Chapter2 Part1 : DSM

Question 1

1 - Which of the following is not an anxiety disorders?

a. Agoraphobia
b. Separation Anxiety Disorder
c. Social Phobia
d. Depersonalization disorder
e. Panic attack
f. Selective Mutism

Answer 1

1 - Which of the following is not an anxiety disorders?

d. Depersonalization disorder

Question 2

2 - Peter seems to be suffering from prolonged, vague, unexplained but intense fears that do not seem to be attached to any particular object. If you were a clinical psychologist, you might diagnose Peter with:

a. obsessive compulsive disorder
b. social phobia
c. generalized anxiety disorder
d. dysthymia
e. All of these disorders are relevant
f. All of these disorders are irrelevant

Answer 2

2 - Peter seems to be suffering from prolonged, vague, unexplained but intense fears that do not seem to be attached to any particular object. If you were a clinical psychologist, you might diagnose Peter with:

c. generalized anxiety disorder

Question 3

3 - Why is the US health care system considered to be “imperfect”?

a. It gives to philanthropy an increasing role.
b. Thanks to the healthcare bubble’s continued expansion during the Great Recession, healthcare has been one of the few industries to add jobs (nearly 1 million jobs!)
c. The utilization of health is driven by economic need rather than human ones.
d. Privacy of patient information is questioned: Medical records are examined to assess whether the care is appropriate or not
e. Pharmaceutical companies also own the managed care health insurance companies and promote a biological vision to sell their products

Answer 3

3 - Why is the US health care system considered to be “imperfect”?

c. The utilization of health is driven by economic need rather than human ones.
d. Privacy of patient information is questioned: Medical records are examined to assess whether the care is appropriate or not
e. Pharmaceutical companies also own the managed care health insurance companies and promote a biological vision to sell their products

Question 4

4 - ___?___ result (s) from the tendency of an interviewer (or therapist) to develop a general impression of a person and then infer other seemingly related characteristics.

a. Ambulatory sensors
b. Cognitive dissonance
c. Racial Bias
d. Halo Effects
e. Psychological Reactance

Answer 4

4 - ___?___ result (s) from the tendency of an interviewer (or therapist) to develop a general impression of a person and then infer other seemingly related characteristics.

d. Halo Effects

Question 5

5 - ____?____ is a forecast about the probable course of an illness:

a. Diagnosis
b. Deviance
c. Prognosis
d. Maladaptive behavior

Answer 5

5 - ____?____ is a forecast about the probable course of an illness:

c. Prognosis

Question 6

6 - True or False regarding the following statements?

• DSM – 5 is a multiaxial system containing 5 main axes
• The ICD-10 uses a categorical approach to describe personality disorder
• ICD classifies personality disorder in a different axis to psychiatric illnesses
• DSM-IV-TR classifies personality disorder in a different axis to psychiatric illnesses
• Personality disorders do not have specific psychopathology
• DSM – 5 is using a dimensional approach in place of the current categorical approach

Answer 6

6 - True or False regarding the following statements?

• DSM – 5 is a multiaxial system containing 5 main axes False
• The ICD-10 uses a categorical approach to describe personality disorder False
• ICD classifies personality disorder in a different axis to psychiatric illnesses True
• DSM-IV-TR classifies personality disorder in a different axis to psychiatric illnesses False
• Personality disorders do not have specific psychopathology True
• DSM – 5 is using a dimensional approach in place of the current categorical approach True

Question 7

7 - In the movie The Caine Mutiny, Humphrey Bogart played a Captain Quigg who was overbearing and highly suspicious of his crew members. Captain Quigg had an odd mannerism that he performed over and over again. He would uncontrollably fondle ball bearings in his hand, over and over. This ritualistic behavior illustrates:

a. panic attack
b. an obsession
c. free-floating anxiety
d. a compulsion

Answer 7

7 - In the movie The Caine Mutiny, Humphrey Bogart played a Captain Quigg who was overbearing and highly suspicious of his crew members. Captain Quigg had an odd mannerism that he performed over and over again. He would uncontrollably fondle ball bearings in his hand, over and over. This ritualistic behavior illustrates:

d. a compulsion

Question 8

8 - Among the following statements, which one is a disadvantage of DSM classification?

