Advanced Clinical Assessment and Diagnosis
UPDATED QUESTIONS WITH CORRECT
AND ACCURATE SOLUTIONS
Disturbed - CORRECT ANSWER✅✅✅if you don't meet all the criteria for a diagnosis you
are referred to as disturbed
disorder - CORRECT ANSWER✅✅✅one meets all the criteria in the DSM for a disorder
mental status exam - CORRECT ANSWER✅✅✅no more than 5 minutes since most of
differential diagnosis will be based on history. psychiatric exam part 2 brief exam. broken into 2
parts psychiatric and neurologic which includes the observation of the clients appearance, motor
function (tics, tourettes), cognitive functioning, behavior, cooperation, speech and thought
pattern (logical or not), affect, mood, judgement and insight, perception, suicidal/homicidal
ideations, reliability of information provided, oriented x3 (person, place, time), medical problems
concrete or abstract . organizes info
borderline - CORRECT ANSWER✅✅✅stable personality disorder, not going to experience
psychosis. experiences unstable attachments
cultural vs. universal - CORRECT ANSWER✅✅✅not enough evidence to agree if
psychiatric disorders or symptoms are universal or a result of cultural or contextual factors
assessment - CORRECT ANSWER✅✅✅first step in in social work, core skill. broad,
ongoing, evaluate personal resources (family, strengths, cognitive functioning) evaluate deficits.
include health ego functioning and mental status. risk assessment always ask depressed client
about risk of suicidal or homicide. biases impact how you assess client. part of a psychosocial
workup—an ecological approach.
diagnosis - CORRECT ANSWER✅✅✅never changes, focused, problem centered,
pathology, impacts treatment. focus on Symptoms of behavior
,,individual behavior
,Focus on pathology
pathology - CORRECT ANSWER✅✅✅behave in an extreme and unacceptable way, and
have very powerful feelings that they cannot control.
conduct disorder - CORRECT ANSWER✅✅✅children kill animals, set fires, turn into
criminals, no remorse
mood vs. affect - CORRECT ANSWER✅✅✅mood= season affect=weather. mood
continues over over time, pervasive. internally felt emotions (depression anxiety, anger). affect
may change quickly, current emotional state. outward display of emotions should be
differentiated from mood. affect is normally appropriate to situation
three types of affect (emotional states) - CORRECT ANSWER✅✅✅blunt-very little range
monotone, flat- little range of emotion, labile-rapidly changing
labile - CORRECT ANSWER✅✅✅affect- rapidly changing
blunt - CORRECT ANSWER✅✅✅very little range monotone- affect
flat - CORRECT ANSWER✅✅✅little range of emotion
diurnal variation - CORRECT ANSWER✅✅✅changes in mood in depression throughout
the day. typically is more severe in the morning and lessens
schizophrenia - CORRECT ANSWER✅✅✅variety of negative and positive symptoms
(positive- delusion, negative-)often have disorganized speech
, positive formal thought disorder/disorganized speech - CORRECT ANSWER✅✅✅more
then there should be, positive symptom
types of disorganized speech - CORRECT ANSWER✅✅✅tangetiality- responds but goes in
a different direction, circumstantiality-unnecessary details eventually makes a point, illogical ,
derailment- loose associations, jumps from subject to subject, words make sentences but
sentences do not make sense, thought blocking- sudden disruption of thought, break in flow of
ideas common in schizophrenia and dementia, clanging- using rhymes or sounds, distractable-
changes subject mid sentence, often because they hear voices get distracted, pressure of speech-
can't get the words out fast enough, word salad/incoherance/ schizophasia- words thrown
together they make no sense
negative formal thought disorder - CORRECT ANSWER✅✅✅poverty of speech, negative
symptom
poverty of content - CORRECT ANSWER✅✅✅fluent speech but no content, convey little
info
positive vs. negative symptoms - CORRECT ANSWER✅✅✅positive= symptom is
occuring, negative- lack of symptoms
delusion - CORRECT ANSWER✅✅✅abnormal thoughts, positive symptom, false beliefs
can't be rationalized with facts or evidence, long term
provisional diagnosis - CORRECT ANSWER✅✅✅strong belief individual will meet all the
criteria for a disorder but not currently met. usually due to time frame
differential diagnosis - CORRECT ANSWER✅✅✅following MSE choose appropriate
diagnosis take into account psychological, biological and sociocultural factors. consider all
possible diagnoses weigh pros and cons and then distinguish between specific disorders from
other similar diagnoses. use exclusion criteria. example mental disorder or substance induced
disorder. same symptoms experienced are the same in a more pervasive disorder and a less
pervasive disorder only the more pervasive disorder is diagnosed. diagnostic classes in DSM are
listed in order of their priority in differential diagnosis
UPDATED QUESTIONS WITH CORRECT
AND ACCURATE SOLUTIONS
Disturbed - CORRECT ANSWER✅✅✅if you don't meet all the criteria for a diagnosis you
are referred to as disturbed
disorder - CORRECT ANSWER✅✅✅one meets all the criteria in the DSM for a disorder
mental status exam - CORRECT ANSWER✅✅✅no more than 5 minutes since most of
differential diagnosis will be based on history. psychiatric exam part 2 brief exam. broken into 2
parts psychiatric and neurologic which includes the observation of the clients appearance, motor
function (tics, tourettes), cognitive functioning, behavior, cooperation, speech and thought
pattern (logical or not), affect, mood, judgement and insight, perception, suicidal/homicidal
ideations, reliability of information provided, oriented x3 (person, place, time), medical problems
concrete or abstract . organizes info
borderline - CORRECT ANSWER✅✅✅stable personality disorder, not going to experience
psychosis. experiences unstable attachments
cultural vs. universal - CORRECT ANSWER✅✅✅not enough evidence to agree if
psychiatric disorders or symptoms are universal or a result of cultural or contextual factors
assessment - CORRECT ANSWER✅✅✅first step in in social work, core skill. broad,
ongoing, evaluate personal resources (family, strengths, cognitive functioning) evaluate deficits.
