Deck 13: Clinical and Counseling Assessment

Question 1

DSM-5 departed from the tradition set by previous versions of the diagnostic manual because it

A) expanded the criteria for a diagnosis of paranoid schizophrenia.
B) used Arabic numbers not Roman numerals to designate its version number.
C) employed committees of psychiatric social workers to contribute to its development.
D) added to the manual a new disorder called binge-consumption disorder.

Answer 1

B

Question 2

The DSM-5 contains a listing of

A) disorders not officially named.
B) treatment options for most disorders.
C) disorders common to ethnic groups.
D) state-sponsored treatment resources.

Answer 2

A

Question 3

To a seasoned clinician,a patient's DSM-5 diagnosis instantly conveys information about

A) an individual's behavior, cognition, and emotion.
B) how problematic a psychiatric disorder may be.
C) how responsive to intervention the disorder is likely to be.
D) All of these.

Answer 3

D

Question 4

In _____,the American Psychiatric Association de-listed homosexuality as a psychiatric disorder.

A) 1970
B) 1971
C) 1972
D) 1973

Question 5

Charges of elder abuse and elder neglect are typically levied against

A) the spouse of the abused or neglected person.
B) one who has something to gain from the further disabling of the abused or neglected person.
C) life insurance salespeople and investment counselors.
D) one who stands in a position of trust with respect to the abused or neglected person.

Question 6

It is a fact that

A) there has been no controversy about DSM-5.
B) there has been no shortage of controversy about DSM-5.
C) the greatest controversy to date concerns the blueprinting of DSM-5.1.
D) the Chair of the Planning Committee for DSM-5.1 resigned in protest.

Question 7

Osborn et al.(2016)researched the ____ of anxiety in patients who had suffered traumatic brain injury.

A) incidence
B) prevalence
C) occurrence
D) severity

Question 8

"A culturally informed understanding of what is and is not abnormal can have profound consequences for society-at-large." This statement from the textbook was elaborated on with reference to

A) varieties of bereavement.
B) the CFI.
C) homosexuality.
D) biopsychosocial assessment.

Question 9

Controversial changes in the DSM-5 included

A) the de-listing of schizophrenia as a mental disorder.
B) the listing of grief from loss as a mental disorder.
C) the inclusion of cultural and sub-cultural terminology.
D) All of these.

Question 10

Which of the following should raise a red flag regarding the existence of elder abuse?

A) an unexpected change in physical health or appearance
B) a change in communication habits
C) suspicious discrepancies in accounts given by elders and their caregivers
D) All of these.

Question 11

Knowledge of the incidence and prevalence of certain disorders can

A) influence the priorities of researchers
B) inform policies of health insurance companies
C) guide the plans of pharmaceutical manufacturers
D) all of these

Question 12

The American Psychiatric Association's de-listing of homosexuality as a psychiatric disorder was the result of

A) political lobbying.
B) new scientific evidence.
C) the formulation of new theory.
D) All of these

Question 13

Dr.Ronald Jay Cohen's vignette about the Bellevue outpatient who took prescription medication during a therapy session was presented as a cautionary tale regarding

A) suicide.
B) homicide.
C) drug abuse.
D) patient insight.

Question 14

Which is true about the vignette Dr.Ronald Jay Cohen presented about the Bellevue outpatient who took prescription medication during a therapy session?

A) Dr. Cohen turned out to be right in the end.
B) the supervisor turned out to be right in the end.
C) the patient turned out to be right in the end.
D) the patient's wife turned out to be right in the end.

Question 15

Dr.Neil Aggarwal was cited in Chapter 13 of your textbook because he

A) was a co-author of the CFI.
B) is a user of the CFI.
C) questioned the reliability of the CFI.
D) introduced the CFI to the World Health Organization.

Question 16

Which is not a form of elder abuse mentioned in your textbook?

A) sexual abuse
B) financial abuse
C) online abuse
D) Neither sexual abuse nor financial abuse are mentioned in the textbook.

Question 17

Like the DSM-5,the _____ is a diagnostic classification system.

