 7.1 The process of making a psychiatric diagnosis is fraught with numerous potential biases. Which of the following clinician practices is least likely to result in a biased diagnosis? A. Making diagnoses before all relevant information is collected. B. Collecting information selectively. C. Neglecting to be systematic in collecting and/or organizing information. D. Preventing the clinician’s particular expertise from influencing diagnosis assignment. E. Assuming correlation between symptoms and illness. 7.2 Various diagnostic tools have been developed to enhance the reliability of the information gathered and the diag-nosis assignment. Which of the following statements is false? A. Clinicians and researchers commonly use diagnostic interviews and QUIZnaires. B. Patients, parents, and teachers usually complete QUIZnaires. C. Structured diagnostic interviews are primarily used by clinicians in daily clinical practice. D. The instruments vary as to whether they are administered by clinicians or trained nonclinical interviewers. E. Structured interviews specific for children and adolescents have been developed. 7.3 The term face validity refers to A. How well a category as defined appears to describe a recognized illness. B. How well the category predicts a pertinent aspect of care, such as treatment needs or prognosis. C. Whether the category has meaning in terms of what it is designed to describe. D. How often different interviews assign the same diagnosis. E. How consistently respondents report the same symptoms over time. 7.4 ―The percentage of individuals in a sample who do not have the disorder and are accurately identified by the interview as not having the disorder‖ defines which of the following terms? A. Sensitivity. B. Specificity. C. Predictive value positive. D. Predictive value negative. E. None of the above