include health ego functioning and mental status. risk assessment always ask depressed client
about risk of suicidal or homicide. biases impact how you assess client. part of a psychosocial
workup—an ecological approach.
diagnosis - CORRECT ANSWER✅✅✅never changes, focused, problem centered,
pathology, impacts treatment. focus on Symptoms of behavior
,,individual behavior
,Focus on pathology
pathology - CORRECT ANSWER✅✅✅behave in an extreme and unacceptable way, and
have very powerful feelings that they cannot control.
conduct disorder - CORRECT ANSWER✅✅✅children kill animals, set fires, turn into
criminals, no remorse
mood vs. affect - CORRECT ANSWER✅✅✅mood= season affect=weather. mood
continues over over time, pervasive. internally felt emotions (depression anxiety, anger). affect
may change quickly, current emotional state. outward display of emotions should be
differentiated from mood. affect is normally appropriate to situation
three types of affect (emotional states) - CORRECT ANSWER✅✅✅blunt-very little range
monotone, flat- little range of emotion, labile-rapidly changing
labile - CORRECT ANSWER✅✅✅affect- rapidly changing
blunt - CORRECT ANSWER✅✅✅very little range monotone- affect
flat - CORRECT ANSWER✅✅✅little range of emotion
diurnal variation - CORRECT ANSWER✅✅✅changes in mood in depression throughout
the day. typically is more severe in the morning and lessens
schizophrenia - CORRECT ANSWER✅✅✅variety of negative and positive symptoms
(positive- delusion, negative-)often have disorganized speech
, positive formal thought disorder/disorganized speech - CORRECT ANSWER✅✅✅more
then there should be, positive symptom
types of disorganized speech - CORRECT ANSWER✅✅✅tangetiality- responds but goes in
a different direction, circumstantiality-unnecessary details eventually makes a point, illogical ,
derailment- loose associations, jumps from subject to subject, words make sentences but
sentences do not make sense, thought blocking- sudden disruption of thought, break in flow of
ideas common in schizophrenia and dementia, clanging- using rhymes or sounds, distractable-
changes subject mid sentence, often because they hear voices get distracted, pressure of speech-
can't get the words out fast enough, word salad/incoherance/ schizophasia- words thrown
together they make no sense
negative formal thought disorder - CORRECT ANSWER✅✅✅poverty of speech, negative
symptom
poverty of content - CORRECT ANSWER✅✅✅fluent speech but no content, convey little
info
positive vs. negative symptoms - CORRECT ANSWER✅✅✅positive= symptom is
occuring, negative- lack of symptoms
delusion - CORRECT ANSWER✅✅✅abnormal thoughts, positive symptom, false beliefs
can't be rationalized with facts or evidence, long term
provisional diagnosis - CORRECT ANSWER✅✅✅strong belief individual will meet all the
criteria for a disorder but not currently met. usually due to time frame
differential diagnosis - CORRECT ANSWER✅✅✅following MSE choose appropriate
diagnosis take into account psychological, biological and sociocultural factors. consider all
possible diagnoses weigh pros and cons and then distinguish between specific disorders from
other similar diagnoses. use exclusion criteria. example mental disorder or substance induced
disorder. same symptoms experienced are the same in a more pervasive disorder and a less
pervasive disorder only the more pervasive disorder is diagnosed. diagnostic classes in DSM are
listed in order of their priority in differential diagnosis