A) DMI-5
B) ICD-10
C) PSY-7
D) DCM-12

Question 18

The DSM-5 is more culturally sensitive than any of its predecessors.Which is NOT a reason why?

A) the DSM-5 contains a discussion of cultural formulation.
B) the DSM-5 suggests that a Cultural Formulation Interview be conducted with clients.
C) the DSM-5 contains an 18-item Cultural Competence Test.
D) the DSM-5 contains a section which lists cultural concepts of distress.

Question 19

Applying the definition in your textbook,which of the following is a statement regarding incidence?

A) the proportion of people diagnosed with depression who are also diagnosed with a physical illness.
B) the proportion of people diagnosed with a physical illness who will develop depression.
C) the annual occurrence of suicide among people diagnosed with depression.
D) the number of clinical trials needed for a specific intervention to show efficacy.

Question 20

Which psychometric concept is cited in Chapter 13 of your textbook to emphasize that two diagnosticians using the same diagnostic manual and procedures should come to the same diagnosis when presented with the same patient?

A) inter-rater reliability
B) inter-rater validity
C) concurrent validity
D) internal consistency reliability

Question 21

Working in the country of ________,Liliana Sousa and her colleagues developed a measure of financial competency.

A) Columbia
B) Portugal
C) Brazil
D) Puerto Rico

Question 22

According to Dr.Stephen Finn,therapeutic assessment typically ends

A) with the termination of the client from therapy.
B) when the client has achieved a "modicum of insight."
C) with a discussion of test scores and "next steps."
D) when the client can no longer afford it.

Question 23

Dr.Stephen Finn characterized psychological tests as "empathy magnifiers," meaning that

A) test enlarge the "world of psychology" for clients.
B) test data place clients' focus on bigger problems.
C) test data can make "molehills out of mountains."
D) tests allow evaluators to "get into their clients' shoes."

Question 24

Interpretation of interview,test,or other suicidal assessment data by a clinician may result

A) the signing of a "no suicide" agreement by the patient.
B) the initiation of therapy that is focused on reducing and eliminating the risk of suicide.
C) the immediate placement of the patient in an inpatient therapeutic facility.
D) All of these.

Question 25

Which of the following is not a sign of possible suicidal intent on the part of a patient?

A) the patient talks about committing suicide.
B) the patient has a detailed plan for committing suicide.
C) the patient has attempted suicide in the past.
D) the patient's family member committed suicide.

Question 26

In the Chapter 13 Meet an Assessment Professional,Dr.Stephen Finn characterized clients as

A) "co-experimenters."
B) "co-therapists."
C) "co-assessment professionals."
D) All of these

Question 27

An estimated _________ of military veterans and serving military personnel are expected to experience posttraumatic stress injuries either immediately after,or even years after,their deployment.

A) 12 to 20%
B) 6 to 11%
C) 18 to 24%
D) 9 to 18%

Question 28

A classic work by Cleckley profiled 15 psychopaths.Cleckley's profiles have since been re-evaluated by Crego and Widiger (2016)in an effort to

A) formulate an updated model of psychopathy.
B) disprove Cleckley's basic thesis regarding psychopathy.
C) redefine psychopathy in a culturally competent way.
D) contrast Cleckley's work with that of contemporary researchers in the field of criminal justice.

Question 29

According to the Close-Up in Chapter 13,veterans diagnosed with PTSD may see themselves as going from ________ in fairly short order.

A) "hero to zero"
B) "zero to sixty"
C) "friend to foe"
D) "winner to loser"

Question 30

Tools of assessment used by profilers include

A) tests.
B) the interview.
C) the case study.
D) Both the interview and the case study.

Question 31

Historically,training for military service entails a kind of re-socialization process wherein traditional masculine gender norms of behavior are traded-in for what might be termed

A) "male warrior norms."
B) "new Centurion norms."
C) c"hyper-masculine gender norms."
D) "Spartan-reminiscent role norms."

Question 32

According to statistics cited from the World Health Organization,approximately ______ people,worldwide,die annually from suicide.