a. All of these statements are true
b. All of these statements are false
c. The illusion that naming a disorder explains it
d. DSM facilitates formation of differential diagnosis
e. The DSM provides a “special language” for behavioral disorders i.e. identifies and describes clear and distinct disorders
f. If an individual’s problem is accurately described, prognosis and treatment are more easily decided

Answer 8

8 - Among the following statements, which one is a disadvantage of DSM classification?

c. The illusion that naming a disorder explains it

Question 9

9 - The DSM-5 revision was an effort to get the diagnostic codes for mental health disorders in line with:

a. The mandate of the American Psychiatric Association to update its processes
b. The need to simplify the diagnostic process of mental health disorders in the USA
c. The roll out and implementation of ICD-10-CM codes
d. The new Affordable Care Act Rulings

Answer 9

9 - The DSM-5 revision was an effort to get the diagnostic codes for mental health disorders in line with:

c. The roll out and implementation of ICD-10-CM codes

Question 10

10 - According to Wendy Pullin, The most striking gender difference among the personality disorders appears in ____?______ personality disorder, where men are five times more likely to be diagnosed with the disorder than are females. By contrast, ____?____ personality disorder affects more females than it affects males.

a. obsessive-compulsive; antisocial
b. schizotypal; narcissistic
c. narcissistic; obsessive-compulsive
d. antisocial; borderline

Answer 10

10 - According to Wendy Pullin, The most striking gender difference among the personality disorders appears in ____?______ personality disorder, where men are five times more likely to be diagnosed with the disorder than are females. By contrast, ____?____ personality disorder affects more females than it affects males.

d. antisocial; borderline

Question 11

11 - The five revisions since its first publication in ____?____ incrementally added to the number of psychiatric disorders which are now more than ____?_____ in the DSM-IV-TR and now DSM-V.

a. 1952; 250
b. 1954; 300
c. 1950; 200
d. 1956; 350

Answer 11

11 - The five revisions since its first publication in ____?____ incrementally added to the number of psychiatric disorders which are now more than ____?_____ in the DSM-IV-TR and now DSM-V.

a. 1952; 250

Question 12

12 - The main goal of a diagnostic interview is to:

a. discuss unpleasant facts and feelings in order to develop rapport
b. develop a specific diagnosis
c. make the client feel uncomfortable
d. ask questions which lead to defensiveness
e. be direct if time is limited

Answer 12

12 - The main goal of a diagnostic interview is to:

b. develop a specific diagnosis

Question 13

13 - What does “managed mental heath” mean?

a. It’s a health insurance program for the elderly
b. It’s a health insurance program for all people who can pay for private health insurance.
c. It’s a health insurance program dedicated to children and adolescents
d. It’s a health insurance program for those in financial need

Answer 13

13 - What does “managed mental heath” mean?

b. It’s a health insurance program for all people who can pay for private health insurance.

Question 14

14 - Dysthymia in the DSM-5 is now known as:

a. Adjustment Disorder with depressed mood
b. Other Specified Depressive Disorder
c. Disruptive Mood Dysregulation Disorder
d. Persistent Depressive Disorder

Answer 14

14 - Dysthymia in the DSM-5 is now known as:

d. Persistent Depressive Disorder

Question 15

15 - Wendy Pullin is talking about an ethic dilemma she has been confronted with when giving a DSM diagnosis to a “battered woman”, which one is it?

a. Better diagnose her patient as having a “schizophrenia” instead of a “personality disorder”, so she can get psychotherapy
b. Better diagnose her patient as having a “depression” instead of an “adjustment disorder”, so she can get psychotherapy
c. Better diagnose her patient as having a slight-to-moderate mental disorder, if her case had to go to court and her children taken away from her
d. Better diagnose her patient has having a severe mental disorder, if her case had to go to court and her children taken away from her

