Assessment Diagnosis and Intervention

Question 1

This person was one of the first practitioners in case work to concentrate on assessment and diagnosis.

Answer 1

Mary Richmond

Question 2

Describe the biopsychosocial model of assessment.

Answer 2

Has three components: 1) biological component 2) physiological component 3) social component

Question 3

Describe the medical model of assessment

Answer 3

focuses on pathology and what is “wrong” with the client

Question 4

Describe the strengths perspective of assessment

Answer 4

incorporates how the strengths of the client will aid in empowering the client to reach their desired goals.

Question 5

What is the difference between mood and affect?

Answer 5

Mood is described by the client in their own words. Affect is their observed non-verbal behavior.

Question 6

What are SOAP notes

Answer 6

subjective observation
objective observation
assessment
plan

Question 7

What are BIRP notes?

Answer 7

Behavior
Intervention
Response
Plan

Question 8

Corprolalia

Answer 8

tic involving obscene gestures and words

Question 9

echolalia

Answer 9

repetition of the last word or sound of another individual

Question 10

palilalia

Answer 10

repetition of one’s own words or phrases

Question 11

Tourette’s disorder

Answer 11

involves multiple motor tics and a minimum of one vocal tic over the course of the disorder. Tics must occur multiple times per day almost every day or intermittently for more than 12 months. There should be no more than a 3 month period of being “tic free.”

Question 12

Chronic Motor or Vocal Tic Disorder

Answer 12

Similar to Tourettes but characterized by a single or multiple either motor or vocal tics.

Question 13

Transient Tic Disorder

Answer 13

For people who do have not previously met the criteria for Tourettes or Chronic Tic Disorder. Tics occur for a minimum of four weeks and maximum of 12 months.

Question 14

What kind of medications are used to decrease the tics?

Answer 14

Antipsychotic and anti-hypertensive

Question 15

How old does one have to be to diagnosed with encopresis?

Answer 15

4 years

Question 16

Enuresis: Individual must be at least __ years of age. Urination must occur at least _______ over at least ___ consecutive months. Preferred medication is ________.

Answer 16

1) 5
2) twice a week
3) 3 months
4) desmopressin acetate (DDAVP)

Question 17

What is the primary treatment for Separation Anxiety Disorder?

Answer 17

Cognitive-behavioral psychotherapy

Question 18

When can a diagnosis of Selective Mutism not be given?

Answer 18

During the first month of school.

Question 19

What medication is found to be helpful for selective mutism?

Answer 19

• Fluoxetine (Prozac) and SSRI inhibitor approved for children
• more successful in younger children

Question 20

Reactive Attachment Disorder: Definition

• when is onset?
• what are the two types?
• what is the typical background of the child?
• what must be ruled out?

Answer 20

disturbance in the ability to relate in most social situations

• before age 5
• inhibited or disinhibited
• abuse, neglect and frequent changes of caregivers
• developmental delays that are causing the disturbance

Question 21

Stereotypic Movement Disorder

Answer 21

repetitive nonfunctional motor behavior, such as body rocking, head banging and biting which is not the result of a compulsion, tic or pervasive developmental disorder. Behavior must continue for a minimum of 4 weeks

Question 22

Aricept, Reminyl, Exelon and Namenda are drugs for what disorder?

Answer 22

Dementia. They improve mental function.

Question 23

What is the goal of treatment for someone with dementia?

Answer 23

To keep them safe.

Question 24

What is the one substance that cannot result in a diagnosis of Substance Dependence?

Answer 24

Caffeine

Question 25

What is the only substance that intoxication cannot occur with?

Answer 25

nicotine

Question 26

Polysubstance Dependence is the diagnosis given when the person repeatedly uses at least how many substances?

Answer 26

Three

Question 27

What is avolition?

Answer 27

Loss of willpower and decisiveness

Question 28

What are the three phases of schizophrenia?

Answer 28

1) prodromal phase 2) active phase 3) residual phase

Question 29

What is the biggest obstacle for people with schizophrenia?