A) 200,000
B) 400,000
C) 800,000
D) 1,600,000

Question 33

Novel diagnostic and therapeutic insights relevant to post-traumatic stress disorder in returning vets may be obtained from the study of military

A) recruiting.
B) deployments.
C) culture.
D) groups.

Question 34

Which is not a type of competency mentioned in the textbook?

A) competency to consent to surgery
B) competency to make a will
C) competency to stand trial
D) competency to choose homelessness

Question 35

Most of the highly publicized crimes for which profilers have been employed have been solved

A) with the aid of forensic psychologists as profilers.
B) by persons from a law enforcement background.
C) as the result of a perpetrator "slip-up."
D) as the result of the FBI "Top 10 Most Wanted" List.

Question 36

In the Chapter 13 Meet an Assessment Professional,Dr.Stephen Finn cited different tools used in therapeutic assessment including "performance-based personality tests" such as

A) the MMPI.
B) situational stress tests.
C) the Rorschach.
D) All of these

Question 37

According to Dr.Stephen Finn's description of how tools of assessment are selected for use in the process of therapeutic assessment,

A) clients are tested on a standard battery first and then decisions are made.
B) the tools of assessment are selected after an initial session with clients.
C) the selection of tests is made in consultation with the therapist of the clients.
D) only specially developed Center for Therapeutic Assessment tests are used.

Question 38

In the Chapter 13 Meet an Assessment Professional,Dr.Stephen Finn described how tools of assessment are selected for use in the process of therapeutic assessment.He said that

A) clients are tested on a standard battery first and then decisions are made.
B) the tools of assessment are selected after an initial session with clients.
C) the selection of tests is made in consultation with the therapist of the clients.
D) tests and procedures specially developed by the Center for Therapeutic Assessment tests are used.

Question 39

__________ is defined as "the capability of people to make reasonably sound decisions regarding day-to-day money matters as well as more global aspects of their personal finances."

A) Monetary competency
B) Real world competency
C) Financial competency
D) Wealth management competency

Question 40

Many variables may be considered when conducting an examination of an individual's financial competency.Which is not a variable mentioned in the textbook?

A) the assessee's pre-morbid functioning
B) the assessee's past values and preferences
C) the complexity of the finance-related decisions that need to be made
D) the presence of legal challenges to the individual's financial competency

Question 41

The MAC was a scale derived from the MMPI that was constructed to aid in differentiating

A) appetite-disordered from non-appetite disordered patients.
B) marijuana-abusing from non-marijuana-abusing patients.
C) alcoholic from non-alcoholic patients.
D) so-called "foodies" from "fast foodies."

Question 42

The legal term mens rea refers to one's

A) "lack of awareness."
B) "clean slate."
C) "pureness of motives."
D) "guilty mind."

Question 43

An interview technique that is similar to the hypnotic interview entails

A) focused meditation.
B) collaborative evaluation.
C) insightful recollection.
D) None of these

Question 44

The biopsychosocial approach to assessment could BEST be described as

A) multicultural.
B) multidisciplinary.
C) psychoanalytic.
D) All of these

Question 45

A mental status examination may be administered to

A) screen for intellectual, emotional, and neurological deficits.
B) assess thought content and thought processes.
C) assess whether an individual is oriented "times three."
D) All of these

Question 46

Culturally sensitive psychological assessment

A) includes differential diagnosis with attention to cultural issues.
B) includes consideration of cultural issues when evaluating suicidal potential.
C) includes differential diagnosis with attention to cultural issues and includes consideration of cultural issues when evaluating suicidal potential.
D) None of these

Question 47

Many measures may be used to evaluate competency to stand trial.Which of the following is NOT such a measure?

A) the RCRAS
B) the ECST-R
C) the MacCAT-CA
D) the FIT

Question 48

A culturally sensitive psychological assessment includes sensitivity to

A) acculturation and language.
B) values and worldview.
C) personal identity.
D) All of these

Question 49

Biopsychosocial assessment was likened by your textbook authors to

A) the great paradigm shift in disability research.
B) being the prized "Snagglepuss" pokemon in Pokemon GO.
C) closing the barn door after the cows have left.
D) broadcasting in widescreen.