Answer 15

15 - Wendy Pullin is talking about an ethic dilemma she has been confronted with when giving a DSM diagnosis to a “battered woman”, which one is it?

d. Better diagnose her patient has having a severe mental disorder, if her case had to go to court and her children taken away from her

Question 16

16 - People with obsessive-compulsive disorder often do which of the following?

a. Have sensory or perceptual experiences that occur without an external stimulus
b. Have panic attacks
c. Have false beliefs that they hold despite contradictory evidence
d. Experience anxiety-producing thoughts, impulses, or images

Answer 16

16 - People with obsessive-compulsive disorder often do which of the following?

d. Experience anxiety-producing thoughts, impulses, or images

Question 17

17 - If a person has mood swings which go from intense depression to incredible hyperactivity and happiness, they would most likely be diagnosed with:

a. major depression
b. bipolar depression (manic depression)
c. post traumatic stress disorder
d. dysthymia

Answer 17

17 - If a person has mood swings which go from intense depression to incredible hyperactivity and happiness, they would most likely be diagnosed with:

b. bipolar depression (manic depression)

Question 18

18 - When a researcher determines that the outcome of a randomized controlled treatment study on schizophrenia is associated with reduction in negative symptoms, he or she is referring to the____?____ of the treatment. (Question hors cours)

a. positive effects
b. efficacy
c. effectiveness
d. grant-funded nature

Answer 18

18 - When a researcher determines that the outcome of a randomized controlled treatment study on schizophrenia is associated with reduction in negative symptoms, he or she is referring to the____?____ of the treatment. (Question hors cours)

b. efficacy

Question 19

19 - What is a culture-bound disorder?

a. A disorder not included in one of the DSM’s diagnostic categories
b. A disorder that is bound to occur in most cultures
c. Any disorder whose onset is highly influenced by cultural factors
d. A disorder specific to a particular cultural context

Answer 19

19 - What is a culture-bound disorder?

d. A disorder specific to a particular cultural context

Question 20

20 - Which disorder is characterized by an inability to remember a traumatic incident?

a. Schizophrenia
b. Dissociative amnesia
c. Conversion disorder
d. Post–traumatic stress disorder

Answer 20

20 - Which disorder is characterized by an inability to remember a traumatic incident?

b. Dissociative amnesia

Question 21

21 - Directions : Pretend that you are a volunteer working for your community mental health center’s « hot line » service. As the calls are phoned in, it is your job to make a quick diagnosis based on the symptoms reported by the caller.

Person A. I feel completely worthless about myself; I don’t feel attractive or bright; I’ve been contemplating suicide.
Person B. I just had a horrible experience that lasted for about 20 minutes. I felt an overwhelming sense of disaster overtaking me. My heart was pounding, I was sweating and shivering, and my breathing was very shallow and difficult.
Person C. I’m calling about my brother; he had been missing from home for 3 days and the police just found him. He claims that he remembers nothing about his flight from home. He’s very disoriented.
Person D. My moods lately have been like an elevator -up one minute, down the next. When I’m up, I’m talking a mile a minute, can’t sleep, and feel absolutely euphoric. Then I hit rock bottom, feeling totally depressed.
Person E. I have a persistent fear that I’m going to be left alone; I can’t leave work or a party, or even get off the bus because I can’t stand the thought of going home and being alone. Please don’t hang up on me.
Person F. I am frightened that I may have breast cancer. I have discovered a new « lump » in one of my breast and I am angry at my doctor for dismissing it as a harmless cyst. I am very well read of breast cancer and can tell you of the latest treatment. I will switch doctor again to see if I can get the confirmation I know to be true.
Person G. I get sexual gratification by touching or looking at some objet; sometimes the turn-on is a specific part of the body other than genitals.
Person H. I turned on television last night and I think that television editors are somehow stealing my ideas for new television shows, using them to make big money. They have some sort of technological radar-scanner that picks up my every thought.
Person I. I feel « trapped » in the wrong body; this feeling is so strong that I may have an operation to change gender. What do you think of it ?