Answer 29

Medication compliance

Question 30

Delusional Disorder

Answer 30

characterized by a minimum of one non-bizzare delusion and must be evident for at least one month. Apart from the delusions, a persons psychosocial functioning is normal.

Question 31

Cyclothymic disorder

Answer 31

characterized by rapid shifts between hypomanic episodes and depressive symptoms that do not meet criteria for major depressive episode. Symptoms must persist for 2 years (one year for children and adolescents)

Question 32

Agoraphobia

Answer 32

anxiety in situations where it would be difficult or embarrasing for the person to escape or in which he or she might not be able to secure help (ie. if they have a panic attack). The individual therefore avoids these situations.

Question 33

This type of intervention is not recommended in Acute Stress Disorder.

Answer 33

Single Session Techniques or Psychological Debriefings as they may increase symptoms.

Question 34

Somatoform Disorders must have an age of onset before what age?

Answer 34

30

Question 35

Somatization Disorder is characterized by the presence of what four symptoms?

Answer 35

1) Pain in at least four different parts of the body or body functions 2) At least two, non-pain, gastrointenstinal symptoms 3) at least one sexual or reproductive oriented symptoms 4) at least one non-pain pseudoneruological symptom

Question 36

Conversion disorder

Answer 36

loss of functioning in voluntary motor and sensory functions deemed not to be fully the result of a medical condition, a substance or a phenomenon sanctioned by a culture.

Question 37

Factitious Disorder

Answer 37

Munchausen Syndrome - repeated feigning of physical or psychological symptoms motivated by the desire to play the sick role

Question 38

What is the treatment of choice for dissociative amnesia?

Answer 38

psychotherapy with augmentation by hypnosis or drug facilitated interview.

Question 39

Dissociative Fugue

Answer 39

travel away from work or home that is sudden and unexpected and is accompanied by a loss of memory for the past and confusion about one's personal identity.

Question 40

What is Dissociative Identity Disorder thought to be the result of?

Answer 40

A traumatic experience in which dissociation is a defense mechanism.

Question 41

Depersonalization Disorder

Answer 41

The sense of being detached from one's body or mental processes that do not consistently occur in tandem with schizophrenia, panic disorder, acute stress disorder, medical condition or a substance. Reality testing is not impacted.

Question 42

Vaginismus

Answer 42

involuntary spasms of the outer third or the vagina that recur or persist and disrupt sexual intercourse and result in a significant distress or interpersonal conflict

Question 43

Dyspareunia

Answer 43

genital pain during intercourse that is recurring and persistant and may apply to males and females.

Question 44

Parasomnia

Answer 44

sleep disorders that involve the activation of different physiological systems including the autonomic nervous system, the motor system or cognitive process at inappropriate points in the sleep wake cycle. ie. nightmares, sleep terror, sleepwalking.

Question 45

Intermittent Explosive Disorder

Answer 45

characterized by a number of separate episodes in which the individual gives in to aggressive impulses resulting in serious assault or damage of property. Aggression is out of proportion to precipitating factors.

Question 46

What type of medication is helpful for impulse control disorders?

Answer 46

antidepressants

Question 47

What is the treatment of choice for adjustment disorder?

Answer 47

Short term psychotherapy to deal with the precipitating event.

Question 48

Paranoid Personality Disorder

Answer 48

general distrust/suspiciousness of others and is more common in males

Question 49

What personality disorder does a person have if they exhibit the following: believing others are exploiting or harming him in the absence of convincing evidence, questioning the loyalty and trustworthiness of others, perceiving benign remarks or events as demeaning or threatening, interpreting innocuous remarks as personal attacks, unwarranted doubts about spouse or partners fidelity

Answer 49

Paranoid Personality Disorder

Question 50

Schizoid Personality Disorder

Answer 50

restricted range of emotions and a pattern of detachment from others

Question 51

What personality disorder does a person who exhibits the following have: lack of interest in close relationships, preference for solitary relationships, minimal or no pleasure in activities, absence of friends or confidants, indifference to praise or criticism, emotional detachment, flat affect

Answer 51

Schizoid Personality Disorder

Question 52

Schizotypal Personality Disorder

Answer 52

pattern of deficits in interpersonal skills and a decreased capacity for close relationships. Cognitive and perceptual distortions and eccentric behavior are also evident.