Question 50

Which of the following would NOT typically be assessed in a routine mental status examination?

A) short-term memory
B) memory for one's own name
C) memory for who is currently serving as President of the United States
D) All of these would typically be assessed.

Question 51

The psychiatrist and philosopher Karl Jaspers wrote that "there is no sharp line to be drawn between different types,nor between what is healthy and what is not." This quote was a reference to a potential problem with

A) a dimensional approach to personality disorder.
B) overlapping criteria for the diagnosis of schizophrenia.
C) a proposed Personality Disorder Trait Specified diagnosis.
D) a categorical approach to personality disorder.

Question 52

An interview procedure similar to a hypnotic interview but without the hypnotic induction is

A) the mental status examination.
B) the stress interview.
C) the cognitive interview.
D) None of these

Question 53

Competence to stand trial has largely to do with understanding the charges against the defendant and being able to assist in one's own defense.The "understand and assist" requirement is an extension of the constitutional prohibition against trial

A) a posteriori.
B) nolo contendere.
C) in absentia.
D) mens rea.

Question 54

What is commonly referred to as profiling is referred to by the FBI as

A) criminal psychological analysis.
B) criminal psychoanalysis.
C) criminal investigative analysis.
D) investigative psychological analysis.

Question 55

As discussed in Chapter 13 of your text,case history data was used to support the view that

A) a rhesus monkey is capable of experiencing anxiety disorder and depression.
B) racial intolerance can lead to a number of debilitating psychosomatic conditions.
C) exposure to Christian Science predisposed one patient to an obsessive disorder.
D) All of these

Question 56

A type of interview in which the interviewee is given wide latitude to interact with the interviewer is called a

A) hypnotic interview.
B) elaborative interview.
C) structured interview.
D) collaborative interview.

Question 57

Who is the person credited with having coined the term Barnum effect?

A) Tallent
B) Patterson
C) P. T. Barnum himself
D) Meehl

Question 58

The most widely used test to measure the severity of depression is

A) the MMPI.
B) the BDI-II.
C) the MCMI-III.
D) the SADS.

Question 59

At the core of profiling is the assumption that perpetrators of serial crimes leave at their crime scenes

A) physical evidence.
B) psychological evidence.
C) philosophical evidence.
D) business cards.

Question 60

The current version of the DSM is a diagnostic system that is used by psychologists and other mental health professionals

A) to diagnose patients.
B) for insurance reimbursement purposes.
C) for research purposes.
D) All of these

Question 61

A compromise between the two extreme positions in the clinical versus mechanical prediction controversy has it that clinical information developed by clinicians be

A) put to optimal use by computers using decision rules.
B) reviewed and modified by other clinicians before submission for processing by computer.
C) checked by computer before submission to a panel of "second opinion" clinicians for action.
D) sent to the main frame supercomputer at the National Institutes of Health for processing using that organization's own data base.

Question 62

In determining parental custody

A) one impartial mental health professional is always used to assess both parents.
B) tests of intelligence or personality may be necessary in addition to interviews.
C) the child's parental preference will not be taken into account by the court.
D) All of these

Question 63

Which of the following tools of psychological assessment is MOST likely to be used in order to evaluate a patient's level of premorbid functioning?

A) role-play
B) behavioral observation
C) the case history
D) All of these

Question 64

Forensic psychology is different from clinical psychology because in forensic psychology:

A) the clinician's client may not be the assessee.
B) when the assessee is in an adversarial relationship with the assessor, the assessee may not be truthful.
C) the clinician may be called on to offer recommendations that run counter to the stated interests of the assessee.
D) All of these

Question 65

An assessor determines that Farley is incompetent to stand trial.This means that Farley

A) is unable to understand the charges against him and is unable to assist in his defense.
B) is mentally retarded or psychotic.
C) may have been under the influence of alcohol or some controlled substance at the time the alleged offense was committed.
D) All of these

Question 66

Forensic psychological assessment entails evaluation in matters involving

A) whether a parent should retain custody of a child.
B) whether an individual is competent to stand trial.
C) whether an individual is guilty by reason of insanity.
D) All of these

Question 67

Which question might a mental health professional be MOST likely to be asked during the course of a civil proceeding?