Fetishism (Paraphilic disorders)
Major depressive episode (Depressive disorders)
Bipolar disorder (Bipolar and related disorders)
Transsexualism (Gender dysphoria)
Dissociative fugue and amnesia (Dissociative disorders)
Panic attack (Anxiety disorders)
Schizophrenia (Schizophrenia spectrum and other psychotic disorders)
Illness anxiety disorder (Somatic symptom and related disorders)
Autophobia, Isolaphobia, Monophobia (Anxiety disorders)

Answer 21

21 - Directions : Pretend that you are a volunteer working for your community mental health center’s « hot line » service. As the calls are phoned in, it is your job to make a quick diagnosis based on the symptoms reported by the caller.

Person A. I feel completely worthless about myself; I don’t feel attractive or bright; I’ve been contemplating suicide. Major depressive episode (Depressive disorders)
Person B. I just had a horrible experience that lasted for about 20 minutes. I felt an overwhelming sense of disaster overtaking me. My heart was pounding, I was sweating and shivering, and my breathing was very shallow and difficult. Panic attack (Anxiety disorders)
Person C. I’m calling about my brother; he had been missing from home for 3 days and the police just found him. He claims that he remembers nothing about his flight from home. He’s very disoriented. Dissociative fugue and amnesia (Dissociative disorders)
Person D. My moods lately have been like an elevator -up one minute, down the next. When I’m up, I’m talking a mile a minute, can’t sleep, and feel absolutely euphoric. Then I hit rock bottom, feeling totally depressed. Bipolar disorder (Bipolar and related disorders)
Person E. I have a persistent fear that I’m going to be left alone; I can’t leave work or a party, or even get off the bus because I can’t stand the thought of going home and being alone. Please don’t hang up on me. Autophobia, Isolaphobia, Monophobia (Anxiety disorders)
Person F. I am frightened that I may have breast cancer. I have discovered a new « lump » in one of my breast and I am angry at my doctor for dismissing it as a harmless cyst. I am very well read of breast cancer and can tell you of the latest treatment. I will switch doctor again to see if I can get the confirmation I know to be true. Illness anxiety disorder (Somatic symptom and related disorders)
Person G. I get sexual gratification by touching or looking at some objet; sometimes the turn-on is a specific part of the body other than genitals. Fetishism (Paraphilic disorders)
Person H. I turned on television last night and I think that television editors are somehow stealing my ideas for new television shows, using them to make big money. They have some sort of technological radar-scanner that picks up my every thought. Schizophrenia (Schizophrenia spectrum and other psychotic disorders)
Person I. I feel « trapped » in the wrong body; this feeling is so strong that I may have an operation to change gender. What do you think of it ? Transsexualism (Gender dysphoria)

Fetishism (Paraphilic disorders)
Person G.
Major depressive episode (Depressive disorders)
Person A.
Bipolar disorder (Bipolar and related disorders)
Person D.
Transsexualism (Gender dysphoria)
Person I.
Dissociative fugue and amnesia (Dissociative disorders)
Person C.
Panic attack (Anxiety disorders)
Person B.
Schizophrenia (Schizophrenia spectrum and other psychotic disorders)
Person F.
Illness anxiety disorder (Somatic symptom and related disorders)
Person F.
Autophobia, Isolaphobia, Monophobia (Anxiety disorders)
Person E.

