DSM Flashcards

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1
Q

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 treat people as “sick.”
B. Labels stigmatize people.
C. Labels give the illusion of explanation.
D. Labels are unreliably applied

A

C. Labels give the illusion of explanation.

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2
Q

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 treat people as “sick.”
B. Labels stigmatize people.
C. Labels give the illusion of explanation.
D. Labels are unreliably applied

A

C. Labels give the illusion of explanation.

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3
Q

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

A. Pharmaceutical companies also own the managed care health insurance companies and promote a biological vision to sell their products

B. Privacy of patient information is questioned: Medical records are examined to assess whether the care is appropriate or not

C. The utilization of health is driven by economic need rather than human ones.

D .All of the above

E. None of the above

A

D.All of the above

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4
Q

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: réponse donnée dans le corrigé)
A. effectiveness

B. efficacy

C.positive effects

D.grant-funded nature

A

B.efficacy

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5
Q
This requires an individual to present with only a subset of characteristics from a larger list: 
A.categorical criteria set 			 
B.multiaxial set 			 
C.polythetic criteria set 			 
D. dimensional criteria set
A

C.polythetic criteria set

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6
Q

Why is the first axis often seen as the most important for diagnosticians?
A. because all the major personality disorders are indicated on this axis
B. because all the major environmental problems are indicated on this axis
C. because all the major clinical syndromes are indicated on this axis
D. because all the major medical conditions are indicated on this axis

A

C.because all the major clinical syndromes are indicated on this axis

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7
Q

What organization publishes the Diagnostic and Statistical Manual of Mental Disorders?
A.American Psychological Association
B. American Psychiatric Association
C. American Medical Association
D National Alliance for the Mentally Ill

A

B. American Psychiatric Association

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8
Q

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: réponse donnée dans le corrigé)

A. effectiveness

B. efficacy

C.positive effects

D.grant-funded nature

A

B.efficacy

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9
Q

This requires an individual to present with only a subset of characteristics from a larger list:

A.categorical criteria set
B.multiaxial set
C.polythetic criteria set
D. dimensional criteria set

A

C.polythetic criteria set

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10
Q

Why is the first axis often seen as the most important for diagnosticians?

A. because all the major personality disorders are indicated on this axis
B. because all the major environmental problems are indicated on this axis
C. because all the major clinical syndromes are indicated on this axis
D. because all the major medical conditions are indicated on this axis

A

C.because all the major clinical syndromes are indicated on this axis

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11
Q

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

A.American Psychological Association
B. American Psychiatric Association
C. American Medical Association
D National Alliance for the Mentally Ill

A

B. American Psychiatric Association

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12
Q

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

A.Low functioning thyroid and depression

B.High functioning thyroid and depression

C. Low functioning thyroid and schizophrenia

D. High functioning thyroid and schizophrenia

A

C. Low functioning thyroid and depression

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13
Q

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

A.The DSM provides a “special language” for behavioral disorders i.e. identifies and describes clear and distinct disorders

B. The illusion that naming a disorder explains it.

C. If an individual’s problem is accurately described, prognosis and treatment are more easily decided.

D.DSM facilitates formation of differential diagnosis.

E.All of the above

F.None of the above

A

B.The illusion that naming a disorder explains it.

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14
Q

What does “managed mental heath” mean?

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

B.It’s a health insurance program for the elderly

C.It’s a health insurance program for those in financial need

D. All of the above

E.None of the above

A

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

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15
Q

Which issues, long neglected in the DSM, are likely to be addressed in future edition (2013)?

A.Psycho-social underpinnings of personality disorders

B.Development of personality psychopathology in the elderly

C.Interactions between Axis III and IV

D. All of the above

E. None of the above

A

E.None of the above

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16
Q

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 “depression” instead of an “adjustment disorder”, so she can get psychotherapy

B.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

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.All of the above

E. None of the above

A

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

17
Q

The DSM classification system is said to be “multiaxial.” This means that the system:

A. reflects the interrelated complexities of the various biological, psychological, and social aspects of a person’s condition

B. asks for judgments about individuals on a number of distinct dimensions

C. is designed to provide a comprehensive diagnosis that includes a complete picture of not just acute symptoms but of the entire scope of factors that comprise mental health

D All of the above

E.None of the above

A

D All of the above

18
Q

What do personality disorders and mental retardation have in common?

A. they are very long-standing patterns

B. they are pervasive patterns

C.they are not as likely to change with treatment

D. All of the above

E. None of the above

A

D. All of the above

19
Q

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

A.Prognosis

B. Diagnosis

C. Maladaptive behavior

D.Deviance

A

A.Prognosis

20
Q

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 use cognitive-behavioral therapy that is very structured and talk-oriented.

B. When having an aboriginal woman as client, she’ll concentrate much more on her client’s dream and contact with spiritual ancestors.

C. 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.

D.All of the above

E.None of the above

A

D.All of the above

21
Q

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. physical
C. medical
D.biological

A

C. medical

22
Q

Read the following diagnosis: “Significantly subaverage intellectual functioning: an IQ of approximately 70 or below on an individually administered IQ test; Concurrent deficits or impairments in adaptive functioning in at least two of the following areas: communication, self-care, home living, social/interpersonal skills, use of community resources, self-direction, functional academic skills, work, leisure, health, and safety. The onset is before age 18 years”. What is this diagnostic criterion about?

A. Dissociative disorders

B. Phobic disorders

C. Clinical syndromes

D. Mental retardation

A

D. Mental retardation

23
Q

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

A. DSM provides a descriptive system that does not specify the cause of or reason for the problem
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. This system sacrifices validity for reliability
E. DSM encourages clinicians to treat patients as a checklist

A

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

24
Q

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.

A. 1950; 200

B. 1952; 250

C.1954; 300

D. 1956; 350

A

B. 1952; 250

25
Q

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. schizotypal; narcissistic

B. obsessive-compulsive; antisocial

C. narcissistic; obsessive-compulsive

D.antisocial; borderline

A

D.antisocial; borderline