A) Is this individual competent to stand trial?
B) Was this individual sane at the time the crime was committed?
C) To what extent did this individual suffer emotional distress?
D) All of these

Question 68

Psychologists who are called on by the courts to render an opinion regarding a person's sanity must be prepared to

A) explain all the ramifications of the fact that "sanity" and "insanity" are psychological, and not legal terms.
B) deal with all the ramifications of the fact that the determination of "sanity" and "insanity" are ultimately left to a judge or a jury to decide.
C) be sued by the patient if their opinions regarding the sanity of the patient are at odds with the determination of the court.
D) undergo an examination evaluating their own mental status prior to being admitted to the courtroom.

Question 69

Computer-based test interpretation

A) is always actuarial in nature.
B) may be actuarial in nature.
C) has nothing to do with actuarial assessment.
D) is synonymous with mechanical prediction.

Question 70

The Barnum effect in psychological report writing refers to

A) very technical jargon that is too difficult for lay readers to understand.
B) conflicting statements about the assessee within the same report.
C) statements that are by their very nature tend to be prejudicial.
D) vague, general statements that could be applied to most people.

Question 71

Which of the following statements from a hypothetical psychological report BEST exemplifies the Barnum effect in report writing?

A) "Herb exhibits significant indicators of a specific learning disability in the visual channel of learning."
B) "At times, Betty's unconscious hostile urges become evident in the form of expressed anger."
C) "Patty's mild mental retardation indicates that she may need close supervision in a job setting."
D) "Tom reports frequent auditory hallucinations commanding him to take out the garbage."

Question 72

A convict's readiness for parole or probation

A) can be predicted by the "Readiness for Parole Checklist."
B) is determined solely on the basis of self-report testimony from the convict.
C) is a decision often made on the basis of Rorschach protocols.
D) None of these

Question 73

Which measures are typically included as part of a standard battery?

A) measures of intelligence and personality
B) measures of intelligence, personality, and neurological intactness
C) measures of intelligence, personality, neurological intactness, and case history data
D) a measure of intelligence, a measure of neurological intactness, and the Mooney Problem Checklist

Question 74

A case history

A) is not appropriate for children under age 8.
B) may be found in hospital records.
C) is more important in clinical than counseling psychology.
D) is rarely utilized by behavioral psychologists.

Question 75

One problem in confirming a diagnosis of child abuse is that

A) no legal definition of this term exists.
B) signs of abuse may also be symptoms of other conditions.
C) definitions of this term vary from state to state.
D) professionals who wrongfully report abuse or neglect, even in good faith, are subject to fines, imprisonment, or both.

Question 76

Which tools of psychological assessment are used to assess child abuse and neglect?

A) psychological tests
B) interviews
C) anatomically correct dolls
D) All of these

Question 77

A problem with self-report measures of depression,such as the Beck Depression Inventory,is that

A) testtakers can fake depression or fake the absence of depression.
B) they are highly unreliable and based solely on what happened to the testtaker during the previous day or so.
C) they do not gauge the severity of depression, only its presence or absence.
D) the theory on which they are based has been shown to be severely flawed.

Question 78

The outcome of the debate on what constitutes a disorder is important because it will influence

A) research.
B) treatment.
C) public policy.
D) All of these

Question 79

In the child custody evaluation conducted by your textbook's author,the child expressed a preference for

A)leaving Earth with E.T.and his father.
B)leaving Earth with E.T.and his mother.
C)leaving Earth with E.T.only.
D)not leaving Earth with any extra-terrestrial but staying at home with his parents

Question 80

"If a person is judged to be mentally retarded,psychotic,or suffering from a debilitating neurological disorder,that person is automatically judged to be incompetent to stand trial." This statement is

A) true.
B) false.
C) true if two or more of the listed criteria are met.
D) true if the defendant was a minor at the time of the alleged offense.