Question 22

22 - Among the following statements, which one is an advantage of DSM classification?

a. DSM encourages clinicians to treat patients as a checklist
b. Labeling an individual as abnormal provides a dehumanizing, life-long stigma
c. DSM allows exchanges of information about previous evidence-based research and clinical experience
d. DSM provides a descriptive system that does not specify the cause of or reason for the problem
e. This system sacrifices validity for reliability

Answer 22

22 - Among the following statements, which one is an advantage of DSM classification?

c. DSM allows exchanges of information about previous evidence-based research and clinical experience

Question 23

23 - How does Wendy Pullin illustrate how treatment approaches can vary from one culture (i.e. ethnicity) to another and what is her therapeutic response to this problem?

a. When having a Caucasian woman with an Anglo-saxon background, she’ll concentrate much more on her client’s dream and contact with spiritual ancestors.
b. When having a Caucasian woman with an Anglo-saxon background, she’ll use cognitive-behavioral therapy that is very structured and talk- oriented.
c. When having an aboriginal woman as client, she’ll use cognitive-behavioral therapy that is very structured and talk-oriented.
d. Whatever cultural backgrounds, she’ll try to set aside her own view and see things from client’s view, adopting an “unvaried” point of view.
e. Whatever cultural backgrounds, she’ll try to set aside her own view and see things from client’s view, adopting an “eclectic” point of view.
f. When having an aboriginal woman as client, she’ll concentrate much more on her client’s dream and contact with spiritual ancestors.

Answer 23

23 - How does Wendy Pullin illustrate how treatment approaches can vary from one culture (i.e. ethnicity) to another and what is her therapeutic response to this problem?

b. When having a Caucasian woman with an Anglo-saxon background, she’ll use cognitive-behavioral therapy that is very structured and talk- oriented.
e. Whatever cultural backgrounds, she’ll try to set aside her own view and see things from client’s view, adopting an “eclectic” point of view.
f. When having an aboriginal woman as client, she’ll concentrate much more on her client’s dream and contact with spiritual ancestors.

Question 24

24 -True or False regarding Personality theory of Hippocrates ?

Excess Phlegm – placid/apathetic
Excess blood – optimistic/confident
Excess black bile – Bad tempered
Excess yellow bile – Gloomy

Answer 24

24 -True or False regarding Personality theory of Hippocrates ?

False : Excess Phlegm – placid/apathetic
True : Excess blood – optimistic/confident
True : Excess black bile – Bad tempered
False : Excess yellow bile – Gloomy

Question 25

25 - One of the advantages of having a diagnostic system for classifying mental disorders is:

a. To prevent non-psychiatrists from treating people with psychopathology.
b. That it settles issues and controversies over the causes of mental illness.
c. That it limits the potential for labeling a person as deviant.
d. To make it easier to conduct systematic research on psychopathology

Answer 25

25 - One of the advantages of having a diagnostic system for classifying mental disorders is:

d. To make it easier to conduct systematic research on psychopathology

Question 26

26 - With the publication of the DSM-III, many “gay” people jokingly said that they were cured of homosexuality. That was when the American Psychiatric Association relaxed its standards about homosexuality because society regarded it more of an alternative “lifestyle” rather than an abnormality. This illustrates what criterion of abnormality?

a. Norms
b. statistical abnormality
c. maladaptive behavior
d. personal discomfort

Answer 26

26 - With the publication of the DSM-III, many “gay” people jokingly said that they were cured of homosexuality. That was when the American Psychiatric Association relaxed its standards about homosexuality because society regarded it more of an alternative “lifestyle” rather than an abnormality. This illustrates what criterion of abnormality?

a. Norms

Question 27

27 - The DSM-III is tied to the ____?_____model of abnormal behavior, which views psychological problems in the same way as it views physical problems

a. psychosomatic
b. medical
c. biological
d. physical

Answer 27

27 - The DSM-III is tied to the ____?_____model of abnormal behavior, which views psychological problems in the same way as it views physical problems

b. medical

Question 28

28 - What example is given by Wendy Pullin to illustrate an interaction between physical health and personality disorders?

a. High functioning thyroid and schizophrenia
b. High functioning thyroid and depression
c. Low functioning thyroid and depression
d. Low functioning thyroid and schizophrenia