Question 53

What type of personality disorder does a person who exhibits the following have: ideas of reference (casual events have special meaning), odd beliefs or magical thinking, unusual perceptual experiences, oddities in thought and speech, inappropriate or constricted affect, odd or eccentric behavior, absence of friends, social anxiety associated with paranoid fears

Answer 53

Schizotypal Personality Disorder

Question 54

Antisocial Personality Disorder

Answer 54

pattern of disregard for or violation of others rights evident since at least age 15 and the individual is at least 18 years of age.

Question 55

Borderline Personality Disorder

Answer 55

Instability in relationships, self-image and affect as well as impulsive behavior.

Question 56

What personality disorder does a person have who shows the following: frantic efforts to avoid abandonment, unstable and intense relationships, disturbance in identity, impulse behavior, repeated suicidal threats, self mutilation, unstable affect, persistent feelings of emptiness, chronic anger that the individual has difficulty controlling

Answer 56

Borderline Personality Disorder

Question 57

Histrionic Personality Disorder

Answer 57

High emotionality and attention seeking behavior.

Question 58

What personality disorder is characterized by the following: discomfort when not the focus of attention, inappropriate seductiveness or provocative behavior, rapid shifts in emotion, use of physical appearance to attract others' attention, speech that is impressionistic and devoid of detail, dramatic behavior and emotion, suggestibility, perception that relationships are closer than they are in reality.

Answer 58

Histrionic Personality Disorder

Question 59

Narcissistic Personality Disorder

Answer 59

Grandiosity, a need to be admired by others and an absence of empathy.

Question 60

What personality disorder exhibits the following: exaggerated sense of importance, fantasies of unlimited success, power, brilliance etc, perception of being special and belief that they can only be understood by specific high status others, sense of entitlement, using others to achieve personal goals, envy of others or perception that others envy them, arrogance and haughtiness.

Answer 60

Narcissistic Personality Disorder

Question 61

Avoidant Personality Disorder

Answer 61

Social inhibition, low self-esteem, and excessive sensitivity to criticism.

Question 62

What personality disorder is characterized by the following: avoidance of interpersonal relationships, guardedness in intimate relationships out of fear of being shamed or ridiculed, perception of inferiority to others, avoidance of new activities or taking risks out of fear of embarassment

Answer 62

Avoidant Personality Disorder

Question 63

Dependent Personality Disorder

Answer 63

extreme need to be taken care of which leads to submissive behavior and clinginess as well as fear of separation

Question 64

What personality disorder exhibits the following: excessive need for advice and reassurance when faced with a decision, need for others to take responsibility for much of their life, tendency to express agreement even when in disagreement, exhibiting problems taking on projects because of low self confidence, volunteers for unpleasant tasks in hopes of gaining nurturance, discomfort with being alone, urgently seeks replacement relationships

Answer 64

Dependent Personality Disorder

Question 65

Obsessive Compulsive Personality Disorder

Answer 65

perfectionism, preoccupation with orderliness and considerable effort to control self and others, resulting in reduced flexibility, openness and efficiency.

Question 66

What personality disorder exhibits the following: preoccupation with rules, details and lists, perfectionism that makes tasks difficult or impossible, excessive devotion to work, rigidity around morals, ethics and values, inability to let go of worthless or worn out items, reluctance to delegate work.

Answer 66

Obsessive Compulsive Personality Disorder

Question 67

Dystonia

Answer 67

abnormal positioning of extremities or muscle spasms

Question 68

Akathisia

Answer 68

restlessness with fidgeting, pacing

Question 69

Dyskinesia

Answer 69

slow jerky involuntary movements or slow worm like movements of fingers, toes, hands and feet

Question 70

Malingering

Answer 70

behavior which produces or exaggerates symptoms to avoid something unpleasant (ie. work) or obtain something desirable (ie. drugs)