Answer 28

28 - What example is given by Wendy Pullin to illustrate an interaction between physical health and personality disorders?

c. Low functioning thyroid and depression

Question 29

29 - What organization publishes the Diagnostic and Statistical Manual of Mental Disorders?

a. American Psychological Association
b. American Medical Association
c. National Alliance for the Mentally Ill
d. American Psychiatric Association

Answer 29

29 - What organization publishes the Diagnostic and Statistical Manual of Mental Disorders?

d. American Psychiatric Association

Question 30

30 - Jerrold, a psychiatric aide working in a mental ward, was asked why one of the patients had delusional thought patterns. Jerrold responded, “He’s schizophrenic.” “How do you know he’s schizophrenic?” he was asked in return. “Because he has delusions,” he replied. Jerrold is illustrating one problem in using psychiatric labels. What is that problem in this situation? (choose the statement that corresponds the best to the situation)

a. Labels give the illusion of explanation.
b. Labels are unreliably applied.
c. Labels stigmatize people.
d. Labels treat people as “sick.”

Answer 30

30 - Jerrold, a psychiatric aide working in a mental ward, was asked why one of the patients had delusional thought patterns. Jerrold responded, “He’s schizophrenic.” “How do you know he’s schizophrenic?” he was asked in return. “Because he has delusions,” he replied. Jerrold is illustrating one problem in using psychiatric labels. What is that problem in this situation? (choose the statement that corresponds the best to the situation)

a. Labels give the illusion of explanation.

Question 31

31 - This process is required for the systematic diagnosis by psychiatrists and psychologists of psychological disorders when using DSM-5:

a. Performing medical tests and brain scans on patients in hospitals
b. Applying statistical formulas to examine the frequency of behaviors
c. Matching a person’s symptoms with disorders in the diagnostic manual
d. Interviewing family and friends to find out about deviant behaviors

Answer 31

31 - This process is required for the systematic diagnosis by psychiatrists and psychologists of psychological disorders when using DSM-5:

c. Matching a person’s symptoms with disorders in the diagnostic manual

Question 32

32 - Read the following diagnosis:
IQ 35 to 49
Noticeable developmental delays (i.e. speech, motor skills)
May have physical signs of impairment (i.e. thick tongue)
Can communicate in basic, simple ways
Able to learn basic health and safety skills
Can complete self-care activities
Can travel alone to nearby, familiar places
What is this diagnostic criterion about?
Note that DSM-V places less emphasis on the degree of impairment (i.e. IQ scores) and more on the amount and type of intervention needed.
a. Mild intellectual disability
b. Profound intellectual disability
c. Severe intellectual disability
d. Moderate intellectual disability

Answer 32

32 - Read the following diagnosis:
IQ 35 to 49
Noticeable developmental delays (i.e. speech, motor skills)
May have physical signs of impairment (i.e. thick tongue)
Can communicate in basic, simple ways
Able to learn basic health and safety skills
Can complete self-care activities
Can travel alone to nearby, familiar places
What is this diagnostic criterion about?
Note that DSM-V places less emphasis on the degree of impairment (i.e. IQ scores) and more on the amount and type of intervention needed.

d. Moderate intellectual disability

Question 33

33 - The official coding system in use in the United States as of publication of the DSM-5-TR is the:

a. National Nomenclature Nosology (NMN)
b. Health Codes (HC)
c. Height Report (HR)
d. International Classification of Diseases (ICD)
e. Prevention Plus III System (PP-3-S)

Answer 33

33 - The official coding system in use in the United States as of publication of the DSM-5-TR is the:

d. International Classification of Diseases (ICD)

Question 34

34 - According to the DSM V, which is likely true about people with somatoform disorders?

a. They may pay too much attention to bodily symptoms
b. They have symptoms that are caused by a medical condition
c. They do not experience real symptoms
d. They intentionally produce their symptoms

Answer 34

34 - According to the DSM V, which is likely true about people with somatoform disorders?

a. They may pay too much attention to bodily symptoms